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A. Settlement Statement U.S. Department of Housing and Urban Development OMB No. 2502-0265
B. Type of Loan      
  6. File Number 7. Loan Number 8. Mortgage Insurance Case Number
       
C. Note: This form is furnished to give you a statement of actual settlement costs. Amount paid to and by the settlement agent are shown.  Items marked "(p.o.c.)" were paid outside the closing; they are shown here for information purposes and are not included in 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
 
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 borrow
(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 or earnest money   501. Excess deposit (see instructions)  
202. Principle amount of new loan(s)   502. Settlement charges to seller
 (line 1400)
 
203.   503. Existing loan(s) taken subject to  
204.   504. Payoff of first mortgage loan  
205.   505. Payoff of second mortgage loan  
206.   506. Delivery of Payoff(s)  
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  
300. Cash At Settlement From/To Owner 600. Cash At Settlement To/From Seller
301. Gross Amount due from borrower 
(line 120)
  601. Gross Amount due to seller 
(line 420)
 
302. Less amounts paid by/for borrower   602. Less reductions in amt. due seller (line 520)  
303. Cash    from  to   Borrower   603. Cash    from  to   Seller  

 

"PRELIMINARY DRAFT HUD-1"

L. Settlement Charges
700. Total Sales/Broker's Commission based on price $                              @                                %
Division of Commission (line 700) as follows:

Paid From Purchaser's Funds at Settlement

 

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.                                                  months @$                  per month    
1100. Title Charges
1101. Settlement or closing fee                  to VTES    
1102. Abstract or title search                     to VTES    
1103. Title examination                             to VTES    
1104. Title insurance binder                       to VTES    
1105. Document preparation                      to    
1106. Notary fees                                   to    
1107. Attorney's fees                               to    
  (includes above item numbers:                                                                                    )    
1108. Title Insurance        
A $50 Simultaneous Issue Fee will be included in your total on the final HUD-1.    
1109. Lender's coverage                            $    
1110. Owner's coverage                             $    
1111. Release Processing Fee  
1112. Courier  
1113. R-5 Compliance Fee    
1114. Mortgage Release Fee    
1114. Payoff Processing Fee    
1200. Government Recording and Transfer Charges
1201. Recording fees: Deed $                  ; Mortgage $              ; Releases $    
1202. City/county/stamps: Deed $           ; Mortgage $    
1203. State tax/stamps: Deed $               ; Mortgage $    
1204.    
1205.    
1300. Additional Settlement Charges
1301. Survey          (**Cost may vary slightly depending on survey company)    
1302. Pest Inspection                              to    
1303.    
1304.    
1305.    
1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K)