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:


, ,

E. NAME AND ADDRESS OF SELLER:
 

F. NAME AND ADDRESS OF LENDER

G. PROPERTY LOCATION:


, ,


 

H. SETTLEMENT AGENT:

PLACE OF SETTLEMENT:


 

I. 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

0

401. Contract sales price


102. Personal property


402. Personal property


103. Settlement charges to borrower (line 1400)

1756.2

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  

0

406. City/town taxes to


107. County taxes to  

0

407. County taxes to


108. Assessments to  

0

408. Assessments to


109. Condo Fees to  

0

409. Condo Fees to


110.


410.


111.


411.


112.


412.


120. GROSS AMOUNT DUE FROM BORROWER

1756.2

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

0

501. Excess deposit (see instructions)


202. Principal amount of new loan(s)

0

502. Settlement charges to seller (line 1400)


203. Existing loan(s) taken subject to

0

503. Existing loan(s) taken subject to


204.


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  

0

510. City/town taxes to


211. County taxes to  

0

511. County taxes to


212. Assessments to  

0

512. Assessments to


213. Condo Fees to  

0

513.


214.


514.


215.


515.


216.


516.


217.


517.


218.


518.


219.


519.


220. TOTAL PAID BY/FOR BORROWER

0

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)

1756.2

601. Gross amount due to seller (line 420)


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

0

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


303. CASH FROM BORROWER

1756.2

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  %

0

802. Loan Discount  %

0

803. Appraisal Fee

300

804. Credit Report

60

805. Lender’s Inspection Fee

125

806. Underwriting Fee

225

807. Tax Service Fee

75

808.



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

30

902. Mortgage Insurance Premium

0

903. Hazard Insurance Premium $




1000. RESERVES DEPOSITED WITH LENDER



1001. Hazard Insurance 2 months @ $ 0  per month

0

1002. Mortgage Insurance 02 months @ $ 0 per month

0

1003. City property taxes 0 4 months @ $ 0 per month

0

1004. County property taxes months  0 @ $ 0per month

0

1005. Annual assessments months @ $ per month



1006. months @ $ per month



1007. months @ $ per month



1008. Aggregate Adjustment months @ $ per month



1100. TITLE CHARGES



1101. Settlement or closing fee

250

1102. Abstract or title search



1103. Title examination



1104. Title insurance binder



1105. Document preparation



1106. Notary fees



1107. Attorney’s fees



(includes above items No:                      )


1108. Title Insurance to

471.2

(includes above items No:                      )


1109. Lender’s coverage $ (Loan Amt.-100000.)*.00240+290)

50

1110. Owner’s coverage $ ((Sales Price-10000)*0.00468+468)

421.2

1111. R-5 Compliance Fee



1112. Release Processing



1113. Courier Fee

195

1200. GOVERNMENT RECORDING AND TRANSFER CHARGES

1201. Recording fees:

Deed $20 Mortgage $34 Releases $ 54

1202. City/county tax/stamps:

Deed $0 Mortgage$ 0 0

1203. State tax/stamps:

Deed $0 Mortgage $0 0

1204.



1205.



1300. ADDITIONAL SETTLEMENT CHARGES



1301. Survey



1302. Pest inspection



1303. HOA Management Transfer Fee



1304.



1305.



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

1756.2