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. ' S � <br /> ✓ • <br /> A. Settlement Statement U.S.DepartmentoiHousing <br /> and Urban Development OMB Approval No.2502-0265 <br /> B.rype of Loan <br /> 1.l7 FHA 2.❑ RHS 3.O Conv.Unlns, e.Fle Number 7.Loan IJumber 8.Mortgage Insurance Case Number <br />� 4.O VA 5.❑ Conv.lns. TG158391 <br /> C.Note: This form is tumished to give you a statement of actual sat�ement casts.Amaunts paid to and by lhe settlement agent are shown.Items <br /> marked°(p,o.c.)°were peid outside lhe dosing;they are shown here for Infarmation purposes and are not InGuded In the toWls. <br /> D.Name end Address of Barrower E.Name and Address of Seller F.Name and Address af Lender <br /> WE5 MANAGEMENT,LLC,a Flo�ida NatlonslarMartgage LLC <br /> lJmlted Ua61Aty Comparry 8850 Cypress Waters Bivd. <br /> 29B04 Cedar Waxwing DAve CoppeIl,1X 75063 <br /> Wesley Chapel,FL 3354b <br /> G.Property Location H.Settlement Agent <br /> 5520 20Ui S4 TYLER A.GOLD,PA <br /> Zephyrhlls,FL 33542 1250 5 Pine Island Rd,A450,Planta4on,FL 33324 <br /> Place of SetUement 1.Settlament Date � <br /> 7250 S PINE ISLAND ROAD 05129/15 <br /> SUffE 450 (854)565-5577 <br /> PLANTATION,FL 33324 05l28115 <br /> J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SELLER'5 TRANSACTION: <br /> 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER <br /> 101. Controcl salas r(ce 88 725.00 401. Conlract sales rTce BB 725,00 <br /> 102. Personal ro e 402. Personal ro eA <br /> 103. Settlement char es to borrower Iine 1400 382.00 403. <br /> 104. 404. <br /> 105. 405. <br /> Ad ustments for Items ald b seller in advance Ad ustrnents for Items ald b seller In advanee <br /> 108. CI Itown laxes l0 406. Ci ftown laxes to <br /> 707. Coun taxes l0 407. Coun taxes to <br /> 108. Assessments to 408. Auessments to <br /> 109. 409. <br /> 110. 470. <br /> 111. 411. <br /> 112. 412. <br /> 120. GROSS AMOUNT DUE FROM BORROWER 69107.OD 420. GROSS AMOUNT DUE TO SELLER 88 725.00 <br /> 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REOUCTIONS IN AMOUNT TO SELLER <br /> 201. Deposll of eamest money 3 000.00 501. Excess Deposft(see instructions) <br /> 202. Princfpal amount of new loan(s) 502. Settlement charges to seller(Ilne 7400) 13 088.08 <br /> 203. Existing loan(s)taken sub)ect to 503. Existing loans taken subJect to <br /> 204. 504. Payoff of flrst martgage loan <br /> 205. 505. PayoB of ceco�d mortgage loan <br /> 206. 506. <br /> 207. 507. <br /> 208. 508. <br /> 209. FJ�RLY CLOSING INCENTIVE 500.00 509, EARLY CLOSING INCENTIVE 500.00 <br /> Ad ustments for Items un ald h seller Ad ustments for Items un ald b seller <br /> 210. CI /towntaxes l0 510. Cf /towntaxes to <br /> 211. Coun taxes 01lO7 to 05/29 591.58 511. Coun taxes 07/01 l0 05/29 591.59 <br /> 212. Assessments to 512. Assessments to <br /> 213. 513. <br /> 214. 514. <br /> 215. 515. <br /> i 218. 518. <br /> 217. 517. <br /> 218. 518. <br /> 219. 519. <br /> 220. T07AL PAID BY!FOR BORROWER 4 091.59 520. T07AL REDUCTION AMOUNT DUE SELLER 14179.65 <br /> 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM 5ELLER <br /> 301. Gross amount due from barrower Iina 120 89107.00 601. Gross amount due to seller lina 420 88 725.00 <br /> 302. Less amounts ald b/for borrowef line 220 4 091.59 802. Less reduction amount due to sellef fine 520 14179.65 <br />, 303. CASH FROM BORROWER 85075.41 803. CASH TO SELLER T4545.35 <br />, SUBSTITUTE FORM 1099 SELLER STATEMENT The Informatlon contalned hereln Is ImpoAant tax In(omtallon and is baing fu�niahed to the Intamal Revenue Service.If you ere requl�ed to file e tetum,e nagligance <br /> panally or other eanetion will be imposed an you if lhls(tem is required to be reported and the IRS delertnlnes that It has not baen feported.The Contrect Sales Pr1ea described on Line 407 ebove constitutes the Grou <br /> Proceeds of lhls transaclfon. <br /> SELLER INSTRUCTIONS; To determine I(you have to report lhe sala or exchange of your primery resldance on your lax raWm,see lha Schedule D(Form 1040)InsWctions.If the real estate was not your primary <br /> resldance,complete the applicable paAs o(Form 4797,Form 6252,and/or Schedule D(Fortn 1040). <br /> You are requlred by law to provide lhe settlement agent with your cortect taxpayer itlenlificatfon numbe�. If you do not pravida your correct laxpayer ldantificaGon number,you may be subJact to dvil or criminal penaltles <br /> Imposad by lew.Undar penalties of peryury,I certify that the number shown on this slatement is my carrect laxpayer identification numbef. <br /> Orr2&2015 at 2:54 PM form HUD-1(3186)ref Handbook 4305.2 <br />