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��K� A. Settlement Statement (HUD-1) OMBApproval No.2502-0265 �,M.r B. Type of Loan 1. � FHA 2� RHS 3. � CONV UNINS. s. F�N N""b°r: 7. Wan Number. 8. Mortg�g� Imurancs Cw NumMr. a. � vq 5. � Corrv iNS. S-28632 0280627845 C. Nots: This form is fumished to give you a slatert�eM of actual seqlemeM eosts. MiouMa paid W and by the settlement agerrt are shown. Items markeU '(p.o.c.)' were paid outside the cbeing; they are shown here for IMOrmaUonal purposes and are not Inckded in the totals. D. Nmr L Adtl�as� d Bor/owsr. E. N�m� i MWrsss o} S�Iisr. F Nams i Addrus d Lsndsr. ALBERT C. BIRBECK, a married man NANCY MOODY WELLS FARGO BANK, N.A. P.O. Box 359 1 E. 22nd Street, Suite 600 Bingham, Maine 04920-0359 Lombard, Illinois 60148 G. Pmparty Loeatlon: H. S�ttNmsiM ApaM: I. SattNmsrrt Drie: 38521 NAOMI AVE Sunstate Title Agency, Inc. April 1, 2011 2ephyrhills, Florida 33542 13937 7th Street Section 02, Township 26, Range 21, Lot 15, Dade Ciry, Florida 33525 OAK PARK SUBDIVISION, Book 2, Page 75, 352-587-1141 fax: 352-567-3830 PASCO County, Florida Pl�c� of SNtls�M: Sunstate Title Agency, Inc. 73937 7th SVeet Dade City, Florida 33525 Phone: (352) 567-1141 J. Summary of Borrower's Transactlon K. Summary of Seller's Tronsaction 100. Gross Amount Oue From Borrower: 400. Gross AmouM Due To Seller: 101. CoMract Sales Price 61,000.00 401. Contract Sales Price 61,000.00 102. Personal Pro 402. Personal Pro 103. Settlement Cha es to Borrower line 1400 4,978.17 403. Ad ustments for kems Paid Seller in Advanee: Ad ustrnerrta for kems Paid Seller In Advance: 106. C/ Town Taxes 406. C' ! Town Taxes 107. Coun / Parish Taxes 407. Coun / Parish 7axes 108. Assessments 408. Assessments 120. Gross Amount Due irom Borrower: 63,978.17 420. Gross Amount Due to Seller: 61,OOp.00 200. Amounts Paid or In Behalf of Borrower: 500. Raducdons in AmouM Due to Selier: 201. De it or Eamest Mon 1,000.00 501. Excess De sit see instructions 202. Princi I Amount of New Loan 40,000.00 502. Settlement Cha es to Seller Line 1400 4,155.00 203. Existin Loan s taken sub ect to 503. Exlstin Loan s taken su 'ect to 204. Dail interest cxedit 504. Pa of First Mo e Loan 205. 505. Pa of Second Mo a e Loan 208 506. Purchase Mone Mo a e Ad ustmeMs for Itams Un aid b Seller: Ad ustmeMS for Items Un id b Seiler: 210. Ci / Town Taues 510. Ci ! Town Texes 21 � County / Parish Taxes ($861 yr e) Jan 1, 2011 23q,33 571 COUnty / Parish Taxes ($961 yr e) Jan 1, 2011 thru Mar 30 2011 thru Mar 30, 2071 234.33 212. Assessments 512. Assessments 213. selier a' for owner's title ins. 350.75 513. seller 'n for owners title ins. 350.75 214. seller 'n for doc stam on deed 427.00 514. seller ' for doc stam on deed 427.00 220. Total Paid b/ for Bortower: 42,012.08 520. Total ReducHons in Amourn Dua Seller. 5167.08 300. Cash at Seltfement from / to Borrower: 60p. Cash at Settlemerrt to I from Seller: 301. Gross Amount due from Borrower line 120 65 978.17 601. Gross Amount due to Seller line 420 61 000.00 302. Less Amount Paid b/for Borrower line 220 42 012.08 802. Less Reductio� Amount due Seller line 520 5 167.08 303. Cash From Bor►ower: 523,966.09 603. Cash To Seller: 555,832.92 The Public Reporting Burden for fhis collecGon of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. This age�cy may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentlality is assured; this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. Previous editions are obsolete Page 1 of 4 HUD-1 April 1, 2011 11:27AM