9/27/2017 3:46:21 PM
9/27/2017 3:39:37 PM
Official Document Type
Agenda Item Number
Youth Guidance Donation Fund of Indian River County, Inc.
1028 20th Place aka Old Library
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Buyer/Seller A TRUE COPY <br /> A. Settlement Statement Settlement Statement r r P T(r J[r AT I q i'9 ON LAST PAGE <br /> B.Type of Loan J.H. SMITH, CLERK <br /> Q 1.FHA 0 2.FmHA Q 3.Cony.Unins. 6.File Number 7.Loan Number 8. Mortg.Ins.Case Num. <br /> Q 4.VA 0 5.Cony.Ins. 01308 <br /> ID: <br /> 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 <br /> marked"(p.o.c.)"were paid outside the closing;they are shown here for informational purposes and are not included In the totals. <br /> D.NAME OF BUYER: Youth Guidance Donation Fund of Indian River County,Inc..a Florida not for profit corporation, <br /> Address of Buyer: P.O.Box 121,Vero Beach,Florida 32961 <br /> E NAME OF SELLER: Indian River County,Florida,a political subdivision of the State of Florida <br /> 'Address of Seller. do Indian River CountyAtty.,1801 27th St.,Vero Beach,Florida 32960 TIN: <br /> F.NAME OF LENDER: <br /> Address of Lender: <br /> G.PROPERTY LOCATION: 1028 20th Place,Vero Beach,Florida 32960 <br /> H.SETTLEMENT AGENT Law Offices of Jennifer D.Peshke,PA TIN:45-3801287 <br /> Place of Settlement 4733 North HghwayAlA,Suite 303,Vero Beach,Florida 32963 Phone:772-231-1233 <br /> I. SETTLEMENT DATE: 9128/17 DISBURSEMENT DATE:9/28/17 <br /> J.Summary of buyer's transaction _ K.Summary of seller's transaction <br /> 100.Gross amount due from buyer 400.Gross amount due to seller: <br /> 101.Contract sales price 225,000.00 401.Contract sales price 225,000.00 <br /> 102.Personal property 402.Personal property <br /> 103.Settlement charges to buyer(Line 1400) 3,825.00 403. <br /> 104. 404. <br /> 105. 405. <br /> Adjustments for items paid by seller in advance: Adjustments for items paid by seller in advance: <br /> 106.City/town taxes 406.City/town taxes <br /> 107.County taxes 407.County taxes <br /> 108.Assessments 408.Assessments <br /> 109. 409. <br /> 110. 410. <br /> 111. 411. <br /> 112. 412. <br /> 120.Gross amount due from bu r: 228.825.00 420.Gross amount due to seller. 225,000.00 <br /> 200.Amounts paid or in behalf of buyer: 500.Reductions in amount due to seller: <br /> 201.Deposit or earnest money 501.Excess deposit(see instructions) <br /> 202.Principal amount of new loan(s) 502.Settlement charges to setter(line 1400) 25.00 <br /> 203.Existing loan(s)taken subject to 503.Existing loan(s)taken subject to <br /> 204.Principal amount of second mortgage 504.Payoff of first mortgage loan <br /> 205. 505.Payoff of second mortgage loan <br /> 206. 506.Deposits held by seller <br /> 207.Principal amt of mortgage held by seller 507.Principal amt of mortgage held by seller <br /> 208. 508. <br /> 209. 509. <br /> Adjustments for items unpaid by seller: Adjustments for items unpaid by seller: <br /> 210.City/towrr taxes 510.City/town taxes <br /> 211.County taxes from 01/01/17 to 09/28/17 457.57 511.County taxes from 01/01/17 to 09/28/17 457.57 <br /> 212.Assessments 512.Assessments <br /> 213. 513. <br /> 214. 514. <br /> 215. 515. <br /> 216. 516. <br /> 217. 517. <br /> 218. 518. <br /> 219. 519. <br /> 220.Total paid by/for buyer: 457.57 520.Total reductions in amount due seller: 482.57 <br /> 300.Cash at settlement fromito buyer: 600.Cash at settlement tolfrom seller: <br /> 301.Gross amount due from buyer 228,825.00 601.Gross amount due to seller 225,000.00 <br /> (line 120) (8ne 420) <br /> 302.Less amount paid by/for the buyer (457.57) 602.Less total reductions In amount due seller (482.57) <br /> (line 220) (line 520) <br /> 303.Cash( ❑✓ From To )Buyer: 228,367.43 603.Cash( Q✓ To ❑From )Seller. 224,517.43 <br /> Substitute Form 1099 Seller Statement: The Information contained in blocks E,G,H,and I and on line 401 is important tax Information and is being <br /> furnished to the IRS. If you are required to file a return,a negligence penalty or other sanction will be imposed on you if this item is required to be reported and <br /> the IRS determines that it has not been reported. <br /> Seller Instructions: If this real estate was your principal residence,file Form 2119,Sale or Exchange of Principal Residence,for any gain,with your tax <br /> return;for other transactions,complete the applicable parts of Form 4797,Form 6262 and/or Schedule D(Form 1040). <br /> Buffs InItial(s): Seller's Initi I(s): <br /> Ui <br /> DoubleTime® <br />
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