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CLEARWATER NEIGHBORHOOD HOUSING SERVICES INCORPORATED (2) J I TIllS SPECIAL WARRANTY DEED Made this Il~ day of ~~\. , A.D. 1995 by the CITY OF CLEARWATER, FLORIDA, a Municipal corporation of the state of Florida hereinafter called the Grantor, to Clearwater Neighborhood Housing services, Inc., a Florida Corporation Not-For-Profit whose Post Office address is: 608 North Garden Avenue, Clearwater, Florida 34615, hereinafter called the Grantee: (Whenever used herein the \erm "grantor" ane "grantee" include all the parties to this instrument and the heirs, legal r<presenlJltives and assigns of individuals, and the successors and assigns of c;:lrporations) Witnesseth, that the grantor, for and in consideration of $10.00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain parcel of real property situate in Pinellas County, Florida, viz: Lot 6, DREW PARK SUBDIVISION, according to the map or plat thereof as recorded in Plat Book 3, Page 40, Public Records of pinellas County, Florida Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. IN COMPLIANCE WITH SEC. 2.665, CODE OF ORDINANCES OF THE CITY OF CLEARWATER, FLORIDA, THE PARTIES EXPRESSLY COVENANT AND AGREE AS FOLLOWS: A. Neither Grantee nor any successor grantee in title or interest shall use the property described herein for any purpose or purposes for which ad valorem property tax exemption would be available. B. Application by the Grantee, or any successor grantee in title or interest, to the property appraiser of pinellas County, Florida, for ad valorem tax exemption shall cause title to the properi.:y described herein to revert to the City of Clearwater automatically as of the date the application is filed and regardless of whether the application is ultimately granted or denied. C. This restriction and reverter shall run with the land and reverter hereunder shall be to_the c~ty absolute~y an~ not to any intervening owner of the property., D. All subsequent deeds or other instrument of conveyance shall contain this restriction. This restriction and reverter shall run with the land in perpetuity. To Have and to Hold, the same in fee simple forever. Page 1 of 2 ~, /' " 1/ "" ~f , , Subject to nondelinquent ad valorem taxes and current installments of special assessments not yet due and payable, to highways, rights-of-way, mineral reservations, licenses, easements and restrictions of record generally, zoning ordinances and other governmental limitations, or others which might be disclosed by an accurate inspection and architectural survey. And the said Grantor does specifically warrant the title to said land and will defend the same against the lawful claim of all persons claiming by, through or under Grantor except taxes for the year 1995 and subsequent, and subject to the matters hereinabove mentioned. In Witness Whereof, the grantor has caused these presents to be executed in its name, and its corporate seal to be hereunto affixed, by its proper officers thereunto duly authorized, the day and year first above written. ~ign d Rita Garve Mayor-Commissioner CITY OF CLEARWATER, FLORIDA By: Eliza~ ~.~ula- ci ty Manager. \ Attest:, : ~_ 0 Ad ~, '., C-_ /~.N~; . , Cy hiaE., G~udeau, ~.Ft:Y Clerk STATE OF FLORIDA COUNTY OF PINELLAS \ \ BEFORE ME, the undersigned, personally appeared Rita Garvey, the Mayor-Commissioner of the City of Clearwater, Florida, who executed the foregoing instrument and acknowledged the execution thereof to be her free act and deed for the use and purposes herein set forth, and who is personally known to me. ~ ~ WITNESS my hand and official seal this 16 day of 1995. Notary Public O~y~f\~ Pr int j type name: Notary Public" State of Florida .MY COIllIlI. <:,,1-',....