FINAL STATEMENT ON REAL PROPERTY

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)