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A. Settlement Statement B. Type of Loan 1, i'_:'7 FHA 2.:2 RHS 3. C] Conv, Unins. 4. L; VA 5. a Conv. Ins. 6. File Number 49084862 U.S. Department of Housing and Urban Development 1 OMB Approval No. 2502-0265 1 r 7. Loan Number ( 8. Mortgage Insurance Case Number 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 information purposes and are not Included in the totals. D Name and Address o1 Borrower E. Name and Address of Seller F. Name and Address of Lender mm Indian River County, a political subdivision of the State of Florida Eugene M. Eicheiberger 1801 27th Street 6700 65th Street Vero Beach, Florida 32960 Vero Beach, Florida 32867 j i i G. Property Location 6700 65th Street Vero Beach, Florida 32967 INDIAN RIVER 6 (j j H. Settlement Agent Atlantic Coastal Land Title Company, LLC - 855 21st 5t. Suite C, Vero Beach, FL 32960 Place of Settlement 855 21 st Street Suite C Vero Beach, Florida 32960 K. SUMMARY OF SELLER'S TRANSACTION: I. Settlement 10/02/19 Date J. SUMMARY OF BORROWER'S TRANSACTION: 100 GROSS AMOUNT DUE FROM BORROWER - 400. GROSS AMOUNT DUE TO SELLER _,.__ 401. Contract rice _ 23 0 00 00 { 701 Contractsalespnce _._ _.....__ 23 Otl0.00 sales _L_ �- ?02 Persona�roperty_.,-- .. - _ 740 25 402 Personal property_ --- 403 _ 703 Settlement char es to borrower ime 1400 -- ___..._ .__.._�....._._.. ._ i 4104 04 . ....�._......__�._ t---__. .�......._.__.._ US. 405. ........ _...-_ _.__ ....... _... -- ---. - __. Adjustments for items paidb sy eller in advanceAd ustments for itemspaid by seNer in advance _�__.___ ClryRown taxes-- -. 107. County taxes 407. Camty taxes to -� 108 Assessments to _ _ - 408. Assessments - to _-- _. � 109 110 . 409 _ _ ..._ _ _ ._._. ........ 171 411. 412. f 20 AMOUNT DUE FROM BORROWER _�., �_ 23 740 23 ! - _ 420. GROSS AMOUNT DUE TO SEDER - _ _ - 1--_ -- _ _Z3 000,001 _GROSS 200 AMOUNTS PAID BY OR IN BEHALF OF BORROWER -. _. 1500, REDUCTIONS IN AMOUNT TO SELLER { 201 Depositor earnest money 202 Pnnc psi amount of new !Den(s) _ _- _ ......--_ S01 Excess Deposit (see instructions) 502 Settlement charges to seller Oine 1400) 1 00 Zn3 Ewstiloanis) taken sub act to 9 1_ -- an subject to 503 Existing 1. Dans taken _ . 204 ._. __. 604 Payoff of _ mortgage loan first Payoff of second mortgage loan _ 205 ,SOS 206. 207. -..�_-..._...______.._..--- 506. 507. -- -_...._._..-._..._...... _...._--- -- ....-.. ..-------"-i -- ...__.....--- 208 508. -- - -- 109 Adjustments fo_r.items unpaid by seller . . ....... -. _ _ _ justments for llama un aid by sellar -_, -2t0 Cit R_ y ovm taxes to i 211 County taxes to __- b10 Ci own taxes - _ to 511. County taxes to _ _. _ -. 212 Assessments to- - 512. Assessments _- .. to _-_ _.._ .._.,j 511, ........... _ __ ......- -_ --�' 214514. _--.-._..-_. _ .... _..........-._ _ _... r-217. .� .- ...: ._.._.._ i 218 .. __r._t7 ... �_._....._ __ - 519. - .... _ 20 TOTAL PAID BY f FOR BORROWER X600, 1 520. TOTAL REDUCTION AMOUNT DUE SELLER -- --- CASH AT SETTLEMENT TO OR FROM SELLER - 00; 300 CASH AT SETTLEMENT FROM ON TO BORROWER ---T t 301 Gross amount due from bonower,(tine 120 _ 302 ,Less amourn�aid bYlfor borrower (t ne 220) _ . _-- _ 23,740.25 60L Gross amount due to salter - 602. Less reduction amount due to sellerline 520 __._ -_- _ 177 QO 303. CASH FROM BORROWER - 23,740.25 1603. CASH_ TO SELLER 09.27.2019 at 8:34 AM form HUD -1 (3186) ref Handbook 4305.2