| A.
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT |
| B.
TYPE OF LOAN |
|
|
6.
File Number |
7.
Loan Number |
|
1.
o FHA |
2.
o FmHA |
|
|
| 3.
o CONV. UNINS. |
4.
o VA |
5.
o CONV. INS. |
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: NAME, AND ADDRESS |
|
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 |
|
| 107.
County taxes to |
|
|
407.
County taxes to |
|
| 108.
Assessments to |
|
|
408.
Assessments to |
|
| 109.
|
|
|
409.
|
|
| 110.
|
|
|
410.
|
|
| 111.
|
|
|
411.
|
|
| 112.
|
|
|
412.
|
|
| 120.
GROSS AMOUNT DUE FROM BORROWER |
|
|
420.
GROSS AMOUNT DUE TO SELLER |
|
|
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)
|
|
| 203.
Existing loan(s) taken subject to |
|
|
503.
Existing loan(s) taken subject to |
|
| 204.
|
|
|
504.
Payoff of first mortgage loan |
|
| 205.
|
|
|
505.
Payoff of second mortgage loan |
|
| 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 |
|
| 211.
County taxes to |
|
|
511.
County taxes to |
|
| 212.
Assessments to |
|
|
512.
Assessments to |
|
| 213.
|
|
|
513.
|
|
| 214.
|
|
|
514.
|
|
| 215.
|
|
|
515.
|
|
| 216.
|
|
|
516.
|
|
| 217.
|
|
|
517.
|
|
| 218.
|
|
|
518.
|
|
| 219.
|
|
|
519.
|
|
| 220.
TOTAL PAID BY/FOR BORROWER |
|
|
520.
TOTAL REDUCTION AMOUNT DUE SELLER
|
|
| L. SETTLEMENT
CHARGES |
|
700.
TOTAL SALES/BROKER’S COMMISSION based on
price $ @ %= |
PAID
FROM BORROWER’S FUNDS AT SETTLEMENT
|
PAID
FROM SELLER’S FUNDS AT SETTLEMENT |
| Division
of Commission (line 700) as follows:
|
| 701.
$ to |
|
|
| 702.
$ to |
|
|
| 703.
Commission paid at Settlement |
|
|
| 704.
|
|
|
| 800.
ITEMS PAYABLE IN CONNECTION WITH LOAN
|
|
|
| 801.
Loan Origination Fee % |
|
|
| 802.
Loan Discount % |
|
|
| 803.
Appraisal Fee to |
|
|
| 804.
Credit Report to |
|
|
| 805.
Lender’s Inspection Fee |
|
|
| 806.
Mortgage Insurance Application Fee to |
|
|
| 807.
Assumption Fee |
|
|
| 808.
|
|
|
| 809.
|
|
|
| 810.
|
|
|
| 811.
|
|
|
| 900.
ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
|
| 901.
Interest from to @$ /day |
|
|
| 902.
Mortgage Insurance Premium for months to
|
|
|
| 903.
Hazard Insurance Premium for years to |
|
|
| 904.
years to |
|
|
| 905.
|
|
|
| 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 to |
|
|
| 1102.
Abstract or title search to |
|
|
| 1103.
Title examination to |
|
|
| 1104.
Title insurance binder to |
|
|
| 1105.
Document preparation to |
|
|
| 1106.
Notary fees to |
|
|
| 1107.
Attorney’s fees to |
|
|
| (includes
above items numbers; ) |
|
|
| 1108.
Title Insurance to |
|
|
| (includes
above items numbers; ) |
|
|
| 1109.
Lender’s coverage $ |
|
|
| 1110.
Owner’s coverage $ |
|
|
| 1111.
|
|
|
| 1112.
|
|
|
| 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.
|
|
|
| 1205.
|
|
|
| 1300.
ADDITIONAL SETTLEMENT CHARGES |
|
|
| 1301.
Survey to |
|
|
| 1302.
Pest inspection to |
|
|
| 1303.
|
|
|
| 1304.
|
|
|
| 1305.
|
|
|
| 1400.
TOTAL SETTLEMENT CHARGES (enter on lines
103, Section J and 502, Section K) |
|
|
