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 BORROWERS
TRANSACTION |
|
K. SUMMARY OF SELLERS
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/BROKERS COMMISSION based
on price $ @ %= |
PAID
FROM BORROWERS FUNDS AT SETTLEMENT |
PAID
FROM SELLERS 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. Lenders
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. Attorneys
fees to |
|
|
(includes above
items numbers; ) |
|
|
1108. Title Insurance
to |
|
|
(includes above
items numbers; ) |
|
|
1109. Lenders
coverage $ |
|
|
1110. Owners
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) |
|
|