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ST9902-ES10061517c� - 14Z- � CITY OF COPPELL PERMANENT RIGHT OF WAY STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS COUNTY OF DALLAS § THAT, Alex Pier and wife, Martha Pier, known herein as GRANTOR, in consideration of the sum of Ten and No /100 Dollars ($10.00) and other good and valuable consideration paid by the City of Coppell, Texas, a municipal corporation of Dallas County, Texas, receipt of which is hereby acknowledged, does hereby grant, bargain, and convey to said City (GRANTEE), it's successors and assigns, a permanent right -of -way and the right to construct, reconstruct and perpetually maintain a public street and/or drainage facilities and utilities, together with all necessary appurtenances thereto, and with the right and privilege at any and all times, to enter said permanent right -of -way, or any part thereof, as is necessary to the proper use of any other right granted herein, and for the purpose of constructing, reconstructing and maintaining said public street and/or drainage facilities and utilities, and for making connections therewith, in, upon and across said permanent right -of -way. Said Easement Strip being described in Exhibits "A" and `B" attached hereto and made a part hereof for all purposes. That in consideration of the benefits above set out, Grantee will remove from the easement strip, such fences, buildings and other obstructions as may be found upon said property. After construction has been completed or after any entry for repairs or maintenance, GRANTEE shall, except for removed obstructions, return the surface area of the easement strip to its original condition as nearly as practical taking into consideration the nature of the work being performed. GRANTOR reserve the right to use and maintain the surface of the easement strip for purposes which will not interfere with GRANTEE'S rights hereby granted and agree that GRANTEE shall not be obligated for future maintenance and upkeep of the surface area. TO HAVE AND TO HOLD unto the City of Coppell, Texas, its successors or assigns for the purposes aforesaid, the premises above described. - EXECUTED this I As � k day of June, 2010. Martha Pier STATE OF TEXAS § COUNTY OF DALLAS § This instrument was acknowledged before me on the day of June, 2010, by Alex Pier and wife, Martha Pier. 3ANIANTHA M HAwt 11 s Notary Public ; STATE OF TL S �V'otary 1iC, State of exas My Comm. E=xp. Nov, 15, 2012 My Commission Expires: Type / Print Name of Notary After recording return to City of Coppell 255 Parkway Boulevard Coppell, Texas 75019 -9478 Erxchange: Authorized Users Only Document Receipt Information Reference Number: 04- 0911179 - Right of Way Deed Page 1 of 1 Instrument Number: 201000164811 No of Pages: 5 Recorded Date: 6/30/2010 11:34:10 AM County: Dallas Officer Name: EFILELGOODSON Volume: Page: Recording Fee: $32.00 http:// www. erxchange. com/ UINiewReceipt.aspx ?Document_ID= 3805857 7/6/2010 A. Settlement Statement U.S. Department of Housing and Urban Development OMB No. 2502 -0265 B. Type of Loan 1. ❑ FHA 2. ❑ FmHA 3. ❑ Conv Unins 16. File Number 7. Loan Number 4. OVA 5. ❑ Conv Ins. 6, O Seller Finance 0911179 -ALCP 8. Mortgage Ins Case Number 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 informatio ur oses an are not included in the totals. D. Name & Address of Borrower The City of Coppell G. Property Location E. Name & Address of Seller Alex Pier and Martha Pier 101 Cottonwood Drive Coppell, TX 75019 Dallas County, Being a 0.494 of an acre portion of lot 1, block A, Cottonwood Estates Addition,an addition to the City of Coppell. Coppell, TX 75019 F. Name & Address of Lender H. Settlement Agent Name Allegiance Title Company 5950 Berkshire Lane, Suite 125 Dallas, TX 75225 Tax ID: 80- 0338688 Underwritten By: Title Resources Place of Settlement Allegiance Title Company - Coppell 235 S. Denton Tap Road, Suite 300 Coppell, TX 75019 I. Settlement Date 6/9/2010 Fund: 6/9/2010 J. Su mmary o B Tra K. Summary of Seller's Transaction 100. Gross Amount Due from Borrower 400. Gross Amount Due to Seiler 101. Contract Sales Price $93,606.10 401. Contract Sales Price $93,606.10 102. Personal Property 402. Personal Property 103. Settlement Charges to borrower $1,310.93 403. 104. 404. 105. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. City property taxes 406. City property taxes I07. County property taxes 407. County property taxes 10& Assessment Taxes 408. Assessment Taxes 109. School property taxes 409. School property taxes 110. Other taxes 410. Other taxes 111. Other taxes 411. Other taxes 112. 