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A. Settlement Statement u.s. Department of Housing ~t~ <br /> and Urban Devaiopman, lr <br /> Universal Title <br /> : OMB No. 2502-0265 <br />B, Type of Loan <br />1. I--I FHA 2. [] FmHA 3. [] Conv. Unlns. 32-47973 <br />4. [] VA 5. [] Cony. Ins. <br /> C. Note: This form is furnished to give you a statement ut actual seffiement costs. Amounts paid to end by the setflemant agent are <br /> shown. Items marked #(p.o.c.)' were paid outside the closing; they are shown here for Infomlational purposes and ars not <br /> Induded In the totals. <br /> <br /> Richard F. Kincanon Timothy D. Shay <br /> Dennis C. Chuba Jennifer Shay <br /> 317 Main ST. One Edge Way <br /> Elk River, Mn 55330 Northbora, MA 01532 <br /> TIN-032-38-3847 <br /> S. Property Localio~ H. Settlement Agent Universal Title <br /> xxx Highway 10 TIN-95-2566122 <br /> Elk River, Mn 55330 p~olseak, ment I. Seflmm,ntO~, <br /> Sherburne County, Mn 200 Coon Rapids Boulevard, 9230 12/26/95 <br /> Coon Rapids, Minnesota 55433 <br /> <br />J. Summer)' of Bo~Gwer'a Transaction K. Summer), of Seller'8 Transsctlon <br /> <br /> 100. Gross Amount Due From Borrower <br /> 101. Contract sales price 4 5,0 0 ~). 0 0 400. Gross Amount Due To Seller <br /> 401. Contract sales prise 4 5,0 0 0.0 0 <br /> 102. Personal property 402. Pemonal propert), <br /> 103. settlement charses to borrower {line 1400) 2 9 7.0 0 403. <br /> 104. 404. <br /> 105. 405. <br /> Adjustments for Items paid by seller In advance Adjustments for Items paid by seller In advance <br /> 106. Clt,//town taxes to 406. City/town taxes to <br /> 107. Countytaxas 12/26/95 to 12/31/95 31.59 407. County taxes 12/26/95 to 12/31/95 31.59 <br /> [ 08. Assess~-,ents to 408. Assessments to <br /> 109. 409. <br /> 110. 410. <br /> 111. 411. <br /> 112. 412. <br /> 120. Gross Amount Due From Borrower 4 5,3 2 8.5 9 420. Gross Amount Due To Seller 4 5,0 31.5 9 <br /> 200. Amounts Paid B), Or In Behalf Of Bon'ower 500. Reductions In Amount Due To Seller <br /> 201. Deposit or earnest money 5 0 0.0 0 501. Excess deposit (see instructions) <br /> 202. Principal amount of new loan{s) 502. Settlement char~es to seller Iline 1400) 4,9 61.8 0 <br /> 203. Existing loan{s) taken subject to 503. Exlstin~ loan{s) taken subject to <br /> 204. Contract for Deed 30,000.00 504. Payoff of first mortgage loan <br /> 205. 505. Payoff of second mort~la~e loan <br /> 206. 506. Contract for Deed 30,000.00 <br /> 207. 507. 1995 taxes with penalty 2,152.64 <br /> 208. 508. Express fee 20.00 <br /> 209. 509. <br /> Adjustments for Items unpaid by seller Adjustments for Items unpaid by seller <br /> 210. City/town taxes to 510. Clt~/town taxes to <br /> ;211. Count), taxes to 511. Count), taxes to <br /> 212. Assessments to 512. Assessments to <br /> 213. 513. <br /> 214. 514. <br /> 215. 515. <br /> 216. 516. <br /> 217. 517, <br /> 218. 518. <br /> 219. ~ 519. <br /> 37,134.44 <br /> 3 0,5 0 0.0 0 520. Total Reduction Amount Due Seller <br /> 220. Total Paid By/For Borrower <br /> 300. Cash At Settlement Fron~'ro Borrower 600. Cash At Settlement To/From Seller <br /> 301. Gross amount due from borrcwer (line 120) 4 5,3 2 8.5 9 601. Gross amount due to seller {line 420) 4 5,0 3 1.5 9 <br /> 302. Less amounts paid by/for borrower (line 220) ( 3 0,5 0 0.0 0 602. Less reductions In amt. due seller {line 520) 3 7,13 4.4 4 <br /> 303. Cssh l~1 From r"l To Borrower 14,828.59 803. Dssh ~lTo []From Seller 7,897.15 <br /> <br />Previous Edition · Ob~ol~;te FAST DATA SYSTEMS, INC. RESPA, HB 4305,2; <br />DCMU005C FDS {Rev. 12/92) 1-615-361-8404 <br /> <br /> <br />