“We give SERVICE with a difference…We Care!”

200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:

 500. REDUCTIONS IN AMOUNT DUE TO SELLER

 201. Deposit of earnest money

5,000.00

 501. Excess deposit (see instructions)

 

 202. Principal amount of new loan(s)

156,000.00

 502. Settlement charges to seller (line 1400)

17,496.50

 203. Existing loan(s) taken subject to

 

 503. Existing loan(s) taken subject to

 

 204. Seller Credit

5,850.00

 504. Payoff of first mortgage loan

70,623.25

 205.

 

 505. Payoff of second mortgage loan

 

 206.

 

 506. Lien Release

50.00

 207.

 

 507. Seller Credit

5,850.00

 208.

 

 508. Overnight Payoff

15.00

 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. HOA Dues (November)            11/01/06  to   11/30/06

25.20

 514. HOA Dues (November)         11/01/06   to   11/30/06

25.20

 215.

 

 515.

 

 216.

 

 516.

 

 217.

 

 517.

 

 218.

 

 518.

 

 219.

 

 519.

 

 220. TOTAL PAID BY/FOR BORROWER

166,875.20

 520. TOTAL REDUCTION AMOUNT DUE

94,059.95

 300. CASH AT SETTLEMENT FROM/TO BORROWER

 600. CASH AT SETTLEMENT TO/FROM SELLER

 301. Gross amount due from borrower (line 120)

202,139.62

 601. Gross amount due to seller (line 420)

195,350.32

 302. Less amounts paid by/for borrower (line 220)

(166,875.20)

 602. Less reductions in amount due seller (line 520)

(94,059.95)

 303. Cash  From / To  Borrower

35,264.44

 603.  Cash To / From  Seller

101,290.37

A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT

B. TYPE OF LOAN

1. [  ] FHA

2. [  ] FmHA

3. [x ] CONV.UNINS

6. File Number

   1234595

7. Loan Number

    1234567

8. Mortgage Insurance Case Number

3. [  ] CONV. UNINS.

4. [  ] VA

5. [  ] CONV. INS.

 

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:
  John J Buyer
  Jane B. Buyer
  422 Sample Way
  AnyTown, FL 12345

E. NAME AND ADDRESS OF SELLER:
  Sam T. Seller
  Sandy C. Seller
  365 Main Street
  Anytown, FL, 12345

F. NAME AND ADDRESS OF LENDER:
  The Lender Company
  30 First Avenue
  Anytown, FL, 12345

G. PROPERTY LOCATION:
  365 Main Street
  Anytown, FL, 12345
  Lot 3, Block " A", Peaceful
  LEE COUNTY

H. SETTLEMENT AGENT: NAME, AND ADDRESS
 
Title Professionals of Florida

PLACE OF SETTLEMENT:
  13241 University Drive 
  Suite 103, Ft. Myers, FL 33907
  (941)433-2900

I. SETTLEMENT DATE:
  11/14/1999

  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

195,000.00

 401. Contract sales price

195,000.00

 102. Personal property

 

 402. Personal property

 

 103. Settlement charges to borrower(line 1400)

6,789.30

 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                       11/14/06    to   12/31/06

317.44

 407. County Taxes                     11/14/06      to    12/31/06

317.44

 108. Assessments                                           to

 

 408. Assessments                                           to

 

 109. Solid Waste Assessment     11/14/06     to    01/01/08

32.88

 409. Solid Waste Assessment    11/14/06      to    01/01/08

32.88

 110.

 

 410.

 

 111.

 

 411.

 

 112.

 

 412.

 

 120. GROSS AMOUNT DUE FROM BORROWER

202,139.62

 420. GROSS AMOUNT DUE TO SELLER

195,350.32