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A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT |
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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: |
E.
NAME AND ADDRESS OF SELLER: |
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 |
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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: |
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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 |
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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 |
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 |
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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 |
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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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