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


401. Contract sales price


102. Personal property


402. Personal property


103. Settlement charges to borrower (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


406. City/town taxes to  

0

107. County taxes to


407. County taxes to  

0

108. Assessments to


408. Assessments to  

0

109. Condo Fees to


409. Condo Fees to  

0

110.


410.


111.


411.


112.


412.


120. GROSS AMOUNT DUE FROM BORROWER


420. GROSS AMOUNT DUE TO SELLER

0

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)

0

203. Existing loan(s) taken subject to


503. Existing loan(s) taken subject to

0

204.


504. Payoff of first mortgage loan

0

205.


505. Payoff of second mortgage loan

0

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


510. City/town taxes to  

0

211. County taxes to


511. County taxes to  

0

212. Assessments to


512. Assessments to  

0

213. Condo Fees to


513. Condo Fee to  

0

214.


514.


215.


515. Purchasers Closing Cost Credit

0

216.


516.

0

217.


517. Payoff/Courier Fee

0

218.


518.


219.


519.


220. TOTAL PAID BY/FOR BORROWER


520. TOTAL REDUCTION AMOUNT DUE SELLER

0

300.CASH AT SETTLEMENT FROM/TO BORROWER

600. CASH AT SETTLEMENT TO/FROM SELLER

301. Gross amount due from borrower


601. Gross amount due to seller

0

302. Less amounts paid by/for borrower


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

0

303. CASH FROM BORROWER


603. CASH TO SELLER

0

 

L. SETTLEMENT CHARGES

700. TOTAL SALES/BROKER’S COMMISSION based on price
Division of Commission as follows:

701. 0%
$ 0  to  Listing Company
702. 0%
$ 0 to Selling Company

PAID FROM BORROWER’S FUNDS AT SETTLEMENT

PAID FROM SELLER’S FUNDS AT SETTLEMENT

703. Total Commission Paid


0
704.

800. ITEMS PAYABLE IN CONNECTION WITH LOAN



801. Loan Origination Fee  %



802. Loan Discount   %



803. Appraisal Fee


804. Credit Report



805. Lender’s Inspection Fee


806. Underwriting Fee



807. Tax Service Fee



808.



809.



810.



811.



900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE

901. Interest from to  @$   per day for



902. Mortgage Insurance Premium



903. Hazard Insurance Premium $




1000. RESERVES DEPOSITED WITH LENDER



1001. Hazard Insurance months @ $  per month



1002. Mortgage Insurance months @ $  per month



1003. City property taxes  months @ $  per month



1004. County property taxes months  @ $  per month



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 (Deed)



1106. Notary fees



1107. Attorney’s fees



(includes above items No:                      )


1108. Title Insurance to



(includes above items No:                      )


1109. Lender’s coverage $

1110. Owner’s coverage $

1111. R-5 Compliance Fee



1112. Release Processing



1113.



1200. GOVERNMENT RECORDING AND TRANSFER CHARGES

1201. Recording fees:

Deed $ Mortgage $ Releases $

1202. City/county tax/stamps:

Deed $ Mortgage$

1203. State tax/stamps:

Deed $ Mortgage $

1204. Grantors Tax


0

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)


0