Fillable Printable Settlement Statement - U.S. Department of Housing and Urban Development

Settlement Statement - U.S. Department of Housing and Urban Development

A. Settlement Statement U.S. Department of Housing OMB Approval No. 2502-0265

and Urban Development

B. Type of Loan

1. FHA 2. FmHA 3. Conv. Unins.

4. VA 5. Conv. Ins.

6. File Number:

7. Loan Number:

8. Mortgage Insurance Case Number:

D. Name & Address of Borrower:

(name(s))

(street address)

(city, state zip)

C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and 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.

G. Property Location:F. Name & Address of

Lender:E. Name & Address of Seller:

(street address)

(city, state zip)

(name(s))

(street address)

(city, state zip)

(name(s))

(street address)

(city, state zip)

H. Settlement Agent:

(name(s))

Place of Settlement:

(name(s))

(street address)

(city, state zip)

I. Settlement Date:

K. Summary of Seller’s Transaction

100. Gross Amount Due From Borrower 400. Gross Amount Due to Seller

$0.00402. Personal Property$0.00101. Contract Sales Price $0.00 401. Contract

Sales Price

103. Settlement Charges to Borrower (line 1400)$0.00

102. Personal Property

$0.00 403. $0.00

104. $0.00

404.

$0.00

105. $0.00 405. $0.00

Adjustments for items paid by seller in advance

Adjustments for

items paid by seller

in advance

106. City/ town taxes to

$0.00

107. County taxes to 406. City/ town taxes

to $0.00

$0.00

407. County taxes

$0.00

108. Assessments to

$0.00

109. 408. Assessments to $0.00

$0.00

409. $0.00

110. $0.00 410. $0.00

111. $0.00 411. $0.00

112. $0.00 412. $0.00

120. Gross Amount Due From Borrower $0.00 420. Gross Amount Due to Seller $0.00

200. Amounts Paid By Or On Behalf of Borrower 500. Reductions in

Amount Due to

Seller

201. Deposit or earnest money $0.00 501. Excess deposit (see instructions) $0.00

202. Principal amount of new loan(s) $0.00 502. Settlement charges to seller (line 1400)

$0.00

203. Existing loan(s) taken subject to

$0.00

204. 503. Existing loan(s) taken subject to$0.00 $0.00 504. Payoff of first mortgage lien $0.00

205.

$0.00

505. Payoff of

second mortgage lien

$0.00

206. $0.00 506. $0.00

508. $0.00207. $0.00 507. $0.00

209. $0.00

208.

$0.00 509. $0.00

Adjustments for items unpaid by seller

210. City/town taxes to $0.00 510. City/town taxes to $0.00

211. County taxes to $0.00

511. County taxes

$0.00

513. $0.00212. Assessments to $0.00 512. Assessments to $0.00

214. $0.00

213.

$0.00

215. 514. $0.00 $0.00 515. $0.00

216. $0.00 516. $0.00

217. $0.00 517. $0.00

218. $0.00 518.

$0.00

219. $0.00 519. $0.00

220. Total Paid By/For Borrower

$0.00

520. Total

Reduction Amount

$0.00

Due Seller

300. Cash At Settlement Due From/ To Buyer 600. Cash at

Settlement to/ From

Seller

301. Gross Amount due from borrower (line 120) $0.00 601. Gross amount due to seller (line 420) $0.00

302. Less amounts paid by/ for borrower (line 220) ($0.00) 602. Less reductions in amt. Due seller (line 520) ($0.00)

303. Cash From To Borrower $0.00 603. Cash To From Seller $0.00

Section 5 of the Real Estate Settlement Procedures Act

(RESPA) requires the following: • HUD must develop a

Special Information Booklet to help persons borrowing

money to finance the purchase of residential real estate

to better understand the nature and costs of real estate

settlement services; • Each lender must provide the

booklet to all applicants from whom it receives of for

whom it prepares a written application to borrow money

to finance the purchase of residential real estate; •

Lenders must prepare and distribute with the Booklet a

Good Faith Estimate of the settlement costs that the

borrower is likely to incur in connection with the

settlement. These disclosures are mandatory.

