HomeMy WebLinkAbout0085 SEABROOK ROAD S Sib 02,
q.
Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.towil.barnstab]e.ma.us
Pre-application for Business Certificate
Date IOL12 Cg Map Parcel U
Applicant Information
Applicants Name eS
J
Applicants Address �j � � �'? Email Address ,ASS10.&j1r4AjpAZ2��.�� �
Telephone Number 17"0 y3 J ,� Listed ❑ Unlisted 0
Business Information
New Business? _ ________ -l- No
-----------------------------
Business is a registered corporation? ______________ _________. Yes
If yes Name of Corporation
Does business operate under the registered corporate name? Yes No
Is the business a sole proprietorship or home occupation? ______-_- • s No
If yes then a Horne Occupation Registration is required—See Building Division Staff
Name of Business l M pig
Business Address
Type of Business 1/V � A.)Gk
Building Commissioner Office Use Only
C ndition
U 4" C)110IU4
Building Corrunission r C'Aq A �� Date
Cleric Office Use Only
f
Town of Barnstable
Building Department
FSHE rp�� Brian Florence,CBO
O,*
Building Commissioner
BARNSTAaLE, * 200 Main Street,Hyannis,MA 02601
9 MASS.
1639•� �0 www.town.barnstable.ma.us
pjE p A
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: — Gf
HOME OCCUPATION REGISTRATION
Date:
Name: d QS Phone
Address: �J` :� Village: �/�/f/�%l�
Name of Business: O el 14Z rl ti 0
Type of Business: 1 //t/53:� Map/Lot:
G "I
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
reQe3tial volumes;and no increase in air or groundwater pollution.
N*O-registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
f�aing conditions:
U The activity is carried on by the permanent resident of a single family residential dwelling unit,located
U =� within that dwelling unit.
0 LL W
w Such use occupies no more than 400 square feet of space.
vj • There are no external alterations to the dwelling which are not customary in residential buildings,and there
0 O Z is no outside evidence of such use.
_ P • No traffic will be generated in excess of normal residential volumes.
3 a • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
WCc • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess
a CC Q of normal household quantities.
U Q Z • Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
~ W a • There is no exterior storage or display of materials or equipment.
U • There pick-up are no
, Home
Ot other one
Z Cc truck no exceed one ton capacity,and one trailer exceed20 feet length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,ha a read and agree with the ove restriction or my home occupation I am registering.
Applicant: . Date:
Homeoc.doc Rev. 10/17
t� Town of Barnstable *Permit Regulatory Services E
Fees 6 months from issue date
w BARNSPABM • '�
MASS. g, Richard V.Scali,Director ro
D /�
1639. ♦0 ®� V
rED '' Building Division
Paul Roma,Building Commissione-PR M� ' ,
200 Main Street,Hyannis,do0 1 1
www.town.barnstable.ma: .
Office: 508-862-4038 �� Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIALJ EY
/J Not Valid without Red X-Press lnt rint
Map/parcel Number
cProperty Address. $-� 6i2D6k kQCLgj ffeLLA1,411" e,/M ®2 (Q
❑Residential 'f Value of Work$ ��,j Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
cU
�
Contractor's Name— Telephone Telep hone Number 570,81 2 2- 255
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
T`am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# ,
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)1 / T
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to v®U/ La
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
quired.
,SIGNATUREt o
QAWPFILESTORMS\building permit forms\EXPRESS.doc
01/25/17
M 00 _
The Commomveadflt gfMassadrnsetts
Depa hnmt of rndustrid Acdd=tr
f}}�ue o,�' gatians.
' 600 Washingtint Slreef
Boston,MA 621II
imptnmasagosAdia
WCWIM& C Insurance MEavat:B�der-JCuntracWrsJE1eddcians(Phu nbers
Applicant Infw-matian Please Prat
_ n
a Na*q
te �stp �GG Phone tuk�
Are you an employer?:Checkthe appropriate bom Type of project(required):
I.❑ I am a employer m ith 4 ❑I am a general confmctor and I •
• employees(ft1118�Of pail-�e`�.