~ I.IIi) 22, llHHi Comm. No. CC 111741 STATE OF FLORIDA COUNTY OF PINELLAS BEFORE ME, the undersigned, personally appeared Elizabeth M. Deptula, the City Manager of the City ot Clearwater, Florida, who executed the ~oregoing instrument and acknowledged the execution thereof to be her free act and deed for the use and purposes herein set forth, and who is personally known to me. '1--L. WITNESS my hand and official seal this IJ day of 1995. . ~ 'n" .,'.. '. ".,...,.., ..,. ", L'~~~~ Notary Public LYN L. BRINK Pr intjtype name: Notary Public,. State of Florida Mj' eernm. exploc." May ZZ, 199;, Comm,. No. CC 111741 Approved as to form and legal sufficiency: ssistant City Attorney Page 2 of 2 I r CONTRACT FOR SALE OF REAL PROPERTY BY THE CITY OF CLEARWATER, FLORIDA PARTIES: The CITY OF CLEARWATER, FLORIDA, a Municipal Corporation of the State of Florida (herein "Seller" or "City"), P. O. Box 4748, Clearwater, Florida 34618-4748, and CLEARWATER NEIGHBORHOOD HOUSING SERVICES, INC., a' Florida Corporation Not-For-Profit (herein "Buyer"), of 608 North Garden Avenue, Clearwater, Florida 34615, Phone: (813)442-4155, hereby agree that the Seller shall sell and Buyer shall buy the following real property ("Real Property") and personal property ("Personalty") (collectively "Property") upon the following terms and conditions. THE "EFFECTIVE DATE" OF THIS CONTRACT IS THE DATE OF EXECUTION BY DULY AUTHORIZED CITY OFFICIALS. TIME IS OF THE ESSENCE IN THIS CONTRACT. Time periods of 5 days or less shall be computed without including Saturday, Sunday, or national legal holidays and any time period ending on a Saturday, Sunday or national legal holiday shall be extended until 5:00 P.M. of the next business day. 1. PROPERTY DESCRIPTION LEGAL DESCRIPTION: Lot 6, DREW PARK SUBDIVISION, according to the map or plat thereof as recorded in Plat Book 3, Page 40, Public Records of Pinellas County, Florida. STREET ADDRESS (City/Zip/State): 410 Vine Avenue, Clearw~~~r, Florida 34615 PERSONALTY: None 2. FULL PURCHASE PRICE ................ f;afl1 g }uJiJ ~ ..... $ 3. MANNER OP PAYMENT f)~ : ~ $ ~ ~ aUJ:>r $ (J 1/ r1-ot70~ . . 4. TIME FOR ACCEPTANCE 0-'29-/5"2 Following execution of this contract I uyer, the price, terms and conditions as contained herein shall remain unchanged and be held unconditionally open for a period of 45 days following delivery in duplicate original to Earl Barrett, Real Estate Services Manager, City of Clearwater for acceptance and approval, counter-offer, or rejection by action of the Clearwater City Commission ("Commission"). If this agreement is accepted and approved by the Commission, it will be executed by duly authorized City officials and delivered to Buyer within 10 days thereafter. If a counter-offer is approved by the Commission, it shall be delivered to Seller in writing within 10 days of such action by the Commission, and Seller shall have 10 days thereafter to deliver to Buyer written notice of acceptance or rejection of such counter-offer. If written notice of acceptance is ,not timely delivered, or if the counter-offer is rejected by Seller, this contract shall thereafter be null and void in all respects. If this contract is rejected by the Commission upon initial presentation to the Commission, this contract shall be null and void in all respects and Buyer shall be so informed in writing within 5 days of such action. 6,800.00 Total Deposit(s) to be held in escro~ Balance to be paid at closing in U.S. cashier's check, subject to adjustmen -0- 6,800.00 5. TITLE Seller shall convey marketable title to the Property by Special Warranty Deed, subject only to matters contained in Paragraph 7 and those otherwise accepted by Buyer. Otherwise title' shall be free of liens, easements and encumbrances of record or known to Seller, but subject to property taxes for the year of closing, if any; covenants, restrictions and public utility easements of record; and (other matters which title will be subject)...NONE; provided there exists at closing no violation of the foregoing and none of them prevents Buyer's intended use of the Property as a sinqle family residential buildinq lot. 6. TITLE EVIDENCE Seller shall, at Seller expense and within 15 days prior to closing date deliver to Buyer a title insurance commitment issued by a Florida licensed title insurer agreeing to liens, encumbrances, exceptions or qualifications set forth in this Contract, and those which shall be discharged by Seller at or before closing. Seller shall convey a marketable title subject only to liens, encumbrances, exceptions or qualifications set forth in this Contract. Marketable title shall be determined according to applicable Title Standards adopted by The Florida Bar and