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A. U.S. DEPARTMENT OF HOUSING
AND URBAN DEVELOPMENT SETTLEMENT STATEMENT |
| B. TYPE
OF LOAN |
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6. File Number |
7. Loan
Number |
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1. o FHA |
2. o FmHA
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| 3. o CONV.
UNINS. |
4. o VA |
5. o CONV.
INS. |
8. Mortgage Insurance Case Number
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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. |
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D. NAME AND ADDRESS OF BORROWER:
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E. NAME AND ADDRESS OF SELLER:
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F. NAME AND ADDRESS OF LENDER:
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G. PROPERTY LOCATION: |
H. SETTLEMENT AGENT: NAME, AND ADDRESS
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PLACE OF SETTLEMENT: |
I. SETTLEMENT DATE: |
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J. SUMMARY OF BORROWER'S TRANSACTION
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K. SUMMARY OF SELLER'S TRANSACTION
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100. GROSS AMOUNT DUE FROM BORROWER:
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400. GROSS AMOUNT DUE TO SELLER:
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| 101.
Contract sales price |
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401.
Contract sales price |
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| 102.
Personal property |
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402.
Personal property |
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| 103.
Settlement charges to borrower(line 1400) |
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403.
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| 104.
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404.
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| 105.
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405.
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Adjustments for items paid by seller
in advance |
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Adjustments for items paid by seller
in advance |
| 106.
City/town taxes to |
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406.
City/town taxes to |
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| 107. County
taxes to |
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407. County
taxes to |
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| 108.
Assessments to |
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408.
Assessments to |
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| 109.
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409.
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| 110.
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410.
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| 111.
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411.
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| 112.
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412.
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| 120.
GROSS AMOUNT DUE FROM BORROWER |
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420.
GROSS AMOUNT DUE TO SELLER |
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200. AMOUNTS PAID BY OR IN BEHALF OF
BORROWER: |
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500. REDUCTIONS IN AMOUNT DUE TO
SELLER: |
| 201.
Deposit of earnest money |
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501. Excess
deposit (see instructions) |
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| 202.
Principal amount of new loan(s) |
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502.
Settlement charges to seller (line 1400) |
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| 203.
Existing loan(s) taken subject to |
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503.
Existing loan(s) taken subject to |
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| 204.
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504. Payoff
of first mortgage loan |
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| 205.
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505. Payoff
of second mortgage loan |
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| 206.
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506.
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| 207.
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507.
|
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| 208.
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508.
|
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| 209.
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509.
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Adjustments for items unpaid by
seller |
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Adjustments for items unpaid by
seller |
| 210.
City/town taxes to |
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510.
City/town taxes to |
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| 211. County
taxes to |
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511. County
taxes to |
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| 212.
Assessments to |
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512.
Assessments to |
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| 213.
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513.
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| 214.
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514.
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| 215.
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515.
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| 216.
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516.
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| 217.
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517.
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| 218.
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518.
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| 219.
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519.
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| 220.
TOTAL PAID BY/FOR BORROWER |
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520.
TOTAL REDUCTION AMOUNT DUE SELLER |
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L. SETTLEMENT CHARGES |
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700. TOTAL SALES/BROKER'S COMMISSION based on price $ @ %=
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PAID FROM BORROWER'S FUNDS AT SETTLEMENT
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PAID FROM SELLER'S FUNDS AT SETTLEMENT
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| Division
of Commission (line 700) as follows:
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| 701. $ to
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| 702. $ to
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| 703.
Commission paid at Settlement |
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| 704.
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| 800.
ITEMS PAYABLE IN CONNECTION WITH LOAN |
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| 801. Loan
Origination Fee % |
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| 802. Loan
Discount % |
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| 803.
Appraisal Fee to |
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| 804. Credit
Report to |
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| 805.
Lender's Inspection Fee |
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| 806.
Mortgage Insurance Application Fee to |
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| 807.
Assumption Fee |
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| 808.
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| 809.
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| 810.
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| 811.
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900. ITEMS REQUIRED BY LENDER TO BE
PAID IN ADVANCE |
| 901.
Interest from to @$ /day |
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| 902.
Mortgage Insurance Premium for months to |
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| 903. Hazard
Insurance Premium for years to |
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| 904. years
to |
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| 905.
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| 1000.
RESERVES DEPOSITED WITH LENDER |
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| 1001.
Hazard Insurance months @ $ per month |
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| 1002.
Mortgage insurance months @ $ per month |
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| 1003. City
property taxes months @ $ per month |
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| 1004.
County property taxes months @ $ per month |
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| 1005.
Annual assessments months @ $ per month |
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| 1006.
months @ $ per month |
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| 1007.
months @ $ per month |
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| 1008.
Aggregate Adjustment months @ $ per month |
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| 1100.
TITLE CHARGES |
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| 1101.
Settlement or closing fee to |
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| 1102.
Abstract or title search to |
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| 1103. Title
examination to |
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| 1104. Title
insurance binder to |
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| 1105.
Document preparation to |
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| 1106.
Notary fees to |
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| 1107.
Attorney's fees to |
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(includes above items numbers; ) |
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| 1108. Title
Insurance to |
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(includes above items numbers; ) |
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| 1109.
Lender's coverage $ |
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| 1110.
Owner's coverage $ |
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| 1111.
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| 1112.
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| 1113.
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1200. GOVERNMENT RECORDING AND
TRANSFER CHARGES |
| 1201.
Recording fees: Deed $ ; Mortgage $ ; Releases $ |
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| 1202.
City/county tax/stamps: Deed $ ; Mortgage $ |
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| 1203. State
tax/stamps: Deed $ ; Mortgage $ |
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| 1204.
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| 1205.
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| 1300.
ADDITIONAL SETTLEMENT CHARGES |
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| 1301.
Survey to |
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| 1302. Pest
inspection to |
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| 1303.
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| 1304.
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| 1305.
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| 1400.
TOTAL SETTLEMENT CHARGES (enter on lines 103, Section J and
502, Section K) |
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