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FH.. 08108646 L. SETTLEMENT CHARGES PAID FROM PAID FROM ! BORROWER'S SELLER'S FUNDS FUNDS 700. TOTAL SALES/BROKER'S COMMISION Based on $ @ %= AT SETTLEMENT AT SETfLEMENT Division of Commission (\ine 700) as follows: i "- -- '-j 701. $ to "" 702.$ to ---1 703. Commission paid at settlement -- 704. I 800. ITEMS PAYABLE IN CONNECTION WITH LOAN. I 801. Loan Ori"inatlon fee % : 802. Loan Discount ,.. I ." I 803. Appraisal fee to -_.__.~ _. I 804. Credit ReDO" to I --I 80~. Lender's insoection fee to ..- 806. Mortlrue Insuranee application fee to 807. Auumption Fee to 808. Commitment Fee to -- 809. FNMA Processinll Fee to - 810. Pictures to 811. to 812. to ! 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE. 90 I. Interest from to <<P$ /day -- 902. Morl2ue insurance premium for mo. to 903. Hazard insurance premium for yrs. to ., 904. Flood Insurance yrs. to 90S. 1000. RESERVES DEPOSITED WTI'H LENDER 1001. Hazard Insurance mo.@$ per mo. I --- 1002. MOrtlralle insurance mo.@$ per mo. -.. I 1003. City orooenv taxes mo.@$ per mo. I 1004. County property laxes mo.@$ per mo. ! ._._~- 1005. Annual assessments (Malnl.) mo.@$ per mo. 1006. School Prooertv Taxes mo.@$ per mo. 1007. Water Disl. Prop. T;:^ mo.@$ per mo. .. -- ~ J'lood Ins\,;n,nce mo.@$ per mo. -- -- 1009. A22reUle Accounlinll Adjustmenl 1100. TITLE CHARGES: 1101. Settlemenl or closing fee to 1102. AbstracI or thle search to ""- 1103. Tille examination to .. ~ 1104. Title insurance binder to 1105. Document preparation to ~-_._~ 1106. Notary fee 10 1107. Attorney's fee to to (includes above items No.: i 1108. Title Insurance 50% to RICHARD A. CROW 10 STEWART TITLE 166.50 1.110.00 (includes above items No.: ) ,-- 1109. Lender"s coverage $ 1110. Owner's coverage 150,000.00 $ 1 ,276.50 Sur Del 1111. Escrow fee to RICHARD A. CROW P. C. 300.00 -- 300.00 1112. Restriclions to 1113. Messenger Fee/Document DelIvery to RICHARD A. CROW P. C. 10.00 ...- 10.00 1114. INSPECTION to N'EDRA SMITH 250.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordlnll fees: Deed $ 25.00 Mrl2 $ ReI. $ 25.00 1202. City/county Ia,,/stamps: Deed $ Mrt2$ 1203. State laX/slamos: Deed $ Mrlg $ 1204. Tal< certificates 10 STEWART TITLE 64.95 1205. 10 1206. to 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey REIMBURSEMENT to GARSON SILVERS 3.247.50 I 1302. Pesl insDection to 1303. 10 I 1304. to 130S. to 1400. TOTAL SETTLEMENT CHARGES (entered on lines 103, Section I and ~O2, Section 1<) :5 749.00 1 734.95 CERTIFICATION: I have carefully reviewed the HUD-I Seltlemen. Statement and to Ihe beSI of my Irnowledge and belief. it is a troe and accurate statement of all receipts and disbursements made on In accounl: or by me in this transaction. 1 further certify that I have received a. copy of HUD-l Settlement Sratement. Settlement Agent Dale Borrowers The HUD-I Settlement Stalement which accordance with this statement. SEE PAGE 3 FOR SIGNATURES, IF APPLICABLE WARNING: It is a crime to knowingly make follse stalemenlS to the United Slates on this or any other similar form. Penalties upon conviction can include a fine and imprlsonmenl. For details see: Tille 18: U.S. Code Section 1001 and Section 1010.