A. Settlement Statement

A. Settlement Statement U.S. Department of Housing and Urban Development OMB Approval No. 2502-0265 8. Type of Loan 1. FHA 2.0 RHS 3.0 Corm. Unins. 4. UVA 5.0 Cony. Ins. 6. File Number 4560-23 7. Loan Number 8. Mortgage Insurance Case Number C. Note: This form ished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked')' were paid outside the closing: they are shown here for information purposes and are not included in the totals. D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender G. Property Location H. Settlement Agent Ughthouse Title Services. Inc. PALM BEACH Place of Settlement I. Settlement Date 11/29/I1 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLERS TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales price 400.000.00 401. Contract sales price 400.000.00 102. Personal property 402. Personal p :ierly 103. Settlement cha • es to borrower 11113 1400 4.185.80 403. 104. 404. 105. 405. Adjustments for Items paid by seller In advance Adjustments for Items paid by seller In advance 106. NPB Co Im • District to 406. NPB Co • District to 107. County taxes 11129 to 12/31 1292.89 407. County taxes 11129 to 12,31 1292.89 106 Solid Waste to 408. Solid Waste to 109. 409. 110. 410. 111. 411. 112. 412 120. GROSS AMOUNT DUE FROM BORROWER 405.478.69 420. GROSS AMOUNT DUE TO SELLER 401292.89 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT TO SELLER 201. Deposit or earnest money 20,000.00 501. Excess Deposit (see instructions) 202. Principal amount of new loan(s) 0.00 502. Settlement changes to seller (line 1400) 20.931.39 203. Existing loan(s) taken subject to 503. Existing loans taken subject to 204. 504. Payoff of first mortgage loan 378.000.00 PNC Bank, National Association 205. 505. Payoff of second mortgage loan 206. 506. 207. 507. 208. 508. 209. Partial City Lien Payoff Credit 2,361.50 509. Partial City Lien Payoff Credit 2,361.50 for Nemo Id Ad for Items • ustments • seller stments un • aid • seller 210. NPB Co Im • District to 510. NPB Co • District to 211. Cou taxes to 511. Co taxes to 212. Solid Waste to 512 Said Waste to 213. 513. 214. 514. 215. 515. 216 516. 217. 517. 216 518. 219. 519. 220. TOTAL PAD BY 1 FOR BORROWER 22,361.50 520. TOTAL REDUCTION AMOUNT DUE SELLER 401,292.89 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross amount due from borrower (line 120) 405.478.69 601. Gross amount due to seller (ire 420) 401292.89 302. Less amounts paid by/for borrower (line 220) 22.361.50 602. Less reduction amount due to seller (line 520) 401292.89 303. CASH FROM BORROWER 383.117.19 603. CASH TO SELLER 0.00 form HUD-1 (3.26) ref Handbook 4305.2 EFTA01082402 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT PAGE 2 L SETTLEMENT CHARGES: Ale Number: 4560.23 PAID FROM BORROWER'S FUNDS AT SETTLEMENT PAID FROM SELLER'S FUNDS AT SETTLEMENT 700. TOTAL SALESIBROKER'S COMMISSION based on price $ Q . Division of commission (line 700) as follows: 701. $ to 702. $ to 703. Commission paid at Settlement 704. 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee % 802. Loan Discount % 803. Appraisal Fee to 804. Credit Report to 805. Tax Service Fee to 806. Flood Certification Fee to 807. Processing Fee to 808. 809. 810. 811. 812. 813. 814. 815. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest from to QS /day 902. Mortgage Insurance Premium to 903. Hazard Insurance Premium vrs. to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo. QS / mo. 1002. Mortgage Insurance mo. QS / mo. 1003. City properly taxes mo. Q$ / mo. 1004. County property taxes mo. Q$ / mo. 1005. Annual Assessments mo. Q/$ / mo. 1006. mo. Q$ / mo. 1007. mo. QS / mo. 1008. Aggregate Reserve for Hazard/Flood Ina. City/Count 1100. TITLE CHARGES 1101. Settlement or closing fee to Lighthouse Trite Services. Inc. 350.00 750.00 1102. Abstract or title search to Chicago Title Insurance Company 250.00 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to Ward Damon 750.00 1106. Courier Fees to 1107. Attorney's fees to Ward Damon 1.500.00 Includes above item Na: 1108. Title insurance to Lighthouse Title Services, Inc. 2,075.00 Includes above item Na: 1109. Lender's coverage 1110. Owner's coverage 400,000.00 - 2,075.00 1111. 1112. 1113. LLC Formation Fee Ward Damon 750.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording fees Deed $ 27.60 : Mortgage $ - Releases $ 27.60 1202. City/county/starrps Deed $ : Mortgage $ 1203. State tax/stamps Deed $ 2.800.00 : Mortgage $ 2.800.00 1204. Intan le Tax Deed $ : Mort $ 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Pest inscedion to 1303. 1304. Heartwood Atlys Fee w/25% disc Ward Damon 1.558.20 1305. 2011 Real Estate Taxes Palm Beach CounN Tax C011eCtOf 14,306.39 1306. 1307. 1308. 1400. TOTAL SETTLEMENT CHARGES (enter on Ines 103 and 502. Sections J and K) 4.185.80 20.931.39 I ve ewdully reviewed Vie HUO-I SHlinner Statarne t and le the best W my knowtedge and belief, a Is a true and accurate statement el all reterpb and ditbursements made on my acetate er by me in Iransatlicri. I further teddy that I have retched a copy el the HUD-1 Settlement Statement. Palm Springs of the Palm Beaches. LLC Hardman Chnelcpment Corp. By: John P. Reichard. III. Manager By. kichael T. Harthian. President The HUD-1 Settler ed with I have prepared is a True ard attunee account of this traneteen. I have caused er will cause The funds to be disbursed ki accordance inth this statement. Lighthouse Title Services. Inc. 11,29:11 WARNING: a is a trine to knowingly make false statements to the United Slates on list or any ether similar form. Pensles upon serieben can include a fine or imprisonment. FIX details see: Title 18 U.S. Code Section 1001 and Stettin 1010. form HUD-1 (3n) ref Handbook 4305.2 EFTA01082403