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S <br /> / A. Settlement Statement U.S.Department of Housing and OMB ApAroval No.2502-0265 <br /> Urban Development <br /> B.Type of Loan <br /> 1. ❑FHA 2.Q FmHA 3.Q Conv.UninS. 6.Fle Number: 7.Loan Number: 8.Nbrkqage Insurance Case Number. <br /> 4. VA 5.❑Conv.lns. CHAU-34533 <br /> C.Note: This form is fumished to give you a statement of actual settfement costs.Amounts paid to and by the settlement agent are shown.Items marked'(p.o.a)'we�e paid outside ihe dosing;they are <br /> shovm here for infortnational purposes and are not included in the totais. <br /> D.Name�Address of BortowEr: E.Name 8 Address of Seller: F.Narne 8�Address of Lender. <br /> IRL F.CROOK JPMORGAN CHASE BANK,N.A. CASH <br /> 4853 97TH ST. 1400 EAST NEWPORT CENTER DRIVE <br /> ZEPHYRHILLS,FL 33542 DEERFIELD BEACH,F�33aaz ���99���� <br /> �k ►o � a�s� I <br /> G.Property Location: H.Settlement Agent <br /> 38832 B AVE BAY NATIONAL TITLE COMPANY <br /> ZEPHYRHILLS,FL 33542 (PASCO) 13577 FEATHER SOUND DR.,,#250,CLEARWATER,FL 33762 (727)449-8733 <br />� Place Of Settlement I.Seitleme�Date/Disbursement Date <br /> 13577 FEATHER SOUND DR.,,#250, 6/1612015 / 6/16/2015 <br />� CLEARWATER,FL 33762 <br /> J.Summary of Borrowers 7ransaction K.Summary of Seilers Transaction <br /> 100.Gross Amount Due From Borrower 400.Gross Amount Due To Seller <br /> 101.Contract sales price $33,360.00 401.Contract sales price $33,360.00 <br /> 102.Personal Property 402.Personal Property <br /> 103,Settlement Charges to Borrower line 1400) $340.00 403. <br />� 104. 404. <br /> 105. 405. <br /> Adjustments for items aid b seller in advance Adjustments for items paid by seller in advance <br /> 106.Cityftown taxes 406.City/town taxes <br /> 107.County taxes 407.Counry taxes <br /> 108.Assessments 408.Assessments <br /> 109. 409. <br /> 110. 410. <br /> i 111. 411. <br /> 112. 412. <br /> 120.Gross Amount Due From Borrower $33,700.00 420.Gross Amount Dae To 5eller $33,360.00 <br />' 200.Amounts Paid By Or In Behalf Of Borrower 500.Reductions In Amount Due To Seller <br />� 201.Deposit or Eamest Money $2,500.00 501.Excess deposit(see instructions) <br /> 202.Principal amount of new loan 502.Settlement Charges to Seller(line 1400) $6,058.17 <br /> 203.Existing loan taken subject to 503.Existing loan(s)taken sub'ect to <br /> 204. 504.Payoff of firsE mor�qage loan <br /> 205. 505.Payoff of second morkqage loan <br /> 206. 506. <br /> 207. 507. <br /> 208. 508. <br /> 209. 509, <br /> Adjustments for items unpaid by seller Adjustments for items unpaid by seller <br /> 210.Cityltown taxes 510.Cityltown taxes <br /> 211.County taxes 1I112015 to 6/16/2015 @$517.38IYear $235.30 511.County taxes 1I1/2015 to 6/1612015 @$517.38/Year $235.30 <br /> 212.Assessments 512.Assessmenfs <br /> 213. 513. <br /> 214 514 <br /> 215. 515. <br /> 216. 516. <br /> 217. 517. <br /> 218. 518. <br /> 219. 519. <br /> 220.Total Paid By1For Borrower $2;735.30 520.Total Reduction Amount Due 5eller $6,293.47 <br /> 300.Cash At Settlement FromfTo Borrower 600.Cash At Seftlement TolFrom Seller � <br /> 301.Gross Amount Due From Borrower(line 120) $33,700.00 601.Gross Amount Due To Seller pine 420) $33,360.00 <br /> 302.Less Amounts Paid BylFor Bortower(line 220) $2,735.30 602.Less Deduction in Amt Due To Seller(line 520 $6,293.47 <br /> 303.Cash 0✓From ❑To Borrower $30,964.70 603.Cash Q✓To ❑From Selfer $27,066.53 <br /> P,13�ror�ted�e�ar��nal at cl�sing. <br /> Loan Number. File Number. CHAU�4533 Page 1 of 2 <br />