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. A. Settlement Statenient U. S . Department of Housing and Urban Development .,". Be Te of Loan OMB No. 2502-0265 1 .0 FHA 2 . ❑ FmHA 3 . ❑ Conv. Unins . 6 . File Number 7 . Loan Number 8 . Mortgage Insurance Case Number 4 .0 VA 5 . El Conv. Ins . LANDSWA2 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 informational purposes and are not included in the totals. D. NAME OF BORROWER: Peter J. Henn, P .A . , a Florida corporation, as Trustee under that certain Trust Agreement dated June 20, 2002 ADDRESS OF BORROWER: 3755 7th Terrace, Suite 301 , Vero Beach, FL 32967 E . NAME OF SELLER: Indian River County, Florida, a politicial subdivision of the State of Florida ADDRESS OF SELLER: 1840 25th Street, Vero Beach, FL 32960 F. NAME OF LENDER: N/A ADDRESS OF LENDER: G. PROPERTY LOCATION : 53rd Street Right of Way Exchange Vero Beach, FL 32967 H. SETTLEMENT AGENT: HARBOR TITLE & ESCROW COMPANY 3755 7TH TERRACE, VERO BEACH, FL 32967 PLACE OF SETTLEMENT: 3755 7TH TERRACE, VERO BEACH, FL 32967 1. SETTLEMENT DATE : J. SUMMARY OF BORROWER' S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100 , GROSS AMOUNT DUE FROM BORROWER 400 . GROSS AMOUNT DUE TO SELLER 101 . Contract sales price 68 566 .41 40.1 . Contract sales price 68t566 ,41 102 . Personal propeM 402 . Personal nropeqy 103 . Settlement charges to borrower line 1400 925 .45 403 . 104 , 404 105 . 405 . Adjustments for items aid by seller in advance Adjustments for items 12aid by seller in advance 106 . Cit /town taxes to 406 . i /town taxes to 107 . Coun1y taxes to 407 . Counly taxes to 108 . Assessments to 408 . Assessments to 109 . to 409 . to 110 . to 410. to 111 . to 411 . to 112 . to 1412 . to 120 . GROSS AMOUNT DUE FROM BORROWER 1 69,491 .86 420 . GROSS AMOUNT DUE TO SELLER ' 68,566.41 200 . AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500 . REDUCTIONS IN AMOUNT DUE TO SELLER 201 . De osit or earnest money 501 . Excess deposit see instructions 202 . Princi al amount of new loans 02 . Settlement char es to seller line 1400 203 . Existin loans taken subject to 503 . Existing loans taken subject to 204 . 504 . Payoff of first mortgage loan 205 . 505 . Pa off of second mortgaize loan 206 . Princi al amount of seller financing 506 . Princi al amount of seller financing 207 . 507 . 208 . Credit for Land PaMent 32 , 676 . 29 508 , Credit for Land Pa=ent 32 , 676 ,29 209, 509 , 209a 509a 209b 509b Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210. Ci /town taxes to 510 . Cit /town taxes to 21 I . County taxes to 5 11 . Countv taxes to 212 . Assessments to 512 . Assessments to 213 . to 513 . to 214 . to 514 . to 215 . to 515 . to 216 . to 516 . t 217 . fn 517. t 218 . to 518 . to 219 . to 519 . to 220 . TOTAL AMOUNTS PAID 520 . TOTAL REDUCTIONS IN BY OR IN BEHALF OF BORROWER 32 ,676.29 AMOUNT DUE SELLER 32,676.29 300 . CASH AT SETTLEMENT FROM/TO BORROWER 600 . CASH AT SETTLEMENT TO/FROM SELLER 301 . Gross amount due from borrower line 120 69 491 . 86 601 . Gross amount due to seller line 420 68 566 .41 302 . Less amounts vaid by/for borrower line 220 32 676 .29 602 . Less reductions in amount due seller line 520 32 676 .29 303 . CASH ® From ❑ To BORROWER 369815.57 603 . CASH ® To ❑ From SELLER 351890. 12 PAGE 1 HUD- 1 (3 -86) RESPA, HB 4305 .2 4#000 Disnlav Fvs[ems. Inc. !8631 763-5555 - Laser Generated