A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT

B. TYPE OF LOAN

1.___ FHA     2.___FmHA   3.___Conventional
4 ___VA        5.___Conventional Insured
6. File Number
7. Loan Number 8. Mortgage Insurance Case Number

C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(P.O.C.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.

D. NAME AND ADDRESS OF BORROWER:
Name
Address
City, State Zip

E. NAME AND ADDRESS OF SELLER:
 

F. NAME AND ADDRESS OF LENDER

G. PROPERTY LOCATION:
Address
City, State Zip


 

H. SETTLEMENT AGENT:

PLACE OF SETTLEMENT:


 

I. SETTLEMENT DATE:
Settlement Date

 

J. SUMMARY OF BORROWER’S TRANSACTION

K. SUMMARY OF SELLER’S TRANSACTION

100. GROSS AMOUNT DUE FROM BORROWER:

400. GROSS AMOUNT DUE TO SELLER:

101. Contract sales price

Sales Price

401. Contract sales price


102. Personal property


402. Personal property


103. Settlement charges to borrower (line 1400)

From Line 1400

403.


104.


404.


105.


405.


Adjustments for items paid by seller in advance

Adjustments for items paid by seller in advance

106. City/town taxes to Input 20 Char. Name
Input City Annual Taxes Paid thru Input Date
If Input Date is Beyond Settlement Date Adjust by Daily Rate to Settlement Date. Total City Tax/365=Daily Rate
Calculate Only if (Paid Thru Date is Beyond Settlement Date)

Input Default 0

Calculated From Total City Tax

406. City/town taxes to


107. County taxes to Input 20 Char. Name
Input County Annual Taxes Paid thru Input Date
If Input Date is Beyond Settlement Date Adjust by Daily Rate to Settlement Date. Total County Tax/365=Daily Rate
Calculate Only if (Paid Thru Date is Beyond Settlement Date)

Input Default 0

Calculated From Total County Tax

407. County taxes to


108. Assessments to Input 20 Char. Name
Input Annual HOA Assessments Paid thru Input Date
If Input Date is Beyond Settlement Date Adjust by Daily Rate to Settlement Date. Total HOA Assessments/365=Daily Rate
Calculate Only if (Paid Thru Date is Beyond Settlement Date)

Input Default 0

Calculated From Total HOA Assessments

408. Assessments to


109. Condo Fees to Input 20 Char. Name
Input Annual Condo Fees Paid thru Input Date
If Input Date is Beyond Settlement Date Adjust by Daily Rate to Settlement Date. Total Condo Fees/365=Daily Rate
Calculate Only if (Paid Thru Date is Beyond Settlement Date)

Input Default 0

Calculated From Total Condo Fee

409. Condo Fees to


110.


410.


111.


411.


112.


412.


120. GROSS AMOUNT DUE FROM BORROWER

Total of Lines 100-112

420. GROSS AMOUNT DUE TO SELLER


200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:

500. REDUCTIONS IN AMOUNT DUE TO SELLER:

201. Deposit of earnest money

Input Deposit Amt. Default 0

501. Excess deposit (see instructions)


202. Principal amount of new loan(s)

Input 1st Loan Amt.

502. Settlement charges to seller (line 1400)


203. Existing loan(s) taken subject to

Input Assumed Loan Amt.

503. Existing loan(s) taken subject to


204. Second Trust

Input 2nd Loan Amt.

504. Payoff of first mortgage loan


205.


505. Payoff of second mortgage loan


206.


506.


207.


507.


208.


508.


209.


509.


Adjustments for items unpaid by seller

Adjustments for items unpaid by seller

210. City/town taxes to Input 20 Char.
Name
Input City Annual Taxes Paid thru Input Date
If Input Date is Before Settlement Date Adjust by Daily Rate to Settlement Date. Total City Tax/365=Daily Rate
Calculate Only if (Paid Thru Date is Before Settlement Date)

Input Default 0

Calculated From Total City Tax

510. City/town taxes to


211. County taxes to Input 20 Char.
Name
Input County Annual Taxes Paid thru Input Date
If Input Date is Before Settlement Date Adjust by Daily Rate to Settlement Date. Total County Tax/365=Daily Rate
Calculate Only if (Paid Thru Date is Before Settlement Date)

Input Default 0

Calculated From Total County Tax

511. County taxes to


212. Assessments to Input 20 Char.
Name
Input Annual HOA Assessments Paid thru Input Date
If Input Date is Before Settlement Date Adjust by Daily Rate to Settlement Date. Total HOA Assessments/365=Daily Rate
Calculate Only if (Paid Thru Date is Before Settlement Date)

Input Default 0

Calculated From Total HOA Assessments

512. Assessments to


213. Condo Fees to Input 20 Char.
Name
Input Annual Condo Fee Paid thru Input Date
If Input Date is Before Settlement Date Adjust by Daily Rate to Settlement Date. Total Condo Fee/365=Daily Rate
Calculate Only if (Paid Thru Date is Before Settlement Date)

Input Default 0

Calculated From Total Condo Fee

513.