412, 113. 413. 114. 414, 115. 415. 116. 416. 120. Gross Amount Due From Borrower $94,917.03 420. Gross Amount Due to Seller $93,606.10 200. Amounts Paid By Or in Behalf Of Borrower 500. Reductions in Amount Due to Seller 201. Deposit or earnest money 501. Excess Deposit 202. Principal amount of new loans) 502. Settlement Charges to Seller (line 1400) 203. Existing loan(s) taken subject to 503. Existing Loan(s) Taken Subject to 204. Loan Amount 2nd Lien 504. 205. 505. 206. 506. 207_ 507. 208. 508. 209, 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210. City property taxes 510. City property taxes 211. County property taxes 511. County property taxes 212. Assessment Taxes 512. Assessment Taxes 213. School property taxes 513. School property taxes 214. Other taxes 514. Other taxes 215. Other taxes 515. Other taxes 216- 516, 217. 517. 218. 518. 219. 519, 220. Total Paid By/For Borrower $0.00 520. Total Reduction 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) $94,917.03 601. Gross Amount due to seller (line 420) 593,606.10 302. Less amounts paid by /for borrower (line 220) $0.00 602. Less reductions in amt. due seller (line 520) $0.00 303. Cash From Borrower $94,917.03 603. Cash To Seller $93,606.10 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 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 of all borrowing money to finance the purchase of residential real estate to better charges imposed upon the borrower and seller. These are third party disclosures understand the nature and costs of real estate settlement services; that are designed to provide the borrower with pertinent information during the • Each lender must provide the booklet to all applicants from whom it receives settlement process in order to be a better shopper. or for whom it prepares a written application to borrow money to finance the The Public Reporting Burden for this collection of information is estimated to purchase of residential real estate; • Lenders must prepare and distribute with average one hour per response, including the time for reviewing instructions the Booklet a Good Faith Estimate of the settlement costs that the borrower is searching existing data sources, gathering and maintaining the data needed, and likely to incur in connection with the settlement. These disclosures are completing and reviewing the collection of information. mandatory. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. The information requested does not lend itself to confidentiality. Previous Editions are Obsolete Page 1 form HUD -1 (3/86) Handbook 4305.2 File No. 0911179 -ALCP L. Settlement Charges 700. Total Sales/Broker's Commission based on price 593,606.10 @ % = 50.00 Paid From Borrower's Funds at Settlement _ Paid From Seller's Funds at Settlement Division of Commission (line 700) as follows: 701. to 702. to 703. Commission Paid at Settlement $0.00 $0.00 704. The following parties, persons, firms or to 705. corporations have received a portion of to 706. the real estate commission shown above. to 800. Items Payable in Connection with Loan 801. Loan Origination Fee % to 801 Loan Discount % to 803. Appraisal Fee to 804. Credit Report to 805. Lender's Inspection Fee to 806. Mortgage Insurance Application to 807. Assumption Fee to 808. Flood Certification Fee to 809. Tax Research Fee to 900. Items Required by Lender To Be Paid in Advance 901. Interest from 6/9/2010 to 7/1/2010 @ $O /day 901 Mortgage Insurance Premium for months to 903. Hazard Insurance Premium for years to 1000. Reserves Deposited With Lender 1001. Hazard insurance months @ per month 1002. Mortgage insurance months @ per month 1003. City property taxes months @ per month 1004. County property taxes months @ per month 1005. Assessment Taxes months @ per month 1006. School property taxes months @ per month 1007. Other taxes months @ per month 1008, Other taxes months @ per month 1011. Aggregate Adjustment 1100. Title Charges 1101. Settlement or closing fee to 1102. Abstract or title search to 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to Dawn Enoch Moore PC $50.00 1106. Notary fees to 1107. Attorney's fees to (includes above items numbers: 1108. Title insurance to Allegiance Title (includes above items numbers: 1109. Lender's coverage $0.0010.00. 