Closing Statement
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2The official version of this document is generated by the WisDOT READS system.
CLOSING STATEMENT
Wisconsin Department of Transportation
RE1617
04/2015
Ch. 84 Wis. Stats.
Transferor / Property owner name and address
Transferee
Wisconsin Department of Transportation
Due Property Owner
Deductions
Agreed upon purchase price
$
XXXXXXXX
1st mortgage release
Amount $
$
$
2nd mortgage release
Amount $
$
$
Land contract payment
Amount $
$
$
Tax proration for year , prorated from to
Last year's tax $ (attach Form RE1616)
$
$
Delinquent taxes for years
$
$
Special assessments unpaid, delinquent and future
(Form RE1616)
$
$
Estimated water and/or sewer service charges
$
$
Rent prorated, if tenant occupied
$
$
LP gals./ $
Fuel oil gals./ $
$
$
Retention of improvements - list (if none, so state)
$
$
$
$
$
$
Other:
$
$
TOTAL DUE $
$
Less deductions $
XXXXXXXX
Balance due property owner $
XXXXXXXX
1st installment $
2nd installment $
3rd installment $
Total settlement due property owner $
This statement is accepted as correct.
Signature
Date
Signature
Date
Closing Agent ()
Date
Signature
Date
Project ID
County
Parcel ID
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