Hynes_HUD_SettlementPrevious editions are obsolete Page 1 of 2 form HUD-1 (1/09)
A.Settlement Statement (HUD-1)
OMB Approval No. 2502-0265
B. Type of Loan
1.FHA 2. RHS 3. Conv. Unins.
4. VA 5. Conv. Ins.
6. File Number:
2020-1354
7. Loan Number:8. Mortgage Insurance Case Number:
C. Note: 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:
City of Northampton
210 Main Street, Northampton, MA 01060
E. Name & Address of Seller:
Elizabeth Hynes
69 Old South Street, Northampton, MA 01060
F. Name & Address of Lender:
G. Property Location:
Parcel B, Portion of 69 Old South Street
Northampton MA 01060
H. Settlement Agent:
Jankowski & Spencer, P.C.
6 University Drive, Suite 201, Amherst MA 01002
(413) 549-0041
I. Settlement Date:
12/03/2020
Place of Settlement:
6 University Drive, Suite 201, Amherst MA 01002
Disbursement Date:
12/03/2020
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101. Contract sales price 5,000.00 401. Contract sales price 5,000.00
102. Personal Property 402. Personal property
103. Settlement charges to borrower (line 1400).00 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
106. City/town taxes 406. City/town taxes
107. County Taxes 407. County taxes
108. Assessments 408. Assessments
109. 409.
110. 410.
111. 411.
112. 412.
120. Gross Amount Due From Borrower 5,000.00 420. Gross Amount Due To Seller 5,000.00
200. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller
201. Deposit or earnest money 501. Excess deposit (see instructions)
202. Principal amount of new loan(s)502. Settlement charges to seller (line 1400)500.00
203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to
204. 504.
205. 505.
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes 510. City/town taxes
211. County taxes 511. County taxes
212. Assessments 512. Assessments
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. Total Paid By/For Borrower 520. Total Reduction Amount Due Seller 500.00
300. Cash At Settlement From/To Borrower 600. Cash At Settlement From/To Seller
301. Gross Amount due from borrower (line 120)5,000.00 601. Gross Amount due to Seller (line 420)5,000.00
302. Less amounts paid by/for borrower (line 220)602. Less reductions in amount due seller (line 520)500.00
303. CASH From BORROWER 5,000.00 603. CASH To SELLER 4,500.00
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. This
agency may not collect this information, and you are not required to complete this form, unless it displays c urrently valid OMB control number. No
confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to RESPA covered transactio n with information during the
settlement process.
DocuSign Envelope ID: 9758E198-608B-4F38-BF1D-74B93D22008B
Previous editions are obsolete Page 2 of 2 form HUD-1 (1/09)
L. Settlement Charges
700. Total Real Estate Broker Fees Paid From Paid From
Division of commission (line 700) as follows: Borrower's Seller's
701. Funds at Funds at
702. Settlement Settlement
703. Commission paid at settlement
704.
705.
706.
800. Items Payable In connection with Loan
801. Our Origination Charge (from GFE #1)
802. Your credit or charge (points) for the specific interest rate chosen (from GFE #2)
803. Your adjusted origination charges (from GFE A)
804. (from GFE #3)
805. (from GFE #3)
806. (from GFE #3)
807. (from GFE #3)
808. (from GFE #3)
900. Items Required By Lender To Be Paid In Advance
901. Daily interest charges From 12/03/2020 To 01/01/2021 (from GFE #10)
902. (from GFE #3)
903. (from GFE #11)
904. (from GFE #11)
1000. Reserves Deposited With Lender
1001. Initial deposit for your escrow account (from GFE #9)
1002. Homeowner's insurance
1003. Mortgage insurance
1004. Property taxes
1005.
1006.
1007. Aggregate Adjustment
1100. Title Charges
1101. Title services and lender's title insurance (from GFE #4)
1102. Settlement or closing fee to Jankowski & Spencer, P.C.
1103. Owner's title insurance to (from GFE #5)
1104. Lender's title insurance to
1105. Lender's title policy limit
1106. Owner's title policy limit
1107. Agent's portion of the total title insurance premium
1108. Underwriter's portion of the total title insurance
1109.
1200. Government Recording and Transfer Charges
1201. Government recording charges (from GFE #7)
1202. Deed Mortgage Releases
1203. Transfer Taxes (from GFE #8)
1204. City/County tax/stamps Deed Mortgage
1205. State tax/stamps Deed Mortgage
1206. to Commonwealth of
Massachusetts from GFE #7
1300. Additional Settlement Charges
1301. Required services that you can shop for (from GFE #6)
1302. Seller legal to Fierst Bloomberg Ohm LLP 500.00
1303.