Section 4(a) of

RESPA mandates

that HUD develop

and prescribe this

standard form to be

used at the time of

loan settlement to

provide full disclosure

of all charges

imposed upon the

borrower and seller.

These are third party

disclosures that are

designed to provide

the borrower with the

pertinent information

during the settlement

process in order to

be a better shopper.

The Public Reporting

Burden for this

collection of

information is

estimated to average

one hour per

response, including

the time for reviewing

instructions,

searching existing

data sources,

gathering and

maintaining the data

needed, and

completing and

reviewing the

collection of

information.

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.

The information

requested does not

lend itself to

confidentiality.

Previous editions are obsolete Page 1 of 2 form HUD-1 (3/86)

ref Handbook 4305.2

L. Settlement Charges

700. Total Sales / Brokers Commission based on price $0.00 @ 0.00% = $0.00

Paid From

Borrowers

Funds at

Settlement

Paid From

Seller’s

Funds at

Settlement

701. to

Division of Commission (line 700) as follows:

702. to

703. Commission paid to at settlement

704. $0.00

$0.00

800. Items Payable in Connection With Loan

801. Loan Origination Fee 0.000%

$0.00802. Loan Discount 0.000% $0.00 $0.00

804. Credit Report to $0.00

803. Appraisal Fee to

$0.00 $0.00

805. Lender’s Inspection Fee $0.00

$0.00

806. Mortgage Insurance Application Fee to $0.00 $0.00

807. Assumption Fee $0.00 $0.00

808. $0.00 $0.00

809. $0.00 $0.00

810. $0.00 $0.00

811. $0.00 $0.00

900. Items Required By Lender To Be Paid In Advance

901. Interest from to @ /day ( days) $0.00 $0.00

902. Mortgage Insurance Premium for months to

903. Hazard Insurance Premium for years to $0.00$0.00 $0.00 $0.00

904. $0.00 $0.00

905. $0.00 $0.00

1000. Reserves Deposited With Lender

1001. Hazard insurance months @ per month $0.00

1002. Mortgage insurance months @ per month

1003. City property taxes months @ per month$0.00 $0.00

1004. County property taxes months @ per month $0.00

1005. Annual assessments months @ per month $0.00

1006. $0.00 $0.00

1007. $0.00 $0.00

1008. $0.00 $0.00

1100. Title Charges

1101. Settlement or closing fee $0.00 $0.00

1102. Abstract or title search

1103. Title examination$0.00$0.00 $0.00 $0.00

1104. Title insurance binder $0.00 $0.00

1105. Document preparation $0.00 $0.00

1106. Notary fees $0.00 $0.00

1107. Attorney’s fees $0.00 $0.00

(includes above item numbers )

1108. Title insurance $0.00 $0.00

(includes above item numbers )

1109. Lender’s coverage $0.00 $0.00

1110. Owner’s coverage $0.00 $0.00

1111. $0.00 $0.00

1112. $0.00 $0.00

1113. $0.00 $0.00

1200. Government Recording and Transfer Charges

1201. Recording fees: Deed $0.00; Mortgage $0.00; Releases $0.00 $0.00

1202. City/ County tax/ stamps: Deed $0.00; Mortgage $0.00 $0.00 $0.00

1203. State tax/stamps: Deed $0.00; Mortgage $0.00 $0.00 $0.00

1204. $0.00 $0.00

1205. $0.00 $0.00

1300. Additional Settlement Charges

1301. Survey $0.00 $0.00

1302. Pest Inspection $0.00 $0.00

1303. $0.00 $0.00

1304. $0.00 $0.00

1305. $0.00 $0.00

1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) $0.00 $0.00

The Undersigned Acknowledges Receipt of this Disclosure Statement and Agrees to the Correctness Thereof.

______________________________________

Previous editions are obsolete Page 2 of 2

form HUD-1

(3/86)

ref Handbook

4305.2