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

Expenses Necessary to Complete Your Adoption. SAMPLE 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 Bulgaria adoption Expense Amount Pay To Due Application Fee $250 – Check/ACH CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home Study) $6,350 – Check/ACH CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* $850 – Check/ACH CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 plus $85 per adult in the home – Check/money order USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation and Legal Fees* €6600 to €8000 (Euros1) plus $40 USD/wire – Check/ACH (3 wires) CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 – Check CCAI Dossier submission to CCAI Citizenship/Court Validation Deposit (refundable) $200 – Check CCAI Acceptance of Referral Refundable Post Adoption Deposit $500 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card A travel agency of your choice Approximately 10-14 days prior to departure Bulgarian Apartment & Room & Board (approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. Food approx. $20-$45 a day per person - $140-$315 – Cash/Credit Card Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash Bulgarian Legal Team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000, Credit Card A travel agency of your choice Approximately 10-14 days prior to departure Bulgarian Hotel & Room & Board (7-10 days for second trip) Approx. $100-$125 for hotel per night, $1,000-$1250. Food approx. $20-$45 a day per person, $200-$450 – Cash/Credit Card Hotel Rental Service In Bulgaria US Embassy Medical Exam $190 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Court Validation Fee $167 – Check County court After U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S Return TOTAL ESTIMATE: $30,618 -$36,215 for two adult travelers adopting one child * Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees paid at time of submission is in EUROS, based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-400 Euros. The “Total” above does not include the refundable $200 court validation deposit or $500 Post Adoption deposit. Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. Husband’s Printed Name: Husband’s Signature Date Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 12-2022 IS

Expenses Necessary to Complete Your Adoption. SAMPLE 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 Bulgaria adoption Expense Amount Pay To Due Application Fee $250 – Check/ACH Personal Check CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home Study) $6,350 6,650– Check/ACH Check CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* # $850 500 – Check/ACH Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 plus $85 per adult in the home – Check/money order USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation and Legal Fees* Fees ¹ €6600 to €8000 (Euros1Euros) plus $40 30 USD/wire – Check/ACH (wires up to 3 wires) Check CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 5,250 – Check CCAI Dossier submission to CCAI Citizenship/Citizenship/ Court Validation Deposit (refundable) $200 – Check CCAI At Referral Acceptance of Referral Refundable Post Adoption Deposit $500 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card adult A travel agency of your choice Approximately 10-10- 14 days prior to departure Bulgarian Apartment & Room & Board (approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. 875 – Food approx. $20-$45 20 - $45 a day per person - $140-$315 – Cash/Credit Card 280 - $800 Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash 300- $600 Bulgarian Legal Team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000child, Credit Card A travel agency of your choice Approximately 10-10 - 14 days prior to departure Bulgarian Hotel & Room & Board (7-10 days for second trip) Approx. $100-$125 for hotel per night, . $1,000-$1250700- $1250. Food approx. $20-$45 a day per person, person - $200-$450 – Cash/Credit Card 280-$450. Hotel Rental Service In Bulgaria US Embassy Medical Exam $190 200 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Court Validation Fee $167 – Check County court After U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S Return TOTAL ESTIMATE: $30,618 -$36,215 for two adult travelers adopting one child 26,375-$36,125 1 ** ** Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees are listed in EUROS, but will be paid in USD at time of submission is in EUROS, to CCAI based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-400 Euros. The “Total” above does not include the refundable $200 court validation deposit or $500 Post Adoption deposit. rates Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. Husband’s Printed Name: Husband’s Signature Date Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 1201-2022 IS

