| 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 |
|
|
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) |
|
|
