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adversely affect the title or interest to be insured.
This affidavit is made and given to induce Hand Arendall Harrison Sale LLC to issue a policy of title insurance.
City of Fort Walton Beach Florida
Richard A. Rynearson, Mayor
State of Florida
County of Okaloosa
The foregoing instrument was sworn to and subscribed before me by means of / physical presence or online
notarization, this 23rd day of October, 2020, by Richard A. Rynearson, who is personally known to me or who produced
Drivers License as identification and who did take an oath.
Notary ublic
My, mmissian. Expires:.._, 4J24A.13
KIM M. BARNES
j Noisy Public- Stale W Florida
Commissionr o02e2
W6
K•., My Commission Expires F. b. 17, 2023
Affidavit - Owner- Seller- Corporate( Page 2 of 2 pages)
B. TYPE OF LOAN
A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
1 FHA 2 RAMA ' E CONN'. UNINS.
Hand Arendall Harrison Sale LLC
304 Magnolia Avenue 4. ve s CONV, urs.
Panama City, Florida 32401 e. File Number Loss Number
850- 769- 3434 fax: 850- 873- 3833
20-217HD
El Mang• ge Im Cve No•
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
pot) were paid outside the closing. They are shown herefor itlfornmPoaal mnvases of ire not included in the totals,
David L. Hunter
D. Buyer: 5036 Corsair Terrace
Mineral. Virginia 23117
City ofFort Walton Beach Florida
E. Seller: 107 Miracle Strip Pkwy
Fort Walton Beath. Florida 32548
F. Lender:
Hill Ave
G. Property: Ft Walton Beach, Okaloosa County, Florida 32547
Com se cur the west alg sec line 880.96ft to 0/ 1 of hill ave cont w 50.01 ft to w
H. Settlement Agent: Hand Arendall Harrison Sale LLC
tt a rt: 14u:. 91• ' cviu ':. t.. n= '+ u. a 411 County
1. Settlement Date: October 23. 2020
J. Summary of Buyer' s Transaction K. Summary of Seller' s Transaction
100 Gross Amount Due From Buyer: 1400. Gross Amount Due To Seller:
Contract Sales Price 97.500.00
101. Contract Sales Price 97. 500. 00 f 401.
102 Personal Property 402, Personal Propegv
103. Settlement Charges to Buyer( line 1400) 1. 090.50 403.
Adjustments for Items Paid by Seller in Advance: Adjustments for ltenrs Paid by Seller in Advance:
Cjt.'/ Tnwn Taxes 4 r s es
106.
107. County/ Parish Taxes f 407. County/ Parish Taxes
108 Assessm-y c
1' 1;. sscssu- i t
98. 590. 50 1420. Gross Amount Dne to Seller. 97. 500. 00
120. GroasAmount Due from Buyer:
200. Amounts Paid by or in Behalf of Buyer: 1500. Reductions in Amount Due to Seller:
201. Deposit/ Earnest Money 10, 000. 00 501. Excess Deposit( sec instructions)
502. Settlement Charges to Seller( Line 1400) 5. 535.63
202. Principal Amount ofNcwl, oan
203. Existing Loan( s) 503. Existing Loan(s)
704.
504 Payoff of First Mortgage
205. 505. Payoff of Second Mortgage
206. 506. Purchase Money Mortgage
Adjustments for Items Unpaid by Seller, I Adjustments for Items Unpaid by Seller
210. City/ Town Taxes 1 510. City I Town Taxes
211. County/ Parish Taxes 1511. County/ Parish Taxes
212. Assessments 512. Assessments
1 . 000. 00 520. Total ReductionslnAmount Due Seller: 5. 535.63
220. Total Paid by/ for Buyer.
300. Casb at Settlement from/ to Buyer: 1600. Cash at Settlement to/ from Seller
98. 590. 50 601, Gross Amount due to Seller( lige 420) 97. 500, 00
301. Gross Amount due from Buyer( line 120)
Less Reductions Amount due Seller( line
5, 535. 63
302. Less Amount Paid by/ for Buyer( line 220) 10,000. 00 602. 5201
88, 590.50 603. Cash To Seller: 91, 964. 37
303. Cash From Buyer:
HUD- 1 May 2007
October 21. 2020 0138 AM
File Number: 20- 217HD
Settlement Date: October 23, 2020
L. Settlement Charges
Paid from Paid from
700. Total Sales/ Broker' s Commission:
Buyer' s Seller' s
Based on Price $ 97, 500. 00 * 5. 00% = $ 4, 875. 00
I Funds at Funds at
Division of Commission as follows
Settlement Settlement
701. 4, 875. 00 to Realty Houc Commercial Properties
702.
4, 875. 00
703. Commission Paid at Settlement
800. Items Payable in Connection with Loan; i
801. Loan Origination Fee
802. Loan Discount
803, Appraisal Fee
804. Credit Report
805. Lender' s Inspection Fee
806. Mortgage Insurance Application Fee
807. Assumption Fee
900. Items Required by Lender to be Paid in Advance:
901. Daily interest charge from Oct 23. 2020
902. Morlga_geJpsuranee Premium
903. Hazard Insurance Premium
904. Flood Insurance Premium
1000. Reserves D_eps_
sied with Lender
1001. Hazard Insurance
1002, Mortgage Insurance
1003. City Property Taxes
l
1Q04 County Proaci1 Taxes
005 Annual Assessments
1100. Title Charges:
300. 00
1101. Settlement or Closing Fee to Hand Arendall Harrison Sale LLC
Abstract or Title Search to First American Title Insurance Company
85. 00
1102.
1103. Title Examination
1104, Title Insurance Binder
100.00
1105. Document Preparation to Hath Arcndall Harrison Sale LLC
1106. Notary Fees
1107. Attorney Fees
includes above itcm_Dumbers:
Title Insurance to Hand Arendall Harrison Sale LLC 560. 63
1108.
includes above item numbers:
1109. Lender's Coverage 0.00
1110. Owner' s Coverage 97.500. 00
11119a..Cionta tenL$= tsrdingand Transfer Charges:
Mprtt age 0. 00 Relcascf 0. 00 18. 50
1201. Recording Fees' aced 18 50
Deed 0. 00 Mortgage 0. 00
1202. City/ County Tax/ Stamps:
