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A Settler�t Statement U.S.Department of Housing <br /> wd Urban Developme� <br /> OMB No.250241265(Exp.12atA6) <br /> B.-Type of Loan <br /> 1.❑fHA 2.❑FmHA 0.❑Conv.Unins. <br /> 6.File Numb'602100 7.Loan Number B.Mortgage Insurance Case Number <br /> 4.❑VA 5.❑Conv.Ins. <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 informational purposes and are not included in the totals. <br /> D. Name And Address of Borrower E. Name and Address of SeNr F. Name and Address of Lender <br /> J AND K LIMESTONE PRODUCTS,LLC M.L.SAMUEL <br /> 1410 S.COUNTY RD 2 E OVIDEAN SAMUEL <br /> MONTE VISTA,CO 81144 607 SAN ANGELO <br /> PUEBLO.CO 81005 <br /> G. Property Location H. Settlement Agent <br /> VACANT SAGUACHE COUNTY ABSTRACT S INV.COMPANY <br /> SAGUACHE COUNTY,CO Place of Settlement H. Settlement Date <br /> 009 FOURTH ST..P.O.BOX 157 <br /> SAGUACHE,CO a1149 OMB/00 <br /> J. Surrmaryol Borower's Transaction K SurmaryolSchufs Transaction <br /> 100. Gross Amount Due From Borrower 400. Grass Amount Due To Scher <br /> 101. Contract sales price 10.000.CO 401. Contract sales pdce 10.000.CO <br /> 102. Personal property 402. Personal Property <br /> 100. Settlement Charges to borrower(line 1400) 526.00 403. <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. City/town taxes 406. City/town taxes <br /> 107. County taxes 07. County taxes <br /> 108. Assessments 408. Assessments <br /> 109. 09. <br /> 110. 410 <br /> ill. 11. <br /> 112. 412. <br /> 120. Gross Amount Due From Borrower 10.526.00 420. Gross Amount Duo To Sager 10.000.00 <br /> 200. Amounts Paid By Or In Behatl Of Borrower 500. Reductions In Amount Due To Seller <br /> 201. Deposit or earnest money 501. Excess deposit(see instructions) <br /> 202. Principal amount of new loan(s) 502. Settlement charges to seller(line Idoe) 0.00 <br /> 200. Exishng f0an(s)taken subject to 500. Exisling lmn(s)taken subject to <br /> 204 04. Payoff of first mortgage loan <br /> 205. 505. Payoff of second mortgage loan <br /> 206 06. Payoff of third mortgage loan <br /> 207. 507. <br /> 200. 508. <br /> 209. rts 09. <br /> Adjustments for 4er unpaid by sMer Ad�ustmenls for hems unpaid by sefler <br /> 210. CilyAown taxes 10. Cityltown taxes <br /> 211. County taxes it. County axes <br /> 212. Assessments 12. Assessments <br /> 210. 15. <br /> 214. 14. <br /> 215. 15. <br /> 218. 16. <br /> 217. 17. <br /> 218. 518. <br /> 219. 519. <br /> 220. Total Paid By/For Borrower 0.00 520.Total Reduction Amount Due Seller 0.00 <br /> 000. Cash Al Settement Fro Borrower 6f10. Cash At Sentpment To/From Seller <br /> 001. Gross amount due from borrower(fine 120) 10.526.00 01. Gross amount due 10 seller(line 420) 10,000 00 <br /> 002. Less amounts paid by/for benower(line 220) 1( 0.00102. Less reductions in amL due seller(6ne 520) ( 0.00) <br /> 000. Cash From El To Borrower 10.526.00 60.7. Cash To E]From Scher 10.00000 <br />