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A. Settlement Statement U.S.Department of Housing OMB No.2502-0265 <br /> and Urban Development <br /> B.Type of Loan <br /> 1. 0 FHA 2. 0 FmHA 3. 0 Cony Unins 6.File Number 7.Loan Number 8.Mortgage Ins Case Number <br /> 4. ❑VA 5. D Cony Ins. 6. 0 Seller Finance C-15077625 <br /> C.Notes 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 <br /> "(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&Address of Borrower E.Name&Address of Seller F.Name&Address of Lender <br /> MICHELLE HEBERT BARBARA A.ZIEGLER CASH TRANSACTION <br /> 7139 COUNTY RI)K <br /> MIDDLETON,WI 53562 <br /> G.Property Location H.Settlement Agent Name <br /> DANE COUNTY TITLE COMPANY <br /> LOT 1,OF CERTIFIED SURVEY MAP NO.2086,VOL 8,PAGE 282, 901 S WHITNEY WAY <br /> AS 81477853 MADISON,WI 53711 Tax ID:39-1501497 <br /> 6936 MIDTOWN RD Underwritten By:CHICAGO TITLE INSURANCE COMPANY <br /> MIDDLETON,WI 53562 <br /> Place of Settlement L Settlement Date <br /> DANE COUNTY TITLE COMPANY 5/20/2013 <br /> 901 S.WHITNEY WAY Fund:5/20/2015 <br /> MADISON,WI 53711 <br /> J.Summary of Borrower's Transaction K.Summary of Seller's Transaction <br /> 100.Gross Amount Due from Borrower 400.Gross Amount Due to Seller <br /> 101. Contract Sales Price 5100,000.00 401. Contract Sales Price 5100,000.00 <br /> 102, Personal Property 402. Personal Property <br /> 103. Settlement Charges to borrower S 130.00 403. <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 property taxes 406. City property taxes <br /> 107.County property taxes 407. County property taxes <br /> 108. Annual assessments 408. Annual assessments <br /> 109. Trash Proration 409. Trash Proration <br /> 110. Other taxes 410. Other taxes <br /> 111. Septic 411. Septic <br /> 112. 412. <br /> 113. 413. <br /> 114. 414. <br /> 115. 415. <br /> 116. 416. <br /> I20.Gross Amount Due From Borrower 5100,130.00 420.Gross Amount Due to Seller S100,0110.00 <br /> 200.Amounts Paid By Or in Behalf Of Borrower 500.Reductions in Amount Due to Seller <br /> 201,Deposit or earnest money S5,000.00 501. Excess Deposit <br /> 202. Principal amount of new loan(s) 502. Settlement Charges to Seller(line 1400) S4,200.00 <br /> 203.Existing loan(s)taken subject to 503. Existing Loan(s)Taken Subject to <br /> 204.Loan Amount 2nd Lien 504. Payoff of first mortgage/NATIONSTAR 5117,245.64 <br /> 205. 505. Payoff of second mortgage loan <br /> 206. 506. <br /> 207. 507, <br /> 208. 508, <br /> 209. 509. <br /> Adjustments for items unpaid by seller Adjustments for Items unpaid by seller <br /> 210.City property taxes 01/01/15 thru 05/19/15 $1,329.75 510. City property taxes 01/01/15 thru 05/19/15 S1,329.75 <br /> 211.County property taxes 511. County property taxes <br /> 212.Annual assessments 512. Annual assessments <br /> 213.Trash Proration 01/01/15 thru 05/19/15 557.00 513.Trash Proration 01/01/15 thru 05/19/15 557.00 <br /> 214. Other taxes 514. Other taxes <br /> 215. Septic 01/01/15 thru 05/19/15 53.30 515. Septic 01/01/15 ituts 05/19/15 5330 <br /> 216. 2014 Net General 53491.76/365x139 516. 2014 Net General$3491.78/365x139 <br /> 217.Trash S149.67/365x139 517. Trash 5149.67/365x139 <br /> 218. Septic S8.67/365x139 518. Septic S8.67/365x139 <br /> 219. 519. <br /> 220.Total Paid By/For Borrower 56,390.05 520.Total Reduction Amount Due Seller 5122,835.69 <br /> 300.Cash At Settlement From/To Borrower 600.Cash At Settlement To/From Seller <br /> 301.Gross Amount due from borrower(line 120) $100,130.00 601.Gross Amount due to seller(line 420) 5100,000.00 <br /> 302.Less amounts paid by/for borrower(line 220) 56,390.05 602.Less reductions in amt_due seller pine 520) 5122,835.69 <br /> 303.Cash From Borrower 593,739.95 603.Cash From Seller 522,835.69 <br /> Section 5 of the Real Estate Settlement Procedures Act(RESPA)requires the Section 4(a)of RESPA mandates that HUD develop and prescribe this standard <br /> following: •HUD must develop a Special Information Booklet to help persons form to be used at the time of loan settlement to provide full disclosure oral]charges <br /> borrowing money to finance the purchase of residential real estate to better imposed upon the borrower and seller. These are third party disclosures that are <br /> understand the nature and costs of real estate settlement services; designed to provide the borrower with pertinent information during the settlement <br /> •Each lender must provide the booklet to all applicants from whom it receives or for process in order to be a better shopper. <br /> whom it prepares a written application to borrow money to finance the purchase of The Public Reporting Burden for this collection of information is emanated to <br /> residential real estate; •leaders must prepare and distribute with the Booklet a average one hour per response, including the time for reviewing instructions <br /> Good Faith Estimate of the settlement costs that the borrower is likely to incur in searching existing data sources,gathering and maintaining the data needed,and <br /> connection with the.settlement These disclosures are mandatory. completing and reviewing the collection of infomatioo. <br /> This agency may not collect this information,and you are not required to complete <br /> this form,unless it displays a currently valid OMB control number. <br /> The information requested does not lend itself to confidentiality. <br /> Previous Editions are Obsolete Page 1 fora HUD-1(3/86) <br /> Handbook 4305.2 <br />