1110. Owner's coverage S93,606.105802.00 1111. Escrow fee to Allegiance Title ) ) $802.00 11iffilffim 5400.00 among= KFAROM 1112. State of Texas Policy Guaranty Fee to Allegiance Title Company - Coppell $5.00 $0.00 1113. Tax certificates to Allegiance Title $53.93 1114. Courier/Messenger Fee to 1200. Government Recording and Transfer Charges 1201. Recording Fees Deed ; Mortgage ; Rel to Allegiance Title 1202. City/county tax/stamps Deed ; Mortgage to 1203. State tax/stamps Deed ; Mortgage to 1300. Additional Settlement Charges 1301. Survey to 1302. Pest Inspection to 1303. Home Warranty Service Contract to 1400. Total Settlement Charges (enter on lines 103, Section 3 and 502, Section K) $1,310.93 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 disbursements made on my account or by me in this transaction, I further certify that I have received a completed copy of pages 1, 2 and 3 of this HUD -1 Settlement Statement. File No. 0911179 -ALCP The City of Cop ' Alex Pier By SETTLEMENT AGENT CERTIFICATION Martha Pier The HUD -1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused the funds to be disbursed in accordance with this statement. FORWARDING ADDRESS: Settlement Agent Date Warning: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section I001 and Section 1010. Previous Editions are Obsolete Page 3 form HUD -1 (3/85) Handbook 4305.2 INFORMATION STATEMENT: FEES OF ATTORNEYS TO BE PAID BY SELLER AND /OR BUYER/BORROWER Re: Allegiance Title Company The undersigned do hereby employ Dawn Enoch Moore, P.C., for the limited purpose of preparing the Deed, Deed of Trust, Promissory Note, certain Affidavits required by Allegiance Title Company, as applicable, and /or other documents necessary and appropriate in the closing of the sale, exchange, purchase, and/or loan of, or on, the real property described in the above reference guaranty file (the "Transaction "). The undersigned understand and agree that the documents prepared by Dawn Enoch Moore, P.C., were prepared in accordance with the instructions of the lender, if any, and the parties to this transaction, including the requirements of Allegiance Title Company. No representations have been made by Dawn Enoch Moore, P.C., as to the legal effects or tax consequences of these documents or of the Transaction. No representations have been made as to whether the Transaction to which these documents relate complies with the usury laws or of any other laws of the United States or any state having jurisdiction over this Transaction. It is understood and agreed by the undersigned that Dawn Enoch Moore, P.C., is not employed for legal representation generally, or for any purpose in connection with the Transaction except that Dawn Enoch Moore, P.C., has acted as counsel to Allegiance Title Company, and its title insurance underwriter. The undersigned further acknowledges that they are aware that they are free to retain their own counsel to advise them regarding the loan or purchase /sale /exchange of the real property or to review and render advice concerning any of the documents or instruments being executed in connection with the Transaction. The undersigned acknowledged that they have read, understood, and hereby approve the documents as prepared, and that without such acknowledgment and approval, Dawn Enoch Moore, P.C., would not release the documents for use in the Transaction. The undersigned hereby agrees that no attorney /client privilege or relationship exists between them and Dawn Enoch Moore, P.C., beyond the preparation of the above - described documents. The undersigned hereby acknowledges his/her understand that the real estate transaction in the above file /order number is being closed under the supervision of an attorney licensed pursuant to the laws of the State of Texas whose sole relationship with Allegiance Title Company and its underwriters is in connection with the issuance of the forms of title insurance and that no other relationship or agency exits. Seller: Buyer: The City of Coppell Alex Pier By Martha Pier CITY OF COPPELL PERMANENT RIGHT OF WAY STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS COUNTY OF DALLAS § THAT, Alex Pier and wife, Martha Pier, known herein as GRANTOR, in consideration of the sum of Ten and No/ 100 Dollars ($10.00) and other good and valuable consideration paid by the City of Coppell, Texas, a municipal corporation of Dallas County, Texas, receipt of which is hereby acknowledged, does hereby grant, bargain, and convey to said City (GRANTEE), it's successors and assigns, a permanent right -of -way and the right to construct, reconstruct and perpetually maintain a public street and/or drainage facilities and utilities, together with all necessary