Form Omb No 2502 0265 – Fill Out and Use This PDF

A.

B. TYPE OF LOAN:

U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT

SETTLEMENT STATEMENT

1. FHA

2.FmHA

3.XCONV. UNINS.

4.VA

5.CONV. INS.

6. FILE NUMBER:

7. LOAN NUMBER:

DEMO

XXXXXXXXXX

8. MORTGAGE INS CASE NUMBER:

C . N O T E :

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 “(POC)" were paid outside the closing, they are shown here for informational purposes and are not included in the totals.

1.0 3/98

(DEMO. PFD/DEMO/10)

D. NAME AND ADDRESS OF BORROWER:

E. NAME AND ADDRESS OF SELLER:

F. NAME AND ADDRESS OF LENDER:

Buyer Name

Seller Name

Lender Name

Buyer Address

Seller Address

Lender Address

G. PROPERTY LOCATION:

H. SETTLEMENT AGENT:

I. SETTLEMENT

Property Street

Law Firm Name

DATE:

City, State

Zip Code

Closing Date

Brief Legal Description of Property

PLACE OF SETTLEMENT:

Law Firm’s Address, City, State and Zip Code

Disbursement Date

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

Sales Price

401.

Contract Sales Price

Sales Price

102.

Personal Property

402.

Personal Property

103.

Settlement Charges to Borrower Line 1400

Buyer Charges

403.

104.

The Total of Buyer Charges from page 2, Line 1400

404.

Enter here any

Enter here any

105.

goes here.

405.

additional Seller

additional Buyer

Adjustments For Items Paid By Seller in advance

Adjustments For Items Paid By Seller in advance

credits or pro-

charges or pro-

106.

City Taxes

to

rations (such as

406.

City Taxes

to

rations (such as

tax pro-rations

107.

County Taxes

to

tax pro-rations

407.

County Taxes

to

from Buyer to

from Buyer to

108.

Assessments

to

408.

Assessments

to

Seller).

Seller).

109.

409.

110.

410.

TOTAL

111.

TOTAL BUYER

411.

SELLER

112.

CHARGES

412.

CREDITS

Line 120 = Lines

Line 420 = Lines

120. GROSS AMOUNT DUE FROM BORROWER

101 through 112

420. GROSS AMOUNT DUE TO SELLER

401 through 412

200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:

500. REDUCTIONS IN AMOUNT DUE TO SELLER:

201.

Deposit or Earnest Money

Earnest Money

501.

Excess Deposit See Instructions

202.

Principal Amount of New Loans

New Loan Amt

502.

Settlement Charges to Seller Line 1400

Seller Charges

203. Existing loans taken subject to

503.

Existing loans taken subject to

204.

504.

Payoff First Mortgage to Existing Lender(s)

Payoff (s)

205.

505.

Payoff Second Mortgage

206.

506.

The Total of Seller Charges from page 2, Line 1400

207.

507.

208.

508.

goes here.

209.

509.

Adjustments For Items Unpaid By Seller

Adjustments For Items Unpaid By Seller

Enter here any

Enter here any

210.

City Taxes

to

510.

City Taxes

to

additional Buyer

additional Seller

211.

County Taxes

to

credits or pro-

511.

County Taxes

to

charges, debts,

212.

Assessments

to

rations (such as

512.

Assessments

to

or pro-rations

tax pro-rations

(such as tax

213.

513.

from Seller to

pro-rations from

214.

Buyer).

514.

Seller to Buyer).

215.

515.

216.

516.

217.

517.

TOTAL

218.

TOTAL BUYER

518.

SELLER

219.

CREDITS

519.

CHARGES

Total 220 = Lines

Line 520 = Lines

220. TOTAL PAID BY/FOR BORROWER

201 through 219

520. TOTAL REDUCTION AMOUNT DUE SELLER

501 through 519

300. CASH AT SETTLEMENT FROMITO BORROWER:

600. CASH AT SETTLEMENT TO/FROM SELLER:

301.

Gross Amount Due From Borrower (Line 120)

Buyer Charges

601.

Gross Amount Due To Seller (Line 420)

Seller Credits

302.

Less Amount Paid By/For Borrower (Line 220)

Minus

602.

Less Reductions Due Seller (Line 520)

Minus

Buyer Credits

Seller Charges

303 CASH ( FROM) ( TO) BORROWER

Equals

603. CASH ( TO) ( FROM) SELLER

Equals

Amount Due

Amount Due

From (Owed

To (Owed

To) Buyer at

From) Seller at

Closing

Closing