Expenses Necessary to Complete Your Adoption. SAMPLE 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 Bulgaria adoption adoption. Expense Amount Pay To Due Application Fee $250 – Check/ACH Personal Check CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home Study) $6,350 4,650 – Check/ACH Check CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* Fee # $850 500 – Check/ACH Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 805 plus $85 30 per adult in the home – Check/money order Money Order/Credit Card USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier Home Study fee As agreed with local homestudy agency^ Your home study agency As agreed with local homestudyagency In-Country Translation and Legal Fees* Fees ¹ €6600 to €8000 (Euros1Euros) plus $40 USD/wire – Check/ACH (up to 3 wires) Check CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 4,600 – Check CCAI Dossier submission to CCAI Citizenship/Court Validation RefundablePost Adoption Deposit (refundable) $200 1,000 – Check CCAI At Referral Acceptance of Referral Refundable Post Adoption Deposit $500 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card adult A travel agency of your choice Approximately 10-14 days prior to departure Bulgarian Apartment / Hotel & Room & Board (approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. 700-$875 – Food approx. $20-$45 a day per person - $140-$315 – Cash/Credit Card 280-$800. Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash 300 - $600. Bulgarian Legal Team team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000, child– Credit Card A travel agency of your choice Approximately 10-14 days prior to departure Bulgarian Hotel & / Room & Board (approx. 7-10 days week for second trip) Approx. $100-$125 100 - $125 per night for hotel per night, apartment $1,000-$1250. 700 - $1,250 Food approx. $20-$45 20 - $45 a day per person, * - $200-$450 – Cash/Credit Card Hotel Rental Service 280 - $450 Apartment Property Manager In Bulgaria US Embassy Medical Exam $190 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Post Adoption Services As agreed with local home study agency Your home study agency As agreed with local home study agency Court Validation Fee $167 – Check County Varies by state/county Your county court After 2nd U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office Varies by state Your state After 2nd U.S Return TOTAL ESTIMATE: $30,618 -$36,215 for two adult travelers adopting one child 24,120 -$34,000 *** ( Not including home study or post adoption costs) ** Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees are listed in EUROS, but will be paid in USD at time of submission is in EUROS, to CCAI based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-400 Euros. The “Total” above does not include the refundable $200 court validation deposit or $500 Post Adoption deposit. rates Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. Husband’s Printed Name: Husband’s Signature Date Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 12-2022 IS.

Expenses Necessary to Complete Your Adoption. SAMPLE 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 Bulgaria adoption adoption. Expense Amount Pay To Due Application Fee $250 – Check/ACH CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home Study) $6,350 4,850 – Check/ACH CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* $850 – Check/ACH CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 plus $85 per adult in the home – Check/money order Credit Card USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier Home Study fee As agreed with local home study agency Your home study agency As agreed with local homestudy agency In-Country Translation and Legal Fees* €6600 to €8000 (Euros1) plus $40 USD/wire – Check/ACH (3 wires) CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral acceptance referral acceptance, & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 5,450 – Check Check/ACH CCAI Dossier submission to CCAI Citizenship/Court Validation Deposit (refundable) $200 – Check CCAI Acceptance of Referral Refundable Post Adoption Deposit $500 1,000 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card adult A travel agency of your choice Approximately 10-14 days prior to departure Bulgarian Apartment / Hotel & Room & Board (approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. Food approx. $20-$45 a day per person - $140-$315 – Cash/Credit Card Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash Bulgarian Legal Team team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000, Credit Card A travel agency of your choice Approximately 10-14 days prior to departure Bulgarian Hotel & / Room & Board (approx. 7-10 days week for second trip) Approx. $100-$125 for hotel per night, $1,000-$1250. Food approx. $20-$45 a day per person, $200-$450 – Cash/Credit Card Hotel Rental Service In Bulgaria US Embassy Medical Exam $190 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Post Adoption Services As agreed with local home study agency Your home study agency As agreed with local home study agency Court Validation Fee $167 – Check County Varies by state/county Your county court After 2nd U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office Varies by state Your state After 2nd U.S Return TOTAL ESTIMATE: $30,618 -$36,215 26,600 - $34,000 for two adult travelers adopting one child (Not including home study or post adoption costs) * Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees paid at time of submission is in EUROS, based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 900, plus home study update fee (varies by agency), plus 300-400 EurosEuro. The “Total” above does not include the $1,000 refundable $200 court validation deposit or $500 Post Adoption deposit. SAMPLE Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. Husband’s Printed Name: Husband’s Signature Date Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 12-2022 ISOS

