Settlement Statement
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2
3
4OMB Approval No. 2502-0265
A. Settlement Statement (HUD-1)
B. Type of Loan
1.
FHA
2.
RHS
3. X Conv. Unins. 6. File Number:
7. Loan Number:
8. Mortgage Insurance Case Number:
SAMPLE HUD
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:
E. Name and Address of Seller:
F. Name and Address of Lender:
John Buyer and
John Seller and
Mortgage Company
Jane Buyer h/w
Jane Seller h/w
123 Easy Street
123 Nice Avenue
Any City, PA 11111
Any City, PA 11111
G. Property Location:
H. Settlement Agent:
I. Settlement Date:
123 Nice Avenue
Associated Abstract Services, LLC
Any City, PA 11111
4101 Tilghman Street
July 27, 2012
Any County, Pennsylvania
Allentown, PA 18104
Ph. (610)398-8019
Place of Settlement:
4101 Tilghman Street
Allentown, PA 18104
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
91,000.00
401. Contract sales price
91,000.00
102. Personal property
402. Personal property
103. Settlement Charges to Borrower (Line 1400)
3,553.12
403.
104.
404.
105.
405.
Adjustments for items paid by Seller in advance
Adjustments for items paid by Seller in advance
201.44
106. Local Taxes
07/27/12 to 01/01/13
406. Local Taxes
07/27/12 to 01/01/13
201.44
107. County Taxes
07/27/12 to 01/01/13
170.92
407. County Taxes
07/27/12 to 01/01/13
170.92
108. School Taxes
07/27/12 to 07/01/13
1,095.34
408. School Taxes
07/27/12 to 07/01/13
1,095.34
109. Garbage 07/27/12 to 01/01/13
148.93
409. Garbage 07/27/12 to 01/01/13
148.93
110.
410.
111.
411.
112.
412.
120. Gross Amount Due from Borrower
96,169.75
420. Gross Amount Due to Seller
92,616.63
200. Amounts Paid by or in Behalf of Borrower
500. Reductions in Amount Due Seller:
201. Deposit or earnest money
1,000.00
501. Excess deposit (see instructions)
202. Principal amount of new loan(s)
88,250.00
502. Settlement charges to Seller (Line 1400)
8,293.77
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204.
504. Payoff First Mortgage to Mortgage Holder
65,125.89
205.
505. Payoff Second Mortgage
206.
506.
207.
507. (Deposit disb. as proceeds)
208.
508.
209.
509.
Adjustments for items unpaid by Seller
Adjustments for items unpaid by Seller
210. Local Taxes
to
510. Local Taxes
to
211. County Taxes
to
511. County Taxes
to
212. School Taxes
to
512. School Taxes
to
213.
513.
214.
514.
215.
515. Final Water/Sewer Escrow
75.00
216.
516.
217.
517.
218.
518.
219.
519.
89,250.00
73,494.66
220. Total Paid by/for Borrower
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)
96,169.75
601. Gross amount due to Seller (line 420)
92,616.63
(
)
(
)
302. Less amount paid by/for Borrower (line 220)
89,250.00
602. Less reductions due Seller (line 520)
73,494.66
X
303. Cash
From
To Borrower
6,919.75
603. Cash
X
To
From Seller
19,121.97
* Paid outside of closing by borrower(B), seller(S), lender(L), or third-party(T)
The undersigned hereby acknowledge receipt of a completed copy of this statement & any attachments referred to herein
Borrower
Seller
_________________________________
_________________________________
John Buyer
John Seller
_________________________________
_________________________________
Jane Buyer
Jane Seller
TO THE BEST OF MY KNOWLEDGE, THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE FUNDS
WHICH WERE RECEIVED AND HAVE BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS TRANSACTION.
Associated Abstract Services, LLC, Settlement Agent
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 & SECTION 1010.
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.
HUD-1
Page 1 of 3
(SAMPLE HUD.PFD/SAMPLE HUD/2)
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