* lrave hired.the sub=con actors 6- El New oansix�cEio�x
2.❑ I am a sole proprietor orpartuer listed oathe attached sheet. 7. ❑Remodeliug
slip and have no exoployeees These sub-contractors have 9- ❑Demolition
woiddng formae in any capacity. employees andhne wodmrs'
[No Wo6mrs.comp.insurance comp.insuran i g..❑BuMog addition
required 1 . 5. ❑ We are a corpora iim and its 10.❑Electric. repairs or ad&kons
I am a homeDuner doing all wmk officers have e=-ised their 11-❑Plumbing repairs or additions
myself[No work='ODMF_ right of esemgtiou per M(M 12.❑Roofrepairs
ins eregnuedrj T c.152, §1(4h andwe have no
employees-(No WOADE s' 1.3-❑Other
comp.ins ce required-]
"Any appficznt atchecUboa#lmastalsoMoutthesecdonbelowsBnwingthekvimterecompwem+; npa&yjn5==d=_
ffmmeoaraet5 Who sahmit rbfs af5dat igY an=�m s1E Wad sad then lose autyidg caato�tmsnmst SvTo-mit a neW a�daeit iodieabnp writ
ICoahscina ffigr checkthis box mast atterly as additimal sheet a mdng then2me:of the snb-eu=wjoa and state whether or nnttbase eotrtiesbn e
employees.lfthemlb-coal have employers,&ey=stpmmde eir wadms'immp pGhcy mmzlser_
I am an suipIayer Eliot rsprezuidirrg workers'catrlperrsrdirxn utsrirartcs jnr er}a enrPFn3�eex Setoav is tlta prr�icy arrrl job site
irtforrrrahbtl.
Ittsumce:Company Name:
P4ficy 4L or Self-ins-Lim Expiration Date:
Job Sate Address` CitylState!Fp_
Attach a-mpg of the wor1wre corapensationpoHey declaration Rage(shot4ing the policy number and expiration date).
FaR=to securer coverage as required.under Section 25A of MGL m 157 can lead to the imposition of criminal penalties of a
fine up to$UOD OD andfor omi yeirimprisomumt,as well as riuil penalties is the form of a STOP WORK ORDER and a fne
of up#s$250-00 a day abgamst the violator. Be a h ised fimt a copy of this statement maybe forwarded to the Office of
Imuesfigations ofthe DIA,for imsutance coverage s,eriEc aliem..
Ida Zwrwhy cerift B,4dff the psrtah§kF ofl7erjury thatthe ia,f ormaff=prm-rdedabm a 1s true and correct
on.
�Pirone d� —F
dduse Do antivrita to dibarea;ter be-wimpleted by cry artatrn a kat
y or Town:niug Anrify( one)c
L Board of Haft r.BwVmg Deparent 3.CAyrrown Clerk 4.Electrical Inspector S.Plumbing Inspector
C.Other
C'omtoct Person Phone#:
laformation and Instrudions
ha=chweft GCneaal Laws chapfz-M rues all=pIoT=to Xun&waikr&=npensaficn far thew=q)Io'3'ees-
pursaa,,t-W ffiis Stgt[Lt-,,an anphgm!:is dsfined aa"_.every person i a ffie sea vice of another under any contract ofhite,
express or iinplaec�oral Or Writ"
An erV&ym,is ,eifined as"�indxvidnaI,partnership,assoc�iion,�P�On az other Iegal a City or auy ttvo or more
of the foregoing=gaged is a Joint ,and inchding the legal reptese�atrve s of a deceased employOW or the
rrceivw or trustee of an mcfxvidnal,Pam,assocfiff a or otherlegal entity,employing��Y - $oWever the
owner of a.dw6lLbag house having not more than three aparimeats and who resides ffiercia,or the o=4;ant of tbz -
dweMag house of ano her Who employs pexsans to do maintenance,con*acfiaa or repair WO&on such dwelling house
or on the grounds or building appmhmmot thereto shall not because of such employment be deemed to be an employer."
MM cbaptea 152,§25C(6)also stares that"every stain or local si g liicen agency shall withhold ffie issuance or
renewal of a Eceme or permit to operate a business or too constru'cttb gs bw1diu in the corumouvPealfh for any
applicant:Who has not produced acceptable evidence of compHan—with the insurance.coverage requwed.
Additionally,MCsI,chapter 152,§25CM states-Neither the,c®moavPCaNhnor�Y ofitspoIitical subdivisions shall
ester into any contaart for the performances ofpublie Vo uoi�I astable e4idence of compliaacewith the insurance.
