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William H. Hall Survey, Abstract No. 687 (901 Mission Drive) - ROWCSO SIGNATURE FORM This form must accompany any document sent to the Mayor for signature. The document must be reviewed and initialed by the Project Manager and Department Director. Document Title: Closing Documents for Right of Way Date: July 11, 2018 Need Council Action: Discussed in Executive Session on 3-8-2014 Project Name: N. White Chapel — Emerald to Highland Project Manager: Steve Anderson Return to: Valerie Potter @ ext. 8098 Agreement X Purchaser's Statement Change Order Letter/Memo Easement — TO BE FILED WITH COUNTY Resolution/Ordinance/Quit,Z2 im Deed/Donated Assets Rob Cohen For PWA Department Use Only Prior to Execution: Administrative Secretary .��, Project Manager Deputy Director Administrative Secretary ERRORS AND OMISSIONS AGREEMENT Date: January 2, 2018 GF#: ATD-172-6001721700028 Property: 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Survey, Abstract 687,Southlake, TX 76092 I, the undersigned Buyer(s) and/or Seller(s), acknowledge that errors sometimes occur in closing documents and disbursements. Further, I acknowledge that I intend for all documentation and disbursements for this transaction to be accurate. Accordingly, I agree that I will cooperate in initialing, re -executing and redelivering any closing documents and in correcting any disbursements, charges and credits reflected on the closing statement where such corrective action is deemed necessary or desirable in the reasonable discretion of Alamo Title Company or the lender in this transaction. If more than one person signs the Agreement, "I" shall mean each person who signs. .BUY R(S): Forwarding Address or Other Address Where Signatories May Be Reached: ity of Southla a home u e u iicipal corp�� i4 /�i4yb Q �� v r•� ,/�� l� .�+�`i1` � yet► /4/6d r�/,✓.��:� 5�+r_ 2 �o 14KT AT ` ST me Phone Number: usiness Phone Number: gl? - CAROL ANN BORGES, TRMC I`�'RETARY +'+,�Forwarding Address or Other Address Where Signatories May Be Reached: Lien -1 Wang f Tzu- ang Home Phone Number: Business Phone Number: ERRORS AND OMISSIONS AGREEMENT SSTXD00173.doc ALAMO TITLE Michael S. Newman, Fee Attorney Michael S. Newman, Attorney at Law, pllc 9288 Huntington Square, Suite 200 North Richland Hills, Texas 76182-4366 TELEPHONE: (817)656-8100 PRIVACY DISCLOSURE GF 4: ATD-172-6001721700028 BUYER: City of Southlake, a home rule municipal corporation SELLER: Lien -I Wang and Tzu-Jui Tang PROPERTY: 112 sq ft more or less parcel of 901 Mission Drive, Southlake, TX 76092 Fellow of the College of the State Bar of Texas FAX: (817)656-0700 e-mail: mike@newmanlawtx.com Federal law characterizes title companies that provide certain tax and real estate services as financial service providers and requires those companies to give written notices to individuals who are the company's clients regarding the company's policies on disclosure of non-public personal information. Information We May Collect About You We collect nonpublic personal information about you only in connection with providing you with the title and closing services that you request. The type of nonpublic personal information that we collect vary according to the services that we perform for you, and may include: • Information that we receive from you (such as your name, address, income, assets, social security information, and other financial or household information); • Information about your relationship and past history with us and others, (such as the types of legal services we provide to you, your invoice balances and payment history); • Information that we receive, with your authorization, from third parties such as accountants, financial advisors, insurance agents, banking institutions and others. How We Handle Your Information We do not disclose any public or non-public personal information about you that we have collected to anyone outside of our firm, except as authorized by you or required by law. For example, with your consent, we may disclose personal information to a third -party contractor, such as an appraiser or accountant, who is assisting us in providing services to you. In addition, we will release information to the extent required by law or regulation. We do not sell client information to anyone or disclose client information to marketing companies. How We Protect Your Information We restrict access to public and nonpublic personal information about you that we have collected to those employees in our company who need to know the information to provide services to you. All of our employees are required to maintain the confidentiality of all non public personal information about you. We maintain physical, electronic, and procedural safeguards that comply with both federal law and the rules of our industry to protect the public and nonpublic versonal information tha we collect about you. �jlprrowers/Buye`� JV✓ g4ci.