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INTERACTIVE HUD-1 SETTLEMENT STATEMENT

INTERACTIVE HUD-1 SETTLEMENT STATEMENT STATEMENT ( HUD-1 )OMB Approval No. 2502-0265 B. Type of File Number:SAMPLE7. Loan Number:12345678. Mortgage Insurance Case Number:095-12345678 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. Itemsmarked "( )" were paid outside the closing; they are shown here for informational purposes and are not included in the Name & Address of Borrower(s):Jane DoeJohn DoeE. Name & Address of Seller(s):Joseph SmithBarbara SmithF. Name & Address of Lender:XYZ Lending Corporation123 Anytown AvenueAnywhere, FL XXXXXG. Property Location:222 Hometown Avenue #727 AnyTown, FL XXXXXP lace of SETTLEMENT :401 East Las Olas BoulevardSuite 1400 Fort Lauderdale, FL 33301H. Name of SETTLEMENT Agent:Olympia Title & Escrow CorporationI. Closing Date:10-29-2010 Disbursement Date:10-29-2010 J. Summary of Borrower's Transaction 100. Gross Amount Due from Borrower 101.

Settlement Settlement. OLYMPIA TITLE & ESCROW CORPORATION

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