4100 Right of Way N. 2nd Street
SETIlEMEln
CHARGES
OMB No. 25020265
~~~I~",v,3i86)
. I. "0
100, TOTAL SALES/BROKER'S COMMISSION:
BASED ON PRICE
%=
I
i PAID FROM
I BORROWER'S
FUNDS
I ~--~
~MENT-
I
$ 15,OOO.00@
, ..'. D!V1§lqt{()FÞÞMMI~§I()H(LINlõfòò)¡\§F()tt()W~: .'
701. $ 10
702, $ 10
103. Comr,'issìon paid al se"lemenl
104.
~OÔ; ITEM$¡>AYAlIlËìNCONNECtIOtl \VITHl9At:l:.
801. Loan origination lee %
802. Loan discounl %
803, Appraisal lee 10:
804. Cred;1 reporllo:
80S, lender's Inspeclion lee
806, Morlgage insurance application fee 10
801. Assumplion lee
808.
809.
810.
811.
m/trEM$IÍ ;Ì)UIAEÓÐY l,ENÍ)ERtØ~ËPAI()INA¡)vAtlêEi ."
901. Inleresl from 10 @ $
902. Mortgage insurance premium for mos, 10
903. Hazard insurance premIum for yrs. 10
904. flood Insurance Premium for yrs.11)
90S.
íó()O~I!ESERVES DE¡>OSn:E[)wrOfi.E!'IDERt.. .. . , ... .
1001. Hazard Insurance months@$
1002. Morlg3ge insurance months@$
1003. City property taxes months@$
1004. County property taxes months @ $
1006, Annual assessmenls months@$
1006, Flood Insurance months @ $
1001. months @ $
1008. months @ $
n9õ:JJ11~çiWïG¡;$tI..u "., ,.,.,."m ,.,'....
1101. SeWement Of closing fee to LAND TITLE SERVICES
1102. AbslIaQI or litle search 10
1103. Title examination to
1104. Title insurance binderlo
1105. Dowment preparation to
1106. Nolary lees 10
1101. Attorney's fees 10
(includes above items Numbers:
liDS. TItle insurance 10 LAND TITLE SERVICES
(includes above ilell1S Numbers:
1109. Lender's «<,verage $
1110.(M¡ner"scoverage $
1111.
1112.
1113.
,~t ß ø ýEfi~MIi r(( IÍ E ç (jä í:i í N G Af t( reA ij si"Ë R ç HARG Ë $: '
1201. Recordirigfees: Oeed $ .6.00. ; Mortgage $ 12.00
1202. City/wunty lax/slamps: Deed $ ; Mortgage $
1203. Stale ta.</slamps: Deed $ ; "'.ortgage $
1204.
1205.
l~O9/Ajj oiTiCitíAl/$¡m' (ËMEtírc Il!iJ'{G Ë$V
1301. Survey 10
13O".re'l inspection to
1303.
1304.
1305.
1306.
1307.
1400. TOTAL SETILEMENT CHARGES (Elller on line 1O3.S::çtion J and line 502,Section K)
IdlY
L
L
per monlh
per month
per month
per month
per month
per month
per month
per month
Security Savings Bank. V.S.B.
; Releases $
~
I hOve carefully revIewed the HUI}-1 Senlement SlaIemeni and to the I>4>SI 01 my I<now1cdge and I>4>fiel. lis e true end accurate Slalement 01 ell receipts and di>t-u~ made on
my account or by me in this transaction, I fut\hef cerlily thai I have rece~ a cop'J 01 the HUI}-1 Senlemenl Sla!emenL
Dete:
Borrower:
Dale:
Sell".r:
Borrower:
Dale:
Seller:
Borrower:
Dale:
Borrower:
IJale:
PAID FROM
SELLER'S
FUNDS
AT
SETILEMENT
Dale:
The ItU[).1 Settlement Slalement which I have p<epared Is a true and a<:cural.e account 01 this transaction, I have caused or ",;1 cause the funds to be disbursed In accordance with
!hJsstatemenl ,',.. .', '.',
. .. .' " ~: (, "'
-- Oale:~~ (lenlernentMenI:'. Dale:
WARNING: n is a crime to I<no'^ingly make fàIse slatemeols 10 the UMed. Srales.on this or any O:her si""lar form. Pena'"" upon convict,on can include a r.ne and '-np<isooment
rordelailssee: Tdle IS US. COdeSeclion 1001 and section 1010. "- .. .,
LP.tJN141
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