1304.
1305.
1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) .00 500.00
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with
this statement.
Settlement Agent: ____________________________________________________________ Date: ___________________
DocuSign Envelope ID: 9758E198-608B-4F38-BF1D-74B93D22008B
12/4/2020 | 3:55 PM EST
Addendum to HUD-1
Buyer(s): City of Northampton
Seller(s): Elizabeth Hynes
Property: Parcel B, Portion of 69 Old South Street, Northampton, MA 01060
Date: 3rd day of December, 2020
To the Settlement Agent:
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate
statement of all receipts and disbursements made on my account or by me in the transaction. I fu rther certify that I have received a
copy of the HUD-1 Settlement Statement.
Buyer(s)
City of Northampton
By:________________________________
Wayne Feiden, Director of Planning & Sustainability
Seller(s)
________________________________
Elizabeth Hynes, through David Bloomberg, her attorney
From the Settlement Agent:
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause
the funds to be disbursed in accordance with this statement.
Date: 3rd day of December, 2020
___________________________________________
Jankowski & Spencer, P.C.
Settlement Agent
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon
conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010.
DocuSign Envelope ID: 9758E198-608B-4F38-BF1D-74B93D22008B
12/2/2020 | 5:30 PM EST
12/4/2020 | 3:53 PM EST
12/4/2020 | 3:55 PM EST
Certificate Of Completion
Envelope Id: 9758E198608B4F38BF1D74B93D22008B Status: Completed
Subject: Hynes HUD Settlement
Source Envelope:
Document Pages: 3 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 Wayne Feiden
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
210 Main Street
Northampton, MA 01060
wfeiden@northamptonma.gov
IP Address: 73.159.213.190
Record Tracking
Status: Original
12/2/2020 5:24:25 PM
Holder: Wayne Feiden
wfeiden@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Status: Original
12/2/2020 5:30:00 PM
Holder: City Signatures Processing
cpo@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Signer Events Signature Timestamp
Wayne Feiden
wfeiden@northamptonma.gov
Planning Director
City Of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 73.159.213.190
Sent: 12/2/2020 5:30:00 PM
Viewed: 12/2/2020 5:30:11 PM
Signed: 12/2/2020 5:30:17 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Elizabeth Hynes, by David Bloomberg, her attorney
david@fierstbloomberg.com
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 23.25.215.81
Sent: 12/2/2020 5:30:18 PM
Viewed: 12/4/2020 3:52:48 PM
Signed: 12/4/2020 3:53:35 PM
Electronic Record and Signature Disclosure:
Accepted: 12/4/2020 3:52:48 PM
ID: 55431c51-3088-4581-9dbc-775d7993ccba
Company Name: City of Northampton
Robert Spencer
RJS@jsamherst.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 24.60.189.24
Signed using mobile
Sent: 12/4/2020 3:53:37 PM
Viewed: 12/4/2020 3:55:06 PM
Signed: 12/4/2020 3:55:34 PM
Electronic Record and Signature Disclosure:
Accepted: 12/4/2020 3:55:06 PM
ID: 8421d0ae-6dff-4071-80ac-476ac92793fe
Company Name: City of Northampton
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 12/2/2020 5:30:00 PM
Certified Delivered Security Checked 12/4/2020 3:55:06 PM
Signing Complete Security Checked 12/4/2020 3:55:34 PM
Completed Security Checked 12/4/2020 3:55:34 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Northampton (we, us or Company) may be required by law to provide
to you certain written notices or disclosures. Described below are the terms and conditions for
providing to you such notices and disclosures electronically through the DocuSign system.
Please read the information below carefully and thoroughly, and if you can access this
information electronically to your satisfaction and agree to this Electronic Record and Signature
Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to
use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign
system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 3/26/2020 7:44:12 AM
Parties agreed to: Elizabeth Hynes, by David Bloomberg, her attorney, Robert Spencer
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact City of Northampton:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: apagan@northamptonma.gov
To advise City of Northampton of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at apagan@northamptonma.gov and
in the body of such request you must state: your previous email address, your new email
address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from City of Northampton
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to apagan@northamptonma.gov and in the
body of such request you must state your email address, full name, mailing address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Northampton
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to apagan@northamptonma.gov and in the body of such request you must
state your email, full name, mailing address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify City of Northampton as described above, you consent to
receive exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to you by City of Northampton during the course of your relationship with City
of Northampton.