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A. Settlement Statement U.S. Department of Housing wi r <br />and Urban Development OMB Approval No. 2502-0265 <br />B. Type of Loan <br />1. 0 FHA 2. 0 RHS 3. 0 Conv. Unins. <br />4. 0 VA 5. 0 Conv. Ins. <br />6. File Number <br />49084688 <br />7. Loan Number <br />8. Mortgage Insurance Case Number <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 information purposes and are not included in the totals. <br />D. Name and Address of Borrower <br />Indian River County, a political subdivision of the State of Florida <br />1801 27th Street <br />Vero Beach, Florida 32960 <br />E. Name and Address of Seller <br />Thomas G. Crouch <br />Therese B. Crouch <br />2625 581h Court <br />Vero Beach, Florida 32966 <br />F Name and Address of Lender <br />G. Property Location <br />2625 58h Court <br />Vero Beach, Florida 32966 <br />INDIAN RIVER <br />H. Settlement Agent <br />AtlanticCoaslal Land Title Company, LLC <br />855 21st St. Suite C, Vero Beach, FL 32960 <br />Place of Settlemert <br />855 21 st Street <br />Suite C <br />Vero Beach, Florida 32960 <br />1. Settlement Date <br />07/02/19 <br />J. SUMMARY OF BORROWER'S TRANSACTION: <br />K. SUMMARY OF SELLER'S TRANSACTION: <br />100. GROSS AMOUNT DUE FROM BORROWER <br />400. GROSS AMOUNT DUE TO SELLER <br />101. Contrad sales price <br />14,300.00 401. Contract sales price <br />14 300.00 <br />102. Personal property <br />402. Personal properly <br />103. Settlement charges to borrower line 1400 <br />4,726.60 403. <br />104. <br />404. <br />105, <br />405. <br />Adjustments for items paid by seller In advance <br />Adjustments for items paid by seller in advance <br />106. Cit /town taxes to <br />406. Cit/town taxes to <br />107. County taxes to <br />407. County taxes to <br />108. Assessments to <br />408. Assessments to <br />109. <br />409. <br />110. <br />410. <br />111. <br />411, <br />112. <br />412. <br />120. GROSS AMOUNT DUE FROM BORROWER <br />19,026.60 420. GROSS AMOUNT DUE TO SELLER <br />14 300.00 <br />200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER <br />500. REDUCTIONS IN AMOUNT TO SELLER <br />201. Deposit or earnest money <br />501. Excess Deposit (see instructions) <br />202. Principal amount of new loan(s) <br />502. Settlement charges to seller (line 1400) <br />0.00 <br />203. Existing loan(s) taken subject to <br />503. Existing loans taken subject to <br />204. <br />504. Payoff of first mortgage loan <br />5,200.00 <br />Wells Fargo Bank N. A <br />205. <br />505. Payoff of second mortgage loan <br />206. <br />506. <br />207. <br />507. <br />208. <br />508. <br />209. <br />509. <br />Adjustments for items unpaid by seller <br />Adjustments for items unpaid by seller <br />210. Cit Aowntaxes to <br />510. Cil /town taxes to <br />211. County taxes to <br />511. County taxes to <br />212. Assessments to <br />512. Assessments to <br />213. <br />513. <br />214. <br />514. <br />215. <br />515. <br />216. <br />516. <br />217. <br />517. <br />218. <br />516. <br />219. <br />519. <br />220. TOTAL PAID BY/ FOR BORROWER <br />520. TOTAL REDUCTION AMOUNT DUE SELLER <br />5,200.00 <br />300. CASH AT SETTLEMENT FROM OR TO BORROWER <br />600. CASH AT SETTLEMENT TO OR FROM SELLER <br />301. Gross amount due from borrower the 120 <br />19,026.60 601. Gross amount due to seller line 420 <br />14 300.00 <br />302. Less amounts paid by/for borrower line 220 <br />602. Less reduction amounldue to seller line 520 <br />5,200.00 <br />303. CASH FROM BORROWER <br />19,026.60 603. CASH TO SELLER <br />9,100.00 <br />06-25-2019 at 12:18 PM form HUD -1 (3/86) ref Handbook 4305.2 <br />