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SAMPLE CLOSING STATEMENT |
A. Settlement Statement
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B. Type of Loan |
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1. Conv. Unins. |
2. File Number 99-1001 |
3. Loan Number 43-4232312 |
4. Mortgage Insurance Case Number |
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C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to any by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. |
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D. Name and Address of
Borrower: John
Q. Buyer and Mary T. Buyer, his wife, 123 Any Street,
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E. Name and Address of
Seller: Sam Seller, a single man,
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F. Name and Address of Lender:
First Union National Bank,
1 Bankers Row, |
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G. Property Location: 11
New Street, |
H. Settlement Agent: YOUR NAME GOES HERE |
Place of
Settlement: Any City, St 11111 |
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I. Settlement
Date: |
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J. Summary of Borrower's Transaction K. Summary of Seller's Transaction |
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100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller |
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101. Contract sales price |
150,000.00 |
401. Contract sales price |
150,000.00 |
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102. Personal property |
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402. Personal property |
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103. Settlement charges to borrower (line 1400) |
5,652.77 |
403. |
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104. Carpet Upgrade |
1,000.00 |
404. Carpet Upgrade |
1,000.00 |
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105. |
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405. |
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Adjustments for items paid by seller |
Adjustments for items paid by seller in advance |
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106/406. City/town taxes |
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106/406. City/town taxes |
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107. County taxes |
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407. County taxes |
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108. Assessments |
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408. Assessments |
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109. |
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409. |
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110. |
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410. |
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111. |
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411. |
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112. |
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412. |
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120. Gross Amount Due From Borrower |
156,652.77 |
420. Gross Amount Due To Seller |
151,000.00 |
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200. Amounts Paid By Or In Behalf Of Borrower |
500. Reductions In amount Due To Seller |
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201. Deposit or earnest money |
15,000.00 |
501. Excess deposit (see instructions) |
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202. Principal amount of new loan(s) |
89,500.00 |
502. Settlement charges to seller (line 1400) |
11,439.00 |
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203. Existing loan(s) taken subject to |
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503. Existing loan(s) taken subject to |
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204. |
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504. Payoff to Sun Bank, N.A. |
75,400.00 |
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205. |
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505. Second Payoff - XYZ Mortgage |
2,400.00 |
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206. |
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506. |
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207. |
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507. |
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208. |
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508. |
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209. |
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509. |
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Adjustments for items unpaid by seller |
Adjustments for items unpaid by seller |
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210. City/town taxes |
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510. City/town taxes |
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211. County taxes |
8,901.37 |
511. County taxes |
8,901.37 |
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212. Assessments |
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512. Assessments |
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213. |
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513. |
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214. |
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514. |
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215. |
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515. |
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216. |
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516. |
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217. |
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517. |
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218. |
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518. |
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219. |
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519. |
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220. Total Paid By/For Borrower |
113,401.37 |
520. Total Reduction Amount Due Seller |
98,140.37 |
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300. Cash At Settlement From/To Borrower |
600. Cash At Settlement To/From Seller |
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301. Gross Amount due from borrower (line 120) |
156,652.77 |
601. Gross amount due to seller (line 420) |
151,000.00 |
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302. Less amounts paid by/for borrower (line 220) |
113,401.37 |
602. Less reductions in amt. due seller (line 520) |
98,140.37 |
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303. Cash From/To Borrower |
43,251.40 |
603. Cash To/From Seller |
52,859.63 |
HUD-1 (3-86)
The Perfect Hud, 1992
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L. SETTLEMENT CHARGES |
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700. Total Sales/Broker's Commission Based on Price |
$150,000.00 @ 6 |
Paid From Funds at Settlement |
Paid From Funds at Settlement |
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Division of Commission (line 700) as follows: |
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701. 3.0 is $4,500.0 to ERA Realty |
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702. 3.0 is $4,500.0 to |
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703. Commission paid at Settlement |
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9,000.00 |
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704. |
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800. Items Payable in Connection With Loan |
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801. Loan Origination Fee 1% to Money Brokers |
895.00 |
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802. Loan Discount 2% to First Union National Bank |
1,790.00 |
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803. Appraisal Fee to: First Union National Bank |
500.00 |
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804. Credit report to: First Union National Bank |
POC |
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805. Tax Service Fee to First |
100.00 |
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806. Doc Prep Fee |
150.00 |
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807. |
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808. |
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809. |
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810. |
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811. |
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812. |
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900. Items Required By Lender To Be Paid in Advance |
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901. Interest from |
356.52 |
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902. Mortgage Insurance Premium for Months to |
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903. Hazard Insurance Premium for 1 Year(s) to State Farm $950.00 POC |
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904. Flood Insurance for 1 Year(s) to National Flood Insurance $225.00 POC |
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905. |
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1000. Reserves Deposited With Lender |
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1001. Hazard insurance 2Months @ 80.00 per month |
160.00 |
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1002. Mortgage insurance 2 Months @ 18.00 per month |
36.00 |
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1004. County property taxes Months @ per month |
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1005. Annual Assessments Months @ per month |
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1006. Flood Insurance Months @ per month |
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1007. Months @ per month |
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1008. Aggregate Escrow Adjustment |
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1100. Title Charges |
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1101. Settlement or closing fee to Expert Attorney |
100.00 |
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1102. Abstract or title search to Best Title Company |
185.00 |
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1103. Title examination to Expert Attorney |
100.00 |
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1104. Title insurance binder to |
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1105. Document preparation to Expert Attorney |
100.00 |
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1106. Notary fees to |
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1107. Attorney's fees to Expert Attorney |
500.00 |
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(includes above items numbers: |
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1108. Title insurance to Best Title Company |
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1,200.00 |
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(includes above items numbers: |
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1109. Lender's coverage $ 89,500 |
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1110. Owner's coverage $ 150,000 |
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1111. |
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1112. |
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1113. |
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1200. Government Recording and Transfer Charges |
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1201. Recording fees: Deed 6.00 ; Mortgage 32.00 Releases 12.00 |
38.00 |
12.00 |
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1202. City/county tax/stamps: Deed ; Mortgage 313.25 |
313.25 |
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1203. State tax/stamps: Deed 1,050.00 ; Mortgage 179.00 |
179.00 |
1,050.00 |
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1204. |
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1205. |
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1300. Additional Settlement Charges |
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1301. Survey to Super Surveyors |
150.00 |
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1302. |
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50.00 |
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1303. Roof Inspection to No Leaks Roofers |
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95.00 |
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1304. Copies, Fed Ex & Phone Charges |
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32.00 |
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1305. |
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1306. |
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1307. |
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1308. |
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1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) |
5,652.77 |
11,439.00 |
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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 HUD-1 Settlement Statement.
_________________________________________________________ _________________________________________________________
Borrowers John Q. Buyer Sellers Sam Seller
_________________________________________________________ _________________________________________________________
Borrowers Mary T. Buyer Sellers
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement.
Settlement Agent: YOUR NAME
GOES HERE
Closing Date:
WARNING: It is a crime to knowingly make false
statements to the
The Perfect Hud 1992