Estimated Disclosure Form

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Johnson & Associates Realty
Estimated Disclosure
Purchaser: ___________________________________
Sales Price: ________________________
Seller: ______________________________________
Down Pymt: ________________________
Estimated Close Date: _________________________
Loan Amt: __________________________
Seller
Estimated Closing Costs
Purchaser
Seller
Estimated Pre-Paid Items
Purchaser
Ammoritzation Schedule
Flood Insurance (1 yr + 3mo.)
Appraisal: Conv, FHA, VA
Homeowner Hazard Insurance (1 yr + 3 mo.)
Brokerage Fee
Pre-Paid Interest
Closing Attny Fee
Private Mortgage Insurance/MIP (FHA)
Condominium Dues
Taxes to Escrow
Credit Report
Other
Discount Points
Total Estimated Pre-Paid Items
Documentation Preparation
Dues (Fire, Garbage, Library, Other)
Seller's Estimated Net Proceeds
Lender's Final Inspection, Re-Inspection
Sales Price
Flood Certification
Less Mortgage Payoff Including Interest
Home Inspection
Less Cosing Costs & Expenses
Home Warranty
Less Pre-Paid Items (if any)
IRS Reporting Fee
Seller's Estimated Net
Lender's Misc Fees
Property Taxes
Purchaser's Cash Requirements
Property Taxes - Other
Down Payment
Recording Fees - Deed, Mortage
Closing Costs& Expenses
Repairs
Pre-Paid Items
Septic Tank Inspection
Less Eernest Money Deposit
Survey
Estimated $ Due At Closing
Tax Service Fee
Termite Contract - Letter/Report
Purchaser Signature ______________________________ Date _________
Title Insurance
Underwriting Fee
Purchaser Signature ______________________________ Date _________
VA Funding Fee
Miscellaneous
Total Estimated Closing Cost
Seller Signature __________________________________ Date _________
Seller Signature __________________________________ Date _________
The above signed seller(s) and purchaser(s) understand and agree that the above mentioned items estimated by the Sales Associate are based upon general estimated
lender information and that certain items may vary according to different Lenders, service vendors, money market conditions at the time of closing nd other
unpredictable circumstances. The seller(s) and purchasers(s) shall not hold the representative, the real estate company(ies), or sales associate(s) responsible for these
estimated items.

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