Common use of Expenses Necessary to Complete Your Adoption Clause in Contracts

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Fee (incl. home study & dossier compilation) 1 $6,050 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting 2 $775 – Check/Money Order $85 per person FP fee (may vary at US Embassy/Consulate in country) US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in country) When home study is completed and approved Second Program Fee $5,250 – Check/ACH Withdrawal CCAI Dossier Submission CCCWA Fee $1,270 (wiring fee included) – Check/ACH Withdrawal CCAI (wired to China) Dossier Submission CCCWA Post Adoption Translation Fee $300 – Check/ACH Withdrawal CCAI (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 $5,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit *** $1,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/travel agency Approximately one month before travel to China, if applicable In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check CCAI (wired to China) Approx. 7-10 days prior to China departure Adoption Registration and Notarization Approx. $800 - $1,000 – Cash Local government in China In China Orphanage Donation *** (Voluntary) Orphanage In China Child’s Passport Approx. $100 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple – Cash/Credit Card Hotel(s), restaurant(s) In China Child Physical & Photo Approx. $130 - $150 – Cash Clinic In Guangzhou, China Child U.S. Entry Visa $325 – Cash or Check US Consulate in Guangzhou, China In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization Court Validation Fee Varies by state/county Your county court After U.S. return Child Birth Certificate Varies by state Your state After U.S. return TOTAL: $27,300 - $28,400 for two adult travelers (not including post adoption deposit orphanage donation) 1 Does not include the travel expenses for social worker, including airfare, transportation, room and board, that you will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your home study report, home study update or post adoption reports, there will be up to an additional $250 fee per report for his/her travel time. This is paid directly to CCAI and due at the time the services are required; either with 1st China Program fee, 3rd China Program fee or at time home study update is needed.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Fee (incl. home study & dossier compilationcompilation fee) 1 $6,050 4,700 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval Home Study Fee 1 As agreed with home study agency that can serve international families Your home study agency As agreed with your home study agency USCIS Filing & Fingerprinting 2 $775 – Check/Money Order $85 per person for FP fee (may vary at US Embassy/Consulate in country) US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in country) When home study is completed and approved Second Program Fee $5,250 5,050 – Check/ACH Withdrawal CCAI Dossier Submission CCCWA Fee $1,270 (wiring fee included) – Check/ACH Withdrawal CCAI (wired to China) Dossier Submission CCCWA Post Adoption Translation Fee $300 – Check/ACH Withdrawal CCAI (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 $5,500 4,700 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit *** (refundable) 3 $1,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/travel agency Approximately one month before travel to China, if applicable In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check CCAI (wired to China) Approx. 7-10 days prior to China departure Adoption Registration and Notarization Approx. $800 - $1,000 – Cash Local government in China In China Orphanage Donation *** 3 (Voluntary) Orphanage In China Child’s Passport Approx. $100 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple – Cash/Credit Card Hotel(s), restaurant(s) In China Child Physical & Photo Approx. $130 - $150 – Cash Clinic In Guangzhou, China Child U.S. Entry Visa $325 – Cash or Check US Consulate in In China Guangzhou, China In China International & U.S. Domestic Airfare 3 Not applicable to families living in China Approx. $1,000 - $2,000 per traveler (adopted child over 2 requires full ticket) – Credit Card A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child Post Adoption Support As agreed with local home study agency 1 Your home study agency As agreed with your home study agency N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization Court Validation Fee Varies by state/county Your county court After U.S. return Child Birth Certificate Varies by state Your state After U.S. return TOTAL: $27,300 28,100 - $28,400 31,900 for two adult travelers (not including home study or post adoption deposit costs, post adoption deposit, or orphanage donation) 1 Does not include The home study and post adoption fees can vary greatly; a home study is generally