ST9902-ES101005A. Settlement Statement U.S. Department of Housing
and Urban Development
OMB No. 2502 -0265
B. Type of Loan
1. ❑ FHA 2. ❑ FmHA 3. ❑ Cony Unins 6. File Number 7. Loan Number 8. Mortgage Ins Case Number
4. ❑ VA 5. ❑ Conv Ins. 6. ❑ Seller Finance 110 15371 -ALCP
C. Note: This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked
.o.c. " were paid outside the closing; theyy are shown here for informational purposes and are not included in the totals.
D. Name & Address of Borrower E. Name & Address of Seller F. Name & Address of Lender
City of Coppell Garry Randall White CASH
255 Parkway 711 Parker Road
Wylie, TX 75098
Coppell, TX 75019
G. Property Location H. Settlement Agent Name
Allegiance Title Company
0.05 AC EDWARD A. CROW SURVEY ABST NO 301 6030 Sherry Lane
200 W. Sandy Lake Road Dallas, TX 75225 Tax ID: 80- 0338688
Coppell, TX 75019 Underwritten By: First American Texas
J. Summa of Borrower's Transaction K. Sum of Seller's Transact
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101. Contract Sales Price $
$2,000.00 4
401. Contract Sales Price $
$2,000.00
102. Personal Property 4
402. Personal Property
103, Settlement Charges to borrower $
$768.93 4
403.
104. 4
404.
105. 4
405.
Adjustments for items paid by seller in advance A
Adjustments for items paid by seller in advance
106. City property taxes 4
406. City property taxes
107. County property taxes 4
407. County property taxes
108. Assessment Taxes 4
408, Assessment Taxes
109. School property taxes 4
409. School property taxes
110. Othertaxes 4
410. Other taxes
111. Other taxes 4
411. Other taxes
112. 4
412.
113 4
413.
114. 4
414.
115. 4
415.
116. 4
416.
120. Gross Amount Due From Borrower S
S2 4
420. Gross Amount Due to Seller $
$2
200. Amounts Paid By Or in Behalf Of Borrower 5
500. Reductions in Amount Due to Seller
201. Deposit or earnest money 5
501. Excess Deposit
202. Principal amount of new loan(s) 5
502. Settlement Charges to Seller (line 1400)
203. Existing loan(s) taken subject to 5
503. Existing Loan(s) Taken Subject to
204. Loan Amount 2nd Lien 5
504.
205 5
505.
206. 5
506.
207. 5
507.
208. 5
508.
209 5
509.
Adjustments for items unpaid by seller A
Adjustments for items unpaid by seller
210. City property taxes 5
510. City property taxes
211. County property taxes 5
511. County property taxes
211 Assessment Taxes 5
512, Assessment Taxes
213. School property taxes 5
513. School property taxes
214. Othertaxes 5
514. Other taxes
215. Othertaxes 5
515. Othertaxes
216. 5
516.
217 5
517.
218. 5
518.
219 5
519.
220. Total Paid By/For Borrower $
$0.00 5
520. Total Reduction Amount Due Seller $
$0.00
300. Cash At Settlement From/ro Borrower 6
600. Cash At Settlement To/From Seller
301. Gross Amount due from borrower (line 120) $
$2,768.93 6
601. Gross Amount due to seller (line 420) $
$2,000.00
302. Less amounts paid by /for borrower (line 220) $
$0.00 6
602. Less reductions in amt. due seller (line 520) $
$0.00
303. Cash From Borrower $
$2,768.93 1
1 603. Cash To Seller $
$2,000.00
�.c op a� p . ...... ---
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 doe not lend itself to confidentiality.
Previous Editions are Obsolete Page I fo HUD -1 (3/86)
Handbook 4305.2
Place of Settlement 1. Settlement Date
Allegiance Title Company 9/30/2010
6030 Sherry Lane Fund:
Dallas, TX 75225
File No. 1015371 -ALCP
I._ Settlement Charges
700. Total Sales/Broker's Commission based on price $0.00 @ % = 50.00
Paid From
Borrower's
Funds at
Settlement
Paid From
Sellers
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
802. 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 9/30/2010 to 10/1/2010 @ SO /day
902. 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 Company
(includes above items numbers: )
$229.00
1109. Lenders coverage $0.00 1$0.00.
1110. Owner's coverage 52,000.00/5229.00
1111. Escrow fee to Allegiance Title Company
1112. State of Texas Policy Guaranty Fee to AIlegiance Title Company - Coppell
$5.00
$0.00
1113. Tax certificates to Allegiance Title Company
$53.93
1114. Courier/Messenger Fee to
1115. $200 of Title Premium to Integrity Title Company, LLC
1116. Escrow Fee to Allegiance Title Company
$400.00
1200. Government Recording and Transfer Charges
1201, Recording Fees Deed ; Mortgage ; Rel to Allegiance Title Company
1202. City/county tax/stamps Deed ; Mortgage to
1201 State tax/stamps Deed ; Mortgage to
1204. Recording Fee for Right of Way to Allegiance Title Company
$31.00
1300. Additional Settlement Charges
1301. Survey to
1302. Pest Inspection to
1303. Home Warranty Service Contract to
term T.t.t Z.ftlrmpnt Charges (enter on lines 103. Section 3 and 502, Section K)
$768.93
I have carefully reviewed the HUD -I Settlement Statement and to the best of my knowledge and belief; it is a true and accurate statement of ail receipts and
disbursements made on my account or by me in this transaction. 1 further certify that I have received a completed copy of pages 1, 2 and 3 of this HUD -1 Settlement
Statement.
File No. 1015371 -ALCP
City of Coppell
By _
Name: rilA � ` t S
C�
Title: % kA- ej
Randall White
FORWARDING ADDRESS:
SETTLEMENT AGENT CERTIFICATION
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.
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
1001 and Section 1010.
Previous Editions are Obsolete Page 3 form HUD-1 (3186)
Handbook 4305.2