LPA1617 Real Estate Transactions Closing Statement
REAL ESTATE TRANSACTIONS CLOSING STATEMENTlpa1617 09/2011 (Replaces LPA3013) Ch. 84 Wis. Stats.Transferor/Property owner name and address FORMTEXT ?????Transferee FORMTEXT ?????Agreed upon purchase priceDue Property OwnerDeductions FORMTEXT ?????XXXXXXXX1st mortgage releaseAmount $ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2nd mortgage releaseAmount $ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Land contract paymentAmount $ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Attach Form LPA1616Tax proration for year FORMTEXT ?????, prorated from FORMTEXT ????? to FORMTEXT ?????Last year’s tax $ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Delinquent taxes for years FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Special assessments unpaid, delinquent and future FORMTEXT ????? FORMTEXT ?????Estimated water and/or sewer service charges FORMTEXT ????? FORMTEXT ?????Rent prorated, if tenant occupied FORMTEXT ????? FORMTEXT ?????LP FORMTEXT ????? gals., $ FORMTEXT ????? Fuel Oil FORMTEXT ????? gals., $ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Retention of improvements - list (if none, so state) FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????TOTAL FORMTEXT ????? FORMTEXT ?????Less deductions FORMTEXT ?????XXXXXXXXBalance due property owner FORMTEXT ?????XXXXXXXX FORMTEXT ????? FORMTEXT ?????1st installment FORMTEXT ?????2nd installment FORMTEXT ?????3rd installment FORMTEXT ?????Total settlement due property owner FORMTEXT ?????This statement is accepted as correct.Signature FORMTEXT ?????DateSignature FORMTEXT ?????DateClosing Agent FORMTEXT ?????DateSignature FORMTEXT ?????DateProject ID: FORMTEXT ?????County: FORMTEXT ?????Parcel No.: FORMTEXT ?????Transaction Over $600IRS 1099-S PurposesOwner NameSocial Security NumberORFederal Employer ID NumberAllocated Compensation FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????Total compensation attributable to real estate$ FORMTEXT ?????Legal description: FORMTEXT ?????Project ID: FORMTEXT ?????County: FORMTEXT ?????Parcel No.: FORMTEXT ????? ................
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