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<br />AmeriC;<iD Titl~ Company
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<br />PURCHASER'S STATEMENT
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<br />~436 ,:, Lts. 1, tJ:mi' 4,' ~ ~~ls-~', &.,17 thro' 32 ~ both
<br />17 & 'IS 'in Block 1443, IA PORI'E '" , ' , " "."" - ,. . '
<br />,\, '. $' 121: 747.00
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<br />Loan Transf~r Fee C?r 'Assumption Fee c I
<br />Fees to AMERICAN TInE COMPANY ,'f ,
<br />Title Policy: -OwQer'" ' M~rtgagee Bi~der ".. .':,' .
<br />, '.~ ". ' ' ,'...". E5b~ow 25 ' Restri~tioi1S" , '"
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<br />Tax Certificates:'- ~ - " ~-r
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<br />State' and County $
<br />City and S,chool $
<br />. Other.'" ,.' " $
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<br />Survey Fee to ,. /... ,.- :s
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<br />Attorney's, fees for" preparation of pap~rs to , $ ';"'~.
<br />..;: "',--;::"~'F~" $" ~...~...;...~..t'l .:;~'-_.,~".~>.! ..". ~:J- .J>
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<br />Tax and'lnsurance escrowed with>' 'C,~ .', -,
<br />~os, tax ~epos'it fSl" '",'. , ' ,per, mo.
<br />..' mo;:haza'rd insuranc~@~:' per ~o.:" ;'f~ ,,' \
<br />. ~~os. flood~~i~;u';~nh'~ @ ~"~- per mo.~: < "t-'":
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<br />.. :::' mas: ~'o:r:t~a~~~,nsu~ance @,'..~. per mo. ::':>":'.: ','r
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<br />I'nt~restj/om" ... .'; ". " " dto .'.. ... .;, :". ~':",::.:,' 'c. '.,'
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<br />Pror~tion"Cif hai~rdih;uraricei~o-"':~~~~': :"to.."-'. .:' -~'~~'~'';'{,;.<:' :"
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<br />Escrowoo accounts with le.nder purchased from 'Sellerr.>;> ~~. .;,. .",.~~k ..:.~;._.,', ;:" ,,,,'," "'$, ':, ".,,,:~.:~~a. .{'.,....~-~.:f;'!J~'~~;.:- '..;, ",?:,,,.:.:~,,',~,,\.. ,':,.>' _ . '
<br />. ~~isenger .fee:~;' --:::- :,t,::: ~:,;:~..::.'.'~~'~:):t~~:;:~,:Y;?}Pi!~:~~?r'[~~"'~.~};'":f;::'. : -i'~~:_~?;!.i~}~:"'~:f:/?:O'~i~t;j~t'~'~:'~::,.i'., :.~
<br />, . ',:; > :: '" ,',- ->, ",'u .'.; --: ~,;, " " '_ :,a:tr"'f:l:, , :,,;,;~',''''"1 '0)"'" u.":, ~t,;i;-'~j :r6TA'LCHARGES'$' .:' ',' ~S3. 001 ,,-., , ' ",'
<br />: ~'. .:~w:~. :'.~:~..' .-. _-:":-: ~ :.' 'f~"~.J:~: ~~~~~::t~~ .' M.,. :', ~~ft~~; l.~t~~'~.., '\ ~1~~:ft;1~.~~~~I~~:~{, .i.<::<.:L.. '" ~:j':::~;.;~~'-!,{ :1~r~ti~3~~;~:~~ ~~p~~~~~,~;' ~"~""\ : 1 .: : ~
<br />c ~ : ,.- .,' c ' ,.',:,,~ ,-, -,;' ~';-~:, ".:"~.;o;:"""',,'~ :..,," 1~.:{..>5;t>,~", A ?,...,o.\'J' ~ L -GROSS AMOUNT DUE.BY PURCHASER"$ "1.21. 800 ~ 001" ,J..-.:.~" , :':" "
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<br />LESS- CREDITS:! -,b;';..~ '~~..;. J :',' \ ~l~~ ,,' ~ {MV _~"{,,.!.: _ '-".H'~~ ~ /'. ..........~~t'f: c~~~~-. -~, :~~." J~ t-,", t... ..\, ' \~ '.r~""~''t ~ ~';'. .:~r~~",;'\,:t:~".... .t"~ ,.~, +'; ',~t;..,>,' '::"~'i ,":L "
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<br />Qown payment, or earn~st money ,p!!id.,to ,....' " ......:"'" ,:",~.>i:~:"':,\',,~"';',' ,.,-; $ ,: ".: " '.' ,4:, "-.::" ;~, c,:.,~,..,,}. ',. ,;::.'.~:." '. , ,r ;
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<br />Tax proration from .. 1-1-83:.~' 'to 9-30-S3-,., -.' "$.. 453.42 ,....< ,..;.>,,;:;,.-,~\~",,~,.:,. '.
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<br />Other Credit ., ' " oj' $ "- . '. i' , . .-, .;,'
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<br />. , TO!ALCREDITS$453.42
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<br />BALANCE DUE BY!T~URCHAS~R$ 121.~46.5S
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<br />Pur~hase'r understand~ the Closi'ng ~r EScrow Agent has assembled thi~ inforination r~presenting the lr<insill;tion from thebeSi iIlforin~uon:
<br />a\'ailable from other SQurces and cannot guarantee th~ accuracy thereof. Any real estate agent ,or: lender invol~ed m~y be 'furnished a copy of this .
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<br />Purchascr.understa'nds that tax and insurance' prorations arid -reser~es were based on' figures fOT the.preceding year or 'supplied 'by' others or
<br />eSli'males for current 'year ,and in the event of a~y change for, cu'l!~ri~ year, all ri~essary adjustments'must l?ejnade between.Purchaser and ~lIer
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<br />,.n'", lIn'd~;rs!g~ed.hereby autho'rizes AMERICAN TITU:COMPANY'to~ake e~'~ndi~~res and di~bursemen~:is shown abo~'e ~nci app~oveS
<br />sallle for parOlen!. The undersigned also acknowledges receipt of Loan funds, if applicable, in a.~ount shown above and receipt of a copy of this
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