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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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