Oxford Adoption Foundation --- Adoption Expense Form

 

 

 

 

 

 

Name

 

Date:

 

Phone:

 

 

 

 

 

 

Other Grants and Loans Applied For

 

 

Name of Lender

Amount

Interest Rate

Status

 

 

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

Adoption Expenses

 

Type of Expense

Amount

Amount Paid

Source of Funds for Expenses Paid and Balance Due (How have you paid what is paid and how you intend to pay what is still due, i.e. savings, other loan, family, friends, etc.)

 

 

 

 

 

Paid

Due

 

 

Agency

Fees

 

 

 

 

 

Child's Medical Exam

 

 

 

 

 

Foreign Program Fee

 

 

 

 

 

Home Study

 

 

 

 

 

In-Country Fees

 

 

 

 

 

INS Fees

 

 

 

 

 

Notarization/Authentication

 

 

 

 

 

Orphanage Fees

 

 

 

 

 

Overseas Fees

 

 

 

 

 

Translation Fees

 

 

 

 

 

Travel 1st Trip

 

 

 

 

 

Travel 2nd Trip

 

 

 

 

 

Visas

 

 

 

 

 

 

Other

 

 

 

 

 

Other

 

 

 

 

 

Other

 

 

 

 

 

 

Totals