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<br />Form Approved
<br />OMB No. 63-R.1501
<br />
<br />A.
<br />U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
<br />SETTLEMENT STATEMENT
<br />
<br />B, TYPE OF LOAN:
<br />
<br />1, 0 FHA 2. 0 FmHA 3. CONV, UNINS,
<br />4, 0 VA 5. 0 CONV.INS,
<br />6, FILE NUMBER: 7. LOAN NUMBER:
<br />
<br />6. MORTGAGE INSURANCE CASE NUMBER:
<br />
<br />C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent
<br />are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for informational purposes and
<br />are not included in the totals.
<br />
<br />
<br />D, NAME OF BORROWER:
<br />r.r~~r:;ci{ ~:. ,o\11('",n
<br />Rosemary G. Allen
<br />~qn3? SCT.:n n~~! Dri.v('
<br />?pphyrh~ ~ 1 s, F'l()rid,~! .)~1)/\~'"''
<br />
<br />G. PROPERTY LOCATION:
<br />Lot 111 Silver ;'.:'1ks ~'r;"
<br />7.eohyr.hl11~:, ';<1 '" ,.."<':
<br />
<br />H. SETTLEMENT AGENT:
<br />
<br />~i rst ~18tional F
<br />
<br />PLACE OF SETTLEMENT:
<br />
<br />?r:,,~,,;);,'~h~ }',S, ;:;";(1: ld'~1
<br />
<br /> J. SUMMARY OF BORROWER'S TRANSACTION
<br />100. GROSS AMOUNT DUE FROM BORROWER:
<br />101. Contract sales price
<br />102, Personal property
<br />103, Settlement charges to borrower (line 1400) ) f: t "l J:....
<br /> t', .'
<br />104. f~()L f' ~';'l-\~.) C()'~r.::~rr:nc" I""T r1~J [0?. 7')'; , r)()
<br />105.
<br /> Adjustments for items paid by seller in advance
<br />106, City/town taxes . to
<br />107. County taxes to
<br />108. Assessments to
<br />109.
<br />110.
<br />111.
<br />112.
<br />120,
<br /> GROSS AMOUNT DUE
<br /> FROM BORRO WER l " .-~ ';~~.. ;("
<br />200. AMOUNT PAID BY OR IN BEHALF OF BORROWER:
<br />201. Deposit or earnest money
<br />202. Principal amount of new loan(s) ,~ - .,n:\ ()(')
<br />203. Existing loan(s) taken subject to
<br />204.
<br />205,
<br />206.
<br />207.
<br />208.
<br />209.
<br /> Adjustments for items unpaid by seller
<br />210. City/town taxes to
<br />211, County taxes to
<br />212. Assessments to
<br />213.
<br />214.
<br />215.
<br />216.
<br />217.
<br />218.
<br />219.
<br />220,
<br /> TOTAL PAID BYIFOR
<br /> BORROWER T) ~ 7('(1. Gej
<br />300. CASH AT SETTLEMENT FROMlTO BORROWER
<br />301. Gross amount due from borrower (line 120) 1 ("J~ "I, .~ 7f':
<br />302, Less amounts paid by/for borrower (line 220) ( .)~ 7'-"-' .y )
<br />303.
<br /> CASH (0 FROM) r .', " :",
<br /> (0 .. , .
<br /> TO) BORROWER
<br />
<br />F. NAME OF LENDER:
<br />,,-;, rst Nationai Hankof th~ ~-Ot1th
<br />,03 S. 8th Street, P. O. Box 95
<br />~ad~ City. Florida 33526
<br />
<br />I. SETTLEMENT DATE:
<br />
<br />f the Scuth
<br />
<br />2/l9/93
<br />
<br /> K, SUMMARY OF SELLER'S TRANSACTION
<br />400. GROSS AMOUNT DUE TO SELLER:
<br />401, Contract sales price
<br />402, Personal property
<br />403.
<br />404,
<br />405,
<br /> Adiustments for items paid by seller in advance
<br />406, City/town taxes to
<br />407, County taxes to
<br />408, Assessments to
<br />409,
<br />410,
<br />411,
<br />412,
<br />420,
<br /> GROSS AMOUNT DUE
<br /> TO SELLER
<br />500. REDUCTIONS IN AMOUNT DUE TO SELLER:
<br />501, Excess deposit (see instructions)
<br />502. Settlement charges to seller (line 1400)
<br />503. Existing loan(s) taken subject to
<br />504, Payoff of first mortgage loan
<br />505. Payoff of second mortgage loan
<br />506,
<br />507.
<br />508,
<br />509,
<br /> Adiustments for items unpaid by seller
<br />510, City/town taxes to
<br />511. County taxes to
<br />512. Assessments to
<br />513,
<br />514,
<br />515,
<br />516,
<br />517,
<br />518,
<br />519,
<br />520,
<br /> TOTAL REDUCTION AMOUNT
<br /> DUE SELLER
<br />600. CASH AT SETTLEMENT TO/FROM SELLER
<br />601, Gross amount due to seller (line 420)
<br />602. Less reductions in amount due seller (line 520) ( )
<br />603,
<br /> CASH (0 TO)
<br /> (0 FROM) SELLER
<br />
<br />.O"~" ~
<br />Borrower
<br />. .
<br />
<br />,
<br />
<br />The undersigned hereby acknowledges receipt of a completed
<br />and any attachments reterr 0
<br />
<br />:1: fl;k;-
<br />
<br />
<br />Seller
<br />
<br />Seller
<br />
<br />Y of pages 1 and 2 of this statement
<br />erein,
<br />
<br />BANKERS SYSTEMS, INC" ST. CLOUD, MINN" FORM HUD.' 5/80
<br />
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