Adoption Cost Estimate Worksheet and Funding Plan

Adoption Cost Estimate Form

This form is a good-faith estimate of expected adoption expenses. This form must be completed and returned prior to grant funds being disbursed.

Operating as a public charity, the Dunlap Foundation must comply with tax rules mandated by the IRS and therefore maintains records that document the sources of receipts and expenditures. Normally, adoption assistance funds are paid directly to adoption facilitator(s) for legitimately invoiced adoption expenses, and not to the adopting couple/family. Reimbursements paid directly to the couple are taxable as income and any tax levies are the responsibility of the couple. Families are encouraged to save all records/receipts related to the adoption(s) as they will need them for any tax credit for which they may apply.

Adoption Cost Estimate Worksheet and Funding Plan On submit, you will be redirected to the Adoption Assistance Fund page to complete any remaining forms. Required forms are:

Dunlap Adoption Grant Application, Adoption Cost Estimate Worksheet and Funding Plan, Dunlap Adoptive Family Bio Form, and the Dunlap AAF Home Study Letter.

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Date *

Family Name *

State/Country Adopting From *

Number of Children Adopting *

Home Study fees *

USCIS fees (if international)

Other fees (processing/postage expenses, state clearance, marriage certificates, passport renewals for parents, apostille fees- for international) *

Agency fees / facilitation fees *

Orphanage donation (if not included in above feeds

Expected transportation expense (ground/airfare including child’s trip home)

Expected travel expenses (travel, lodging, Visa, Passport Application fee, medical exams, etc.) *

Other expected expenses (if any, please explain below)

Please Explain *

TOTAL estimated adoption expenses

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