NEIGHBORHOOD HOUSING SERVICES INC
OMB No. 2502-0265
B Tvee _of Loan
1. - FHA 2. _ FmHA 3, - Conv, Unrns. 6. Rle Number 7. Loan Number 8. Mortgage Insurance Caee No.1II
4. VA 5. Conv, Ins. \
- -
10950303 '-~
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 information pUrposes and are not Included In the tOtall
D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender
CLFJ\mATER NEIGHBORHooo CITY OF CLFJ\mATER, F'IDRIDA
HOUSING SERVICES, mCXlRroRATED
608 North Garden Avenue P.O. Box 4748
Clearwater, FL 34615 Clearwater, FL 34618-4748
.
G. Property Location H. Settlement Agent
,
1872 Spr~ Avenue BANKERs T.1.T ~
Clearwater, FL 34615 Place of Settlement I. Settlement
Lot 34, SUNSEr POINI' Date
1525 SO. BELCHER mAD 11/08/95
CLEARwATER. FL. 34624
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 Drlce 12.000.00 401. Contract sales Drlce 12~000.00
102. Personal DrQDertv 402. Personal DrQDertv
103. Settlement charaes to borrower lIine 1400l 90.00 403,
104 404.
105, W. Ered Pettv 291. 92 405.
Adlustments for items Daid by seller In advance Adlustments for Items Dald by' seller In adyanee
106, Cltvhown taxes to 406. Cltvhown taxes to
107. County taxes to 407. County taxes to
108. Assessments to 408. Assessments to
109. 409
110. 410,
111. 411.
112. 412.
120 GROSS AMOUNT DUE FROM BORROWER 12 381. 92 420. GROSS AMOUNT DUE TO SELLER 1., nnn.OO
200. Amounts Paid Bv or In Behalf of Borrower 500. Reductions In Amount Due To Seller
201, Decoslt or earnest money 501. Excess DeDoslt (see Instructions)
202, PrlnclDal amount of new loan(s) 502. Settlement charaes to seller nine 1400) 315.00
203. Ex/stlna loan(s) taken sublect to 503, Exlstlna loan(s) taken sublect to
204, 504. Pavoff of first mortaaae loan
205 505. Pavoff of second mortaaae loan
208 506,
207. 507.
208. 508,
209. 509,
Adfustments for items unDaid by seller Adiustments for Items unDald by seller
210, Cftvltown taxes to 510, Citvhown taxes to
211. County taxes 01/01 to 11/07 247.95 511, County taxes 01/01 to 11/07 247.95
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 247.95 520, TOTAL REDUCTION AMOUNT DUE SELLER 562.95
300. Cash At SAttlAmAnt From or To Borrower 600 Csulh- At Settlement To or From Seller
301. Gross amount due from borrower (line 120l 12.381.92 601 Gross amount due to seller nine 420\ 1., nnn IVI
302. Less amounts oald bvlfor borrower (line 220\ 247.95 602. Less reduction amount due seller ft/ne 520\ ~Q~
303. CASH ERCM BORROWER 12.133.97 603. CASH 'IO SELLER ]1 437.05
A. SETTLEMENT STATEMIN,r
. u.s. Department of HouLg
and Urban Development
lINE H VE CAREFUllY REVIEWED THE HUD-1 SElTLEMENT STATEMENT AND TO THE BEST OF MY KNOWlEDGE AND BEUEF IT IS A TRUE AND ACCURATE STATEMENT
OF A CEJPTS~N URSEMENT MADE ON MYjOUR ACCOUNT OR BY ME/US IN THIS TRANSACTION. I FURTHER CERTIFY THAT '/WE HAVE RECEIVED A COPY
o TH 1 sm STATEM ~~
.. e.. ~op .~~~ ,~w ~.~~JW
. C1. lieller
tluyer /tlorrower
lieller
-
/ 1 . RESPA, HB 4305.2 - REV. HUD-1 (3/86)
l7')007-0() -Lj2
'-'I
U.S. DEPARTMENT 'F HOUSING AND URBAN DEVELOPMENT
SE-rrLEMENT STATEMENT
PAGE 2
~
L SElTLEMENT CHARGES: FILE NO..,: 10950303 PAID FROM PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on price $ @ . BORROWER'S SELLER'S
Division of commission (line 700) as follows: FUNDS AT FUNDS AT
701. $ to SETTLEMENT SElTLEMEN"
702. $ to
703. Commission paid at Settlement
704.
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Origination Fee %
802. Loan Discount %
803. AoDralsal Fee to
804. Credit Report to
805. Lender's Inspection Fee to
806. Mta. Ins. AoDlicatJon Fee to
807. Assumption Fee to
808.
809.
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest from to @$ /dav
902. Mortgage Insurance Premium for to
903. Hazard Insurance Premium for yrs to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo,@$ /mo.
1002. Mortaage Insurance mO.@$ /mo.
1003. City Property Taxes mo,@$ /mo.
1004. County Property Taxes mo.@$ /mo.
1005. Annual Assessments mO.@$ /mo.
1006. mO.@$ /mo.
1007. mO.@$ /mo.
1008. mo.@$ /mo.
1100. TITLE CHARGES
1101. Settlement or closing fee to BANKERS TITLE 40.001
1102. Abstract or title search to ram Research 75 00
1103. TItle examination to BANKERS TITLE 25.00
1104. TItle Insurance binder to
1105. Document Preparation to
1106. Notary Fees to
1107. Attorney's fees to
(Includes above items No: )
11 08. TItle Insurance to Old Renublic Title Co. 175.00
(Includes above items No: )
1109. Lender's coverage $ -
1110. Owner's coverage $ 100.00 - 175.00
1111.
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 6 . 00; Mortgaae $ ; Releases $ 6 00
1202. City/county tax/stamps: Deed $ ; Mortgage $
1203. State Tax/stamps: Deed $ 84.00; Mortgage $ ALl,nn
1204.
1205.
1300. ADDITIONAL SElTLEMENT CHARGES
1301. Survey to
1302. Pest Inspection to
1303.
1304.
1305.
1400. TOTA!-SEI NT CHARGES (enter on lines 103 and 502, SectIons J and K) an nn "2'~ nn
~' ~""ENT WHICH I ItA'" """""" IS A l1ItJE AND ACCIJRAlE A<XXllJNT CIF THIS T1IANSACl1ON.
FU~ER CERnFY ~ A' :~ CAUSED V~ DSBURSED;' #"7 ~STAlE.ENT
:~ uale (
Settlemeijf ent
wAR~ls a crime to knowingly make false state s to the United States on this or any other similar form. PenaJtles upon conlllctlon can Include a tine and
Imprtso ent. For details see: Tltle 18 U.S. Code Se on 1001 and Section 1010.
/
/
RESPA, HB 4305.2 - REV. HUe-1 (3/86)