FINAL
STATEMENT ON REAL PROPERTY
SALE BY
BROKER - (TYPE 1)
Property
location:
______________________________ Date:
___________________ Seller:
_________________________ Address:
______________________________ Buyer:
_________________________ Address:
______________________________ Attorneys: ____________________________ Date of Closing: __________________ Date of Sale
Contract: __________________ Place of
Closing: __________________
Due Seller Credit
Buyer
Sale
Price: $ _____________________ __________
Down
Payment: $_________________ __________ __________
Subject
to First Mortgage
Principal:
$ _________ Interest: $ _____ __________ __________
Subject
to Second Mortgage
Principal: $__________ Interest: $_____ __________ __________
Subject
to Land Contract
Principal: $ __________ Interest: $ ____ __________ __________
Delinquent
Taxes (if assumed)
for
Years _______________ __________ __________
Tax
Adjustment: ___ (Year),
prorated
from ____ to ____
(Last
Years Tax: $________) __________ __________
Future
Installments of Special
Assessments
(if assumed): _____ __________ __________
Insurance
Premiums prorated _______ __________ __________
Rent
prorated _______________ __________ __________
Coal: _________
tons, $ ______________
Oil: __________
gals. $ ______________
Recording
Fees: __________________ __________ __________
Documentary
Stamps: ____________ __________ __________
Allowances
for: __________________ __________ __________
TOTAL
__________ __________
LESS
CREDIT TO BUYER ____________________
BALANCE
DUE SELLER ____________________
BALANCE
OF $ ___________________ DUE SELLER AS FOLLOWS:
Land
Contract Mortgage executed this day to
Seller: ___________________________ __________
Check
or Cash to balance: __________ __________
TOTAL
__________ __________
______________________________________
(Signature
of broker)
______________________________________
(Signature
of buyer)
______________________________________
(Signature
of seller)