Form HUD 1 HUD 1 Settlement Statement

A.

Settlement Statement

OMB Approval No. 2502-0265
(expires 11/30/2009)

U.S. Department of Housing
and Urban Development

B. Type of Loan
6. File Number:
1.
4.

FHA
VA

2.

FmHA
RHS

5.

Conv. Ins.

3.

7. Loan Number:

8. Mortgage Insurance Case Number:

Conv. Unins.

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:

G. Property Location:

F. Name & Address of Lender:

H. Settlement Agent:

Place of Settlement:

I. Settlement Date:

J. Summary of Borrower's Transaction
100. Gross Amount Due From Borrower
101. Contract sales price
102. Personal property
103. Settlement charges to borrower (line 1400)
104.
105.
Adjustments for items paid by seller in advance
106. City/town taxes
to
107. County taxes
to
108. Assessments
to
109.
110.
111.
112.

K. Summary of Seller's Transaction
400. Gross Amount Due To Seller
401. Contract sales price
402. Personal property
403.
404.
405.
Adjustments for items paid by seller in advance
406. City/town taxes
to
407. County taxes
to
408. Assessments
to
409.
410.
411.
412.

120. Gross Amount Due From Borrower
200. Amounts 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.

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.

220.
300.
301.
302.

Total Paid By/For Borrower
Cash At Settlement From/To Borrower
Gross Amount due from borrower (line 120)
Less amounts paid by/for borrower (line 220)

303. Cash

From

To Borrower

(

520.
600.
601.
) 602.

Total Reduction Amount Due Seller
Cash At Settlement To/From Seller
Gross amount due to seller (line 420)
Less reductions in amt. due seller (line 520)

603. Cash

To

(

)

From Seller

The Public Reporting Burden for this collection of information is estimated to average fifteen minutes per response, including the time for reviewing
Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires Section 4(a) of RESPA mandates that HUD develop and prescribe this
instructions, gathering data and completing, reviewing and maintaining the information. This agency may not collect this information, and you are not required
the following: • HUD must develop a Special Information Booklet to help
standard form to be used at the time of loan settlement to provide full
to complete
this form,
unless
displays
currently valid
OMB control
persons
borrowing
money
to itfinance
thea purchase
of residential
realnumber.
estate disclosure of all charges imposed upon the borrower and seller. These are
to better understand the nature and costs of real estate settlement services; third party disclosures that are designed to provide the borrower with
• Each lender must provide the booklet to all applicants from whom it
pertinent information during the settlement process in order to be a better
receives or for whom it prepares a written application to borrow money to shopper.
finance the purchase of residential real estate; • Lenders must prepare and The Public Reporting Burden for this collection of information is estimated
distribute with the Booklet a Good Faith Estimate of the settlement costs to average one hour per response, including the time for reviewing instructhat the borrower is likely to incur in connection with the settlement. These tions, searching existing data sources, gathering and maintaining the data
disclosures are manadatory.
needed, and completing and reviewing the collection of information.
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.
The information requested does not lend itself to confidentiality.
Previous editions are obsolete

Page 1 of 2

form HUD-1 (2/07)
ref Handbook 4305.2

L. Settlement Charges
700. Total Sales/Broker's Commission based on price $

@

Paid From
Borrower's
Funds at
Settlement

%=

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. Our service charge (from GFE #1)
802. Your charge or credit 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 (from GFE #3)
807. Flood certification (from GFE #3)
808
809
810
811

$
$
$

900. Items Required By Lender To Be Paid In Advance
901. Daily interest charges (from GFE #8) from
to
@$
902. Mortgage insurance premium (from GFE #3 or #5) for
months to
903. Homeowner's insurance (from GFE #9)
for
years to
904.
years to
905
1000. Reserves Deposited With Lender
1001. Reserves or escrow (from GFE #7)
1002. Homeowner's insurance
months@$
1003. Mortgage insurance
months@$
1004. City property taxes
months@$
1005. County property taxes
months@$
1006. Annual assessments
months@$
1007.
months@$
1008.
months@$
1009. Aggregate Adjustment

per month
per month
per month
per month
per month
per month
per month

/day
$

$
$
$
$
$
$
$
-$

1100. Title Charges
1101. Title services and lender's title insurance (from GFE #4)
1102
1103
1104
1105
1106
1107
1108
1109. Lender's title insurance premium
$
1110. Optional owner's title insurance (from GFE #10)
1111. Lender's title policy limits $
1112. Owner's title policy limits $
1113. Agent's portion of the total title insurance premium
$
1114. Underwriter's portion of the total title insurance premium $
1115
1200. Government Recording and Transfer Charges
1201. Government Recording and Transfer Charges (from GFE #6)
1202. Recording fees:
Deed $
; Mortgage $
1203. City/county tax/stamps:
Deed $
; Mortgage $
1204. State tax/stamps:
Deed $
; Mortgage $
1205. Conservation fee
$
1206

; Releases $

1300. Additional Settlement Charges
1301. Survey (from GFE #5)
to
1302. Pest inspection (from GFE #5)
to
1303
1304
1305
1400. Total

Settlement Charges (enter on lines 103, Section J and 502, Section K)

Paid From
Seller's
Funds at
Settlement