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<br /> OMB NO. 2502-0265 qr
<br />A, B. TYPE OF LOAN:
<br />U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.DFHA 2.DFmHA 3,DcONv, UNINS, 4,DVA 5,DcONv, INS,
<br /> 6. FILE NUMBER: T7, LOAN NUMBER:
<br /> SETTLEMENT STATEMENT LL060501
<br /> S. MORTGAGE INS CASE NUMBER:
<br />C, NOTE: This form is furnished to give you a statement of actual settlement costs, Amounts paid to and by the settlement agent are shown.
<br /> Items marked 'TPOC)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
<br /> 1,0 3198 (LL060501,PFDlLL060501117)
<br />D. NAME AND ADDRESS OF BUYER: E, NAME AND ADDRESS OF SELLER: F, NAME AND ADDRESS OF LENDER:
<br />Douglas Forschner Richard Lydecker
<br />Roberta Forschner Mary J, Lydecker
<br />441 Summer Hill Drive 344S Peridot Lane
<br />Somerset, KY 42503 Zephyrhills, FL 33540
<br />G, PROPERTY LOCATION: H, SETTLEMENT AGENT: 59-3545240 L SETTLEMENT DATE:
<br />3541 Pyrite Street American Home Title of Land 0' Lakes, Inc.
<br />Zephyrhills, FL 33540 November 16, 2006
<br />Pasco County, Florida PLACE OF SETTLEMENT
<br />Lot 311, 2047 Osprey Lane Suite A
<br />EMERALD POINTE RV RESORT
<br />PHASE SIX Lutz, Florida 33549
<br /> J. SUMMARY OF BUYER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION
<br />100. GROSS AMOUNT DUE FROM BUYER: 400. GROSS AMOUNT DUE TO SELLER:
<br />101, Contract Sales Price 36,000,00 401, Contract Sales Price 36,000.00
<br />102, Personal Procertv 402. Personal Prooertv
<br />103. Settlement Charaes to Buver(Line 1400) 11S,50 403,
<br />104, 404,
<br />105. 405.
<br />Adjustments For Items Paid Bv Seller in advance AiifUstments For Items Paid Bv Seller in advance
<br />106, Citvrrown Taxes to 406, Cityrrown Taxes to
<br />107, County Taxes 11/16/06 to 01/01107 52.96 407, County Taxes 11/16/06 to 01/01/07 52.96
<br />10S, Assessments to 40S. Assessments to
<br />109. HOA DUES (4th QTR) 11/16/06 to 01/01/07 75.00 409, HOA DUES (4th QTR) 11/16/06 to 01/01/07 75.00
<br />110, 410,
<br />111, 411-
<br />112. 412,
<br />120, GROSS AMOUNT DUE FROM BUYER 36,246.46 420, GROSS AMOUNT DUE TO SELLER 36,127,96
<br />200. AMOUNTS PAID BY OR IN BEHALF OF BUYER: SOO. REDUCTIONS IN AMOUNT DUE TO SELLER:
<br />201, DeDosit or earnest monev 4 600.00 501. Excess DeDosit (See Instructions)
<br />202, Princioal Amount of New Loar1(Sf 502, Settlement Charaes to Seller (Line 1400) 1,033,74
<br />203, Existina loan(s) taken subiect to 503. Existina loan(s) taken subiect to
<br />204, 504. Payoff of first Mortgage to N/A
<br />205, 505, Payoff of second Mortgaae to N/A
<br />206, 506, DeDosit retained bv seller 4,600,00
<br />207, 507,
<br />20S, 50S,
<br />209, 509,
<br />Adjustments For Items UiiiiBid Bv Seller AdTustments For Items Unoaid Bv Seller
<br />210, Cityrrown Taxes to 510, Cityrrown Taxes to
<br />211, County Taxes to 511. County Taxes to
<br />212, Assessments to 512. Assessments to
<br />213, 513.
<br />214, 514.
<br />215, 515,
<br />216, 516.
<br />217, 517,
<br />21S, 51S,
<br />219, 519,
<br />220, TOTAL PAID BY/FOR BUYER 4,600.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 5,633,74
<br />300. CASH AT SETTLEMENT FROMITO BUYER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
<br />301, Gross Amount Due From Buver lLine 120) 36,246,46 601, Gross Amount Due To Seller (Line 420) 36,127,96
<br />302, Less Amount Paid Bv/For Buver (Line 220) ( 4,600,00) 602, Less Reductions Due Seller (Line 520) ( 5,633,74
<br />303, CASH ( X FROM) ( TO) BUYER 31,646.46 603, CASH ( X TO) ( FROM) SELLER 30,494,22
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<br />The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein,
<br />I HAVE CAREFULLY REVIEWED THE HU~-1 SE LEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
<br />ACCURATE STATEMENT OF ALL RECEIPTS DISBURSEMENTS MADE ON MY ACCOUNT OR HIS RANS ION I FU HER CERTIF
<br />THAT I HAVE RECEIVEp'"9'E SETTLEMENT STATEMENT.
<br />
<br />Buyer ,. . Seller
<br />
<br />1Z 0BCh,., L)
<br />,~~~
<br />R b a Forschner Ma . Ly c
<br />TO THE BEST OF MY KNOWLEDGE, THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARE I ;4. TRUE ND ACCURATE ACCOUNT OF TH
<br />FUNDS WHICH WE E VE A D HA E BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS
<br />TRANSACTION,
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<br />S Ie
<br />WARNING: IT IS A CRI 0 KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM, PENALTIES UPO
<br />CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT, FOR DETAILS SEE: TITLE 18 U,S, CODE SECTION 1001 & SECTION 1010,
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