between $1000 - $3000 and post adoption fees are generally between $150 - $500 per report. Please email xxxx@xxxxxxxxxx.xxx for the travel expenses for social worker, including airfare, transportation, room and board, list of home study agencies that you will be responsible for. In addition, if the social worker is travelling can serve international families outside of his/her home city to complete your home study report, home study update China or post adoption reports, there will be up to an additional $250 fee per report for his/her travel time. This is paid directly to CCAI and due at the time the services are required; either with 1st China Program fee, 3rd China Program fee or at time home study update is neededSE Asia.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China Taiwan adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Fee (incl. home study & dossier compilation) 1 Child Abuse Record Search $6,050 35/couple – CheckCheck CDHS App Submission CBI/ACH Withdrawal CCAI FBI Fingerprinting $39.50/person – Money Order Colorado Bureau of Investigation After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting 2 $775 – Check/Money Order $85 per person FP fee (may vary at US Embassy/Consulate in country) US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in country) When home study is completed and approved Second 1st Program Fee $5,250 4,050 – Check/ACH Withdrawal CCAI After App Approval Lutheran Family Services (CO State Contractor) $170 - Check LFSRM via CCAI When home study is approved by CCAI USCIS Filing & Fingerprinting $775 plus $85 per adult in the home – Check/money order US Department of Homeland Security When home study is completed Dossier Submission CCCWA Preparation Approx. $300 – Check/ Money Order Secretary of State(s) and TECRO As preparing Dossier 2nd Program Fee $1,270 3,350 – Check/ACH Withdrawal CCAI Acceptance of Child Match Cathwel (In-Country) Fee $6,230 per child (wiring fee included) – - Check/ACH Withdrawal CCAI (wired to ChinaTaiwan) Dossier Submission CCCWA Post Adoption Translation Acceptance of Child Match 3rd Program Fee $300 3,950 – Check/ACH Withdrawal CCAI Submission of Dossier Post Adoption Deposit (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 refundable)*** $5,500 600 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption filing I-600 Court Validation Deposit *** $1,500 – 200 - Check/ACH Withdrawal CCAI Prior to receiving filing I-600 US Domestic & International Airfare $1,200 - $1,500 by coach per adult plus $1,000 for a child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) one way ticket– Check/Credit Card Chinese Consulate via a courier/A travel agency of your choice Approximately one month before travel to China, if applicable In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check CCAI (wired to China) Approx. 7-10 days prior to China departure Adoption Registration and Notarization Taiwan Room & Board (approx. 5 to 7 nights for one trip) Approx. $800 425 - $1,000 – Cash Local government in China In China Orphanage Donation *** (Voluntary) Orphanage In China Child’s Passport Approx1,750 for hotel, approx. $100 300 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple 500 for food– Cash/Credit Card Hotel(s), restaurant(sRestaurant(s) In China Child Physical & Photo Approx. Taiwan Taiwan Guide (optional) $130 300 - $150 500 per 5 day trip– Cash Clinic Tour Company/Agent of your choice In Guangzhou, China Taiwan Child U.S. Entry Visa $325 – Cash or Check US Consulate Paid by Cathwel The American Institute in Guangzhou, China Taiwan In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization Taiwan Court Validation Fee Varies by state/county Your county court $167– Check Local County Court After U.S. return Child State Birth Certificate Varies by state Your state $37.75– Check CO Vital Statistics Office After U.S. return TOTAL: $27,300 - $28,400 for two adult travelers (not including post Taiwan adoption deposit orphanage donation) 1 Does not include timelines are controlled by the travel expenses for social workergovernment and are subject to change. Due to the length of time it takes to receive a match, including airfareyou may need to re-file your immigration application, transportation, room which includes re-fingerprinting and board, that you will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your a home study report, home study update or post adoption reports, there will update. The overall cost to re-file can be up to an additional $250 fee per report for his600-$2,500. Initials We have read the CCAI Fee Policy/her travel timeAgreement carefully and understand that it is our responsibility to pay all fees on time in order to receive child placement services from CCAI. This is We understand that while CCAI’s fees will NOT change throughout our adoption (unless additional adoptive