A. Settlement Statement
EX-10.16 4 v217453_ex10-16.htm
A. Settlement Statement | U.S. Department of Housing | OMB Approval No. 2502-0285 | ||||||||
and Urban Development | ||||||||||
B. Type of Loan |
1. FHA 2. RHS 3. Conv. Unins. | 6. File Number | 7. Loan Number | 8. Mortgage Insurance Case Number | ||||||
4. VA 5. Conv. Ins. | 10-0728 | ||||||||
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agenet are shown. Items | |||||||||
marked "(p.o.c)" were paid outsie the closing; they are shown here for information purposes and are not included in the totals. | |||||||||
D. Name and Address of borrower | E. Name and Address of Seller | F. Name and Address of Lender | |||||||
Lakeland Industries, Inc. | Harvey Pride Jr. | ||||||||
834 3rd Avenue | 202 Pride Lane, SW | ||||||||
New York, NY 10022 | Decatur, AL 35603 | ||||||||
G. Property Location | H. Settlement Agent | ||||||||
201 Pride Lane, SW | NOWLIN & ASSOCIATES, LLC | ||||||||
Decatur, AL 35603 | |||||||||
Place of Settlement | I. Settlement Date | ||||||||
118 Moulton Street East 1st Floor | 6/29/2010 | ||||||||
Decatur, AL ###-###-#### | DD: 06/29/10 | ||||||||
J. SUMMARY OF BORROWER'S TRANSACTION: | K. SUMMARY OF SELLER'S TRANSACTION: | ||||||||
100 | GROSS AMOUNT DUE FROM BORROWER | 400 | GROSS AMOUNT DUE TO SELLER | ||||||
101 | Contract Sales price | 250,000.00 | 401 | Contract sales price | $250,000.00 | ||||
102 | Personal property | 402 | Personal property | ||||||
103 | Settlement changes to borrower (line 1400) | 2,317.00 | 403 | ||||||
104 | 404 | ||||||||
105 | 405 | ||||||||
Adjustments for items paid by seller in advance | Adjustments for items paid by seller in advance | ||||||||
106 | City/town taxes to | 406 | City/town taxes to | ||||||
107 | County taxes to | 407 | County taxes to | ||||||
108 | Assessments to | 408 | Assessments to | ||||||
109 | 409 | ||||||||
110 | 410 | ||||||||
111 | 411 | ||||||||
112 | 412 | ||||||||
120 | GROSS AMOUNT DUE FROM BORROWER | 252,317.00 | 420 | GROSS AMOUNT DUE TO SELLER | $250,000.00 | ||||
200 | AMOUNTS PAID BY OR IN BEHALF OF BORROWER | 500 | REDUCTIONS IN AMOUNT TO SELLER | ||||||
201 | Deposit or earnest money | 1,000.00 | 501 | Excess Deposit (see instructions) | $1,000.00 | ||||
202 | Principal amount of new loan(s) | 502 | Settlement charges to seller (line 1400) | $1,825.00 | |||||
203 | Existing loans(s) taken subject to | 503 | Existing loan(s) taken subject to | ||||||
204 | 504 | Payoff of first mortgage loan | $144,066.58 | ||||||
BBVA Compass | |||||||||
205 | 505 | Payoff of second mortgage loan | |||||||
206 | 506 | ||||||||
207 | 507 | ||||||||
208 | 508 | ||||||||
209 | 509 | ||||||||
Adjustments for items unpaid by seller | Adjustments for items unpaid by seller | ||||||||
210 | City/town taxes to | 510 | City/town taxes to | ||||||
211 | County taxes to | 511 | County taxes to | ||||||
212 | Assessments to | 512 | Assessments to | ||||||
213 | Purchaser will pay 2010 Property Taxes | 513 | Purchaser will pay 2010 Property Taxes | ||||||
214 | 514 | ||||||||
215 | 515 | ||||||||
216 | 516 | ||||||||
217 | 517 | ||||||||
218 | 518 | ||||||||
219 | 519 | ||||||||
220 | TOTAL PAID BY / FOR BORROWER | 1,000.00 | 520 | TOTAL REDUCTION AMOUNT DUE SELLER | $146,891.58 | ||||
300 | CASH AT SETTLEMENT FROM OR TO BORROWER | 600 | CASH AT SETTLEMENT TO OR FROM SELLER | ||||||
301 | Gross amount due from borrower (line 120) | 252,317.00 | 601 | Gross amount due to seller (line 420) | $250,000.00 | ||||
302 | Less amounts paid by/for borrower (line 220) | 1,000.00 | 602 | Less reduction amount due to seller (line 502) | 146891.58 | ||||
303 | CASH FROM: BORROWER | 251,317.00 | 603 | CASH TO: SELLER | 103108.42 |
SUBSTITUTE FORM 1099 SELLER STATEMENT: The information contained herein is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence or other sanction will be imposed on you. If this item is required to be reported and the IRS determines that it has not been reported. The Contract Sales Price describned on (Line 401) above constitues the Gross proceeds of this transaction.
