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.
5.

FmHA 3.
Conv. Ins.

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

520.
600.
601.
) 602.

(

To Borrower

603. Cash

Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires
the following: • HUD must develop a Special Information Booklet to help
persons borrowing money to finance the purchase of residential real estate
to better understand the nature and costs of real estate settlement services;
• Each lender must provide the booklet to all applicants from whom it
receives or for whom it prepares a written application to borrow money to
finance the purchase of residential real estate; • Lenders must prepare and
distribute with the Booklet a Good Faith Estimate of the settlement costs
that the borrower is likely to incur in connection with the settlement. These
disclosures are manadatory.

Previous editions are obsolete

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)
To

(

)

From Seller

Section 4(a) of RESPA mandates that HUD develop and prescribe this
standard form to be used at the time of loan settlement to provide full
disclosure of all charges imposed upon the borrower and seller. These are
third party disclosures that are designed to provide the borrower with
pertinent information during the settlement process in order to be a better
shopper.
The Public Reporting Burden for this collection of information is estimated
to average one hour 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.
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.

Page 1 of 2

form HUD-1 (3/86)
ref Handbook 4305.2

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
704.
800. Items Payable In Connection With Loan
801. Loan Origination Fee
%
802. Loan Discount
%
803. Appraisal Fee
to
804. Credit Report
to
805. Lender's Inspection Fee
806. Mortgage Insurance Application Fee to
807. Assumption Fee
808.
809.
810.
811.
900. Items Required By Lender To Be Paid In Advance
901. Interest from
to
@$
902. Mortgage Insurance Premium for
903. Hazard Insurance Premium for
904.
905.
1000. Reserves Deposited With Lender
1001. Hazard insurance
months@$
1002. Mortgage insurance
months@$
1003. City property taxes
months@$
1004. County property taxes
months@$
1005. Annual assessments
months@$
1006.
months@$
1007.
months@$
1008.
months@$
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
(includes above items numbers:
1108. Title insurance
to
(includes above items numbers:
1109. Lender's coverage
$
1110. Owner's coverage
$
1111.
1112.
1113.
1200. Government Recording and Transfer Charges
1201. Recording fees: Deed $
; Mortgage $
1202. City/county tax/stamps: Deed $
; Mortgage $
1203. State tax/stamps: Deed $
; Mortgage $
1204.
1205.
1300. Additional Settlement Charges
1301. Survey
to
1302. Pest inspection to
1303.
1304.
1305.

@

%=

Paid From
Borrowers
Funds at
Settlement

Paid From
Seller's
Funds at
Settlement

/day
months to
years to
years to

per
per
per
per
per
per
per
per

month
month
month
month
month
month
month
month

)
)

; Releases $

1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K)

Previous editions are obsolete

Page 2 of 2

form HUD-1 (3/86)
ref Handbook 4305.2