or post adoptive services are required by Taiwan), non- CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid directly throughout this adoption are our responsibility and are not refundable through CCAI should we discontinue the adoption. We understand that this Fee Policy/Agreement must be signed, notarized, and returned to CCAI along with the signed/notarized Service Agreement, 1st Program Fee and due at IAAME fee (payable via ACH bank transfer, check or money order, or wire transfer). We understand that signing this agreement indicates that we acknowledge and agree to pay the time fees and costs of our adoption through CCAI. Husband’s Printed Name Wife’s Printed Name Husband’s Signature Wife’s Signature Date Date This document has been subscribed and affirmed before me in the services County of State of , this day of , 20 . My Commission Expires: / / Notary’s Signature Note: This three-page document is not valid unless both pages are required; either with 1st China Program feeinitialed/signed and returned to CCAI. Rev. 1/2020 IS1 CCAI Taiwan Service Agreement This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and _____ _ and __ , 3rd China Program fee a married couple [or at time home study update is neededa single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Fee (incl. home study & dossier compilation) 1 $6,050 3,900 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting 2 Fingerprinting1 $775 – Check/Money Order $85 per person FP fee (may vary at US Embassy/Consulate in country) adult for fingerprinting US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in countryUpon I-800A submission Dossier Preparation Approx. $450 - $900 – Check/ Money Order Secretary of State(s), Chinese Consulate(s) When As preparing Dossier Home Study Fee As agreed with local home study is completed and approved agency 2 Your home study agency As agreed with your home study agency Second Program Fee $5,250 4,850 – Check/ACH Withdrawal CCAI Dossier Submission CCCWA Fee $1,270 (wiring fee included) – Check/ACH Withdrawal CCAI (wired to China) Dossier Submission Third Program Fee $4,700 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) CCCWA Post Adoption Translation Fee $300 – Check/ACH Withdrawal CCAI (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 $5,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit *** (refundable)3 $1,500 1,000 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/travel agency Approximately one month before travel to China, if applicable China US Domestic & International Airfare Approx. $1,000 - $2,000 per traveler (adopted child over 2 requires full ticket) – Credit Card A travel agency/airline of your choice Approximately 7-10 days prior to China departure In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check CCAI (wired to China) Approx. Approximately 7-10 days prior to China departure Adoption Registration and Notarization Approx. $800 - $1,000 – Cash Local government in China In China Orphanage Donation *** Donation3 (Voluntary) Orphanage In China after adoption finalization Child’s Passport Approx. $100 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple – Cash/Cash/ Credit Card Hotel(s), restaurant(s) In China Child Physical & Photo Approx. $130 - $150 – Cash Clinic In Guangzhou, China Child U.S. US Entry Visa $325 – Cash or Check US Consulate in Guangzhou, China In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of Post Adoption Support As agreed with local home study agency 2 Your home study agency As agreed with your choice Within 90 days after receiving visa from the US Consulate for your adopted child N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization home study agency Court Validation Fee Varies by state/county Your county court After U.S. return to US Child Birth Certificate Varies by state Your state After U.S. return to US TOTAL: $27,300 26,500 - $28,400 30,800 for two adult travelers (not Not including home study or post adoption deposit costs, post adoption deposit, or orphanage donation) 1 Does not include the travel expenses for social workerChina adoption timelines are variable. Due to unpredictable wait times, including airfareyou may need to re-file your immigration application, transportationwhich includes a new I-800A form or Supplement 3, room re-fingerprinting and board, that you will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your a home study report, update. The overall cost to re-file can be an additional $900 plus home study update or post adoption reports, there will be up to an additional $250 fee per report for his/her travel time. This is paid directly to CCAI and due at the time the services are required; either with 1st China Program fee, 3rd China Program fee or at time home study update is needed.