HomeMy WebLinkAboutBlumberg, Juanita D. Settlement Statement -2005 01 31
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A. SETTLEMENT STATEMENT
U.S. Department of Housing
and Urban Development
B. TYPE OF LOAN OMB No. 2502-0265
1. [] FHA 2. [] FmHA 3. [] Conv. Unins. /6. File Number 7. Loan Number 18. Mortgage Insurance Case Number
4. [] VA 5. [] Conv. Ins.
C. NOTE: This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked (Up.O.C.") were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. NAME AND ADDRESS OF BUYER: CITY OF WINTER SPRINGS
1126 East State Road 434
Winter Springs, FL 32707
E. NAME AND ADDRESS OF SELLER: JUANITA D. BLUMBERG
P.O. Box 195430
Winter Springs, FL 32719-5430
F. NAME AND ADDRESS OF LENDER: N/A
G. PROPERTY LOCATION: Vacant Property - Northwest of the Intersection of Tuskawilla Road and State Road 434
H. SETTLEMENT AGENT: Brown, Garganese, Weiss &D'Agresta, P.A., P.O. Box 2873, Orlando, FL 32802
PLACE OF SETTLEMENT: Orlando, Florida
I. SETTLEMENT DATE: January 31, 2005
J. SUMMARY OF BUYER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BUYER 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales price 11,360.00 401. Contract sales price 11,360.00
102. Personal property 402. Personal property
103. Settlement charges to buyer (from line 1400) 340.02 403.
104. 404.
105. 405.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADJUSTMENTS FOR ITEMS PAID BY SELLER IN
ADVANCE: ADVANCE:
106. City/town taxes -.1-.1_ to _/-.1_ 406. City/town taxes -.1_/_ to -.1-.1_
107. County taxes -.1_/_ to -.1_/_ 407. County taxes _/_/_ to -.1_/_
108. Assessments 408. Assessments -.1-/- to _/_/-
109. Solid Waste and EMS 409. Solid Waste and EMS
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BUYER 11,700.02 420. GROSS AMOUNT DUE TO SELLER: 11,360.00
200. AMOUNTS PAID BY OR IN BEHALF OF BUYER 500. REDUCTIONS IN AMOUNT DUE TO SELLER
201. Deposit or earnest money 501. Excess deposit (see instructions)
202. Principal amount of loan 502. Settlement charges to seller (line 1400)
203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to
204. 504. Payoff of first mortgage loan
205. 505. Payoff of second mortgage loan
206. 506. Deposits held by Seller
207. 507.
208. 508.
209. 509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
210. City/town taxes -.1-.1_ to -.1-.1_ 510. City/town taxes _/_/_ to -.1-.1_
211. County taxes 1/1/05 to 1/31/05 @$2.10/day(31) 65.10 511. County taxes 1/1/05 to 1/31/05@$2.10/day(31) 65.10
212. Assessments -.1-.1- to -.1-.1- 512. Assessments _/_/- to -.1-.1-
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 510.
219. 519.
220. TOTAL PAID BY/FOR BUYER: 65.10 520. TOTAL REDUCTIONS IN AMOUNT DUE 65.10
SELLER:
300. CASH AT SETTLEMENT FROM/TO BUYER 600. CASH AT SETTLEMENT TO/FROM SELLER
301. Gross amount due from buyer (line 120) 11,700.02 601. Gross amount due to seller (line 420) 11,360.00
302. Less amount paid by/for buyer (line 220) 65.10 602. Less total reductions in amount due seller (line 65.10
520)
303. CASH ([x] FROM) ([] TO) BUYER: 11,634.92 603. CASH ([] TO) ([ ] FROM) SELLER: 11,294.90
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L. SETTLEMENT CHARGES
700. TOTAL SALES/BROKER'S COMMISSION: PAID FROM PAID FROM
BUYER'S SELLER'S
FUNDS AT FUNDS AT
SETTLEMENT SETTLEMENT
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan origination fee:
802. Loan discount:
803. Appraisal fee to:
804. Credit report to:
805. Lender's inspection fee to:
806. Mortgage insurance application fee to:
807. Assumption fee:
808. Administration fee:
809. Processing fee to:
810. Courier Fee:
811. Lender Administration Fee to:
812.
813.
814. Deferred premium to:
815.
816.
817.
818.
819.
820.
821.
822.
823.
824. Flood Certification to:
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest from to @$ / day days $
902. Mortgage insurance premium for _ months to _
903. Hazard insurance premium for _ year to
904. Flood insurance premium for _ years to _
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard insurance months @ $ per month $
1002. Mortgage insurance months @ $ per month
1003. City property taxes months @ $ per month
1004. County property taxes months @ $ per month
1005. Annual assessments months @ $ per month
1006. Flood insurance months @ $ per month
1008. Aggregate Escrow.
1100. TITLE CHARGES
1101. Settlement or closing fee to Brown, Garganese, Weiss & D'Agresta, PA 125.00
1102. Abstract or title search to Old Republic National Title Company
1103. Title examination to
1104. Title insurance binder to
1105. Document preparation
1106. Notary fees to
1107. Attorney's fees and costs to:
(includes above item Numbers:1105)
1108. Title insurance to
(includes above item Numbers: 11 09, 1110, 1111)
1109. Lender's coverage $
1110. Owner's coverage $11,360.00 - The City of Winter Springs 100.00
1111. EPL Endorsement
1112. Form 9
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording fees: Deed $18.50 ; Mortgage $ ; Releases 18.50
1202. City/county tax/stamps Deed $ Mortgage $ Intangible Tax 79.52
1203. State tax/stamps Deed $_ ; Mortgage $79.52 ; Doc. Stamp Tax
1300. . ADDITIONAL SETTLEMENT CHARGES
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1301. Survey to
1400. TOTAL SETTLEMENT' CHARGES (Enter on line 103, Section J and line 502, Section K) 323.02
, have ca ully 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 disburs ments l~ de 0:1 ccount 0 y me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement.
Date:
Seller:
Date:
To the st of my knoWledge, the HUD-1 Settlement Statement which I have prepared is a true and accurate account of the funds which were received and
have been or will be disbursed by the undersigned as part of the settlement of this transaction.
Brown, Garganese, Weiss & D'Agresta, PA
BY: Date:
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a
fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. HUD1 (3/86)