appurtenances thereto, and with the right and privilege at any and all times, to enter said permanent right -of -way, or any part thereof, as is necessary to the proper use of any other right granted herein, and for the purpose of constructing, reconstructing and maintaining said public street and/or drainage facilities and utilities, and for making connections therewith, in, upon and across said permanent right -of -way. Said Easement Strip being described in Exhibits "A" and `B" attached hereto and made a part hereof for all purposes. That in consideration of the benefits above set out, Grantee will remove from the easement strip, such fences, buildings and other obstructions as may be found upon said property. After construction has been completed or after any entry for repairs or maintenance, GRANTEE shall, except for removed obstructions, return the surface area of the easement strip to its original condition as nearly as practical taking into consideration the nature of the work being performed. GRANTOR reserve the right to use and maintain the surface of the easement strip for purposes which will not interfere with GRANTEE'S rights hereby granted and agree that GRANTEE shall not be obligated for future maintenance and upkeep of the surface area. TO HAVE AND TO HOLD unto the City of Coppell, Texas, its successors or assigns for the purposes aforesaid, the premises above described. EXECUTED this day of June, 2010. Alex Pier Martha Pier STATE OF TEXAS § COUNTY OF DALLAS § This instrument was acknowledged before me on the day of June, 2010, by Alex Pier and wife, Martha Pier. My Commission Expires: Notary Public, State of Texas Type / Print Name of Notary After recordinjZ return to City of Coppell 255 Parkway Boulevard Coppell, Texas 75019 -9478 EXHIBIT "A" Being a 0.494 of an acre portion of Lot 1, Block A, Cottonwood Estates Addition, an addition to the City of Coppell, Dallas County, Texas, as shown by plat recorded in Volume 78225, Page 23, Plat Records, Dallas County, Texas, and being more particularly described by metes and bounds as follows: BEGINNING at a 1/2 inch capped iron rod stamped 'Hennessey RPLS 3740" found for the southeast corner of said Lot 1, same being on the north right -of -way line of Sandy Lake Road (a variable width right -of -way) and west right -of -way line of Cottonwood Drive (a 60 feet wide right -of -way); THENCE South 89 °58'02" West, with said north right -of -way, a distance of 445.48 feet to a 1/2 inch capped iron rod stamped "Hennessey RPLS 3740" found for the southern most southwest corner of said Lot 1; THENCE North 49 0 27'57" West, continuing with said north right -of -way, a distance of 284.65 feet to a 5/8 inch capped iron rod stamped "TNP" set for the beginning of a non - tangent curve to the left, having a radius of 755.00 feet, and a chord that bears South 71 °12'15" East, 486.63 feet; THENCE along said curve to the left, over and across said Lot 1, an are length of 495.48 feet to a point for corner, THENCE EAST, continuing over and across same, a distance of 196.27 feet to a 5/8 inch capped iron rod stamped "TNP" set for corner on a curve to the right, having a radius of 371.59 feet, and a chord that bears South 09 0 53'43" East, 28.37 feet, same being on the west line of said Cottonwood Drive; THENCE along said curve to the right, an arc length of 28.38 feet to the POINT OF BEGINNING and containing 0.494 of an acre of land, more or less. aj ky. . Gentry, R.P.L . T exas Registration No. 5519 Bearings are based on the Texas State Plane Coordinate System, North Central Zone (NAD83) Integral parts of this survey: a. Legal Description b. Sketch Revised: November 13, 2008 Date: November 4, 2008 pl� ofi,. r� ,•��57FR•'F� P • •,• RICKY L GENTRY ;.0 5519 v p Sheet 1 of 2 EXHIBIT " B " 0 5A 100 200 SCALE: 1 " = 100' ALEX AND MARTHA PIER 101 COTTONWOOD DRIVE LOT 2 _���__BLOCK A COTTONV700a_ZSTATES ADDITION VOL, 78225; PG_ 23 P.R.D.C.T. ©= 37'35'46" LoT 1 R= 755.00' gi$�Q L= 495.41' CB =S71' 12'07 "E �9. CD= 486.57' 1 TRACT 1 THE CITY OF COPPELL VOL. 91203, PG. 1489 D.R.D.C.T. ALEX AND MARTHA PIER 101 COTTONWOOD DRIVE *610 sQ IT n C o d � l A= 4 " R= 371.59' L= 28.38' CB= S09'53�43 "E CD= 28.37' `;, EAST 196.27' S89' 58' 02 "W 445.48 11CINESSEY (LINE FOR DIRECTIONAL CONTROL) RPLS 3740 SANDY LAKE ROAD POINT OF (VARIABLE RIGHT - OF -WA _ _ BEGINNING COMMON AREA i d3 i o N M I g NOTES. 1. Bearings are based on the Texas State Plane Coordinate System, North Central Zone (NAD83). 