Settlement Statement

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OMB Approval No. 2502-0265
A. Settlement Statement (HUD-1)
AMENDED
B. Type of Loan
6. File Number:
7. Loan Number:
8. Mortgage Insurance Case Number:
1.
2.
3.
X
FHA
RHS
Conv. Unins.
NEW HUD1P TEST
98765432100000
4.
5.
VA
Conv. Ins.
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents 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:
Thomas Jones, Shirley Jones
Thomas Criuse, Suri Cruise
Respectfull Mortgage
209 Franklin Court, North Wales, Pa 19454
1414 Mocking Bird Lane, Spooky, Pa 19000
1111 Serindipty Place, Ste. 100000, Someplace
Pa 190000
G. Property Location:
H. Settlement Agent:
I. Settlement Date: 01/10/2010
Old Republic National Title Insurance Co.
1414 Mocking Bird Lane
Disbursement Date: 01/10/2010
800-842-2080 Fax: 610-687-6056
Spooky, Pa 19000
Place of Settlement:
TitleExpress
ROBIN KEMMERER, 102 WOWSER ST,
Printed 01/28/2010 at 3:32 pm
BREMINGTON, PA 19001
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
250,000.00
401.
Contract sales price
250,000.00
102. Personal property
402. Personal property
103.
Settlement charges to borrower (line 1400)
14,047.05
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
01/10/2010 to 12/31/2010
275.00
406. City/town taxes
01/10/2010 to 12/31/2010
275.00
107. County taxes
01/10/2010 to 12/31/2010
605.00
407. County taxes
01/10/2010 to 12/31/2010
605.00
108. Assessments
to
408. Assessments
to
109. SCHOOL TAXES
01/10/2010 to 06/30/2010
1,500.00
409. SCHOOL TAXES
01/10/2010 to 06/30/2010
1,500.00
110.
410.
111.
411.
112.
412.
120. Gross Amount Due from Borrower
266,427.05
420. Gross Amount Due to Seller
252,380.00
200.
Amounts Paid by or in Behalf of Borrower
500.
Reductions In Amount Due to Seller
201. Deposit or earnest money
25,000.00
501. Excess deposit (see instructions)
202. Principal amount of new loan(s)
150,000.00
502. Settlement charges to seller (line 1400)
18,720.00
203.
Existing loan(s) taken subject to
503.
Existing loan(s) taken subject to
204.
504. Payoff of first mortgage loan
155,000.00
205.
505. Payoff of second mortgage loan
10,000.00
206. Page 2 credit from seller***
55.00
506. Page 2 credit from seller***
55.00
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
175,055.00
520. Total Reduction Amount Due Seller
183,775.00
300.
Cash at Settlement from/to Borrower
600.
Cash at Settlement to/from Seller
Gross amount due from borrower (line 120)
266,427.05
Gross amount due to seller (line 420)
252,380.00
301.
601.
Less amounts paid by/for borrower (line 220)
Less reductions in amount due seller (line 520)
175,055.00
302.
602.
183,775.00
91,372.05
68,605.00
303.
Cash
X
From
To Borrower
603.
Cash
X
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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