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pdfFORM APPROVED
OMB No. 0575-0088
Form RD 1940-59
(Rev. 10-96)
U.S. DEPARTMENT OF AGRICULTURE
Rural Housing Service
Farm Service Agency
A:
BORROWER'S LOAN NO:
B.
SETTLEMENT STATEMENT
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 OF BORROWER:
E. SELLER:
F. LENDER
USDA
PROPERTY LOCATION:
G.
H.
SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
J. SUMMARY OF BORROWER'S TRANSACTION
I.
SETTLEMENT DATE:
K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER:
400. GROSS AMOUNT DUE TO SELLER:
101. Contract sales price (option price)
401. Contract sales price
102. Personal property
402. Personal property
103. Settlement charges to borrower (Line 1400)
403.
Adustments for Items paid by seller In advance:
104. Construction contract price
105.
406. City/town taxes
Adjustments for items paid by seller In advance:
to
407. County taxes
to
106, City/town taxes
to
408. Assessment
to
107. County taxes
to
409.
to
108. Assessments
to
410.
to
109.
to
411.
to
110.
to
111.
to
120. GROSS AMOUNT DUE FROM BORROWER:
420. GROSS AMOUNT DUE TO SELLER:
$0.00
$0.00 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
501. Excess deposit
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
502. Settlement charges to seller (line 1400)
201. Deposit or earnest money
503. Existing loan(s) taken subject to
202. Principal amount of new loan(s)
504. Payoff of first mortgage loan
203. Existing loan(s) taken subject to
505. Payoff of second mortgage loan
204.
506,
205.
507.
508.
Adjustments for items unpaid by seller:
Adjustments for items unpaid by seller:
210. City/town taxes
to
211. County taxes
to
510. City/town taxes
to
212. Assessments
to
611, County taxes
to
213
to
512. Assessments
to
214.
to
513.
to
215.
to
514.
to
515.
to
220. TOTAL AMOUNTS PAID BY OR IN
BEHALF OF BORROWER:
$0.00 520. TOTAL REDUCTIONS IN
$0.00
AMOUNT DUE SELLER:
300. CASH AT SETTLEMENT REQUIRED 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:
600. CASH AT SETTLEMENT FROM/TO SELLER:
$0.00 601. Gross amount due to seller (line 420)
$0.00 602. Less reductions in amount due seller (line 520)
$0.00 603. CASH (
FROM)
(
TO) SELLER:
$0.00
$0.00
$0.00
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this
burden, to U.S. Department of Agriculture, Clearance Officer, STOP 7602, 1400 Independence Avenue, S.W., Washington, D.C. 20250-7602. Please DO NOT RETURN this form to this address. Forward to the
local USDA office only. You are not required to respond to this collection o/ information unless it displays a currently valid OMB control number.
L. SETTLEMENT CHARGES
700. TOTAL SALES/BROKER'S COMMISSION based on price $
@
%=$
Division of Commission (line 700) as follows:
701.
$
to
702.
$
to
703.
Commission paid at Settlement
800.
0.00
PAID FROM
BORROWER'S
FUNDS AT
SETTLEMENT
PAID FROM
SELLER'S
FUNDS AT
SETTLEMENT
ITEMS PAYABLE IN CONNECTION WITH LOAN:
801.
Loan Origination Fee
%
802.
Loan Discount
%
803.
Appraisal Fee to FmHA
804.
Credit Report to
805.
Lender's Inspection Fee to
806.
Mortgage Insurance Application Fee to
807.
Assumption Fee to
808.
Tax Related Service Fee
809.
900.
ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE:
901.
Interest-from
903.
Hazard insurance premium for 1 yr.
to
904.
Flood insurance premium for 1 yr.
to
to
/day
@$
905.
1000. RESERVES DEPOSITED WITH LENDER FOR:
1001.
Hazard insurance
mo. @ $
per month
1003.
City property taxes
mo. @ $
per month
1004.
County property taxes
mo. @ $
per month
1006.
Flood insurance
mo. @ $
per month
1007.
School District taxes
mo. @ $
per month
1008.
Other taxes
mo. @ $
per month
mo. @ $
per month
1009.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
1100. TITLE CHARGES:
1101.
Settlement or closing fee to
1102.
Abstract or title search to
1103.
Title examination to
1104.
Title insurance binder to
1105.
Document preparation to
1106.
Notary Fees to
1107.
Attorney's Fees to
1108.
Title insurance to
1109.
Lender's coverage $
1110.
Owner's coverage $
(includes above items No:
)
(includes above items No:
)
1111.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES:
1201.
Recording fees: Deed
$
; Mortgage $
1202.
City/county tax/stamps: $
; Mortgage $
1203.
State tax/stamps: Deed $
; Mortgage $
, Releases $
1204.
1300. ADDITIONAL SETTLEMENT CHARGES:
1301.
Survey to
1302.
Pest inspection to
1303.
$0.00
1400. TOTAL SETTLEMENT CHARGES (entered on lines 103, Section J and 502 Section K)
$0.00
I have carefully reviewed the Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements
made on my account in this transaction. I further certify that I have received a copy of the Settlement Statement.
Borrower
Seller
To the best of knowledge, the Settlement Statement is a true and accurate account of the funds which were received and have been disbursed by the undersigned as part of
the settlement of this transaction.
Settlement Agent
Date
| File Type | application/pdf |
| File Modified | 2005-06-02 |
| File Created | 2005-06-02 |