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RC-10-840Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 170277 Permit Number: RC -5 -10 -840 Scheduled Inspection Date: March 01, 2012 Inspector: Bruhn, Norman Owner: SNOW, TIMOTHY AND DAVID Job Address: 12 NE 101 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132060131380 Building Department Comments KITCHEN AND BATHROOM REMODEL Pass2W Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 143176. Insulation must be complete. Electric must be approved. NB �L February 29, 2012 For Inspections please call: (305)762 -4949 Page 11 of 21 Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 g� Permit No. 10 e U"40 Master Permit No. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): (Building Roofmg Owner's Name (Fee Simple Titleholder) David Snow Owner's Address 12 NE 101 ST Phone # 623- 330 -5438 City Miami Shores Tenant/Lessee Name State FL Zip 33138 Phone # Job Address (where the work is being done) 12 NE 101 ST City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11- 3206 - 013 -1380 Zip 33138 Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address N/A N/A kmQ) O Phone # N/A City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) N/A Phone # N/A Value of Work For this Permit $ $10,000 Square / Linear Footage Of Work: 150 sq.ft. Type of Work: ['Addition in Alteration ['New 0 Repair/Replace [' Demolition Describe Work: Kitchen and Bathroom Remodel (Cabinet and Fixtures Replacement) t**** �k�lr **** * * *** *a * * * * * *�Y * *aaaaaa * ** ***pees ** *fir* *fir sir sir * *a4,t,t,t,t it * *,t,t ** * * * *s}irir * * ** a ** Qo Submittal Fee $ SD" OD Permit Fee $ O () CCF $ (0 • 00 Notary $ 5- " V Training/Education Fee $ CO �'�S Technology Fee $ g' 00 Scanning $ Ia -00 Radon $ 01S DPBR $ 0 ' Zoning $ Bond $ Code Enforcement $ Structural Review. $ Total Fee Now Due $ O 64W See Reverse side --> Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A City State Zip Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com ement must be posted at the job site for the first inspection occurs seven (7) days after the building permit is issue absenc of such posted notice, the inspection will not b, approv: d and ; reinspection fee will - charged. Signature Sign Owner or Agent Contractor The foregoing instrument was owled be me this .1=9,,, The foregoing instrument was acknowledged before me this `t day of �' � `'+.i� _ 20 I 0 , by Y I day of , 20 , by who is ersonally . own to me or who has produced ....who is personally known to me or who has produced 1 l 'C 1 identification and who did take an oath. as identification and who did take an oath. C" � N �4- cs NOTARY PUBLIC: I 211) Sign: ' f , c.9. � � -p ` Sr 4• Sig n: n: Print: is ` 5. , "° Print: ,,C stiff '; �„ �, My Commission Expires: IP APPLICATION APPROVED BY: 4; 4 /t) NOT :. ' Ib PUBLIC: My Commission Expires: ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Revised 07/10/07) Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: "bovL & �j i 0 (J ADDRESS: oa /Of 57 DATE: 1 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete. the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and Initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 2. I understand that building permits are not required to be signed by a property owner unless he or she is construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit I understand that I from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name name. I also understand that the contactor is required by law to be licensed in Florida and to list his or permits and contracts. Initial responsible for the /0 5a may protect myself instead of my own nse numbers on 4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial �L 5. I understand that, as the owner - builder, I must provide direct onsite supervision of the construction. Initial , s 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial , �, 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial)' r 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:// www. myfloridalicense .com/dbpr /oro/cil