(1) Before the hearing on the petition for adoption, the prospective adoptive parents and any adoption entity must file an affidavit under this section. (a) The affidavit must be signed by the adoption entity and the prospective adoptive parents. A copy of the affidavit must be provided to the adoptive parents at the time the affidavit is executed.(b) The affidavit must itemize all disbursements and receipts of anything of value, including professional and legal fees, made or agreed to be made by or on behalf of the prospective adoptive parents and any adoption entity in connection with the adoption or in connection with any prior proceeding to terminate parental rights which involved the child who is the subject of the petition for adoption. The affidavit must also include, for each hourly legal or counseling fee itemized, the service provided for which the hourly fee is being charged, the date the service was provided, the time required to provide the service if the service was charged by the hour, the person or entity that provided the service, and the hourly fee charged.(c) The affidavit must show any expenses or receipts incurred in connection with: 1. The birth of the child.2. The placement of the child with the petitioner.3. The medical or hospital care received by the mother or by the child during the mother's prenatal care and confinement.4. The living expenses of the birth mother. The living expenses must be itemized in detail to apprise the court of the exact expenses incurred.5. The services relating to the adoption or to the placement of the child for adoption that were received by or on behalf of the petitioner, the adoption entity, either parent, the child, or any other person. The affidavit must state whether any of these expenses were paid for by collateral sources, including, but not limited to, health insurance, Medicaid, Medicare, or public assistance.