OMB Approval No.
A. Settlement Statement
B. Type of Loan
1. |
|
FHA |
2. |
|
|
RHS |
3. |
|
Conv. Unins. |
6. File Number: |
|
7. Loan Number: |
8. Mortgage Insurance Case Number: |
|
|
|
|
|
|||||||||
4. |
|
VA |
5. |
|
|
Conv. Ins. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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. |
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
D. Name & Address of Borrower: |
|
|
|
|
E. Name & Address of Seller: |
|
F. Name & Address of Lender: |
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
G. Property Location: |
|
|
|
|
|
|
|
H. Settlement Agent: |
|
I. Settlement Date: |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Place of Settlement: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
J. Summary of Borrower's Transaction
K. Summary of Seller's Transaction
100.Gross Amount Due from Borrower
101.Contract sales price
102. |
Personal property |
|
|
|
|||
103. |
Settlement charges to borrower (line 1400) |
|
|
||||
104. |
|
|
|
|
|
|
|
105. |
|
|
|
|
|
|
|
Adjustment for items paid by seller in advance |
|
|
|||||
106. |
City/town taxes |
|
|
to |
|
|
|
107. |
County taxes |
|
|
to |
|
|
|
108. Assessments |
|
|
to |
|
|
||
109. |
|
|
|
|
|
|
|
110. |
|
|
|
|
|
|
|
111. |
|
|
|
|
|
|
|
112. |
|
|
|
|
|
|
|
120. Gross Amount Due from Borrower |
|
|
|||||
200. Amount Paid by or in Behalf of Borrower |
|
|
|||||
201. |
Deposit or earnest money |
|
|
|
|||
202. |
Principal amount of new loan(s) |
|
|
|
|||
|
|
|
|
|
|
|
|
203. |
Existing loan(s) taken subject to |
|
|
|
|||
204. |
|
|
|
|
|
|
|
205. |
|
|
|
|
|
|
|
206. |
|
|
|
|
|
|
|
207. |
|
|
|
|
|
|
|
208. |
|
|
|
|
|
|
|
209. |
|
|
|
|
|
|
|
Adjustments for items unpaid by seller |
|
|
|||||
210. |
City/town taxes |
|
|
to |
|
|
|
211. County taxes |
|
|
to |
|
|
||
212. Assessments |
|
|
to |
|
|
||
213. |
|
|
|
|
|
|
|
214. |
|
|
|
|
|
|
|
215. |
|
|
|
|
|
|
|
216. |
|
|
|
|
|
|
|
217. |
|
|
|
|
|
|
|
218. |
|
|
|
|
|
|
|
219. |
|
|
|
|
|
|
|
220. |
Total Paid by/for Borrower |
|
|
|
|||
300. |
Cash at Settlement from/to Borrower |
|
|
||||
301. |
Gross amount due from borrower (line 120) |
|
|
||||
|
|
|
|
|
|
|
|
302. |
Less amounts paid by/for borrower (line 220) |
( |
) |
||||
|
|
|
|
|
|
|
|
303. Cash |
|
From |
|
To Borrower |
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
400.Gross Amount Due to Seller
401.Contract sales price
402. |
Personal property |
|
|
|
|
|
|
||
403. |
|
|
|
|
|
|
|
|
|
404. |
|
|
|
|
|
|
|
|
|
405. |
|
|
|
|
|
|
|
|
|
Adjustment for items paid by seller in advance |
|
|
|||||||
406. |
City/town taxes |
|
|
|
to |
|
|
||
407. |
County taxes |
|
|
|
to |
|
|
||
408. Assessments |
|
|
|
to |
|
|
|||
409. |
|
|
|
|
|
|
|
|
|
410. |
|
|
|
|
|
|
|
|
|
411. |
|
|
|
|
|
|
|
|
|
412. |
|
|
|
|
|
|
|
|
|
420. Gross Amount Due to Seller |
|
|
|
||||||
500. |
Reductions In Amount Due to seller |
|
|
||||||
501. |
Excess deposit (see instructions) |
|
|
|
|||||
502. |
Settlement charges to seller (line 1400) |
|
|
||||||
503. |
Existing loan(s) taken subject to |
|
|
|
|||||
504. |
Payoff of first mortgage loan |
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
505. |
Payoff of second mortgage loan |
|
|
|
|||||
506. |
|
|
|
|
|
|
|
|
|
507. |
|
|
|
|
|
|
|
|
|
508. |
|
|
|
|
|
|
|
|
|
509. |
|
|
|
|
|
|
|
|
|
Adjustments for items unpaid by seller |
|
|
|||||||
510. |
City/town taxes |
|
|
|
to |
|
|
||
511. County taxes |
|
|
|
to |
|
|
|||
512. Assessments |
|
|
|
to |
|
|
|||
513. |
|
|
|
|
|
|
|
|
|
514. |
|
|
|
|
|
|
|
|
|
515. |
|
|
|
|
|
|
|
|
|
516. |
|
|
|
|
|
|
|
|
|
517. |
|
|
|
|
|
|
|
|
|
518. |
|
|
|
|
|
|
|
|
|
519. |
|
|
|
|
|
|
|
|
|
520. |
Total Reduction Amount Due Seller |
|
|
||||||
600. |
Cash at Settlement to/from Seller |
|
|
||||||
601. |
Gross amount due to seller (line 420) |
|
|
||||||
|
|
|
|
|
|
|
|
||
602. |
Less reductions in amounts due seller (line 520) |
( |
) |
||||||
603. Cash |
|
|
To |
|
|
From Seller |
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. 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. No confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process.
