Form I-800 - Petition To Classify Convention Adoptee As An Immediate Relative Page 8
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9Part 4.
Information About Fees, Expenses and Other Compensation
1. Information on payments already made: As of the date of the signing of Form I-800, I (or, for a married petitioner, we) have
made the following payments, including in-kind contributions, in relation to the adoption of the child identified in Form I-800. The
following table includes all fees, expenses, in-kind contributions, and other compensation that I (we) have made, either directly or
indirectly, to any individual, agency, entity, governmental authority, or other payee or recipient.
Date
Relationship to
Amount of payment (or description
Payee
Purpose of Payment
(mm/dd/yyyy)
Child (if any)
and value of in kind consideration)
2. Information on anticipated future payments: The following table includes all fees, expenses, in kind contributions, and other
compensation as of the date of the signing of Form I-800, that I (we) reasonably expect to make, either directly or indirectly, to any
individual, agency, entity, governmental authority, or other payee or recipient.
Anticipated Date
Relationship to
Amount of payment (or description
of Payment
Payee
Purpose of Payment
Child (if any)
and value of in kind consideration)
(mm/dd/yyyy)
NOTE: If you need more space to complete Item 1 and Item 2, use a separate sheet of paper. Follow the same format as the
above tables. Write your name, your USCIS Account Number, and the child's current legal name at the top of each sheet of paper
and indicate the part and number of the item to which the answer refers.
Form I-800 03/10/17 N Page 8
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