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Child Abuse Record Search $35/family – Check CO Department of Human Services App submission CBI/FBI Fingerprinting $39.50/person – Money Order Colorado Bureau of Investigations After App Approval rogram Fee (incl. home study & dossier compilationincludes Home Study) 1 $6,050 5,700 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When home study is approved by CCAI USCIS Filing & Fingerprinting 2 ** $775 – Check/Money Order money order plus $85 per person FP fee (may vary at US Embassy/Consulate in country) adult for fingerprinting US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in countryI-800A Submission Dossier Preparation Approx. $450 - $900 - Check/Money Order Secretary of State(s), Chinese Consulate(s) When home study is completed and approved As preparing Dossier Second Program Fee $5,250 5,050 – Check/ACH Withdrawal CCAI Dossier Submission CCCWA Fee $1,270 (wiring fee included) – Check/ACH Withdrawal CCAI (wired to China) Dossier Submission Third Program Fee $5,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) CCCWA Post Adoption Translation Fee $300 – Check/ACH Withdrawal CCAI (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 Post Adoption Deposit*** $5,500 450 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit Court Validation Deposit*** $1,500 200 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/travel agency Approximately one month Approx. 1 mo. before travel to China, if applicable China US Domestic & International Airfare Approx. $1,000 - $2,000 per traveler (adopted child over 2 requires full ticket) – Credit Card A travel agency/airline of your choice Approx. 7-10 days prior to departure In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check CCAI (wired to China) Approx. 7-10 days prior to China departure Adoption Registration and Notarization Approx. $800 - $1,000 – Cash In China and Notarization Local government in China In China Orphanage Donation Donation*** (Voluntary) Orphanage In China after adoption finalization Child’s Passport Approx. $100 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple – Cash/Credit Card Hotel(s), restaurant(s) In China Child Physical & Photo Approx. $130 - $150 – Cash Clinic In Guangzhou, China Child U.S. US Entry Visa $325 – Cash or Check US Consulate in Guangzhou, China In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization Court Validation Fee Varies by state/county Your county court $167 – Check County Court After U.S. return Child to US Child’s Colorado Birth Certificate Varies by state Your state $37.75 – Check Colorado Vital Statistics Office After U.S. return to US TOTAL: $27,300 29,800 - $28,400 34,100 for two adult travelers (not including post adoption deposit deposits or orphanage donation) 1 Does ** China adoption timelines are variable. Due to unpredictable wait times, you may need to re-file your immigration application, which includes a new I-800A form or Supplement 3, re-fingerprinting and a home study update. The overall cost to re-file can be an additional $800-$2,500. *** The “Total” above does not include the travel expenses for social worker$200 refundable Court Validation deposit, including airfarethe $450 refundable Post Adoption deposit, transportation, room or the orphanage donation. Initials We have read the CCAI Fee Policy/Agreement carefully and board, understand that you it is our responsibility to pay all fees on time in order to receive child placement services from CCAI. We understand that while CCAI’s fees will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your home study report, home study update NOT change throughout our adoption (unless additional adoptive or post adoptive services are required by the CCCWA), non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid throughout this adoption reportsare our responsibility and are not refundable through CCAI should we discontinue the adoption. We understand that this Fee Policy/Agreement must be signed, there will be up to an additional $250 fee per report for his/her travel time. This is paid directly notarized, and returned to CCAI along with the signed/notarized Service Agreement, 1st Program Fee and due at IAAME fee (payable via ACH bank transfer, check or money order, or wire transfer). We understand that signing this agreement indicates that we acknowledge and agree to pay the time fees and costs of our adoption through CCAI. Husband’s Printed Name Wife’s Printed Name Husband’s Signature Wife’s Signature Date Date This document has been subscribed and affirmed before me in the services County of State of Colorado, this day of , 20 . My Commission Expires: / / Notary’s Signature Note: This three-page document is not valid unless all pages are required; either with 1st China Program feeinitialed/signed and returned to CCAI. Rev. 2/2020 CO1 CCAI Service Agreement Colorado Families