2. Inte g rof pa�ts of this survey. a.Legai Description b. Sketch 3. wners no e & ddres howrl are as ed on �aflas �entra�pprasa� District Information only. RIG Y L: GENTRY, -. R.P:, -S: . TEXAS R G1STR� TI'ON NO. 5519 NOVEMBER 4, 20 DATE: REVISED NOVEMBER 13; 2008 a+ ° i 1 \ LOT 17 LOT 18 W I LOT 19 I LOT 20 I w P, m LOT 16 i O a 0.494 ACRE RIGHT -OF -"SAY EASEMENT Situated in Lot 1, Block A, Cottonwood Estates Addition, City of Coppell Dallas County, Texas . �f1�lYAit Civil Engineenrlg ! Surve yirig I Lanciscape Architecture Pianning ANC 1100 Macon Street Fort Worth TX 75702 L aRO.ECTS. CRLII rs A0w -y_ aw 017) 336-5773 SHEET 2 OF 2 AFFIDAVIT AS TO DEBTS AND LIENS AND PARTIES IN POSSESSION GF #: 0911179 -ALCP SUBJECT PROPERTY: Dallas County, Being a 0.494 of an acre portion of lot 1, block A, Cottonwood Estates Addition,an addition to the City of Coppell. BUYER: The City of Coppell THE STATE OF TEXAS ) COUNTY OF DALLAS } BEFORE ME, the undersigned authority, on this day, personally appeared Alex Pier and Martha Pier personally known to me to be the person whose name is subscribed hereto and upon oath, deposes and says: THAT, to the best knowledge and belief of Affiant: a. The charges of all labor and materials that may have been furnished to the subject property of to the improvements thereon have been fully paid; b. All contracts for the furnishing of labor or materials to the subject property or improvements thereon have been completed and fully paid; c. There are no security agreements or leases affecting the any goods or chattels that have become attached, or that will at any later date become attached, to the subject land or improvements thereon as fixtures that have not been fully performed and satisfied, except the following. Secured Party Approximate Amount NONE d. There are no loans of any kind on the subject property except the following: C redito r NONE Approximate Amount 2. THAT there are no proceedings, or notices of any proceedings, by any agency or authority, public or private, that levies taxes or assessments, which may result in taxes or assessments affecting the subject property and which are not shown by the public records. 3. THERE are no Judgments, Federal Tax Liens, or State Tax Liens against Affiant and/or subject property_ THAT, a. All ad valorem and personal property taxes (if any), all "uses" type business taxes (if any), and association /maintenance type taxes or assessments (if any) that are currently due and payable have been paid or will be paid at closing and are shown on the settlement statements. b. Any of the above referenced taxes which are the obligation of the Affiant, but which are not yet due and payable, have been prorated on the settlement statements based on the best information available at this time, Affiant agrees, within 30 days of receipt of tax/association /maintenance statements from the various taxing /association /maintenance authorities, to adjust, in cash with the buyer, any and actual tax/association /maintenance prorations to coincide with actual taxes /assessments assessed against the subject property. 5. THAT the only occupants of the land are the undersigned Seller /Lessor /Owner. If other than Seller /Lessor /Owner, explain interest held: 6. THAT there are no unrecorded contracts, deeds, mortgages, mechanic's, leases, or options affecting the subject property or improvements thereon; except at follows: THIS affidavit is made to the Buyer and /or Lender and to Allegiance Title Company, as an inducement to them to complete the above referenced transaction, and Affiant realizes that said Buyer and or Lender and Allegiance Title Company are relying upon the representations contained herein; and affiant does hereby swear under the penalties of perjury that the foregoing information is true and correct in all respects, to the best knowledge and belief of Affiant Executed this the 9th day of June, 2010. THE STATE OF TEXAS § COUNTY OF DALLAS § Sworn to and subscribed before me this day Alex Pier Martha Pier 20_, by Alex Pier and Martha Pier THE STATE OF TEXAS § COUNTY OF DALLAS § This instrument was acknowledged before me on this Alex Pier and Martha Pier NOTARY PUBLIC STATE OF TEXAS PRINTED NAME: MY COMMISSION EXPIRES: day of , 20_ by NOTARY PUBLIC STATE OF TEXAS PRINTED NAME: MY COMMISSION EXPIRES: NON - FOREIGN AFFIDAVIT Section 1145 of the internal revenue code of 1986, as amended (the "Code ") provides that a transferee of a U.S. Real Property interest must withhold tax if the transferor is a foreign person. To inform the transferee that withholding of tax