Closing Statement

Premises:      
Block:       Lot:       Adjustments as of:      
Closed:       Title No.:      
at office of:      
Bank Attorney:      
The Following Persons Were Present:
     
Title Closer:      Broker:       Mortgage Broker:      
Credit to BUYER: Credit to SELLER:
Purchase Price:                  
Payment on Contract:                  
      1st Mortgage Balance:                  
Purchase Money Mortgage     
Interest @       from       to      
           
      City/State Tax $       Paid to
County Tax     
     
$       Paid to      
           
School Tax $       Paid to      
           
      $       Paid to      
           
                 
Water & Sewer      
     
Fuel/Maintenance            
Rents/Security (See Schedule)            
                 
     
     
     
                 
                 
Credit to SELLER            
Credit to BUYER
     
     
BALANCE DUE SELLER            
DISBURSEMENTS Balance Paid Seller:
                                 
          
     
                 
                       
     
     
           
                       
                       
                       
                       
                       
CLOSING STATEMENT
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