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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. <br /> 1102. Abstract or Title Search to Sunstate Title Agency, Inc. 150.00 150.00 <br /> 1103. Title Examination 150.50 <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 <br /> Coverage 0.00 <br /> 1110. Owner's <br /> Coverage 34,000.00 Risk Rate Premium: 195.50 <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 <br /> 1203. State Tax/Stamps: 0.00 <br /> P 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 <br /> 1300. Additional Settlement Charges: 28.50 <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 <br /> $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 /> Buyer: / /iG �� Cv' r� 1� ��ut�► �_ v <br /> ANTHONY W. P c WIN Seller: <br /> MARY L. YO01■115. <br /> Buyer: a."..1 <br /> ENE <br /> � <br /> A POTWIN <br /> The HUD -1 Settlement Statement which I ha e prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in <br /> accordance with this statement. // <br /> Settlement Agent: Date: October 26, 2010 <br /> SUNSTATE TITLE <br /> WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine or <br /> imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. <br /> HUD - 1 May 2007 <br /> October 25, 2010 6:32 PM OMB No. 2502 - 0265 <br /> RESPA handbook 4305.2 <br />