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FORM APPROVEDOMB No. 0575-0088
Form RD 1940-59
(Rev. 10-96)
U.S. DEPARTMENT OF AGRICULTURERural Housing ServiceFarm Service AgencyBORROWER'S LOAN NO:B.A:
SETTLEMENT STATEMENT
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 informational purposes and are not included in the totals.
F. LENDERE. SELLER:NAME OF BORROWER:D.
USDA 
SETTLEMENT AGENT:H.PROPERTY LOCATION:G.PLACE OF SETTLEMENT:SETTLEMENT DATE:I.
J. SUMMARY OF BORROWER'S TRANSACTIONK. SUMMARY OF SELLER'S TRANSACTION400. GROSS AMOUNT DUE TO SELLER:100. GROSS AMOUNT DUE FROM BORROWER:
101. Contract sales price (option price)401. Contract sales price402. Personal property102. Personal property403.103. Settlement charges to borrower (Line 1400)Adustments for Items paid by seller In advance:104. Construction contract priceto406. City/town taxes
105.
407. County taxestoAdjustments for items paid by seller In advance:408. Assessmenttoto106, City/town taxes409.toto107. County taxes410.to108. Assessmentstototo109.411.110.to
420. GROSS AMOUNT DUE TO SELLER:
to111.
500. REDUCTIONS IN AMOUNT DUE TO SELLER:120. GROSS AMOUNT DUE FROM BORROWER:
501. Excess deposit
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
502. Settlement charges to seller
(line 1400)
503. Existing loan(s) taken subject to201. Deposit or earnest money504. Payoff of first mortgage loan202. Principal amount of new loan(s)505. Payoff of second mortgage loan203. Existing loan(s) taken subject to506,204.507.205.508.Adjustments for items unpaid by seller:Adjustments for items unpaid by seller:to210. City/town taxestoto510. City/town taxes211. County taxestoto611, County taxes212. Assessments512. Assessmentstoto213513.toto214.to514.to215.
220. TOTAL AMOUNTS PAID BY OR INBEHALF OF BORROWER:
to515.
520. TOTAL REDUCTIONS INAMOUNT DUE SELLER:
600. CASH AT SETTLEMENT FROM/TO SELLER:300. CASH AT SETTLEMENT REQUIRED FROM/TO BORROWER:
601. Gross amount due to seller
(line 420)
301. Gross amount due from borrower
(line 120)
602. Less reductions in amount due seller
(line 520)
302. Less amounts paid by/for borrower
(line 220)
FROM)603. CASH (FROM)TO) SELLER:TO) BORROWER:303. CASH (((
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden, to U.S. Department of Agriculture, Clearance Officer, STOP 7602, 1400 Independence Avenue, S.W., Washington, D.C. 20250-7602.
Please DO NOT RETURN this form to this address.
Forward to the local USDA office only. You are not required to respond to this collection 
o/ 
information unless it displays a currently valid OMB control number.
$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
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