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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:
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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:
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H. SETTLEMENT AGENT: NAME, AND
ADDRESS |
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PLACE OF SETTLEMENT:
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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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Equal Housing Opportunity