require .=ts of this chapter have been presented to the contracting arfhoatY"
4PHcants
Please f a out tlae wor3=s'compe�tion a$davit completely,by rherTCmg$ire bodes apply to your situation anti,if
sob�ontractor(s)name(s), address(es)andphonemimber s) alongwiththear=tficat-e(s) of
n s�Y, P1Y ddes s wIth In ees other than the
insurance. Limited.Liability Companies(LLC)or Limited Liability Partw=s1ap 9 ). e Y
members or partneas,are,not regainA to ca3ay worke&compensation insu ranca. If a i LLC or LLP does have
loyees,apoIia:yisregau-ed. Beadvisedthatthisaffi e
dayifmaybsabm e itfndtothDeparfinentof Industrial
emp
Accidents for con�xmation offimn= a coverage: Also be sure to sign and date the affidaYit The affidavit should
be mtoined to ffie city or town that the application for the permit or license is being rogacstxL not the Department of ;
lndustrialAccidents. Slouldyou have;any questions regmnag the law or ifyou are,rmpzed to Obtain.&wOrkrO'
ccmp=aticm.policy,please call the Department ent at the number listed below. SeW-ksured companies should enter their
self-;nsaxance license number ao.the approp!za line.
City ar Town OfaciaLs
f
Please be sate that the affidavit is complete and prfiftd-legfly. The Dep has provided a space at the bott=
of the affidavit for you to ffi1 out in the event the Office ofInvestigations has to con aztyoaregardmg the applicant.
Please:be,sure is fill in the pem iW]icense mnnber which wM be used as a reference number. In addition,an applicant
that must submit mullPIe pet nWhcense appht atons m any given year,need only submit one affidavit indicating
policy information (if n scary)and under`Job Site Ad&ess"the applicant should wrhe"alL locations in (�Y or
town)-"A copy of the-affidavit that has beca officially stamped or marked by the city or town may be provided in the
applicant as proofthat a valid affidavit is on fSle for fizlnre pe®zt�or licenses A new afEidavhmust be felled oit each
year.Wheae ahome ovPner or ciii=is obtaining alicense or pe=itnotrelatedpD anybn��or commercialv6abro
(Le.a dog license or or pemrt to bun leaves etc_)said person is NOT wed �mpl e�this affidavit:
The Office oflnvestiga�nWWouldhketnf "kyoumadvanceforyourcooperation and should-youhave any-gamfzons,
please do not hesitate to give us a call.
The Departmmfs addtess�tr llephona and fax runnber_
' • �� n of 1l�assa.�hu�tfs . ' -
Dqpament Gf lids Agents
office of IWedk%_d=
6W Ww3bbabM StCrId -
B MA 02111
Ted..4#617' -4900 m t406 or 1477 MASK F
Fax 9 617-727-7749
Revised 4-24-07 g
Town of Barnstable
Regulatory Services
KAM Richard V.Scab,Director
Building Division.
Paul Roma,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230_
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf:,
in all matters relative to work authorized by this building permit application for.
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature-of Owner Signature of Applicant
Print Name Print Name
Date
UORMS:OWNERPERMISSIONPOOIS
f
Town of Barnstable M .�
.Y
Regulatory Services
oOFt Richard V.Scali,Director
Building Division
s�atvsresia Paul Roma,Building Commissioner
MAW
��� 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 - Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE; /� (� ,�/ /U/�
.JOB LOCATION: �,S�Q 6 h D�� eb rT l C"/ 5 1 /�� Q
number street �— village
� Iolv>EOWNER„: o 2 - 2�s�
name home phone# work phone#
CURRENT MAILING ADDRESS:k
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be reMonsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
proced and requir en and that he/she will comply with said procedures and requirements.