This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , 3rd China Program fee a married couple [or at time home study update is neededa single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Fee (incl. home study & dossier compilationIncl Home Study Fee) 1 $6,050 5,550 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting 2 Fingerprinting1 $775 – Check/Money Order $85 per person FP fee (may vary at US Embassy/Consulate in country) adult for fingerprinting US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in countryUpon I-800A submission Dossier Preparation Approx. $450 - $900 – Check/ Money Order Secretary of State(s), Chinese Consulate(s) When home study is completed and approved As preparing Dossier Second Program Fee $5,250 5,050 – Check/ACH Withdrawal CCAI Dossier Submission CCCWA Fee $1,270 (wiring fee included) – Check/ACH Withdrawal CCAI (wired to China) Dossier Submission Third Program Fee $5,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) CCCWA Post Adoption Translation Fee $300 – Check/ACH Withdrawal CCAI (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 $5,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit *** (refundable) 2 $1,500 450 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/travel agency Approximately one month before travel to China, if applicable China US Domestic & International Airfare Approx. $1,000 - $2,000 per traveler (adopted child over 2 requires full ticket) – Credit Card A travel agency/airline of your choice Approximately 7-10 days prior to China departure In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check ACH Withdrawal CCAI (wired to China) Approx. Approximately 7-10 days prior to China departure Adoption Registration and Notarization Approx. $800 - $1,000 – Cash Local government in China In China Orphanage Donation *** Donation2 (Voluntary) Orphanage In China after adoption finalization Child’s Passport Approx. $100 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple – Cash/Cash/ Credit Card Hotel(s), restaurant(s) In China Child Physical & Photo Approx. $130 - $150 – Cash Clinic In Guangzhou, China Child U.S. US Entry Visa $325 – Cash or Check US Consulate in Guangzhou, China In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization Court Validation Fee Varies by state/county Your county court After U.S. return to US Child Birth Certificate Varies by state Your state After U.S. return to US TOTAL: $27,300 29,100 - $28,400 33,400 for two adult travelers (not including post adoption deposit or orphanage donation) 1 Does China adoption timelines are variable. Due to unpredictable wait times, you may need to re-file your immigration application, which includes a new I-800A form or Supplement 3, re-fingerprinting and a home study update. The overall cost to re-file can be an additional $800 - $2,500. 2 The “Total” above does not include the travel expenses for social worker, including airfare, transportation, room $450 refundable Post Adoption deposit or the orphanage donation. Initials We have read the CCAI Fee Policy/Agreement carefully and board, understand that you it is our responsibility to pay all fees on time in order to receive child placement services from CCAI. We understand that while CCAI’s fees will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your home study report, home study update NOT change throughout our adoption (unless additional adoptive or post adoptive services are required by the CCCWA), non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid throughout this adoption reportsare our responsibility and are not refundable through CCAI should we discontinue the adoption. We understand that this Fee Policy/Agreement must be signed, there will be up to an additional $250 fee per report for his/her travel time. This is paid directly notarized, and returned to CCAI along with the signed/notarized Service Agreement, 1st Program Fee and due at IAAME fee (payable via ACH bank transfer, check or money order, or wire transfer). We understand that signing this agreement indicates that we acknowledge and agree to pay the time fees and costs of our adoption through CCAI. Husband’s Printed Name Wife’s Printed Name Husband’s Signature Wife’s Signature Date Date This document has been subscribed and affirmed before me in the services County of State of , this day of , 20 . My Commission Expires: / / Notary’s Signature Note: This three-page document is not valid unless all pages are required; either with 1st China Program feeinitialed/signed and returned to CCAI. Rev. 2/2020 FL/GA/TX/WY1 CCAI Service Agreement Florida, 3rd China Program fee Georgia, Kentucky, Texas & Wyoming Families This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or at time home study update is neededa single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China Taiwan adoption. Expense Amount Pay to Due Application