�Sellers Date: June 22, 2018 _ te: June 22, 2018 CAROL ANN BORC CITY SECRETARY ALAMO TITLE Michael S. Newman, Fee Attorney Michael S. Newman, Attorney at Law, pllc 9288 Huntington Square, Suite 200 North Richland Hills, Texas 76182-4366 TELEPHONE: (817)656-8100 ATTORNEY REPRESENTATION NOTICE GF #: ATD-172-6001721700028 BUYER: City of Southlake, a home rule municipal corporation SELLER: Lien -I Wang and Tzu-Jui Tang PROPERTY: 112 sq ft more or less parcel of 901 Mission Drive, Southlake, TX 76092 LOAN DOCUMENTATION: Fellow of the College of the State Bar of Texas FAX: (817) 656-0700 e-mail: mike@newmanlawtx.com The Law Office of Michael S. Newman, Attorney & Counselor at Law ("We", "Us" or "Our"), has prepared some or all of the legal documents involved in this transaction. These documents were prepared at the request of the lender and/or Title Company and from information supplied by them. We have not assisted or rendered legal advice to Seller or Buyer with respect to this transaction. If Seller or Buyer has any questions about the meaning of any document or their legal rights Seller and/or Buyer should retain personal legal counsel for advice in this transaction. RESPONSIBILITY FOR PAYMENT OR FEES: Buyer and/or Seller acknowledge their obligation to pay the closing fees incurred in connection with this transaction. Included in these closing fees shall be an amount for the preparation of legal documents which shall be forwarded directly to Michael S. Newman as compensation for his services described above. DISCLOSURE OF REPRESENTATION: Seller and Buyer are hereby notified that Michael S. Newman does provide legal representation to Alamo Title and its affiliated businesses. While we do not believe that this representation causes a conflict of interest in the preparation of the legal documents involved in this transaction, there is the potential for this conflict of interest. Buyer and Seller hereby acknowledge receiving and reading a copy of this Notice and affirm the accuracy of their respective statements contained herein. • B owers/Buy s �i s' JR/�/ Sellers Date: June 22, 2018 Date: One 22, 2018 Date: June 22, 2018 ATTEST: a CAROL ANN BORGES, CITY SECRETARY �'airlr D : une 22, 2018 ADDENDUM TO SETTLEMENT STATEMENT GF# ATD-172-6001721700028 Seller/Purchaser/Borrower understands the Closing or Escrow Agent has assembled this information representing the transaction from the best information available from other sources and cannot guarantee the accuracy thereof. Any real estate agent or lender involved may be furnished a copy of the Settlement Statement. Seller/Purchaser/Borrower understands that tax and insurance prorations and reserves were based on figures for the preceding year, supplied by others, or estimates for current year; and, in the event of any change for current year or for any prior year or years as evidence by supplemental tax statements from appropriate taxing authorities, all necessary adjustments must be made by Purchaser/Borrower/Seller directly. Except as specifically provided on the settlement statement, Closing or Escrow Agent shall have no responsibility for the payment or collection of such taxes or insurance. Seller/Purchaser/Borrower understands that interest on the existing liens is figured to the date indicated based upon information furnished to us by the holder(s) of said lien(s). If not paid by then, additional interest will have to be collected and your statement will be adjusted to have sufficient funds to secure a release from the lienholder. If the holder of the note, for any reason, changes the amount due under said lien(s), Purchaser/Borrower/Seller understand and agree that Alamo Title Company shall not be liable for the difference (additional sums of money) due under such lien(s). The undersigned hereby authorizes the Closing or Escrow Agent to make expenditures and disbursements as shown on the Settlement Statement and approves same for payment. The undersigned also acknowledges receipt of loan funds, if applicable, in the amount shown in the Settlement Statement and receipt of a copy of said Settlement Statement. fL.Southlak , a home rule municipal corporation Y: ATTEST: CAROL ANN BORGES, T1WC CITY SECRETARY ADDENDUM TO SETTLEMENT STATEMENT TXFNFESC_AddendumtoSettlementStatement (Disbursement Auth) (11-07) Lien -I Wang — 9 – I" Tzu-W Tan .