v
Signature of Homeowner'
Approval of Building Official
Note: Three-family.dwellings containing 35,000 cubic feet or larger will be required to.comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing.Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
06/20/16
Settlement Statement
Y
L.Setttllement Charges
,3-
';. . ..,.�. -.., �. -. . • - Paid From Paid From
Division of Commission(line 700)as follows: Borrower's Seller's Funds
701. $ 5,700.00 to Wm Ravels Real Estate(holding$11,000 dep) Funds at at Settlement
702. $ 5,700.00 to Today Real Estate Settlement
703. Commission paid at Settlement
704. Total deposit$11,000-Held by Wm Ravels RE to Total Commission-$11,400-Bal of commiss 400.00
705. to
801. Our origination charge (from GFE#1)ry
802. Your credit or charge(points)for the specific interest rate chosen (from GFE#2)
803. Your adjusted origination charges (from GFE A)
804. Appraisal fee to (from GFE#3)
805. Credit report to (from GFE#3)
806. Tax service to (from GFE#3)
807. Flood certification to (from GFE#3)
808. to
809. to
810. to
811. to
812. to
813. to
�`'i7
901. Daily interest charges from to @ /day days (from GFE#10)
902. Mortgage insurance premium for mo.to (from GFE #3)
903. Homeowner's insurance for yrs.to (from GFE#11)
904. yrs.to
rOO RI8 . D,,., t C kffi.0 r 1d rsffit.,_-:-
1001. Initial deposit for your escrow account (from GFE#9)
1002. Homeowner's Insurance months @ per month
1003. Mortgage Insurance months @ per month
1004. City property taxes months @ per month
1005. months @ per month
1006. months @ per month
1007. months @ per month
1008.Aggregate Adjustment
t a H
1100 Tale,L,llarge$ter.�•.,'+ ;`£,;�,E.aa.. '.z., � fi.'.,v .s,0e. , _10!'&N NT
1101.Title services and lender's title insurance (from GFE #4) 1,175.00
1102. Settlement or closing fee to Pelletier Law Group 1,176.00
1103.Owner's title insurance First American Title Insurance Co (from GFE #5) 760.00
1104.Lender's title insurance
1105.Lender's title policy limit$
1106. Owner's title policy limit$ 190,000.00
1107.Agent's portion of the total title insurance premium $ 532.00 to Pelletier Law Group,LLC
1108. Underwriter's portion of the title insurance premium$ 228.00 to First American Title
1109. MLC Request to Town of Barnstable 50.00
1110.Wire-Courier-Mist to Pelletier Law Group 100.00
1111.Title Search-Commitment to Pelletier Law Group 175.00
11.12. to
1113. to
Fr.. .�tc"` r x-r 7",.,S-
12000overnment�Recrtlln antlT,ransferChar esi ` � g., ys .f� F
9 g, �_ ..
1201.Government recording charges - - (from GFE#7) _ 125.00
1202.Recording fees: Deed: 125.00 Mortgage: Releases: 0.00
1203.Transfer taxes (from GFE#6) 0.00
1204.City/county tax stamps: Deed: Mortgage:
1205.State tax/stamps: Deed: 1,231.20 ; Mortgage: 1,231.20
1206. MLC;Amend Trust;Ctf of Trust to Barnstable ROD 215.00
1207.Ctf of Trust/Death Cert/65C aff to Barnstable ROD 225.00
1208.Seller Attorney Fee to Charles Sabatt,Esq
,I -. -u:�. �. ....a x'F3a+". :.�� ah N. 11
;11300 Adtllttonal�Set�le ent Char es������ � ,;�, � z � ��� �x �a,,�,w,,,,_,,�
.v�..d,t- �.,���..,.��.rom ���.. ,.�._9.. ,. ,- .,. . Ys.�s,� ...,, ,w.,<.... >, � �.�u�, <�.. ?,> ,. •.� ..�a
a '1301, Required services that you can shop for (from GFE#6) 0.00
1302. RE Tax-2014 to Barnstable Tax Collector 5,091.99
1303.RE Tax-2015 to Barnstable Tax Collector 4,669.11
1304. RE Tax-2016 to Barnstable Tax Collector 3,450.28
1305. RE Tax-2017 to Barnstable Tax Collector 4,456.59
1306. Unpaid Water to Barnstable Water Dept 362.62
1307. Unpaid Betterment/Special Assessment to Barnstable Tax Assessor 8,059.95
Ik400TTQ#al,Settlement3Charges(e�tern0nes103 Seatidn J and=502;Sectlon.K ' "� $2,600.00 $27,946.74
ave carefully reviewed the Settlement a emen ana to the Dest of myKnowledge and beliet,it Is a true and accurate statement ot all receipts and disnurspmiznto mnrip on
my account or by me in this transaction. 1 further certify that I have received a copy of the HUD-1 Settlement Statement(pages 1,2 and 3).
Borrowers Sellers
The A&M Rivera Trust,Aida Rivera and j Cathy Q.Sabatt,Trustee
uro Rivera,Trus
1 � L-, I
l
i
€ Date:0411419017
Settlement Agent
WARNING It is a crime to kn ingly make fal a statements to the d States on this or any other similar form.PenP`ties upon evious editions aren can obsoteteinclude a fine HUD-and imprisonment.
For details see:Title 18 U.S.Code Section 1001 and Section 1010.
A. Settlement Statement (HUD-1)
OMB No.2502-0265
B Type of Loan
1. ❑ FHA 2. ❑ RHS 3. ❑ CONY.UNINS. 6.File Number: 7.Loan Number: 8.Mortgage Ins.Case No.:
4. VA CONV. INS. Rivera,Aida-Mauro
❑ 5. ❑ Hvannis
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"(p.o.c.)"were paid outside the closing;they are shown here for informational purposes and are not included in the totals.