Fee $250 – –Check/ACH Withdrawal † CCAI App Submission First Program Fee (incl. home study & dossier compilation) 1 $6,050 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal † CCAI (forwarded to IAAME) After App Approval 1st Program Fee $4,050 – Check/ACH Withdrawal † CCAI After App Approval USCIS Filing & Fingerprinting 2 $775 plus $85 per adult in the home – Check/Money Order $85 per person FP fee (may vary at US Embassy/Consulate in country) money order US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in country) When home study is completed and approved Second 2nd Program Fee $5,250 3,800 – Check/ACH Withdrawal † CCAI Dossier Submission CCCWA Acceptance of Child Match Cathwel (In-Country) Fee $1,270 6,230 per child (wiring fee included) – - Check/ACH Withdrawal CCAI (wired to ChinaTaiwan) Acceptance of Child Match Dossier Submission CCCWA Post Adoption Translation Preparation Approx. $300 – Check/ Money Order Secretary of State(s) and TECRO As preparing Dossier 3rd Program Fee $300 4,250 – Check/ACH Withdrawal † CCAI Submission of Dossier Post Adoption Deposit (wired to Chinarefundable) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 $5,500 600 – Check/ACH Withdrawal † CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit *** filing I-600 US Domestic & International Airfare $1,200 - $1,500 by coach per adult plus $1,000 for a child one way ticket– Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/A travel agency of your choice Approximately one month before travel to China, if applicable In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check CCAI (wired to China) Approx. 7-10 days prior to China departure Adoption Registration and Notarization Taiwan Room & Board (approx. 5 to 7 nights for one trip) Approx. $800 425 - $1,000 – Cash Local government in China In China Orphanage Donation *** (Voluntary) Orphanage In China Child’s Passport Approx1,750 for hotel, approx. $100 300 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple 500 for food – Cash/Credit Card Hotel(s), restaurant(sRestaurant(s) In China Child Physical & Photo Approx. Taiwan Taiwan Guide (optional) $130 300 - $150 500 per 5 day trip – Cash Clinic Tour Company/Agent of your choice In Guangzhou, China Taiwan Child U.S. Entry Visa $325 – Cash or Check US Consulate Paid by Cathwel The American Institute in Guangzhou, China Taiwan In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child Taiwan N-600K 4 1 $1,170 – 1,170- Check/Money Order U.S. Department of Homeland Security After adoption finalization Court Validation Fee Varies by state/county – Check Your county court After U.S. return Child Birth Certificate Varies by state – Check Your state After U.S. return TOTAL: $27,300 - $28,400 1 The N-600K is applicable for two adult travelers (families who do not including post immediately move back to the U.S. This is required to establish U.S citizenship for your adopted child. Taiwan adoption deposit orphanage donation) 1 Does not include timelines are controlled by the travel expenses for social workergovernment and are subject to change. Due to the length of time it takes to receive a match, including airfareyou may need to re-file your immigration application, transportation, room which includes re-fingerprinting and board, that you will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your a home study report, home study update or post adoption reports, there will update. The overall cost to re-file can be up to an additional $250 fee per report for his600-$2,500. Initials We have read the CCAI Fee Policy/her travel timeAgreement carefully and understand that it is our responsibility to pay all fees on time in order to receive child placement services from CCAI. This is We understand that while CCAI’s fees will NOT change throughout our adoption (unless additional adoptive or post adoptive services are required by Taiwan), non- CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid directly throughout this adoption are our responsibility and are not refundable through CCAI should we discontinue the adoption. We understand that this Fee Policy/Agreement must be signed, notarized, and returned to CCAI along with the signed/notarized Service Agreement, 1st Program Fee and due at IAAME fee (payable via ACH bank transfer, check or money order, or wire transfer). We understand that signing this agreement indicates that we acknowledge and agree to pay the time fees and costs of our adoption through CCAI. Husband’s Printed Name Wife’s Printed Name Husband’s Signature Wife’s Signature Date Date This document has been subscribed and affirmed before me in the services County of State of , this day of , 20 . My Commission Expires: / / Notary’s Signature Note: This three-page document is not valid unless both pages are required; either with 1st China Program feeinitialed/signed and returned to CCAI. Rev. 1/2020 Intl—CCAI HS CCAI Taiwan Service Agreement This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , 3rd China Program fee a married couple [or at time home study update is neededa single woman], (hereafter collectively [individually] referred to as the “Adoptive Family” or “We” “you” “your” “our” “us” and, sometimes individually as “I” “my”) (the “Service Agreement”) for the purpose of ensuring mutual understanding between CCAI (the “Primary Provider”) and the Adoptive Family.