mdex.html Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: NJ /04 s T �R �p Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I Initial, i have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this / 2 day of not , 20 /0 Byuloc) Sww who was personally known to me or who has Prod ere License or p 201t as identification. J.]'M 6l WNER NOTARY STATE OF FLORIDA, COUNTY • DADE I HEREBY CERTIFY that this a py cf the NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 1910 'V TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 111111111111111111111111111111111111111111111 CFN 20110R0333318 OR Bkk 27288 P9 3922i (1P9) RECORDED 05/18/2010 12:37:15 HARVEY RUVII4s CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE 1. Legal description of property and street/address: 0 Of )0 i S`[- /14rawli ` .10 -reS FL 3'' (518 2. Description of improvement: 1-c :4-c the ✓l .Jr VI 1.7 VV\ ; fet CZe s (cte'.e c -t e nT 3. Owner(s) name and address: �v < cA 7 i 1) /2 / E /0/ 5140i/es/FL 3313g Interest in property: '3t vAav / `keE ,cte..vv. e Name and address of fee simple titleholder. 4. Contractor's name and address: L PS t %ec +1r-', C_ 1 v' -. — /l'lcark f, S-t- -' i[awnk,'0^,) c. -- 31'-/o W. Pevnknkegke'`I-+at. 5. Surety: (Payment bond required by owner from contractor, if any) I I& touttda .(e,''*d FL '5.SOC( Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Ex 'ration ate of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ent.: is specified) 4471,e Signature : • ner Print Owner's Name 1::)".V,./>( Sworn to and su ribed before me this Notary Public Print Notary's Na e My commission expires: , 20 Prepared by t&V c A S 4 C9(4) Address: 12 AJj i"t� c \c.$dry /11; AI; 914ete ,V` s '138 123.01 -52 PAGE 4 8/02 Permit No: 10 -8-v Job Name /0Qr _l1 , 2010 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 `Ae�ras110'' A. SETTLEMENT STATEMENT (HUD -1) OMB Approval No. 2602 -0285 B. Tynn of Loan al 6. ®Conv.ins. I 3009340 095- 1618366 -703 C. Note: This farm is furnished to give you a statement of actual settlement oasts. Amounts paid to and by the settlement agent are shown. items marked "(p.o.a.l" were paid outside the °losing; they are shown here for informational purposes end are not bnaluded bathe totais. D. Name & Addresa of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: DAV:m Sacd, NASaEST 1, tICSEPFTZI� ]3 T E7r NATIMI, IR Tsa r SIGN 7007 001/133E BLVD., SOAR 330 12 N.E. 101ST SJ 1' (7J LA3D mix, E&IBA,B 66211 Me SIB, FI RIDA 33138 G. Property Location: H. Settlement Agent:SOPKOVS TITLE 1. Settlement Date: 12 N.E. 101ST STREET SERVICES 03 /19/2010 MAML STORES, F CM% 33138 Place of Settlement:10693. N KENDALL, STE 212, MIAMI, EWE= 33176 J. Summary of Barrows Transaction 100. Grope Amount Due from Borrower 101. Contrnot sales pries 2 250,000.00 102. Personal property 103. Settlement ahargee to borrower (line 1400) 2 20, 870.05 104. 0 0.00 105. Adjustment for items mild by eager in advance 108. City!town taxes to 107. County taxes to J. Summary of Barrows Transaction 100. Grope Amount Due from Borrower 101. Contrnot sales pries 2 250,000.00 102. Personal property 103. Settlement ahargee to borrower (line 1400) 2 20, 870.05 104. 0 0.00 105. Adjustment for items mild by eager in advance 108. City!town taxes to 107. County taxes to 108. Assessments to 109. 110. 111. 112. 120. Grose Amount Duo from Borrower 2 270, 870.05 200. Amounts Paid by or in Behalf of Borrower 201. Deposh ar earnest money 3 3,500.00 202. Principal amount of new loantel 2 245, 471.00 203. Existing bents) taken subject to 204. Second nuri yaye lost! 206. SEfd3R HUD aCIS3143 =IS 1 10,000.00 206. ISNDSR 10L31 WCE CORE 1 102.14 207. 208. 209. Adjustments for hems unpaid by seller 210. City/tawn taxes to 211. County taxes 01/01 /2010 to 03/19/2010 1 1,6E6.00 212. Assessments to 213. 214. 215. 216. 217. 218. 219. 220. Total Paid by/fer Borrower 2 260,758.14 300. Cash at Settlement from/to Borrower 301. Gross amount due from borrower (line 120) 2 270, 870.05 302. Leas amounts paid by/for borrower Rine 220) t t 260,758.1 303. Cash ® Prom ❑ To Borrower 1 10,111.91 1<. Summary of Seller's Tronso ction 400. Grose Amount Due to Seller 401. Contract sales price 250,000.00 402. Personal property 403. 