A Child Waits Foundation --- Adoption Expense Form
Name		Date:		Phone:
Other Grants and Loans Applied For
Name of Lender		Amount	Interest Rate	Status
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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