in accordance with law. Buyer shall have 5 days from receiving evidence of title to examine it. If title is found defective, Buyer shall, within 3 days thereafter, notify Seller in writing specifying defect(s). If the defect(s) render title unmarketable, Seller will have 120 days from receipt of notice within which to remove the defect(s), failing which Buyer shall have the option of either accepting the title as it then is or withdrawing from this Contract. Seller will, if title is found unmarketable, make diligent effort to correct defect (s) in title within the time provided therefor, including the bringing of necessary suits. Page 1 of 5 J l 7. CERTAIN MINERAL RIGHTS RESERVED The reservation of mineral rights (including petroleum) provided for by Section 270.11, Florida Statutes, is released by the Seller as to this Property. The parties agree this release is justified because the size of the Property is less than 20 contiguous acres, there is little likelihood of the presence of any of the minerals or petroleum contemplated by Section 270.11, Florida Statutes, on or under the property and the present developed state of the property combined with future development plans make the reservation and/or exercise of the rights impractical. 8. USE RESTRICTION: RIGHT OF REVERTER The parties hereto acknowledge that the deed of conveyance from Seller shall contain the following language and provisions: IN COMPLIANCE WITH SEC. 2.665, CODE OF ORDINANCES OF THE CITY OF CLEARWATER, FLORIDA, THE PARTIES EXPRESSLY COVENANT AND AGREE AS FOLLOWS: a. Neither Grantee nor any successor grantee in title or interest shall use the property described herein for any purpose or purposes for which ad valorem property tax exemption would be available. b. Application by the Grantee, or any successor grantee in title or interest, to the property appraiser of Pinellas County, Florida, for ad valorem tax exemption shall cause title to the Property described herein to revert to the City of Clearwater automatically as of the date the application is filed and regardless of whether the application is ultimately granted or denied. c. This restriction and reverter shall run with the land and reverter hereunder shall be to the City absolutely and not to any intervening owner of the property. d. All subsequent deeds or other instrument of conveyance shall contain this restriction. This restriction and reverter shall run with the land in perpetuity. 9. SURVEY Buyer, at Buyer's expense, within time allowed to deliver evidence of title and to examine same, may have Real Property surveyed and certified to the Buyer, Seller and closing agent by a registered Florida land surveyor. If survey shows any encroachment on Real Property, or that improvements located on Real Property encroach on setback lines, easements, lands of others, or violate any restrictions, contract covenants or applicable governmental regulation, the same shall constitute a title defect. 10. CLOSING PLACE AND DATE Seller shall designate closing agent and this transaction shall be closed in the offices of the designated closing agent in Pinellas County, Florida, on or before 60 days followinq the effective date, unless extended by other provisions of this contract. If either party is unable to comply with any provision of this contract within the time allowed, and be prepared to close as set forth above" after making all reasonable and diligent efforts to comply, then upon giving written notice to the other party, time of closing may be extended up to 30 days without effect upon any other term, covenant or condition contained in this contract. 11. CLOSING DOCUMENTS Seller shall furnish deed, bill of sale, mechanic's lien affidavit, assignments of leases, tenant and mortgage estoppel letters, and corrective instruments as applicable to this transaction. Buyer shall furnish closing statement. 12. CLOSING EXPENSES Documentary stamps on the deed, unless this transaction is exempt under Chapter 201.24, Florida Statutes, shall be paid by the Buyer. Seller shall pay the costs of recording any corrective instruments. Recordation of the deed shall be paid by Buyer. 