404. 405. Adjustment for hems paid by seller In advance 408. City/town taxes to 407. County taxes to 408. Assessments to 409. 410. 411. 412. 420. Grose Amount Due to Seger 250, 000.00 500. Reduotlona in Amount Due to Sager 601. Excess deposit (see inetruottone) 502. Settlement charges to seller (line 1400) 0.00 603. Existing loentel taken eubjeot to 504. Payoff of first mortgage loan 605. Payoff of eeaond mortgage loan 508. &cool nortgage lase to Boataver 507. 608. 609. Adjustments for hems unpaid by eager 510. City/town taxes to 511. County taxes 01/01/2010 to 03/19/2010 1,685.00 612. Assessments to 513. 514. 515. 518. 517. 618. 519. 620. Total Reduction Amount Due Seger 1,685.00 600. Cash at Settlement totfrom Seger 601. Gross amount due to seller (inc 420) 250,000.00 602. Leas reductions in amount due seller (line 520) f 1,685.0a) 603. Cash ® To ❑ From Seger 248,315.00 The Pubilo Reporting Burden for this collection of information la estimated at 36 minutes per response for coluating, reviewing, and reporting the date. This eganoy may not collect this information, and you ere not required to complete this form, unless h displays a currently valid OMB annual number. No confidentiality is assured; this dieobouro is mandatory. This Is designed to provide the parties toe RESPA covered transaction with !demotion during the settlement process. SETTLEMENT STATEMENT (HUD -1) PREVIOUS EDmONS ARE OBSOLETE HUDI.MSC 01!26110 Page 1 of 3 0ocMagfc Memo 100-849 -1382 www.docmagJ emm The Pubilo Reporting Burden for this collection of information la estimated at 36 minutes per response for coluating, reviewing, and reporting the date. This eganoy may not collect this information, and you ere not required to complete this form, unless h displays a currently valid OMB annual number. No confidentiality is assured; this dieobouro is mandatory. This Is designed to provide the parties toe RESPA covered transaction with !demotion during the settlement process. SETTLEMENT STATEMENT (HUD -1) PREVIOUS EDmONS ARE OBSOLETE HUDI.MSC 01!26110 Page 1 of 3 0ocMagfc Memo 100-849 -1382 www.docmagJ emm L. S©ulument Chargas 700. Total Real Estate Broker Fees Paid From Paid From Sailer's Funds at Settlement Division of commission (fine 700) as follows: Barrower'e 701.0 to Funds at 702 8 to Settlement 703. Commission paid at settlement 704. 800. Iteme Payable In Connaotlon with Loan 801. Our origtnaton charge* 0 3,407.50 (from GFE 11) 802. Your credit or charge Mainte) for the epeollia interest rate chosen 0 1,227.36 (from GFE 12) 803. Your adjusted origination charges (from GFE 14) 4,634.86 804. Appralsel fee to: APPRAISAL SOOPE 425.00 POC/B (from GFE 13) 805. Credit report to: )3C ITATSIL BANK (from GFE 131 22.78 808. Tax service (from GFE 13) 807. Flood certification to: MC =TONAL BFI (from GFE 13) 16.00 808. FLOOD (ERITFI 'III'T (LIFE OF LOAN) to: SRC NATSCNAL BANK 900. Items Required by Lender to Be Paid in Advance 901. Daily Interest charges from 03 /19/10 to 04/01/10 @ 0 33.6262 /day (from GFE 110) 437.14 802. Mortgage insurance premium for 12 months to fi00 (from GFE 13) 4,221.88 903. Homecwner's Insurance for 1 years to C1T32E89 PIC (from GFE 111) 3,926.00 904. 1000. Reserves Deposited with Lender 1001. Inidel deposit for your escrow account (from GFE 19) 2,962.20 • 1002. Homeowner's insurance 1 menthe @ 0 327.17 per month 8 327.17 1003. Mortgage insurance 0 months @ 8 109.83 per month 0 0.00 1004. Property taxes 5 menthe @ 0 656.86 par month 0 3,284.30 1005. months @ 0 per month 0 1008. months @ 0 per month 0 r 1007Aggregate Adjustment - 649.27 1100. Title Charges 1101. Title swvloeu and lender's title Insurance (from GFE 141 1,460.00 1102. Settement or closing fee to: &MOWS TTTLE SHR{TICRS 0 900.00 1103. Owner's title insurance (from GFE 15) 1,325.00 1104. Lender's title insurance to: SOP1 'S TITLE SWIM 0 185.00 1105. Lender's title pokey limit 8 245,471.00 1105. Owner's title policy Iimit 0 315,000.00 1107. Agent's portion