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Sed by Purchaser GF NO.: TO: $ $ $ $ $ $ TOTAL REIMBURSEMENTS/CREDITS GROSS AMOUNT DUE TO SELLER to LESS: CHARGES AND DEDUCTIONS: Down payment or earnest money Commission to $ $ $ $ $ Filing fees to County Clerk: $ Loan Charges and Fees Due to Fees to Title Policy: Owner Title Company Mortgagee Binder Escrow Restrictions $ Tax Certificates: State and County City and School Other Survey fee to Attorney s fees for preparation of papers to Maintenance Charges State and County taxes.

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