Expenses Necessary to Complete Your Adoption. Your initials below indicate that you have reviewed CCAI’s estimated “Adoption Expense Chronology” (below) and are aware of the expenses necessary to complete your China adoption. Expense Amount Pay to Due Application Fee $250 – Check/ACH Withdrawal CCAI App Submission First Program Fee (incl. home study & dossier compilation) 1 $6,050 2,950 – Check/ACH Withdrawal CCAI After App Approval IAAME Monitoring & Oversight Fee $500 – Check/ACH Withdrawal CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting 2 1 $775 + $85 per adult for fingerprinting – Check/Money Order $85 per person FP fee (may vary at US Embassy/Consulate in country) US Department of Homeland Security (fingerprinting fee is paid at US Embassy/ Consulate in countryUpon I-800A submission Dossier Preparation Approx. $450 - $900 – Check/ Money Order Secretary of State(s), Chinese Consulate(s) When As preparing Dossier Home Study Fee $1,700 – Check/ACH Withdrawal CCAI-Kentucky At time of home study is completed and approved visit Second Program Fee $5,250 4,850 – Check/ACH Withdrawal CCAI Dossier Submission CCCWA Fee $1,270 (wiring fee included) – Check/ACH Withdrawal CCAI (wired to China) Dossier Submission Third Program Fee $4,700 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Service Fee $525 – Check/ACH Withdrawal CCAI-Kentucky Prior to receiving child match acceptance letter (LOA) CCCWA Post Adoption Translation Fee $300 – Check/ACH Withdrawal CCAI (wired to China) Prior to receiving child match acceptance letter (LOA) Third Program Fee (incl. 3 post adoption reports) 1 $5,500 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Post Adoption Deposit *** (refundable) 2 $1,500 450 – Check/ACH Withdrawal CCAI Prior to receiving child match acceptance letter (LOA) Visa to enter China 3 $140 per person (plus courier fee) – Check/Credit Card Chinese Consulate via a courier/travel agency Approximately one month before travel to China, if applicable China US Domestic & International Airfare Approx. $1,000 - $2,000 per traveler (adopted child over 2 requires full ticket) – Credit Card A travel agency/airline of your choice Approximately 7-10 days prior to China departure In-China Travel & Accommodations Approx. $4,000 - $4,400 for two adults – Check ACH Withdrawal CCAI (wired to China) Approx. Approximately 7-10 days prior to China departure Adoption Registration and Notarization Approx. $800 - $1,000 – Cash Local government In China Notarization in China In China Orphanage Donation *** Donation2 (Voluntary) Orphanage In China Child’s Passport Approx. $100 - $150 – Cash Local passport agency In China Food Approx. $700 - $800 per couple – Cash/Credit Card Hotel(s), restaurant(s) In China Child Physical & Photo Approx. $130 - $150 – Cash Clinic In Guangzhou, China Child U.S. US Entry Visa $325 – Cash or Check US Consulate in Guangzhou, China In China International & U.S. Domestic Airfare 3 Not applicable to families living in China A travel agency/airline of your choice Within 90 days after receiving visa from the US Consulate for your adopted child N-600K 4 $1,170 – Check/Money Order U.S. Department of Homeland Security After adoption finalization Court Validation Fee Varies by stateNo cost n/county Your county court a After U.S. return to US Child Birth Certificate Varies by state Your state $10 KY Office of Vital Statistics After U.S. return to US TOTAL: $27,300 27,700 - $28,400 32,000 for two adult travelers (not Not including post adoption deposit or orphanage donation) 1 Does not include the travel expenses for social workerChina adoption timelines are variable. Due to unpredictable wait times, including airfareyou may need to re-file your immigration application, transportationwhich includes a new I-800A form or Supplement 3, room re-fingerprinting and board, that you will be responsible for. In addition, if the social worker is travelling outside of his/her home city to complete your a home study report, update. The overall cost to re-file can be an additional $900 plus home study update or post adoption reports, there will be up to an additional $250 fee per report for his/her travel time. This is paid directly to CCAI and due at the time the services are required; either with 1st China Program fee, 3rd China Program fee or at time home study update is needed.