Settlement Statement

Type of Loan File Loan # Case#
Name and Address of Borrower
Name and Address of Seller
Name and Address of Lender
Property Location
Settlement Agent and Time and Place of Settlement
Settlement Date

SUMMARY OF BORROWER'S TRANSACTION

SUMMARY OF SELLER'S TRANSACTION

Gross Amount Due From Borrower

Gross Amount Due to Seller

Contract Price

 

Contract Price

 

Personal Property

 

Personal Property

 

Settlement Charges to Borrower

     

Adjustments for Items Paid by Seller in Advance

Adjustments for Items Paid by Seller in Advance

City/Town Taxes

 

City/Town Taxes

 

County Taxes

 

County Taxes

 

Assessments

 

Assessments

 
       

GROSS AMOUNT DUE FROM BORROWER

 

GROSS AMOUNT DUE TO SELLER

 

Amounts Paid for by or on Behalf of Borrower

Reductions in Amounts Due to Seller

Deposit or Earnest Money

 

Excess Deposit

 

Principal Amount of New Loan

 

Settlement Charges to Seller

 

Existing Loans Taken Subject to:____________

 

Existing Loans Taken Subject to:__________

 
   

Payoff of First Mortgage Loan to:

 

Adjustments for Items Unpaid by Seller

Adjustment for Items Unpaid by Seller

City/Town Taxes

 

City/Town Taxes

 

County Taxes

 

County Taxes

 

Assessments

 

Assessments

 
       

TOTAL PAID BY/FOR BORROWER

  TOTAL REDUCTIONS IN AMOUNT DUE SELLER  

Cash at Settlement from/to Borrower

 

Cash at Settlement to/from Seller

 

Gross Amount Due from Borrower

 

Gross Amount Due to Seller

 

Less Amount Paid by/for Borrower

 

Less Reductions in Amount Due Seller

 

CASH FROM TO BORROWER

 

CASH FROM TO SELLER

 

SETTLEMENT CHARGES

Total Sales/Broker's Commission

PAID FROM BORROWER'S FUNDS AT SETTLEMENT

PAID FROM
SELLER'S FUNDS AT SETTLEMENT

Based on price $____________ at ____% =
Division of Commission as Follows
$_________________________________to
$_________________________________to

ITEMS PAYABLE IN CONNECTION WITH LOAN

Loan Origination Fee

   

Loan Discount

   

Appraisal Fee to____________________________________$

   

Credit Report to____________________________________$

   

Lenders Inspection Fee to:_____________________________$

   

Mortgage Insurance Application Fee:

   

Assumption Fee:

   

Other:

   

ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE

Interest from______________to_____________ @__________/day

   

Mortgage Insurance Premium for_______Months to:

   

Hazard Insurance Premium for_______Years to:

   

Flood Insurance Premium for________Years to:

   
     

RESERVES DEPOSITED WITH LENDER

Hazard Insurance

   

Mortgage Insurance

   

City Property Taxes

   

County Property Taxes

   

Annual Assessments

   

Flood Insurance

   

 

   

TITLE CHARGES

Settlement or Closing Fee to:

   

Abstract or Title Search to: 

   

Title Examination to: 

   

Title Insurance Binder to: 

   

Document Preparation to: 

   

Notary Fees to: 

   

Attorney Fees to: 

   

Title Insurance to: 

   

Lender's Coverage:

   

Owner's Coverage: 

   
     

GOVERNMENT RECORDING AND TRANSFER CHARGES

 Recording Fees:

   

City/County Tax stamps 

   

State Tax Stamps 

   

Grantors Tax

   

ADDITIONAL SETTLEMENT CHARGES

Survey to:

   

Pest Inspection to:

   

Other:

   

TOTAL SETTLEMENT CHARGES

   
     
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 disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement.
Borrower:_______________________ Date:________ Seller:____________________________Date:_____________
Borrower:_______________________ Date:________ Seller:____________________________Date:_____________