Settlement Statement Page 5
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5HUD-1 Attachment - Continued
Owner's Title Insurance
BORROWER
SELLER
Owner's Policy Premium
184.20
to
Mississippi Valley Title Insurance Company
Total
$ $
184.20 $
0.00
Lender's Title Insurance
BORROWER
SELLER
*fees also shown above in Title Services and Lender's Title Insurance Details
Lender's Policy Premium
761.00
to Mississippi Valley Title Insurance Company
Total
$ $
761.00 $
0.00
WARNING: It is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can
include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010.
(CS1413840.PFD/CS1413840/14)
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