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Settlement Statement Optional Form For Transactions Without Sellers Form. This is a Official Federal Forms form and can be use in US Department Of Housing And Urban Development.
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Tags: Settlement Statement Optional Form For Transactions Without Sellers, HUD-1A, Official Federal Forms US Department Of Housing And Urban Development,
OMB Approval No. 2502-0265
Settlement Statement (HUD-1A)
Optional Form for Transactions without Sellers
Name and Address of Borrower:
Name and Address of Lender:
Property Location: (if different from above)
Settlement Agent:
Place of Settlement:
Loan Number:
Settlement Date:
L. Settlement Charges
M. Disbursements to Others
1501.
800. Items Payable in Connection with Loan
801. Our origination charge
(from GFE #1) $
802. Your credit or charge (points) for the specific interest rate chosen (from GFE #2) $
803. Your adjusted origination charges
(from GFE A)
804. Appraisal fee to
(from GFE #3)
805. Credit report to
(from GFE #3)
806. Tax service to
(from GFE #3)
807. Flood certification
1502.
(from GFE #3)
1503.
1504.
1505.
808.
900. Items Required by Lender to Be Paid in Advance
901. Daily interest charges from
to
@$
/day
(from GFE #10)
902. Mortgage insurance premium
for
months to
(from GFE #3)
903. Homeowner’s insurance
for
years to
(from GFE #11)
1506.
1507.
904.
1508.
1000. Reserves Deposited with Lender
1001. Initial deposit for your escrow account
(from GFE #9)
1002. Homeowner’s insurance
months @ $
per month
1003. Mortgage insurance
months @ $
per month
$
1004. Property taxes
months @ $
per month
$
1005.
months @ $
per month
$
1006.
months @ $
per month
1509
$
$
1007. Aggregate Adjustment
1510.
1511.
–$
1512.
1100. Title Charges
1101. Title services and lender’s title insurance
(from GFE #4)
1102. Settlement or closing fee
$
1513.
1103. Owner’s title insurance
(from GFE #5)
1104. Lender’s title insurance
$
1514.
1105. Lender’s title policy limit $
1515.
1106. Owner’s title policy limit $
1107. Agent’s portion of the total title insurance premium
$
1108. Underwriter’s portion of the total title insurance premium
$
1520. Total Disbursed
(enter on line 1603)
1200. Government Recording and Transfer Charges
1201. Government recording charges
1202. Deed $
Mortgage $
(from GFE #7)
Releases $
1203. Transfer taxes
N. Net Settlement
(from GFE #8)
1600. Loan Amount
$
$
1204. City/County tax/stamps
Deed $
Mortgage $
1601. Plus Cash/Check from Borrower
1205. State tax/stamps
Deed $
Mortgage $
1602. Minus Total Settlement Charges $
(line 1400)
1206.
1300. Additional Settlement Charges
1301. Required services that you can shop for
(from GFE #6)
1302.
$
1303.
$
1603. Minus Total Disbursements
$
to Others (line 1520)
1604. Equals Total Disbursements
$
to Borrower
(after expiration of any applicable
rescission period required by law)
1304.
1305.
1400. Total Settlement Charges (enter on line 1602, Section N)
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and
reporting the data. 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. No confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to
a RESPA covered transaction with information during the settlement process.
Previous editions are obsolete
Page 1 of 2
HUD-1A
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Comparison of Good Faith Estimate (GFE) and HUD-1A Charges
Charges That Cannot Increase
Good Faith Estimate
HUD-1A
Good Faith Estimate
HUD-1A
HUD-1A Line Number
Our origination charge
# 801
Your credit or charge (points) for the specific interest rate chosen
# 802
Your adjusted origination charges
# 803
Transfer taxes
#1203
Charges That in Total Cannot Increase More Than 10%
Government recording charges
# 1201
#1201
#1201
#1201
#1201
#1201
#1201
#____
Total
Increase between GFE and HUD-1A Charges
$123456
Charges That Can Change
or
%
Good Faith Estimate
Initial deposit for your escrow account
Daily interest charges
# 901
Homeowner’s insurance
HUD-1A
#1001
# 903
2 /day
$
#1201
#1201
#1201
Loan Terms
Your initial loan amount is
$
Your loan term is
years
Your initial interest rate is
%
Your initial monthly amount owed for principal, interest, and
and any mortgage insurance is
$
includes
Principal
Interest
Mortgage Insurance
Can your interest rate rise?
No.
Yes, it can rise to a maximum of XXX%. The first change will be
on [DATEDATE] and can change again every [DATEDATE] after
[DATEDATE] . Every change date, your interest rate can increase or decrease
by XXX%. Over the life of the loan, your interest rate is guaranteed to never be
lower than XXX% or higher than XXX%.
Even if you make payments on time, can your loan balance rise?
Even if you make payments on time, can your monthly
amount owed for principal, interest, and mortgage insurance rise?
No.
Yes, it can rise to a maximum of $[AMOUNT].
No.
Yes, the first increase can be on
and the monthly amount
owed can rise to $[DATEDATE].
The maximum it can ever rise to is $[DATEDATE].
Does your loan have a prepayment penalty?
No.
Yes, your maximum prepayment penalty is $[AMOUNT .
Does your loan have a balloon payment?
No.
Yes, you have a balloon payment of $[AMOUNT] due in
XXX years on [DATEDATE].
Total monthly amount owed including escrow account payments
You do not have a monthly escrow payment for items, such as property
taxes and homeowner’s insurance. You must pay these items directly yourself.
You have an additional monthly escrow payment of $[AMOUNT]
that results in a total initial monthly amount owed of $[AMOUNT]. This includes
principal, interest, any mortgage insurance and any items checked below:
Property taxes
Homeowner’s insurance
Flood insurance
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.
Previous editions are obsolete
Page 2 of 2
HUD-1A
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