NAME AND ADDRESS OF SELLER Name Address City State Zip PROPERTY LOCATION Address City State Zip Settlement Date Contract sales price Adjustments for items paid by seller in advance City/town taxes to County taxes to Assessments to Condo Fees to REDUCTIONS IN AMOUNT DUE TO SELLER Existing loan(s) taken subject to Payoff of first mortgage loan Payoff of second mortgage loan Adjustments for items unpaid by seller City/town taxes to County taxes to Assessments to Condo Fees to