13. PRORATIONS: CREDITS If there should exist any taxes, assessments, rent and other revenue specific to the Property, all of such expenses and revenue shall be prorated through the day before closing. If the amount of taxes and assessments for the current year cannot be ascertained, rates for the previous year shall be used with due allowance being made for improvements and exemptions. Any deposits held by Seller in trust for third parties in occupancy of the Property shall be credited to Buyer at time of closing. Assessments for any improvements that are substantially complete at time of closing shall be paid in full by Seller. 14. PROPERTY CONDITION Seller shall deliver the Property to Buyer at time of closing in its present "as is" condition, ordinary wear and tear excepted, and shall maintain the landscaping and grounds in a comparable condition. Seller makes no warranties other than as disclosed herein. Buy~r's covenant to purchase the Property "as is" is more specifically represented in either subparagraph a. or b. as marked [Xl. Page 2 of 5 J I a. ( 1 As Is: Buyer has inspected the Property or waives any right to inspect and accepts the Property in its present "as is" condition. b. (Xl As Is With Right of Inspection: Buyer may, at Buyer expense and within 45 days from Effective Date ("Inspection Period"), conduct inspections, tests, environmental and any other investigations of the Property Buyer deems necessary to determine suitability for Buyer's intended use. Seller shall grant reasonable access to the Property to Buyer, its agents, contractors and assigns for the purposes of conducting the inspections; provided, that all such persons enter the Prope~ty and conduct the inspections and investigations at their own risk. Seller will, upon reasonable notice, provide utilities services as may be required for Buyer's inspections and investigations. Buyer shall not engage in any activity that could result in a mechanics lien being filed against the Property without Seller's prior written consent. Buyer may terminate this contract by written notice to Seller prior to expiration of the Inspection Period if the inspections and/or investigations reveal conditions which are reasonably unsatisfactory to Buyer, unless Seller elects to repair or otherwise remedy such conditio~s to Buyer satisfaction. If this transaction does not close, Buyer agrees, at Buyer expense, to repair all damages to the Property resulting from the inspections and investigations and return the Property to its present condition. 15. SELLER HELD HARMLESS Buyer agrees to indemnify and hold harmless the Seller without limitation from any losses, damages, costs, including attorney's fees, claims of injury to or death of any person(s), any damage to property.of Buyer, or the Property, and from and against any and every liability to any person arising from Buyer conduct of inspections, investigations and any work performed pursuant to Paragraph 14. 16. RISK OF LOSS If the Property is damaged by fire or other casualty before closing and cost of restoration does not exceed 3% of the assessed valuation of the Property so damaged, cost of restoration shall be an obligation of the Seller and closing shall proceed pursuant to the terms of this contract with restoration costs escrowed at closing. If the cost of restoration exceeds 3% of the assessed valuation of the improvements so damaged, Buyer shall have the option of either taking the Property "as is", together with either the 3% or any insurance proceeds payable by virtue of such loss or damage, or of canceling this contract. 17. PROCEEDS OF SALE: CLOSING PROCEDURE The deed shall be recorded upon clearance of funds. Proceeds of sale shall be held in escrow by Seller's attorney or by such other mutually acceptable escrow agent for a period of not longer than 5 days from and after closing, during which time evidence of title shall be continued at Buyer's expense to show title in Buyer, without any encumbrances or change which would render Seller's title unmarketable from the date of the last title evidence. If Seller's title is rendered unmarketable through no fault of the Buyer, Buyer shall, within the 5 day period, notify the Seller in writing of the defect and Seller shall have 30 days from the date of receipt of such notification to cure