|
|
|
|
Previous editions are obsolete |
Page 1 of 3 |
L. Settlement Charges
700. |
Total Real Estate Broker Fees |
Paid From |
Paid From |
|
|
Division of commission (line 700) as follows : |
Borrower's |
Seller's |
|
701. |
$ |
to |
Funds at |
Funds at |
Settlement |
Settlement |
|||
702. |
$ |
to |
|
|
703. |
Commission paid at settlement |
|
|
|
704. |
|
|
|
|
|
|
|
|
|
800. |
Items Payable in Connection with Loan |
|
|
|
|
|
|
|
801. |
Our origination charge |
|
|
|
$ |
(from GFE #1) |
|
|
802. |
Your credit or charge (points) for the specific interest rate chosen |
|
$ |
(from GFE #2) |
|
|
||
803. |
Your adjusted origination charges |
|
|
|
|
(from GFE #A) |
|
|
804. Appraisal fee to |
|
|
|
|
(from GFE #3) |
|
|
|
805. |
Credit report to |
|
|
|
|
(from GFE #3) |
|
|
806. |
Tax service to |
|
|
|
|
(from GFE #3) |
|
|
807. |
Flood certification to |
|
|
|
|
(from GFE #3) |
|
|
808. |
|
|
|
|
|
|
|
|
809. |
|
|
|
|
|
|
|
|
810. |
|
|
|
|
|
|
|
|
811. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
900. Items Required by Lender to be Paid in Advance |
|
|
|
|
|
|||
901. |
Daily interest charges from |
to |
@ $ |
/day |
|
(from GFE #10) |
|
|
902. |
Mortgage insurance premium for |
|
months to |
|
|
(from GFE #3) |
|
|
903. |
Homeowner's insurance for |
|
years to |
|
|
(from GFE #11) |
|
|
904. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1000. |
Reserves Deposited with Lender |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1001. |
Initial deposit for your escrow account |
|
|
(from GFE #9) |
|
|
|
1002. |
Homeowner's insurance |
|
months @ $ |
per month |
$ |
|
|
1003. |
Mortgage insurance |
|
months @ $ |
per month |
$ |
|
|
|
|
|
|
|
|
|
|
1004. |
Property Taxes |
|
months @ $ |
per month |
$ |
|
|
1005. |
|
|
months @ $ |
per month |
$ |
|
|
1006. |
|
|
months @ $ |
per month |
$ |
|
|
|
|
|
|
|
|
|
|
1007. Aggregate Adjustment |
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1100. Title Charges |
|
|
|
|
|
|
|
1101. Title services and lender's title insurance |
|
|
(from GFE #4) |
|
|
||
1102. Settlement or closing fee |
|
|
|
$ |
|
|
|
1103. Owner's title insurance |
|
|
|
(from GFE #5) |
|
|
|
1104. Lender's title insurance |
|
|
|
$ |
|
|
|
1105. Lender's title policy limit $ |
|
|
|
|
|
|
|
1106. Owner's title policy limit $ |
|
|
|
|
|
|
|
1107. Agent's portion of the total title insurance premium to |
|
$ |
|
|
|||
1108. Underwriter's portion of the total title insurance premium to |
|
$ |
|
|
|||
1109. |
|
|
|
|
|
|
|
1110. |
|
|
|
|
|
|
|
1111. |
|
|
|
|
|
|
|
|
|
|
|
|
|||
1200. Government Recording and Transfer Charges |
|
|
|
|
|||
1201. |
Government recording charges |
|
|
(from GFE #7) |
|
|
|
1202. |
Deed $ |
Mortgage $ |
|
Release $ |
|
|
|
1203. Transfer taxes |
|
|
|
(from GFE #8) |
|
|
|
1204. |
City/County tax/stamps |
Deed $ |
Mortgage $ |
|
|
|
|
1205. |
State tax/stamps |
Deed $ |
Mortgage $ |
|
|
|
|
1206. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1300. Additional Settlement Charges |
|
|
|
|
|
||
1301. |
Required services that you can shop for |
|
|
(from GFE #6) |
|
|
|
1302. |
|
|
|
$ |
|
|
|
1303. |
|
|
|
$ |
|
|
|
1304. |
|
|
|
|
|
|
|
1305. |
|
|
|
|
|
|
|
1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K)
|
|
|
|
Previous editions are obsolete |
Page 2 of 3 |
Comparison of Good Faith Estimate (GFE) and
Comparison of Good Faith Estimate (GFE) and | Charges That Cannot Increase |
||
Our origination charge |
# 801 |
||
Your credit or charge (points) for the specific interest rate chosen |
# 802 |
||
Your adjusted origination charges |
# 803 |
||
Transfer taxes |
# 1203 |
||
|
|
Good Faith Estimate
Charges That In Total Cannot Increase More Than 10% |