D. Name and Address of Borrowers: F.Name and Address of Lender:
The A&M Rivera Trust,Aida Rivera and Mauro Rivera,Trustees
34 Strawberry Hill Road,Centerville,MA 02632 none
MA
E. Name and Address of Sellers: H.Settlement Agent:
Cathy Q.Sabatt,Trustee
of the Beetiecat Real Estate Trust,540 Main Street,Hyannis,MA 02601 Pelletier Law Group,LLC
775 Pleasant Street,Unit 17
Weymouth, MA 02189
Phone Nbr:
G.Property Location: Place of Settlement:
85 Seabrook Road I.Settlement Date: Pelletier Law Group,LLC
Hyannis,MA 02601 04/14/2017 775 Pleasant Street,Unit 17
Disbursement Date: Weymouth, MA 02189
04/14l2017
1 .SuMin ry�o#kBOrr Y1�e" nsactlon�� � °�� s' S df=S er' ;'
f N .. . 9rd.._-..._ � � .. ,� - _ ����Q_ �. uinma e I .SvTr�.Odctton �
100: Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101.Contract sales price 190,000.00 401.Contract sales price 190,000.00
102. Personal property 402. Personal property
103.Settlement charges to borrower(line 1400) 2,600.00 403.
104. 404.
105. 405.
=�Ad tsfnents fo�zitems` aidtb seller in-advance�`��F ,� � � Aid ustments f.Or�ite: s aid�b'```seller`lnsatlVance K ��.�s=,�- `�.: ���°_
'pg g n v
, .:,«.x, ,a �ca.:>x,Fbrrr.°r,..a✓. ..,.., ..��a k&�:. .. ,,,6,�.�sJ„aaaw.�;., ....cxs. - .,� -k TS..:a .A� a..ss_,°x. .. a.-,;: .z, _ z�;.r3 .^sa,k�",mk'�,.�.,.�r,
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.RE Tax from 4/12-6/30/17-47 days-8.05 378.44 409. RE Tax from 4/12-6/30117-47 days-8.05 378.44
110. 410.
111. 411.
112. 412.
120.Gross Amount Due From Borrower $192,978.44 420.Gross Amount Due To Seller $190,378.44 l
-�.,h � -`fs,-�::;:44 -. -x,;.:�:tv ;x.* s.:s •;.�:x4 ,,,,�:., ,,,a ze:, ,i. ',tesa'z s };�.-3v ,�5r,7.....� '^ �� ;,s,?:' «,��. °q,'
2i]0 Amounts Pa d g CS`P�In Behalf Of�Bocrower ;. ��g� � <s=� o I A� t ,1 o tiller
.-�„Fc T.;.,n#..r�F: �s €,.�.y.x�.x�.✓Mye,riPar,^r�.z*s,.va:r,.,.;�;�3+a;�..,<."�<z.�6v�.. �,s `>'�z'i�:.��- ,....x�s'�'1:..,.£xay.Ems .;.�:X,a.-;rel«;;,k'«.�'ax��_.,r.x:��x-...t�i.�? ,�,<.;;4... �>; s;a: �':5'a`.'.t' at.�s .ssx.�-�.ra... _
201, Deposit or earnest money 11,000.00 501. Excess deposit(see instructions)
202. Principal amount of new loan(s) 0.00 502.Settlement charges to seller(line 1400) 27,946.74
203. Existing.loan(s)taken subject to 503. Existing loan(s)taken subject to -_
204. Refi Loan Proceeds-34 Strawberry Hill 99,670.02 504. Payoff 1 st Mtg Ln
205. 505. Payoff 2nd Mtg Ln
206. 506. Deposit held by Broker 11,000.00
207. 507.
20$. 508.
1209. 509.
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210.City/town taxes to 510. City/town taxes to
211.County taxes to 511.County taxes to
"Is 212.Assessments to 512.Assessments to
213. 513.
214. 514.
215. 515.
216. 516.
217, 517.
218. 518.
219. 519.
220.Total Paid By/For Borrower $110,670.02 520.Total Reductions Amount Due Seller $38,946.74
301. Gross amount due from borrower(line 120) $192,978.44 601.Gross amount due to seller(line 420) $190,378.44
302. Less amount paid by/for borrower(line 220) ($110,670.02) 602. Less reductions in amount due seller(line 520) ($38,946.74)
303.CASH 0 FROM ❑ TO BORROWER: $82,308.42 603.CASH ❑✓ TO ❑ FROM SELLER: $151,431.70
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 selling process.
Previous editions are obsolete HUD-1
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