HomeMy WebLinkAboutMisc Letters BuyerlSeller
A.Settlement Statement Settlement Statement
B.Type of Loan
Q 1.FHA Q 2.FrnHA Q 3.Cony.Unins. 6.File Number 7.Loan Number 8.Mortg.Ins.Case Num.
Q 4.VA Q 5.Com.Ion. 16.1021
ID:
C.NOTE:This form Is furnished to glue you a statement of actual settlement casts.Amounts paid to and by the settlement agent are sham.Items
marked'(P.o.,-r were pail outside the dosing;they are shorn here for informational purposes and are net included In the tetEds.
O.NAME OF BUYER: Tami Ramaker
Address of Buyer. 900 Juno Ocean Walk,Juno Beach,Florida 33408
E.NAME OF SELLER: Robert J.Beyer,an unremanied widower
Address of Seller. 2909 S 25th St,Ran 226,Fat Pierce,Florida 34981 TIN:
F.NAME OF LENDER:
Address of Lander.
G.PROPERTY LOCATION: 5803 Sunset Blvd,Fort Pierce,Florida 34982
FL SETTLEMENT AGENT: Treasure CoastAbstmct B Title Insurance Co. TIN:59-1718704
Placeof settlement 426 AvenueA,Fat Pierce,Florida 34950 Phone:772A61-7190
I.SETTLEMENT DATE: 311/16 DISBURSEMENT DATE:311/16
.J.S-umma-ry of buyer's transaction K Summa ry of selle r's-transact-ion
100 Gross amount due from buyer:
sell-
. !!actsales price 8,000.004011Conbaet sales price 8,000.00
102.Personal property402.Personal property
103.Settlement charges to buyer(Line 1400) 1,840.95 403.
104. 1404.
105, 1 1405,
Adjustments for items paid by seller In advance, Adjustments forRerns Paid by seller in ad,ance:
105.Cityltavm taxes 406.City/tam tars
107.County taxes 407.County taxes
108. 408.
109. 409.
110. 410.
111. 411.
112• 412.
120.Gross amount due from h er. 9,840.85 420.Gross amount due to seller. ilgxwo
unts paid orm behalf of buyer: 500.Reductions in amount due to seller:
201!D •h a earnest mon500.00 501.Excess deposit see in5tnxifons
202.Principal mount of neo loans 502 Settlement charges to seller line 1400
203.Existing loan(s)taken subject In 503.Existing loan(s)taken subject to
04.Principal amount of semxd mortgage 504.Payoff of first mortgage loan
205. 505.Payoff of second mortgage loan
206. 506.Deposits held seller
207.Principal amt of mortgage held by seller 507.Principal amt of mortgage held by seller
208. 509,
209.. 509.
210.CityAom taxes 510.Cilyhmn taxes -
211.County tars 511.County,texas
212.Assessments 512 Assessments
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
,278• 518.
219. 519.
220.Total paid by/for buyer. 500.00 520.Total reductions In amount due seller. 0.00
301.Gross amount due from buyer 9,840,95 601.Gross amount due to seller 8,000.00
Vine 120) (line 420)
302 Less amount paid byRcr the buyer (500.00) 602.Less total red-pons,in amount due seller 0.00
Vine 220) (line 520)
303.Cash From ❑To )Buyer: 9,340.95 &M.Cash To ❑From )Seller. 6,000.00
Substitute Form 1099 Seller Statement The information contained in blocks E,G.H,and I and on line 401 is Important tax Information and is being
furnished to the IRS.If you are required to file a return,a negligence penalty or ether sanction will be imposed an you if this item is required to be reported and the IRS
determines that it has not been reported.
Seiler Instructions: If this real estate was your principal residence,fie Form 2119,Sale or Exchange of Principal Residence,for any gain,with your tax
return;for other transactions,complete the applicable parts of Form 4797,Form 6262 and/or Schedule D(Form 1040).
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Buyer/Seiler Settlement Statement Page 2
Paid from Paid from
700.Total SalwJBmkers Can,based on price $8,000.00 %= Buyml's Seller's
701, %to Funds at Funds at
702. %to Settlement Settlement
703.Commission paid at settlement
704. to
.rrs Davcible in connection mth loan ---Bme,POC Se,'e,POG
801.Loan o igina8m fee %to
802.Loan distend %to
803.Appraisal fee to
804.Credit report to
805.Lender's inspection fee to
SOS.Mortgage insurance application fee to
807.Assumption Fee to
808. to
809. to
810. to
811. to
900 Items
bv lender to be paid in advance Bu)o'POC Selle,POG
901.Interest from required to /day
902 Mortgage insurance premium for months to
903.Hazard Insurance premhan fm years to
904.Flood insurance premium fa years to
905. years to
iOOO Reserves
1001.Hazard insurance• months® Per month
1002 Mortgage insurance mondns® per month
1003.City property lass months @ per month
1004.County property tars months® per month
1005.Annual assessments months® Por month
1006.Flood Insurance months @ per Month
1007. moths Q per month
1008. months® per month .
1009.Aggregate acmmting adjustment
er
1101.Settlement orclosing fee to Treasure Coast Abstract d Title Insurance Co. 250.00
1102.Abstract ortitle search to ATTORNEYS'TITLE FUND SERVICES,LLC 50.00
1103.TNe examination to
1104.TNe Insurance binder to
1105.Document preparation to
1106.Notary fees to
1107.Attorneys Fees to
(includes above item numbers: )
1108.Title Insurance to Old RePub0c Net Titiefrreasure Coast
100.00
(ntludes atiam item numbers: )
1109.Lender's coverage(Premium):
1110.Owners coverage remium; $8,000.00($100.00)
1111.Endorsar
1112.Title Surcharge to Old Republk:National TNe Insurance Company 3.2811
1113. to
rr
1201.Recoding fees•• Deed $18.50 Mortgage(s) Releases 18.50
1202 City/county tadstarnps Deed Mortgage(s)
1203.State tax/stamps Deed $56.00 mortgage(s) 56.00
1204.Durable PDA to St Lucie County Clerk Of Ckcud Court 78.00
1205.Attaney4n-Fad Affidavit to St.Lurie County Clark of Circuit Court 18.50
rr
1301.Recoding Fee for Jean Beyer DC to SL Lurie CmmtV Clerk of Urcuft Court 10.057-
1302.
0.001302.Certified Copy of DC for Jean 8 to VIW Stausucs 5.00
1303.No-EststeTare DueAfiidavit to SL Lucie County Clark of Circuit Court 10.00
1304.Continuous MaoiageAfrrdawt to SL Lucie Cminty Clerk of Circuit Court 18.50
1305.2015 PippeftyTtates to Sl Lurie County7m Collector
1,223.17
1306. to
1307. to
1308. to
soettlerrent Enemies
1309.
re
Flnter on Tina 103 Section J and 502 Section K 1,7140.95 0.00
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BUYER/SELLER
SETTLEMENT STATEMENT ADDENDUM
Me Number. 151021
I have carefully reviewed the 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.l further
certify that I have received a copy of the Settlement Statement.
Buyer(s)
CY/YYI,I, NUI
Tami Bamaker
Seller(s)
Robert J. Beye ,by BarbaYY. Matthews
his Attorney in Fact
Settlement Agent
The Settlement Statement which I have prepared is a true and accurate account of this transaction. I have
caused or will cause the funds to be disbursed in accordance with this statement.
Treasure Coast Abstract 6 Title Insurance Co.
By: Date: 1I1C
,./_
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,p//�/�•/� t; I
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.
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