214.


514.


215. Input 20 Char. Other Charge 1

Input Default 0

515.


216. Input 20 Char. Other Charge 2

Input Default 0

516.


217.


517.


218.


518.


219.


519.


220. TOTAL PAID BY/FOR BORROWER

Total of Lines 201-220

520. TOTAL REDUCTION AMOUNT DUE SELLER


300.CASH AT SETTLEMENT FROM/TO BORROWER

600. CASH AT SETTLEMENT TO/FROM SELLER

301. Gross amount due from borrower (line 120)

From Line 120

601. Gross amount due to seller (line 420)


302. Less amounts paid by/for borrower(line 220)

From Line 220

602. Less reductions in amount due seller (line 520)


303. CASH FROM BORROWER

Line 120-Line 220

603. CASH TO SELLER


 

L. SETTLEMENT CHARGES

700. TOTAL SALES/BROKER’S COMMISSION based on price
Division of Commission (line 700) as follows:
701. $  to

702. $
 to

PAID FROM BORROWER’S FUNDS AT SETTLEMENT

PAID FROM SELLER’S FUNDS AT SETTLEMENT

703. Commission paid at Settlement

704.



800. ITEMS PAYABLE IN CONNECTION WITH LOAN



801. Loan Origination Fee Input Percent Decimal Range 0-6% %

% of Line 202

802. Loan Discount Input Percent Decimal Range 0-6%  %

% of Line 202

803. Appraisal Fee

Input Fee Default 300

804. Credit Report

Input Fee Default 60

805. Lender’s Inspection Fee

Input Fee Default 125

806. Underwriting Fee

Input Fee Default 225

807. Tax Service Fee

Input Fee Default 75

808. Input 30 Char. Other Lender Fee

Input Fee Default
0


809.



810.



811.



900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE

901. Interest from Settlement Month and Day to Last Day of Settlement Month @$ Loan Amt.*Rate/365   per day for Calculate # of days from Settlement Date to End of Month

Daily rate*Days

902. Mortgage Insurance Premium

Input Fee Default
0


903. Hazard Insurance Premium $ Input Annual Hazard Insurance or Default .002 of Sales Price

Default Sales Price Line 101*.002



1000. RESERVES DEPOSITED WITH LENDER



1001. Hazard Insurance Line 903 2 months @ $ Hazard/12  per month

(Line903/12)*2

1002. Mortgage Insurance Input MI 2 months @ $ MI/12 per month

(MI/12)x2 Default 0

1003. City property taxes Input From Total Taxes 5 months @ $ Total Taxes/12 per month

(Total Taxes/12)*5

1004. County property taxes months  Input Total Taxes @ $ Total Taxes/12 per month

(Total Taxes/12)*5

1005. Annual assessments months @ $ per month



1006.



1007.



1008. Aggregate Adjustment months @ $ per month



1100. TITLE CHARGES



1101. Settlement or closing fee

Input Fee Default 250

1102. Abstract or title search



1103. Title examination



1104. Title insurance binder

Input Fee Default 195

1105. Document preparation



1106. Notary fees



1107. Attorney’s fees



(includes above items No:                      )


1108. Title Insurance to

Line 1110

(includes above items No:                      )


1109. Lender’s coverage $ Lenders Coverage (First $100,000 of 1st Loan*.00348 Plus Amount  $100,000-$500,000*.00288 Plus  Amount between $500,000-$2,000,000.* .00240)

1110. Owner’s coverage $ Owner Coverage (First $100,000 of Sales Price*.00468 per thousand, Plus Amount  $100,000-$500,000*.00408 per thousand, Plus Amount between $500,000-$2,000,000*.00360 Per Thousand + $100.)

1111. R-5 Compliance Fee



1112. Release Processing



1113. Courier Fee

Input Fee Default 50

1200. GOVERNMENT RECORDING AND TRANSFER CHARGES

1201. Recording fees:

Deed $33 Mortgage $46 Releases $ Input Fee Default 79

1202. City/county tax/stamps:

Deed $Sales Price*.00084 Mortgage$ Loan Amt.*.00084 Total Of Line 1202

1203. State tax/stamps:

Deed $Sales Price*.0025 Mortgage $Loan Amt.*.0025 Total Of Line 1203

1204.



1205.



1300. ADDITIONAL SETTLEMENT CHARGES



1301. Survey

Input Fee Default 300

1302. Pest inspection



1303. HOA Management Transfer Fee Input Management Company Name

Input Fee Default 25

1304.



1305.



1400. TOTAL SETTLEMENT CHARGES (enter on lines 103, Section J and 502, Section K)

Total of This Column Line 703-1305