the defect. If Seller fails to timely cure the defect, all funds paid by or on behalf of the Buyer shall, upon written demand made by Buyer and within 5 days after demand, be returned to Buyer and simultaneously with such repayment, Buyer shall return Personalty and vacate Real Property and reconvey it to Seller by special warranty deed. If Buyer fails to make timely demand for refund, Buyer shall take title "as is", waiving all rights against Seller as to any intervening defect except as may be available to Buyer by virtue of warranties contained in the deed. The escrow and closing procedure required by this provision may be waived if title agent insures adverse matters pursuant to Section 627.7841, F.S. (1987), as amended. 18. DEFAULT If Buyer fails to perform this contract within the time specified (including payment of all deposit(s)), the deposit(s) paid by Buyer may be retained by or for the account of Seller as agreed upon liquidated damages, consideration for the execution of this contract and in full settlement of any claims; whereupon, Buyer and Seller shall be relieved of all obligations under this contract; or Seller, at Seller option, may proceed in equity to enforce Seller's rights under this contract. If, for any reason other than failure of Seller to make Seller's title marketable after diligent effort, Seller fails, neglects or refuses to perform this contract, the Buyer may seek specific performance or elect to receive the return of Buyer deposit(s) without thereby waiving any action for damages resulting from Seller's breach. 19. RADON GAS NOTIFICATION RADON GAS: Radon is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been found in buildings in Florida. Additional information regarding radon and radon testing may be obtained from your county public health unit. 20. CONTRACT NOT RECORDABLE: PERSONS BOUND Neither this contract nor any notice of it shall be recorded in any public records. This contract shall bind and inure to the benefit of the parties and their successors in interest. Whenever the context permits, singular shall include plural and one gender shall include all. Page 3 of 5 .'", I I 21. NOTICE All notices provided for herein shall be deemed to have been duly given if and when deposited in the United States Mail, properly stamped and addressed to the respective party to be notified, including the parties to this contact, the parties attorneys, escrow agent, inspectors, contractors and all others who will in any way act at the behest of the parties to satisfy all terms and conditions of this contract. 22. ASSIGNABILITY: PERSONS BOUND This contract "Broker" (if any) and their heirs, permitted). [Xl is not assignable [ 1 is assignable. The terms "Buyer", "Seller", and may be singular or plural. This Contract is binding upon Buyer, Seller, personal representatives, successors and assigns (if assignment is 23. ATTORNEY FEES: COSTS In any litigation arising out of this contract, the prevailing party shall be entitled to recover reasonable attorney's fees and costs. 24. NO BROKER Seller and Buyer represent and agree they have dealt with no Broker or finder in connection with the transactions contemplated hereby. Seller and Buyer further agree to indemnify the other from any damage, liability or expense either may suffer as a result of any claim of a Broker or finder with whom it is determined that the other party has dealt with in contravention of this agreement; except, however, that total City obligations under this provision shall be subject to the limits and restrictions of the Florida sovereign immunity statute, F.S. 768.28. 25. TYPEWRITTEN OR HANDWRITTEN PROVISIONS Typewritten or handwritten provisions shall control all printed provisions of contract in conflict with them. 26. EFFECT OF PARTIAL INVALIDITY The invalidity of any provision of this contract will not and shall not be deemed to effect the validity of any other provision. In the event that any provision of this contract is held to be invalid, the parties agree that the remaining provisions shall be deemed to be in full force and effect as if they had been executed by both parties subsequent to the expungement of the invalid provision. 