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Oxford Adoption Foundation --- Adoption Expense Form |
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Name |
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Date: |
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Phone: |
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Other
Grants and Loans Applied For |
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Name
of Lender |
Amount |
Interest
Rate |
Status |
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1 |
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2 |
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3 |
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4 |
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5 |
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Adoption
Expenses |
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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.) |
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Paid |
Due |
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Agency |
Fees |
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Child's Medical Exam |
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Foreign Program Fee |
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Home Study |
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In-Country Fees |
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INS Fees |
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Notarization/Authentication |
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Orphanage Fees |
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Overseas Fees |
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Translation Fees |
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Travel 1st Trip |
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Travel 2nd Trip |
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Visas |
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Other |
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Other |
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Other |
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Totals |
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