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7. Loan Number: 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 & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: G. Property Location: H. Settlement Agent: I. Settlement Date: Place of Settlement: J. Summary of Borrower s Tra.

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