27. GOVERNING LAW It is agreed by and between the parties hereto that this contract shall be governed by, construed, and enforced in accordance with the laws of the State of Florida. 28. COUNTERPARTS: FACSIMILE COpy This contract may be executed in two or more counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. A facsimile copy of this contract, including any addendum, attachments and any written modifications hereof, and any initials or signature thereon shall be deemed an original. 29. MERGER BY DEED All covenants, warranties, and representations contained herein shall merge with the deed at time of closing. Upon delivery of deed by the City, and acceptance thereof by Buyer, the Buyer shall hold the City forever harmless thereafter. 30. ENTIRE AGREEMENT Upon execution by Seller and Buyer, this contract shall constitute the entire agreement between the parties, shall supersede any and all prior and contemporaneous written and oral promises, representations or condition in respect thereto. All prior negotiations, agreements, memoranda and writings shall be merged herein. Any changes to be made in this agreement shall only be valid when expressed in writing, acknowledged by the parties and incorporated herein or attached hereto. THIS IS INTENDED TO BE A LEGALLY BINDING CONTRACT. IF NOT FULLY UNDERSTOOD, SEEK THE ADVICE OF AN APPROPRIATE PROFESSIONAL FOR LEGAL, TAX, ENVIRONMENTAL AND OTHER SPECIALIZED ADVICE PRIOR TO SIGNING. Date: a,,~t./;95 BUYER: CLEARWATER NEIGHBORHOOD HOUSING SERVICES, INC. FID # 59-1898543 Page 4 of 5 . . I ,~ A~.:l [ ] APPROVED AND ACCEPTED THIS ~ day of ~ SELLER: I , 1995. CITY OF CLEARWATER, FLORIDA er By: ~N ~~ Elizabet . Dept a, City Manager Ri Approved as to form and legal sufficiency: ATTEST: s istant City Attorney VineSnle,ewb Page 5 of 5 ~.Z"'~_r0e4. hi~ E."-G6udeau, 1ty Clerk " -'-:" nEe Ie: I \f }J APR 2 4 1995 I CITY CLERi< DEFT. C I T Y 0 F C LEA R W ATE R Interdepartment Correspondence Sheet TO: steve Moskun, Cash & Investment Manager FROM: Earl Barrett, Real Estate Services Manager ~ SUBJECT: Real estate closing - 410 Vine Avenue COPIES: Richard J. Baier, City Engineer Ream Wilson, Director of Parks & Rgcreation Cyndie Goudeau, City Clerk Miles Lance, Assistant city Attorney DATE: April 21, 1995 The City today conveyed title to the above referenced real property, legally described as Lot 6, DREW PARK SUBDIVISION, to Clearwater Neighborhood Housing Services, Inc. I am transmitting herewith a copy of the real estate closing statement and Bankers Title sale proceeds check #17290 in the sum of $6,477.60. Prior to the city commission declaring it surplus and approving the purchase contract on April 6, 1995, Parks and Recreation was the responsible department for this property. I I :' BANKERS TITLE ~7290 FILE NO#: 04950090 AMJUNI' : $6,477.40 DATE: 04/21/95 . PAYEE: - '!HE CITY OF ~ CX>DE: DC ALT: CITY CINIR SELLER(S) - '!HE CITY OF ~ BUYER(S) - ~ NEIGHOORHOJD HOUSING SERVICES lliOORPORATED PROPERrY LOCATION - 410 Vine Avenue, Clearwater, FL 34615 IDt 6, DREW PARK Seller's Proceeds FOLD BEFORE DETACHING AT PERFORATION -- RETAIN THIS STATEMENT PAY ..'.,'.'.".,.,'..'"...'.,'..,.,'..'..."..'..,. ...,'"".,".,..,..'..'.'...,.',..,,....,."'.,','.',..'...,.,'.,",..., ".,".,.'".,',.,'.,....,...,.,...,..,..'., 4uaJi!~ :-,:---,.- ." .....,',,,. .,,__,_ dO< FIRST UNION NATIONAL BANKPfFLORIDA SLPETER$BURG. FL 33702 'i~~.NKERS TITLE y ",<~SCROW ACgqU~T),. '.,.,'.'..,. 15?~fF BELCHERflP:SUITE~ Q~EARWA TER.FL,34624:'>..... . ","" - ._,.... '"' . ,..'....,-.--.-,.-.,'...'. , :'63-751/631 FILE 00#: 04950090 17290 snJ~skm ~~SEVENl"l2L AND4d/J.6d:i~llARS ********** 04/21/95 TO THE ORDER OF: '!HE CITY OF ~.. P.O., BOx 4748 ',.'.'.'...'.'.'"< Clearwater, FL 34618~4748 1110 . ? 2 gO III I: 0 b ~ .0 ? 5 . ~ I: 2 . ~ a ~ 200 9 ? 