of the total title insurance premium 0 1,057.00 1108. Underwriter's portion of the total tide Insurance premium 0 453.00 1200. Government Recording and Transfer Charges • 1201. Government reoording charges (from GFE 07) 139.00 1202. Deed 0 Mortgage 0 Releases 0 1203. Transfer texas (from GFE 18) 1,350.19 1204. City/County tax /stamps Deed 0 Mortgage8 1205. State tax/stamps Deed 8 Mortgaga8 1208.30V. 01 SS0=9113 PPM to: SE'S TITLE SBRV/CE3 139.00 1300. Additional Battlement Charges 1301. Required services that you oan shop for (from GFE 18) 375.00 1302. SURVEY PEE to: SOFHIA'S 1TTLE SERVICES 0 375.00 1303. 0 1304. 1305. MOO Tot Sotttrncnt Chargas (onter on Iihus '103, Suction .1 and 602, Suction K) 20,870.05. 0.00 ' B EcrzIIaer Ste In lerrlsr R. Broker I. Investor 0= Other * In'1lidee Orig�ioal Ibint(1.000% or $2,412.50) **SEE AT1RCHPD Aim! TO ti0D -1. SETTLEMENT STATEMENT (HUD -1) PREVIOUS EDITIONS ARE OBSOLETE HUD1.MSC 01/26/10 Findlam.md Page 2 of 3 DadNeg/c en0279911004494382 www40017raglo.aom • • Camper/eon of Good Faith EsOmate (GPM and HUD -1 Charges Good Faith Estimate HUD -1 Charges That Cannot Increase HUD -1 Line Number 191.50 139.00 Our origination charge 4 801 3,328.50 3,407.50 Your credit or charge (points) for the specific interest rate chosen 4 802 1,227.36 1,227.36 Your adjusted origination ahergee 4 803 4,555.86 4,634.86 Transfer taxes 41203 1,327.05 1,350.19 Charges That in Total Cannot Increase More Than 10% Good Faith Estimate HUD -1 Government recording charges 41201 191.50 139.00 APPRAISAL 4 804 425.00 425.00 SIT REPORT 4 805 23.00 22.78 FILM CERTLFICATION (LIFE OF IOAN) 4 807 16.00 16.00 Nbrtgage insurance prank= 4 902 4,221.88 4,221.88 Title services atrl lender's title insurance 41101 2,273.50 1,460.00 Cur's title insurance 41103 1,850.00 1,325.00 4 4 375.00 4 4 1 To IIncrease between GFt and MUD -1 CIu gas 9,000.88 7,609.66 0 - 1,391.22 or - 15.456 % Charges That Can Change 0 245,471.00 Your loan term is 30.0 years Good Faith Estimate HUD-1 Initial deposit for your escrow remount 0 1,427.57 includes ® Principal ® Interest i7 Mortgage Insurance 41001 4,541.16 2, 962.20 Duly Interest charges 13 days 0 33.63 /day 4 901 784.14 437.14 Homeowner's insurance due In years on . Total monthly amount owed including escrow account payments 4 903 1,200.00 3,926.00 SURVEY' FEE 4 1302 375.00 4 4 Loan Tama Your initial loan amount is 0 245,471.00 Your loan term is 30.0 years Your initial interest rata is • 5.000 % Your initial monthly amount owed for principal, interest, and any mortgage insurance M 0 1,427.57 includes ® Principal ® Interest i7 Mortgage Insurance Can your Interest rate rise? ® No. ❑ Yee, it can rise to a maximum of %. The first change will be an and can change again every after . Every change date, your Interest rate aan increase or decrease by %. Over the life of the loan, your Interest rata to guaranteed to never be lower than % or higher than %. Evan If you make payments on time, can your loan balance rise? ® No. ❑ Yes, It can rise to a maximum of 0 . Even if you make payments on time, can yaw monthly amount owed for principal, interest, and mortgage insurance rise? ® No. ❑ Yes, the Brat increase can be on and the monthly amount owed can rise to 0 . The maximum it can over rlaa to is 0 . Does your loan have a prepayment penalty? ® No. ❑ Yea, your maximum prepayment penalty to 0 . Does your loan have a balloon payment? 1N No. ❑ Yes, you have a balloon payment of 0 due In years on . Total monthly amount owed including escrow account payments ❑ You do not have a monthly escrow payment for items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. ® You have an additional monthly escrow payment of 8 984.03 that results in a total initial monthly amount owed of 0 2,411.60 . This includes principal, interest, any mortgage insurance and any items checked below: ■• Property taxes ® Homeowner's Insurance ❑ Flood insurance ❑ ❑ ❑ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. SETTLEMENT STATEMENT (HUD -11 PREVIOUS EDITIONS ARE OBSOLETE HUD1.MSC 01/26110 Nidi.tam.tad Page 3 of 3 Oara7a9Jadaoorg r fo