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A. Settlement Statement <br />U.S. Department of Housing <br />and Urban Development <br />OMB Approval No. 2502-0265 <br />.••\ <br />B. Type of Loan <br />1. ❑ FHA 2. ❑ RHS 3. ❑ Conv. Unins. <br />4. ❑ VA 5. ❑ Conv. Ins. <br />6. File Number <br />49084418 <br />7. Loan Number <br />8. Mortgage Insurance Case Number <br />I <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 />Star Suites by Riverside Theatre, LLC, a Florida limited liability <br />company <br />3250 Riverside Park <br />Vero Beach, Florida 32963 <br />F. Name and Address of Lender <br />G. Property Location <br />Aviation Boulevard <br />Vero Beach, Florida 32960 <br />INDIAN RIVER <br />H. Settlement Agent <br />Atlantic Coastal Land Title Company, LLC <br />855 21st St. Suite C, Vero Beach, FL 32960 <br />Place of Settlement <br />855 21st Street <br />Suite C <br />Vero Beach, Florida 32960 <br />I. Settlement Date <br />02/21/19 <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. Contract sales price <br />99,750.00 <br />401. Contract sales price <br />99,750.00 <br />102. Personal property <br />402. Personal property <br />103. Settlement charges to borrower (line 1400) <br />1,829.45 <br />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. City/town taxes to <br />406. City/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 />101,579.45 <br />420. GROSS AMOUNT DUE TO SELLER <br />99,750.00 <br />200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER <br />500. REDUCTIONS IN AMOUNT TO SELLER <br />201. Deposit or eamest money <br />501. Excess Deposit (see instructions) <br />202. Principal amount of new loan(s) <br />502. Settlement charges to seller (line 1400) <br />1,535.50 <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 />205. <br />505. Payoff of second mortgage loan <br />206. <br />506. <br />207. <br />507. <br />208.508. <br />209. <br />509. <br />Adjustments for items unpaid by seller <br />Adjustments for items unpaid by seller <br />210. City/town taxes to <br />510. City/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 />518. <br />219. <br />519. <br />220. TOTAL PAID BY/ FOR BORROWER <br />520. TOTAL REDUCTION AMOUNT DUE SELLER <br />1,535.50 <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 (line 120) <br />101,579.45 <br />601. Gross amount due to seller (line 420 <br />99,750.00 <br />302. Less amounts paid by/for borrower (line 220) <br />602. Less reduction amount due to seller (line 520) ' <br />1,535.50 <br />303. CASH FROM BORROWER <br />101,579.45 <br />603. CASH TO SELLER <br />98,214.50 <br />02-20-2019 at 12:22 PM <br />form HUD -1 (3/86) ref Handbook 4305.2 <br />