Expenses Necessary to Complete Your Adoption. SAMPLE 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 Bulgaria adoption adoption. Expense Amount Pay To Due Application Fee $250 – Check/ACH CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home StudyStudy ) $6,350 6,150 – Check/ACH CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* $850 – Check/ACH CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 plus $85 per adult in the home – Check/money order USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation and Legal Fees* €6600 to €8000 (Euros1) plus $40 USD/wire – Check/ACH (3 wires) CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 – Check Check/ACH CCAI Dossier submission to CCAI Citizenship/Court Validation Deposit (refundable) $200 – Check CCAI Acceptance of Referral Refundable Post Adoption Deposit $500 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card A travel agency of your choice Approximately 10-10- 14 days prior to departure Bulgarian Apartment & Room & Board (( approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. Food approx. $20-$45 a day per person - $140-$315 – Cash/Credit Card Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash Bulgarian Bulgaria Legal Team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000, Credit Card A travel agency of your choice Approximately 10-10 - 14 days prior to departure Bulgarian Hotel & Room & Board (7-10 days for second trip) Approx. $100-$125 for hotel per night, $1,000-$1250. Food approx. $20-$45 a day per person, $200-$450 – Cash/Credit Card Hotel Rental Service In Bulgaria US Embassy Medical Exam $190 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Court Validation Fee $167 – Check County Varies by state/county Your county court After U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office Varies by state Your state After U.S Return TOTAL ESTIMATE: $30,618 -$36,215 29,928 -$35,486 for two adult travelers adopting one child * Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees paid at time of submission is in EUROS, based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-300- 400 EurosEuro. SAMPLE The “Total” above does not include the refundable $200 court validation deposit or $500 refundable Post Adoption deposit. Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, adoption (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) ), non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. _ Husband’s Printed Name: Husband’s Signature Date _ Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 12-2022 ISCCAI Bulgaria Service Agreement For Families in Florida, Georgia, Texas and Wyoming This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a 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. SAMPLE 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 Bulgaria adoption adoption. Expense Amount Pay To Due Application Fee $250 – Check/ACH CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home StudyStud y ) $6,350 – 6,000 Check/ACH CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* # $850 500 – Check/ACH Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 805 plus $85 30 per adult in the home – Check/money order –Check / Money Order /Credit Card USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation and Legal Fees* Fees ¹ €6600 to €8000 (Euros1Euros) plus $40 USD/wire – Check/ACH (Check ( up to 3 wires) CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 5,250 – Check Check/ACH CCAI Dossier submission to CCAI Citizenship/Court Validation Deposit (refundable) $200 – Check CCAI Acceptance of Referral Refundable Post Adoption Deposit Fee $500 200 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card adult A travel agency of your choice Approximately 10-10- 14 days prior to departure Bulgarian Apartment & Room & Board (( approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. Food approx. $20-$45 a day per person - $140-$315 – Cash/Credit Card 280- $800. Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash Bulgarian Bulgaria Legal Team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000child, Credit Card A travel agency of your choice Approximately 10-10 - 14 days prior to departure Bulgarian Hotel & Room & Board (7-10 days for second trip) Approx. $100-$125 for hotel per night, . $1,000-$1250700- $1250. Food approx. $20-$45 a day per person, person - $200-$450 – Cash/Credit Card 280-$450. Hotel Rental Service In Bulgaria US Embassy Medical Exam $190 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Court Validation Fee $167 – Check County Varies by state/county Your county court After U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office Varies by state Your state After U.S Return TOTAL ESTIMATE: $30,618 -$36,215 for two adult travelers adopting one child ** Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees paid at time of submission is in EUROS, based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-400 Euros. The “Total” above does not include the refundable $200 court validation deposit or $500 Post Adoption deposit. Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) nonBulgaria),non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. Husband’s Printed Name: Husband’s Signature Date Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 12-2022 ISCCAI Bulgaria Service Agreement For Families in Georgia, Florida, Texas and Wyoming This CCAI Service Agreement effective as of the date last signed (“Effective Date) is entered into between CCAI and and , a married couple [or a 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. SAMPLE 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 Bulgaria adoption Expense Amount Pay To Due Application Fee $250 – Check/ACH Personal Check CCAI App Submission Child Abuse Record Search $35/family – Check CO Department of Human Services App Submission 1st Program Fee (includes Home Study) $6,350 6,250– Check/ACH Check CCAI After App Approval Colorado State Approval $250 – Check Lutheran Family Services via CCAI When Home Study is approved by CCAI IAAME Monitoring & Oversight Fee* # $850 500 – Check/ACH Check CCAI (forwarded to IAAME) After App Approval USCIS Filing & Fingerprinting $775 plus $85 per adult in the home – Check- Check/ Money Order/money order Credit card USCIS When home study is completed Dossier Preparation Approx. $360 – Check/ Money Order Secretary of State(s) As preparing Dossier In-Country Translation and Legal Fees* Fees ¹ €6600 to €8000 (Euros1Euros) plus $40 30 USD/wire – Check/ACH (wires up to 3 wires) Check CCAI (wired to Bulgaria) Split into 3 payments – dossier submission, Referral acceptance & after adoption finalization in country (schedule may differ for Waiting Child process) 2nd Program Fee $6,350 5,250 – Check CCAI Dossier submission to CCAI Citizenship/Court Validation Deposit (refundableDeposit(refundable) $200 – Check CCAI At Referral Acceptance of Referral Refundable Post Adoption Deposit $500 – Check/ACH CCAI Acceptance of Referral 1st trip - US Domestic & International Airfare $800 - $1,500 by coach per adult, Credit Card adult A travel agency of your choice Approximately 10-10- 14 days prior to departure Bulgarian Apartment & Room & Board (approx. 7 days for first trip) Approx. $100-$125 per night. Ranges from $700 - $875. 875 – Food approx. $20-$45 20 - $45 a day per person - $140-$315 – Cash/Credit Card 280 - $800 Hotel Rental Service In Bulgaria Bulgaria Transportation fees Approx. $300-$600 – Cash 300- $600 Bulgarian Legal Team In Bulgaria 2nd trip - US Domestic & International Airfare $800 - $1,500 by coach per adult plus child $800-$1,000child, Credit Card A travel agency of your choice Approximately 10-10 - 14 days prior to departure Bulgarian Hotel & Room & Board (7-10 days for second trip) Approx. $100-$125 for hotel per night, . $1,000-$1250700- $1250. Food approx. $20-$45 a day per person, person - $200-$450 – Cash/Credit Card 280-$450. Hotel Rental Service In Bulgaria US Embassy Medical Exam $190 200 – Cash Clinic In Sofia, Bulgaria Child U.S. Entry Visa $325 – Cash, submitted first trip U.S. Consulate Sofia, Bulgaria In Sofia, Bulgaria Court Validation Fee $167 – Check County court After U.S Return Child’s Colorado Birth Certificate $37.75 – Check Colorado Vital Statistics Office After U.S Return TOTAL ESTIMATE: $30,618 -$36,215 for two adult travelers adopting one child ** Additional IAAME Monitoring & Oversight Fee and In-Country Legal Fees will apply for multiple placements. ¹ In Country Translation and Legal Fees are listed in EUROS, but will be paid in USD at time of submission is in EUROS, to CCAI based on current market conversion rates. SAMPLE 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, along with translation/processing service fees to submit to the Ministry of Justice. The overall cost for each re-filing can be an additional $800 - $2,500 plus 300-400 Euros. The “Total” above does not include the refundable $200 court validation deposit or $500 Post Adoption deposit. rates Initials We have read the CCAI Fee Policy/Agreement carefully and understand that 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 NOT change throughout our adoption, (unless additional adoptive or post adoptive services are required by the Ministry of Justice of Bulgaria) non-CCAI fees/costs may change/fluctuate while we are in process. We further understand that non-CCAI fees/costs paid 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 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 fees and costs of our adoption through CCAI. Husband’s Printed Name: Husband’s Signature Date Wife’s Printed Name: Wife’s Signature Date This document has been subscribed and affirmed before me in the 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 initialed/signed and returned to CCAI. Rev 12-2022 IS.