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I� OMB Approval No. 2502-0265 �'I�IIIIII'- A. Settlement Statement (HUD-1) B. Type of Loan 1 [� FHA 2.� RHS 3 � CONV UNINS. 6.File Number: 7 �oan Number: 8.Mortgage Insunnce Case Number• 4 � VA 5.� CONV INS. 13-02-26 C.Note:This form is furnished to give you a statement of adual settlement costs.Amounts paid to and by ihe serilement agent are shown.Nems marked"(p.o c.)"were paid outside the closing;ihey are shown here tor iniormational purposes and are not inGuded in tha totals. D.Name 8,Address ot Borrower• E.Name 8 Addreas of Seller: F.Name 8 Address of lender: Southern Water Solutions, Inc. Robert V Womack,Trustee of the Robert V Regions Bank 3433 Lithia Pinecrest Road##352 Womack Trust, utd 4/1/1991 Business Banking Valrico, FL 33596 39740 Pretty Pond Road 250 Rivercase Pkwy E,ALBH30101 B Zephyrhills, FL 33540 �Birmingham,Alabama 35244 G.Property Locatlon: H.Settlamant AQent: I.Settlemant Date: 38122 12th Avenue Magnolia Title Agency, LLC March 14,2013 Zephyrhills, Florida 33542-3468 38008 Live Oak Avenue ! Suite 4 ' Dade City, Florida 33523 �' 352-437-4875 fax:352-437-4880 Place oT Settlement: Magnolia Title Agency, LLC 38008 Live Oak Avenue,Suite 4 Dade City, Florida 33523 , Phone (352)437-4875 ' ---- � J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100.Gross Amount Oue From Borrower: 400.Gross Amount Due To Seller: 101. Contract Sales Price 77,000 00 401 Contract Sales Pnce 77,000.00 102 Personal Property 402. Personal Pro erty — 103 Settlement Char es to Borrower line 1400 2,424 68 403 Adjustments for Items Paid b Seller in Advance: Ad'ustments for Items Paid by Seller in Advance: 106 Ci /Town Taxes 406. Ci /Town Taxes 107 Coun /Parish Taxes 407 Coun /Parish Taxes �O$ Assessments/Solid Waste Mar 14,2013 thru Dec qg 77 408 Assessments/Solid Waste Mar 14,2013 thru Dec 31, 2013 31,2013 49�� 720. Gross Amount Due from Borrower: 79,474.45 420. Gross Amount Due to Seller: 77,049.77 200. Amounts Paid b or in Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201 Deposit or Earnest Mone 1,000.00 501 Excess De osit(see instructions) 1 000 00 202. Princi al Amount of New Loan 65,450.00 502. Settlement Charges to Seller(Line 1400) 864 00 203 Existin Loan s taken sub ect to 503. Existin Loan s)taken subject to � 204 _ _ ___ 504. Pa off of First Mortgage Loan — 205 __ 505 Pa off of Second.Mortgage Loan � -- -- 206 - ------------ -- --- 506. Purchase Money Mortgage Ad'ustments for Items Un aid b Seller: Ad ustments for Items Unpaid by Seller: 210 Cit /Town Taxes 510 Ci /Town Taxes - -- 21� County/Parish Taxes Jan 1,2013 thru Mar 13, 310 38 511 County/Parish Taxes Jan 1, 2013 thru Mar 13, 2013 2D13 310 38 212. Assessments 512. Assessments 213. 513 220. Total Paid b /for Borrower: 66,760.38 520. Total Reductions in Amount Due Seller: 2,174.38 300. Cash at Settlement from/to Borrower: 800. Cash at Settlement to/from Seller: 301 Gross Amount due from Borrower line 120 79,474.45 601. Gross Amount due to Seller line 420 77,049.77 302. Less Amount Paid by/for Borrower line 220 66,760.38 602. Less Reductions Amount due Seller(line 520) 2,174 38 303. Cash From Borrower: $12,714.07 603. Cash To Seller: $74,875.39 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data. This agency may not collect this information,and you are not required to complete this form, unless it displays a currently valid OMB control number No confidentiality 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 March 14,2013 2:49 PM