Addendum to HUD-1 Settlement Statement at a glance
What it is: ADDENDUM TO HUD-1 SETTLEMENT STATEMENT with Closing Date, Borrower, Lender, Loan No. and Premises.
Who signs: Borrower, Seller and Settlement Agent each fill in Date.
A filled-in Addendum to HUD-1 Settlement Statement example: a borrower and a seller sign the addendum

How to fill out Addendum to HUD-1 Settlement Statement, box by box
Closing Date, Borrower, Lender, Loan No. and Premises
Borrower and Seller signatures

I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. Sign on the Borrower or Seller line and fill in Date.
Settlement Agent
More rules for Addendum to HUD-1 Settlement Statement
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form.
For details see: Title 18 U.S. Code Section 1001 and Section 1010.
Common questions about Addendum to HUD-1 Settlement Statement
Is there a penalty?
Penalties upon conviction can include a fine and imprisonment.
Sources
[1] Addendum to HUD-1 Settlement Statement (no issuer file found) (the Official source link on this page).


