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

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.


406. City/town taxes to


107. County taxes to Input 20 Char.


407. County taxes to


108. Assessments to Input 20 Char.


408. Assessments to


109. Condo Fees to Input 20 Char.


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


501. Excess deposit (see instructions)


202. Principal amount of new loan(s)


502. Settlement charges to seller (line 1400)


203. Existing loan(s) taken subject to


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 Input 20 Char.


510. City/town taxes to


211. County taxes to Input 20 Char.


511. County taxes to


212. Assessments to Input 20 Char.


512. Assessments to


213. Condo Fees to Input 20 Char.


513.


214.


514.


215. Input 20 Char.


515.


216. Input 20 Char.


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



804. Credit Report



805. Lender’s Inspection Fee


806. Underwriting Fee



807. Tax Service Fee



808. Input 30 Char.



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



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

Line 903



1000. RESERVES DEPOSITED WITH LENDER



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

(Premium/12)*2

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

(MI/12)x2

1003. City property taxes Input Total Taxes 4 months @ $ Total Taxes/12 per month

(Total Taxes/12)*4

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

(Total Taxes/12)*4

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



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

Total of Line 1109 & 1110

(includes above items No:                      )


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

1110. Owner’s coverage $ (Sales Price-10000.)*.00468+468

1111. R-5 Compliance Fee



1112. Release Processing



1113. Courier Fee



1200. GOVERNMENT RECORDING AND TRANSFER CHARGES

1201. Recording fees:

Deed $20 Mortgage $34 Releases $ Total Of Line 1201

1202. City/county tax/stamps:

Deed $Sales Price*.0005 Mortgage$ Loan Amt.*.0005 Total Of Line 1202

1203. State tax/stamps:

Deed $Sales Price*.0015 Mortgage $Loan Amt.*.0015 Total Of Line 1203

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)

Total of This Column