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Settlement Date:October 26, 2010 File Number: S -28461 <br /> L. Settlement Charges <br /> 700. Total Sales / Broker's Commission: Paid from Paid from <br /> Based on Price $34,000.00 @ 6.00% = $2,040.00 Buyer's Seller's <br /> Division of Commission as follows Funds at Funds at <br /> 701. 2,040.00 to COLDWELL BANKER/PENCY OWENS REALTY Settlement Settlement <br /> 702. <br /> 703. Commission Paid at Settlement 2,040.00 <br /> 800. Items Payable in Connection with Loan: <br /> 801. Loan Origination Fee <br /> 802. Loan Discount <br /> 803. Appraisal Fee <br /> 804. Credit Report <br /> 805. Lender's Inspection Fee <br /> 806. Mortgage Insurance Application Fee <br /> 807. Assumption Fee <br /> 900. Items Required by Lender to be Paid in Advance: <br /> 901. Daily interest charge from Oct 26, 2010 <br /> 902. Mortgage Insurance Premium <br /> 903. Hazard Insurance Premium <br /> 904. Flood Insurance Premium <br /> 905. Winstorm Insurance <br /> 1000. Reserves Deposited with Lender: <br /> 1001. Hazard Insurance <br /> 1002. Mortgage Insurance <br /> 1003. City Property Taxes <br /> 1004. County Property Taxes <br /> 1005. Annual Assessments <br /> 1006. Flood Insurance <br /> 1007. Windstorm Insurance <br /> 1100. Title Charges: <br /> 1101. Settlement or Closing Fee to Sunstate Title Agency, Inc. 150.00 150.00 <br /> 1102. Abstract or Title Search to Sunstate Title Agency, Inc. 150.50 <br /> 1103. Title Examination <br /> 1104. Title Insurance Binder <br /> 1105. Document Preparation <br /> 1106. Notary Fees <br /> 1107. Attorney Fees <br /> (includes above item numbers: <br /> 1108. Title Insurance to Sunstate Title Agency, Inc. <br /> (includes above item numbers: 195.50 <br /> 1109. Lender's 0.00 <br /> Coverage <br /> 1110. Owner's 34,000.00 Risk Rate Premium: 195.50 <br /> Coverage <br /> 1200. Government Recording and Transfer Charges: <br /> 1201. Recording Fees: Deed 18.50 Mortgage 0.00 Releases 0.00 18.50 <br /> 1202. City /County Tax/Stamps: Deed 0.00 Mortgage 0.00 <br /> 1203. State Tax/Stamps: Deed 238.00 Mortgage 0.00 238.00 <br /> 1204. Intangible Tax to Clerk of the Circuit Court <br /> 1205. Record death certificate and corrective QCD to Clerk of the Circuit Court 28.50 <br /> 1300. Additional Settlement Charges: <br /> 1301. Survey <br /> 1302. Pest Inspection <br /> 1303. Real Estate Taxes 2010 (est. -hold in escrow until 11/1/10) ($1400 est - $309.93 partial <br /> payment) to Mike Olson Tax Collector 1,090.07 <br /> 1304. <br /> 1305. <br /> 1306. UPS/Handling/Mortgage Payoff <br /> 1307. <br /> 1400. Total Settlement Charges (Enter on line 103, Section J and line 502, Section K) $168.50 $3,892.57 <br /> I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and <br /> disbursements made on my account or by me in this transaction. I further certify that I have received a copy of HUD -1 Settlement Statement. <br />