9 2 2ul ::1' .,1,; *****$6,477.40* :::'".: ...:.::;.:.,,--.,:::----" BANKERS TITLE 'if>' A. SETTLEMENT STATIMENT U.S. Department of Housing and Urban Development I OMB No 2502-0265 B. Tvne of Loan 1, - FHA 2, - FmHA 3, - Con". Unlns. -Ie, File Number \7, Loan Number Ie, Mortgage Insurance Case No.1f' 4, - VA 5, - Cony. Ins. 04950090 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 totals, D. Name and Address of Borrower E, Name and Address of Seller F, Name and Address of lender CLEARWATER NEIGHBORHOOD THE CITY OF CLEARWATER HOUSrnG SERVICES rnmRPORATED 608 North Garden Avenue P.O. Box 4748 Cl~ter , FL 34615 Clearwater, FL 34618-4748 G, Property location H, Settlement Agent 410 Vine l\venue BANKERS TITLE Clearwater , FL 34615 Piace of Settlement L Settlement LDt 6, DREW PARK Date 1525 SO. BELClfER ROAD 04/21/95 CLEARWATER FL. 34624 J. SUMMARY OF BORROWER'S TRAN!;:ACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100, Gross Amount Due From Borrower 400, Gross Amount Due To Seller 101. Contract sales nrice 6 800.00 401. Contract sales orice 6 800.00 102, Personal orooertv 402, Personal Drone"" 103, Settlement charnes to borrower lline 14001 10.50 403, 104, 404, 105, 405, Ad'ustments for items naid bv seller in advance Ad'ustments for items naid bv seller in advance 106, Citv/town taxes to 406, Citvltown taxes to 107, Countv taxes to 407, Countv taxes to 10B, Assessments to 40B, Assessments to 109, 409, 110, 410, 111. 411, 112, 412, 120, GROSS AMOUNT DUE FROM BORROWER 6 810.50 420, GROSS AMOUNT DUE TO SELLER 6 800.00 200, Amounts Paid Bv or In Behalf of Borrower 500, Reductions In Amount Due To Seller 201, DeDosit or earnest monev 501. Excess DeDosit Isee instructions1 202, Prlncinal amount of new loanls\ 502, Settlemenl charnes to seller Iline 1400\ 322.60 203, Exlstinn loanls1 taken sub'ect to 503, Existino loanls\ taken sub'ect to 204, 504, Pavoff of first mortoaoe loan 205, 505, Pavoff of second mortoaoe loan 206, 506, 207, 507, 20B, 50B, 209, 509, Ad'ustments for items unnairi bv seller Ad'ustments for items unnaid bv seller 210, Citv/town taxes to 510, Citv/lown taxes to 211. Countv taxes to 511. Countv 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 520, TOTAL REDUCTiON AMOUNT DUE SELLER 322.60 300, Cash At Settlement From or To Borrower 600, Cash At Settlement To or From Seller 301. Gross amount due from borrower Iline 1201 6 810.50 601, Gross amounl due to seller lline 4201 6 800.00 302, Less amounts nald bv/fDr borrower lline 220\ 602, less reduction amounl due seller lline 520\ 322.60 303, CASH FRCM BORROWER 6 810.50 603, CASH 'IO SELLER 6 477 .40 ''t:" J e er uyer orrower !::luyerjljorrower ::ieller RESPA, HB 4305,2 .. REV, HUD,1 (3/B6) I U.S, DEPARTMENT OF HO,IING AND URBAN DEVELOPMENT SETTLEMIT STATEMENT PAGE 2 L SETTLEMENT CHARGES: FILE 00.#: 04950090 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 SETTLEMENT 702, $ to 703, Commission paid at Settlement . 704, 800, ITEMS PAYABLE IN CONNECTION WITH LOAN 801, Loan Origination Fee % 802, Loan Discount % B03, Appraisal Fee to B04, Credit Report to B05, Lender's Inspection Fee to 806, Mortgage Application Fee to 807, Assumption Fee to 808, B09, 810, 811, 900, ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901, Interest from to @$ /day 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, Mortgage Insurance mo,@$ /mo, 1003, City Property Taxes mo,@$ Imo, 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 50.00 1102, Abstract or title search to Michael Evans 75.00 1103, Title examination to 50.00 1104, Title Insurance binder to 11 05, Document Preparation to 1106, Notary Fees to 1107, Attorney's fees to (includes above items No: ) 1108, nle Insurance to BANKERS TITLE 100.00 (includes above items No: ) 1109, Lender's coverage $ ---- REUBLIC 1110, Owner's coverage $ 6 800.00 --- 100.00 1111, 1112, 1113, 1200, GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 10.50: Mortgage $ ; Releases $ 10.50 1202, City/county tax/stamps: Deed $ ; Mortgage $ 1203, State Tax/stamps: Deed $ 47.60; Mortgage $ 47.60 1204, 1205, 1300, ADDITIONAL SETTLEMENT CHARGES 1301, Survey to 1302, Pest Inspection to 1303, 1304, 1305, 1400, TOTALSETTtEMENT CHARG'ES (enter on lines 103 and 502, Sections J and K) 10.50 322.60 C"".' ~r^~w"""~", ^" ="AA\~ m, 'AA"~~". I FURTHER CERTIFY T T I HAVE USED D ILL CAUSE T NDS TD BE DISBURSED IN ACC RD NCE WITH 'IS STATEMENT, -~.. ~- 7.- /~~ .9/ /7J- r^"'" l~ ~. ; WARN : It Is a crime to knowlngl~ make false state nts to the United States on this or any other similar form. Penalties upon conviction can Include a fine and Impr oment. For details 5ee: Title 8 U.S. Code on 1001 and SectIon 1010. RESPA, HB 4305,2 .- REV, HUD-l (3/86)