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<br />A. <br /> <br />U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />SETTLEMENT STATEMENT <br />Sunstate Title Agency" Inc. <br />13937 7th Street <br />Dade City, Florida 33525 <br />352-567-1141 fax: 352-567-3830 <br /> <br />B. TYPE OF LOAN <br /> <br />1. 0 FHA 2. 0 FMHA 3. 0 CONY. UNINS. <br /> <br />4. OVA 5. OCONV.INS. <br />6. File Number: 7. Loan Number: <br /> <br />S-27011 <br /> <br />8. Mortgage Ins. Case No.: <br /> <br />C. NOTE: This form isfurnjsh~d to give y~u a statement of ac~l sett/e~ent cost,s. Amounts paid to and by /~e settle~enl agent are shown. Items marked <br />(poc) were paid outsIde the closing. They are shown~"ere for In/orma/lanal purposes and are not Included In the totals. <br />D. Bu er: MARY LOU GREEN, a sin Ie erson I <br />E. Seller: DAVID LEWIS SHINE Indi idually and as Personal Representative of the Estate of LEWIS D. SHINE, deceased <br /> <br />F. Lender: <br /> <br />G. Property: <br /> <br />38633 2ND A VB. <br />Zephyrhills, Pasco County, Florida 33542 <br />Section 11, Township 26, Rapge 21, Lot 11, Block 194, CITY OF ZEPHYRIllLLS (formerly Town of <br />Zephyrhills), Book 1, Page 54, Pasco County, Florida <br />Sunstate Title Agency, Inc. <br />13937 7th Street, Dade City, Florida 33525 Pasco County <br />S b 21 2007 <br /> <br />H. Settlement Agent: <br />Place of Settlement: <br />1 SID <br /> <br />ett ement ate: eptem er , <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 SeHer: <br />101. Contract Sales Price 60,000.00 401. Contract Sales Price 60,000.00 <br />102. Personal Properly 402. Personal ProDerty <br />103. Settlement Charges to Buyer (line 1400) 2,064.50 403. <br />104. 404. <br />105. 405. <br />Adiustments for Items Paid bv SeHer in Adyance: Adiustmentsfor Items Paid by SeHer in Adyance: <br />106. City / Town Taxes 406. City / Town Taxes <br />107. County / Parish Taxes 407. County / Parish Taxes <br />108. Assessments 408. Assessments <br />109. 409. <br />110. 410. <br />120. Gross Amount Due from Buyer: 62,064.50 420. Gross Amount Due to SeHer: 60,000.00 <br />200. Amounts Paid by or in Behalf of Buyer: 500. Reductions in Amount Due to SeHer: <br />201. Deposit / Earnest Monev 1,000.00 501. Excess Deposit (see instructions) <br />202. Principal Amount of New Loan 502. Settlement Charges to Seller (Line 1400) 1,145.00 <br />203. Existing Loan(s) 503. Existing Loan( s) <br />204. 504. Payoff of First Mortgage to <br />205. 505. Proceeds to Estate of Lewis D. Shine 58,727.00 <br />206. 506. Purchase Monev Mortl!al!e to <br />207. 507. <br />Adiustments for Items Unnaid by SeHer: Adiustmentsfor Items Unnaid by SeHer: <br />210. City / Town Taxes 510. City / Town Taxes <br />211. County / Parish Taxes ($179 yr e) Jan 1,2007 128.00 511. County /Parish Taxes ($179 yr e) Jan 1,2007 128.00 <br />thru Seo 20, 2007 thru SeD 20, 2007 <br />212. Assessments 512. Assessments <br />213. 513. <br />214. 514. <br />220. Total Paid by / for Buyer: 1,128.00 520. Total Reductions in Amount Due Seller: 60,000.00 <br />300. Cash at Settlement from / to Buyer: 600. Cashat.Settlement to / from Seller: <br />301. Gross Amount due from Buver (line 120) 62,064.50 601. Gross Amount due to Seller (line 420) 60,000.00 <br />302. Less Amount Paid by/for Buyer (line 220) 1,128.00 602. Less Reductions Amount due SeHer (line 60,000.00 <br />520) <br />303. Cash From Buyer: $60,936.50 603. Cash From Seller: $0.00 <br /> <br />v' (,,s <br /> <br />rrvQ o-l <br /> <br />HUD-I Nov 2006 <br />September 21, 20071 :03 PM <br /> <br />OMB No. 2502-0265 <br />RESPA handbook 4305.2 <br />