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<br /> n~Jlp. "Ir ')g('\')_......0..U: <br />L. Settlement Charges <br />700. TotalSaleslBroker's CommissIon based on price $ @ %= Paid From Paid From <br />DivIsion of Commission (ilne 700) as follows: BOHowe r's Seller's <br />701. $ to Funds at Funds at <br />702. $ to Settlement Settl erne nt <br />703. Commission paid at Settlement <br />704. <br />800. Items Pavable In Connection With Loan <br />801. Loan Origination Fee % <br />802. Loan Discount % <br />803. Appraisal Fee to <br />804. Credit Report to <br />805. Lender's Inspection Fee to <br />806. MortoaQe Insurance Application Fee to <br />807. Assumption Fee to <br />808. Conunitment Fee <br />809. Underwritinq Fee <br />810. <br />81,. <br />900. Items Required By Lender To Be Paid In Advance <br />901. Interest from to @$ {dav <br />002. Mortgage Insurance Premium for months to <br />003. Hazard Insurance Premium for vears 10 <br />004. Flood Insurance Premium for years to <br />905. <br />1000. Reserves Deooslted With Lender <br />tOOl. Hazard insurance months @ $ per month <br />1002. Mortoaae insurance months @ $ oer month <br />1003. City property taxes months @ $ per month <br />1004. County property taxes months @ $ per month <br />1005. Annual Assessments months @ $ per month <br />1006. Flood Insurance months @ $ Der month <br />1007. months @ $ per month <br />1008. months @ $ per month <br />1009. months @ $ per month <br />1010. months @ $ Der month <br />110lt Title Charges <br />1101. Settlement or closlna fee to Land Title Inc. 225.00 <br />1102. Abstract or title search to Land Title. Inc. 130.00 <br />1103. Title examination to Land Title. Inc. 130.00 <br />1104. Title insurance binder to <br />1105. Document preparation to <br />1106. Notary fees to <br />1107. Attornev's fees to <br />(includes above item numbers: ) <br />1108. Title insurance to Land Title Inc. 252.00 <br /> (Includes above item numbers: <br />1109. Lender's coveraqe $ <br />1110. Owners coveraoe $ 252.00 for 563,000.00 <br />,,1,. Name Search to Land Title Inc. 25.00 <br />1112. Assessment Search to Land Title, Inc. 30.00 <br />1113. <br />1200. Government Recording and Transfer Charges <br />1201. Recoldina fees: Deed $ 34.50 ; Mortaaae $ ; Releases $ 29.50 34.50 29.50 <br />1202. City/county taxlslamps: Deeq $ ; Mortgage $ <br />1203. State tax/stamps: Deed $ 207.90 ; Mortqaqe $ 207.90 <br />1204. Conservation Fee to Ramsev County Treasurer 5.00 <br />1205. Recordina Surcharae to Land Title Inc. 15.00 15.00 <br />1300. Addlllonal Settlement Charges <br />1301. Survev to <br />1302. Pest Inspection to <br />1303. <br />1304. <br />1305. <br />1400. Total SeUlemen! Charges (enter on lines 103, Section J and 502, Section K) 456.50 642.40 <br />SELLER INSTRUCTIONS: If this real estate was your main home. file Form 2119, even if you had a <br />loss or did not replace it. If not your main home, use the applicable parts of Forms 4797. <br />6252 and/or 1040 (Schedule D) . You may have to recapture all or part of a Federal mortgage <br />subsidy, if you sold a Federally-subsidized home. This may increase your tax. See Form 8828, <br />~ture of Feder~~rtgage Subsidy and Pub. 523. Selling Your Home. <br /> (filth-',e;. \(L ~ ~/~~4 ~ U L AS Mft ~~ <br />city of Rosevi11k ~M~chael :. vrUd~ /;;; <br /> (/t/~ A ~",( <br /> telissa F. Vrudny 7 <br /> <br />Inillal(') ____~TC- 103791 <br />DCMUOO6 <br /> <br />fIRST DATA sysrr;:MS, INC. <br />FDS (Rev. 12/92) <br /> <br />HUD-1, REV. (318') <br />1-615-36HJ404 <br />