Form Hud-1 - Settlement Statement

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OMB Approval No. 2502-0265
Settlement Statement (HUD-1)
A.
B. Type of Loan
6. File Number:
7. Loan Number:
8. Mortgage Insurance Case Number:
1.
FHA 2.
RHS
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 & Address of Borrower:
E. Name & Address of Seller:
F. Name & Address of Lender:
G. Property Location:
H. Settlement Agent:
I. Settlement Date:
Place of Settlement:
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.
Adjustment 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. Principal amount of new loan(s)
502. Settlement charges to seller (line 1400)
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204.
504. Payoff of first mortgage loan
205.
505. Payoff of second mortgage loan
206.
506.
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 Seller
520. Total Reduction Amount Due Seller
300. Cash at Settlement from/to Borrower
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 (line 220)
(
)
602. Less reductions in amount due seller (line 520)
303. Cash
From
To Borrower
603. Cash
To
From Seller
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and
reporting the data. This agency may not collect this information, and you are not required to complete this form, unless it displays a
currently valid OMB control number. No confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to
a RESPA covered transaction with information during the settlement process.
Previous editions are obsolete
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HUD-1

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