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_ ~ ~ --T Paid From :.Grrowat•s ~ Paio Fron: S2 v- a ; c Funds At Settlement Funds At Sat:.er^c'+. _ . „T.:L SaL _Si. ~ Jr:~RS CGt: i'.11SSlQV b:.sed on price @ i Diiisio» o/ Cunrnission (line 7001 u /o/lo?vs: E 701. S to t j ; 702. S - - to 703. Commission Paid at settlement 704. F-- ~ 800. ITEMS PAYABLE IN CONNECTION WITH LOAN - 801. loan Origination fee % F 802. Loam Discount % 803. Appraisal Fee to i 804. Credit Report to 805. Lender's inspection fet 806. Mortgage Inwrarrce application tae to 807. Aswmption faa 808. aos. . ato. sl t. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE - - 901. Interest from to @ S /day j 902. Mortgage inwrance premium for mo. to r 903. HazaM inwrance premium for yrs, to r-904. yr:. to 905. 1000. RESERVES DEPOSITED WITH LENDER t 001. • Hazard inwrarxe mo. @ S /mo. 1002. Mortgage inwrance mo. @ s /mo. . 1003. City property taxes mo. @ S /mo. t 004. County property taxes mo. @ S /mo. 1005- Annual assessments mo. @ S /mo. t 006. mo. @ S /mo. t GO 7- mo. @ S /mo. j t 003. mo. @ S /mo. t 100. TITLE CHARGES: 1 tat. Settlement or closing fee to I t 102. Abstract or tine search to j 1103. Tide examination to - 7 ~ 04. .Title inwrance binder to 1 105: Document preparation to - 7106. Notary fees to i 1107. Attorney's fees to ' i /includes above items No. I~ ' 108. Title insurance to le 8 OA 35.00 231.00 /includes above items No. 1 ' t 109. Lender's coverage S ~ 7 1 7 0. Ov~mer i coverage S 1111. i 1112. 'r- - ttt3. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES t 201- Recording tees: Deed S Mort S ~cr~~ RNeases = 17 . 1202- City/County tax/stamps: Deed S 112.00 Mart S 34 .)tI 7203. Statetaz/stamps:OeedS Mort S 12oa. 2 4.00 4.00 t zos. 4 17.60 1300. ADDITIONAL SETTLEMENT CHARGES ~ i 1301. Survey to 1302. Pest inspection to 1303. h ~ 7304. 1305. t 1400. TOTAL SETTLEMENT CHARGES lentei on /roes 103, Section J and 50?, Section K/ 1 3(~}~ (~Q ~ The Undersigned Adtnowledges that they have examined, approved and received a copy of this stateme~nj,~~.ltereby authorize disbursement 1 ac required to complete this transaction. FIRS OF 3~"ESTA~E Og CAR90r1 SUPrI~Id, ~C'D. s f e i i wPwwowrww~w wwww~ ` ~ ws~aw ow wwwwe ~ 7 2© •oww wow woe ~ r p ~ 19~~~~GR~,~''- ~ ~R1f 1f FOaM 91•lll-2 035 9-111-0000/1 • ~tl{JIl PAtii ~ r -