|
|
|
|
|
|
|
Good Faith Estimate |
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Government recording charges |
|
|
# 1201 |
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
|
|
Increase between GFE and |
|
$ |
|
|
or |
% |
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Charges That Can Change |
|
|
|
|
|
|
|
|
|
Good Faith Estimate |
|
|
||||
Initial deposit for your escrow account |
|
# 1001 |
|
|
|
|
|
|
|
|
|
|
||||
Daily interest charges |
$ |
/day |
# 901 |
|
|
|
|
|
|
|
|
|
|
|||
Homeowner's insurance |
|
|
# 903 |
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# |
|
|
|
|
|
|
|
|
|
|
|
|
Loan Terms |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Your initial loan amount is |
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
||
Your loan term is |
|
|
|
|
|
years |
|
|
|
|
|
|
|
|
||
Your initial interest rate is |
|
|
|
|
|
% |
|
|
|
|
|
|
|
|
||
Your initial monthly amount owed for principal, interest, and any |
$ |
|
|
includes |
|
|
|
|
|
|
|
|
||||
mortgage insurance is |
|
|
|
|
Principal |
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
Interest |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
Mortgage Insurance |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Can your interest rate rise? |
|
|
|
|
No |
|
Yes, it can rise to a maximum of |
%. The first change will be on |
||||||||
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
and can change again every |
|
|
after |
|
. Every change date, your |
||||||
|
|
|
|
|
interest rate can increase or decrease by |
|
%. Over the life of the loan, your interest rate is |
|||||||||
|
|
|
|
|
guaranteed to never be lower than |
% or higher than |
%. |
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
||||||
Even if you make payments on time, can your loan balance rise? |
|
|
No |
|
Yes, it can rise to a maximum of $ |
|
|
|
|
|||||||
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Even if you make payments on time, can your monthly |
|
|
No |
|
Yes, the first increase can be on |
and the monthly amount |
||||||||||
|
|
|
||||||||||||||
amount owed for principal, interest, and mortgage insurance rise? |
|
owed can rise to $ |
. The maximum it can ever rise to is $ |
. |
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Does your loan have a prepayment penalty? |
|
|
|
No |
|
Yes, your maximum prepayment penalty is $ |
|
|
|
|||||||
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Does your loan have a balloon payment? |
|
|
|
No |
|
Yes, you have a balloon payment of $ |
|
due in |
years |
|||||||
|
|
|
|
|
||||||||||||
|
|
|
|
|
on |
|
|
. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
Total monthly amount owed including escrow account payments |
|
|
You do not have a monthly escrow payment for items, such as property taxes and |
|||||||||||||
|
|
|||||||||||||||
|
|
|
|
|
|
homeowner's insurance. You must pay these items directly yourself. |
|
|||||||||
|
|
|
|
|
|
You have an additional monthly escrow payment of $ |
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
that results in a total initial monthly amount owed of $ |
|
. This includes |
||||||||
|
|
|
|
|
|
principal, interest, any mortagage insurance and any items checked below: |
|
|||||||||
|
|
|
|
|
|
Property taxes |
|
|
|
|
Homeowner's insurance |
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
Flood insurance |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.
|
|
|
|
Previous editions are obsolete |
Page 3 of 3 |
Note: The HUD-1 Settlement Statement was replaced by the Closing Disclosure form, while the Good Faith Estimate of closing costs was replaced by a new "Loan Estimate" form.