3562 W 131st STreet - Street Department HUD Statement9/25/02 12:42 PM
OMB No. 2502 -0265
A. U.S. Department Wousing
and Urban Development
Settlement Statement •
B. Type of Loan
1. [ ] FHA 2. [ ] FMHA 3. [] Conv. Unins.
4. [ ] VA 5. [ ] Conv. Ins.
6. File Number
2020711
7. Loan Number
8. Mortgage Ins. Case No.
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 ( "POC ") were paid outside the closing: they are shown here for information
purposes and are not Included in the totals.
D. Name of Borrower: City of Carmel
E. Name of Seller: Judith Ann Lacy, Trustee of Judith A. Lacy Revocable Trust Dated September TIN:
25, 1995
F. Name of Lender:
G. Property Location: American Consulting Engineers, Abstract 1/10; of the Southwest 1/4 of the
Northwest 1/4 of Section 29, Township 18 North, Range 3E East, Hamilton
County, Indiana
3562 West 131st Street, Carmel, IN 46032
H. Settlement Agent: Hamilton Title Security, LLC (317) 843 -5300 TIN: 35- 2033417
Place of Settlement: 865 West Carmel Drive, Suite 110, Carmel, IN 46032
I. Settlement Date: 9/26/02 Proration Date: 9/26/02
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
1,050,500.00
401. Contract sales price
1,050,500.00
102.. Personal property .
402. Personal property .
103. Settlement charges to borrower (line 1400)
1,855.97
403.
104. .
404.
105. .
405.
Adjustments for items paid by seller in advance:
Adjustments for items paid by seller in advance:
106. City /town taxes
406. City/town taxes
107. County taxes
407. County taxes
108. Assessments
408. Assessments
109.
409.
110.
410.
111.
411.
112.
..
412.
120. Gross amount due from borrower:
1,052,355.97
420. Gross amount due to seller:
1,050,500,00
200. Amounts paid by or in behalf of the borrower:
500. Reduction in amount due to seller:
201. Deposit or earnest money
80,000.00
501. Excess deposit (see Instructions)
202. Principal amount of new loan(s)
502. Settlement charges to seller (line 1400)
0.00
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. -
504. Payoff of first mortgage loan
205.
505. Payoff of second mortgage loan
206.
506.
207.
507.
208.
508.
209.
509.
Adjustments for Items unpaid by seller:
Adjustments for items unpaid by seller:
210. City /town taxes
510. City /town taxes
211. County taxes
511. County taxes
212. Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217.
517.
218.
518.
219.
519.
220. Total paid by /for borrower:
80,000.00
520. Total reduction In amount due seller:
0.00
300. Cash at settlement from /to borrower:
600. Cash at settlement to /from seller:
301. Gross amount due from borrower (line 120)
1,052,355.97
601. Gross amount due to seller (line 420)
1,050,500.00
302. Less amount paid by /for borrower (line 220)
0 80,000.00
602. Less total reduction in amount due seller(line 520)
- 0.00
303. CASH (X)FROM ()TO BORROWER
972,355.97
603. CASH ()FROM (X)TO SELLER
. 1,050,500.00
L. Settlement Char. es { 9/25102 12:42 PM � File Number: 2020711 .
700. Total sales /broker commission Ew ..
Borrower's
Funds at
SettleMent
Paid
Seller's
Funds at
Settlement
Division of commission (line 700) as follows:
701. $
702. $
703. Commission paid at settlement
704.
800. Items payable in connection with loan
801. Loan origination fee
802. Loan discount
803. Appraisal fee
804. Credit report
805. Lender's inspection fee
806. Mortgage insurance application fee
807. Assumption fee
808. Tax Service Fee
809.. Flood Certification
810.
811.
812.
900. Items required by lender to be paid in advance
901. Interest from
902. Mortgage insurance premium for
903. Hazard insurance premium for
904.
905.
1000. Reserves deposited with lender
1001 Hazard insurance
1002. Mortgage insurance
1003. City property taxes
1004. County property takes
1005. Annual assessments (maint.)
1006.
1007.
1009. Aggregate Accounting Adjustment
1100. Title charges
1101. Settlement or closing fee to Hamilton Title Security, LLC
175.00
1102. Abstract or He search
1103. Title examination
1104. Title insurance binder
1105. Document preparation
1106. Notary fees
1107. . Attorneys fees to
includes above items no.:
1108. Title insurance to Hamilton Title Security, LLC
1,066.50
includes above items no.:
1109. Lender's coverage
1110. Owner's coverage $1,050,500.00 $1,066.50
1111. Courier Fee
1112. Wire Transfer Fee to Hamilton Title Security, LLC
15.00
1113.
1200. Government recording and transfer charges
1201. Recording fees: Deed $19.00
19.00
1202. City /county tax/stamps:
1203. State tax/stamps:
1204. Sales Disclosure Filing Fee to Hamilton County Auditor
5.00
1205. Transfer Fee to Hamilton County Auditor -
1.00
1206.
1300. Additional settlement charges
1301. Survey
1302. Pest inspection
1303.
1304. Nov. 2002 Taxes to Hamilton County Treasurer
574.47
1305.
1400. Total settlement charges (entered on lines 103, section J and 502, section K)
1,855.97
CERTIFICATION: I have carefully reviewed the HUD•1 Settlement Statement and to the best of my knowledge and belief, it Is a true and accurate statement of all
receipts and QisbursemenJs madppn my account or by me in this transaction. I further certify That I ve received a copy of HUD -1 Settlement Statement.
To the best of
be disburse
y knowledge, the HUD -1 Settle
he unde•.'gn
•
Judith Ann Lacy, Trustee of Judith A. acy Revocable Trust Dated .
nt Statement which I have prepared is a true and accurate account of the funds which were received and have been or will
ent of this transaction.
9zL /01--
pa . f/: ey-
IIrnfi' %Fi/I: 4ri
Hamilton Title Security, LLC
Date