SELLER INSTRUCTIONS: To determin if you have to report the sale or exchange of your primary residence on your tax return, see the Schedule D (Form 1040) instructions. If the realestate was not your primary residence, complete the appolicable parts of Form 4797, Form 6252 and/or Schedule D (Form 1040)
You are required by law to provide the settlement agent with your correct raxpayer identification number. If you do not provide your correct number, you may be suject to civeil or criminal penalties by law. Under penalties of purjury. I certify that the number shown on this statement is my correct taxpayer identification number.
06-25-2010 at 2:10 PM | form HUD-1 (3/86) ref Handbook 4305.2 |
L. SETTLEMENT CHARGES: File Number 10-0728 | PAID FROM BORROWER'S FUNDS AT SETTLEMENT | PAID FROM SELLER'S FUNDS AT SETTLEMENT | |
700 | TOTAL SALES/BROKER'S COMMISSION based on price $ @ = | ||
Division of commission (line 700) as follows: | |||
701 | $ to | ||
702 | $ to | ||
703 | Commission paid at Settlement | ||
704 | |||
800 | ITEMS PAYABLE IN CONNECTION WITH LOAN P.O.C. | ||
801 | Loan Origination Fee % | ||
802 | Loan Discount % | ||
803 | Appraisal Fee to | ||
804 | Credit Report to | ||
805 | Lender's inspection Fee to | ||
806 | Tax Service Fee to | ||
807 | Underwriter Fee to | ||
808 | |||
809 | Document Preparation | ||
810 | Courier Fee | ||
811 | |||
812 | |||
813 | |||
814 | |||
815 | |||
900 | ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE | ||
901 | Interest from to @$ /day | ||
902 | Mortage Insurance Premium to | ||
93 | Hazard Insurance Premium yrs. to | ||
904 | |||
905 | |||
1000 | RESERVES DEPOSITED WITH LENDER FOR | ||
1001 | Hazard Insurance mo. @$ /mo. | ||
1002 | Mortgage Insurance mo. @$ /mo. | ||
1003 | City property taxes mo. @$ /mo. | | |
1004 | County property taxes mo. @$ /mo. | ||
1005 | Annual Assessments mo. @$ /mo. | ||
1006 | Flood Insurance mo. @$ /mo. | ||
1007 | mo. @$ /mo. | | |
1008 | Aggregate Reserve for Hazard/Flood Ins. City/Count | ||
1100 | TITLE CHARGES | ||
1101 | Closing fee to | ||
1102 | Abstract or title search to | | |
1103 | Title Search to Real Estate Title Services, LLC | 125.00 | |
1104 | Title insurance binder to | ||
1105 | Document Preparation to | ||
1106 | Notary fees to | ||
1107 | Attorney's fees to Nowlin & Associates, LLC | 450.00 | |
(inclues above item No: | |||
1108 | Title insurance to CTIC/Nowline= & Associates, LLC | 805.00 | |
(inclues above item No: 1104 | |||
1109 | Lender's coverage | ||
1110 | Owner's coverage 250,000.00 - 805.00 | ||
1111 | release Tracking and Search | ||
1112 | |||
1113 | |||
1200 | GOVERNMENT RECORDING AND TRANSFER CHARGES | ||
1201 | Recording fees Deed $ 12.00 :Mortgage $ : Releases $ | 12.00 | |
1202 | City/county/stamps Deed $ : Mortgage $ | ||
1203 | state tax/stamps Deed $ 250.00 :Mortgage $ | 250.00 | |
1204 | |||
1205 | |||
1300 | ADDITIONAL SETTLEMENT CHARGES | ||
1301 | Survey Fee to N/A | ||
1302 | Termite inspection to N/A | ||
1303 | Appraisal Fee to: L.B. Wright & Son | 1,250.00 | 1,250.00 |
1304 | |||
1305 | |||
1306 | |||
1307 | |||
1308 | |||
1400 | TOTAL SETTLEMENT CHARGES (enter on lines 103 and 502, Sections J and K) | 2,317.00 | 1,825.00 |
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a tru and accurate statement of all receipts and disbursements made on my account or by me in the transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement
Lakeland Industries, Inc. | ||
By: | /s/ Christopher J. Ryan, CEO | |
By: | /s/ Harvey Pride, Jr. | |
Nowlin Associates, LLC | ||
By: | /s/ H.M. Nowlin |
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 or Imprisonment.
For details see Title 18 U.S. Code Section 1001 and Section 1010.
06-25-2010 at 2:10 PM | form HUD-1 (3/86) ref Handbook 4305.2 |