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A. Settlement Statement U.S. Department of Housing ^ r <br />and Urban Development OMB Approval No. 2502-0265 <br />form HUD -1 (3/86) ref Handbook 4305.2 <br />B. Type of Loan <br />1. r) FHA 2. C RHS 3. ❑ Conv. Unins. <br />6. File Number <br />7. Loan Number <br />8. Mortgage Insurance Case Number <br />4 ❑ VA 5. O Conv. Ins. <br />( 49084757 <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 />"(p.o.c.)" <br />I marked 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 E. Name and Address of Seller <br />F. Name and Address of Lender <br />j Indian River County, a political subdivision of the State of Florida Glen C. Besancon <br />I <br />1801 27th Street 6725 66th Ave Vero Beach FL <br />32967 <br />Vero Beach, Florida 32960 Vero Beach, Florida 32967 <br />1--- <br />G. <br />G. Property Location <br />H. Settlement Agent <br />6725 66th Ave <br />Atlantic Coastal Land Title Company, LLC <br />Vero Beach, Florida 32967 <br />855 21 st St. Suite C, Vero Beach, FL 32960 <br />I <br />Place of Settlement <br />I. Settlement Date <br />855 21 st Street <br />08/15/19 <br />INDIAN RIVER <br />Suite C <br />I _ <br />j Vero Beach, Florida 32960 <br />J. SUMMARY OF BORROWER'S TRANSACTION: <br />K. SUMMARY OF SELLER'S TRANSACTION: <br />I_ 100. GROSS AMOUNT DUE FROM BORROWER <br />400. GROSS AMOUNT DUE TO SELLER <br />101 Contract sales 2rice 200,000.00 <br />401. Contract sales price <br />200 000.00 <br />i 102. Personal property <br />402. Personal property <br />103 Settlement charges to borrower line 1400 71,661.00 <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. 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. 2019 Real Estate Taxes 158 82 <br />411 <br />r 112 <br />412, <br />120. GROSS AMOUNT DUE FROM BORROWER 271,819.82 <br />420. GROSS AMOUNT DUE TO SELLER <br />200,00000 <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 />203. Existing loan(s) taken subject to <br />503. Existing loans taken subject to <br />0.00 <br />__ <br />1 04 <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. <br />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. Cit /town taxes to <br />211 County taxes 01/01/2019 to 08/15/2019 158.82 <br />511. County taxes 01/01/2019 to 08/15/2019 <br />158.82 <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 158.82 <br />520. TOTAL REDUCTION AMOUNT DUE SELLER <br />158.82 <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 120 271,819.82 <br />601. Gross amount due to seller line 420 <br />200,00000 <br />302. Less amounts paid by/for borrower line 220 158.62 <br />602. Less reduction amount due to seller line 520 <br />158.82 <br />303. CASH FROM BORROWER 271,661.00 <br />603. CASH TO SELLER <br />199,841.18 <br />form HUD -1 (3/86) ref Handbook 4305.2 <br />