is not required upon the disposition of a U.S. real property interest by (the "Transferor "), the undersigned hereby certifies the following on behalf of the Transferor: 1. The Transferor is not a foreign corporation, foreign partnership, foreign trust or foreign estate (as those terms are defined in the Code and treasure regulations promulgated pursuant thereto); 2. The Transfer's U.S. employer identification number /Social Security number is ; and 3. The Transferor's office /home address is 101 Cottonwood Drive, Coppell, Texas 75019 The transferor understands that this certification may be disclosed to the internal revenue service by the transferee and that nay false statement contained herein could be punished by fine, imprisonment, or both. Under penalty of perjury, I declare that I have examined this certification and to the best of my knowledge and belief is it true, correct and complete, and I further declare that I have authority to sign this document on behalf of the Transferor. This affidavit is being given in connection with the sale of the property described on Exhibit "A" attached hereto and made a part hereof, Alex Pier Martha Pier ACKNOWLEDGEMENT FOR NATURAL PERSONS THE STATE OF TEXAS COUNTY OF DALLAS This instrument was acknowledged before me on this by Alex Pier and Martha Pier day of 20_ NOTARY PUBLIC STATE OF TEXAS PRINTED NAME: MY COMMISSION EXPIRES: ACKNOWLEDGEMENT FOR REPRESENTATIVE CAPACITY THE STATE OF TEXAS § COUNTY OF DALLAS § This instrument was acknowledged before me on this as by on behalf of said day of of a TX 20_ NOTARY PUBLIC STATE OF TEXAS PRINTED NAME: MY COMMISSION EXPIRES: AT Non - Foreign Affidavit GF# 0911179 -ALCP Allegiance Title Company 5950 Berkshire Lane, Suite 125 Dallas, TX 75225 214- 373 -3500 Alex Pier and Martha Pier 101 Cottonwood Drive Coppell, TX 75019 SSN /Tax ID: i�.rcin i N? r ScSu d$f-t'.'! - x -:. .... t 7 RIJ, i �I� ;}, r�Srf. i WAN h ei ` .l x V ,' { 1 :{ i i3 },• f }' ..t� �`` Icy ............. .'S.h. }tu.f:•:'1 .:. ^.•:'fl Y•1:... i, „...i i "i :Y,;, x:•. ,�...�. �tl. �.,.... i �.: y,(,,,F,�.. t'� c 4 1 R t FtY 1 3Z1.1.7:Yt '�9 :: l t. I .. cr s -(i.�; ;i ,rz t ,.r�'`?fi:.,... oA2 rt,s`'nt ari,'3s;'�t';.Q�1iR1QI)11i.iftt ' ' i'..u'se}FF. ;F :..:r.:z•.?AI 3 f zn �3f ir�ff'1'u ti �;�lk.rr} - nt�:' <:•t'Sar,� r i' «,.;. of f ... Date of Closing 06/09/2010 Gross Proceeds $93,606.10 Allocation of Gross Proceeds $93,606.10 Buyer's part of real estate tax Address or legal description (including city, state, and Dallas County, Being a 0.494 of an acre portion of lot 1, block A, ZIP code) Cottonwood Estates Addition,an addition to the City of Co ell. Transferor received or will receive property or services No as part of the consideration GF Number 0911179 -ALCP - This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. - You are required by law to provide the Settlement Agent with your correct Tax Payer Identification Number. If you do not provide the Settlement Agent with your correct Tax Payer Identification Number, you may be subject to civil or criminal penalties imposed by law. - Under penalties of perjury, I certify that the number shown above on this statement is my correct Tax Payer Identification Number. I acknowledge receipt of a copy of this statement. Alex Pier Date Martha Pier Date Instructions for Seller/Transferor For sales or exchanges of certain real estate, the person responsible for closing a real estate transaction must report the real estate proceeds to the Internal Revenue Service and must furnish this statement to you. To determine if you have to report the sale or exchange of your main home on your tax return, see the instructions for Schedule D (Form 1040), Capital Gains and Losses. If the real estate was not your main home, report the transaction on Form 4797, Sales of Business Property; Form 6252, Installment Sale Income; and /or Schedule D (Form 1040). Federal mortgage subsidy. You may have to recapture (pay back) all or part of a federal mortgage subsidy if all the following apply: • You received a loan provided from the proceeds of a qualified mortgage bond or you received a mortgage credit certificate, • Your original mortgage loan was provided after 1990, • You sold or disposed of your home at a gain during the first 9 years after you received the federal mortgage subsidy, and • Your income for the year you sold or disposed of your home was over a specified amount. This will increase your tax. See Form 8828, Recapture of Federal Mortgage Subsidy, and Pub. 523, Selling Your Home.