•�, Ala ,, + compaq WAIVER OF INSPECTION Seller(s): Lien -I Wang and Tzu-Jui Tang Dated: June 22, 2018 GF#: ATD-172-6001721700028 Buyer(s): City of Southlake, a home rule Property Address: municipal corporation 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Survey, Abstract 687, Southlake, TX 76092 In consideration of the issuance of the policy or policies of title insurance in connection with the above captioned transaction the undersigned hereby waive inspection by you of such property and accept your policy subject to "rights of parties in possession", and those under whom they hold, such possession to include any open acts or visible signs of occupancy, and any visible and apparent roadway or easement over or across the subject property, if the occupancy, possession, or use affects the premises upon which you have issued such policy, and take it upon ourselves to inspect such premises and to obtain possession thereof from the occupants. of Southlake ' home iunicipal corporation BY: ATTEST: CAROL ANN BORGES, CITY SECRETARY WAIVER OF INSPECTION TXFNFESC WaiverOlInspection.doc iA 1: r� , 1; m 'r,ir P— DISBURSEMENT AUTHORIZATION Date: June 22, 2018 GF#: ATD-172- 6001721700028 Title Company: Alamo Title Company Seller: Lien -I Wang and Tzu-Jui Tang Purchaser: City of Southlake, a home rule municipal corporation Lender: I/We hereby authorize and direct Escrow Agent to disburse the proceeds of sale in connection with the Property at 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Survey, Abstract 687, Southlake, TX 76092 as follows: ""Split funds as follows: Payee (must be a party to transaction) Amount Lien -I Wang and Tzu-Jui Tang $6,574.82 Michael S. Newman, Attorney at Law PLLC $1,300.00 Wells Fargo Bank N.A. $6,724.18 Please disburse the proceeds for the above referenced file as follows: ❑ Wire proceeds to bankcount (your bank may deduct an incoming wire transfer fee) The undersigned Customer ereby authorizes and directs Alamo Title Company to transfer funds by wire to the Receiving Bank and Accou elow. Customer warrants that the information provided in this Authorization is complete and accurate. BANK NAME: ACCOUNT NAME: ABA NO.: ACCOUNT NO.: ❑ Check(s) Select Delivery Methc ❑ Call for Pick Up: ❑ Mail to: ❑ Overnight to: ❑ Transfer my proceeds to i (No PO Boxes) DISBURSEMENT AUTHORIZATION (Texas) + ni P -Y TXFNFESC SellersDisbursementAuthorization.doc GF#: ATD-172-6001721700028 DISBURSEMENT AUTHORIZATION (continued) Provided that the funds are wire transferred in accordance with these instructions, Alamo Title Company shall not be liable for any act or omission of any financial institution or any other person, nor shall Alamo Title Company have any liability for loss of funds or interest thereon. In no event will damages exceed interest at a rate equal to Federal Funds rate, adjusted daily, for the number of days that such funds are unavailable. The undersigned shall indemnify and hold harmless Alamo Title Company its successors or assigns, from any loss, liability and cost incurred as a result of any incorrect information supplied. I/We hereby indemnify and hold harmless Title Company and its underwriter and their agents and representatives from all loss or damage they may sustain in connection with Title Company's good faith performance of these disbursement instructions and does hereby release and waive any claims Seller may have against Title Company and its underwriter or their agents or representatives, which may result from Title Company's good faith performance of said disbursement instructions. ty of Sr7 e, a hom rule municipal corporation ' BY: ? l8 Date A CAROL ANN BORGES, CITY SECRETARY Ni DISBURSEMENT AUTHORIZATION (Texas) TXFNFESC SellersDisbursementAuthorizalion.doc NOTICE OF SETTLEMENT AGENT RESPONSIBILITY Michael Newman, Escrow Officer/Attorney Date: June 22, 2018 Alamo Title Company Escrow No.: 6001721700028 -MN 9288 Huntington Square, Ste 200 Seller(s): Lien -I Wang and Tzu-Jui Tang North Richland Hills, TX 76182 Buyer(s): City of Southlake, a home rule municipal Phone: (817)656-8100 Fax: (817)656-0700 corporation Property: 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Survey, Abstract 687 Southlake, TX 76092 The Foreign Investment in Real Property Tax Act (FIRPTA), Title 26 U.S.C., Section 1445, and the regulations there under, provide in part, that a transferee (buyer) of a U.S. real property interest from a foreign person must withhold a statutory percentage of the amount realized on the disposition, report the transaction and remit the withholding to the Internal Revenue Service (IRS) within twenty (20) days after the transfer. Alamo Title Company will not determine nor aid in the determination of whether the FIRPTA withholding provisions are applicable to the subject transaction, nor act as a Qualified Substitute under state or federal law, nor furnish tax advice to any parry to the transaction. Alamo Title Company will not determine nor aid in the determination of whether the transaction will qualify for an exception or an exemption and is not responsible for the filing of any tax forms with the IRS as they relate to FIRPTA, nor responsible for collecting and holding of any documentation from the buyer or seller on the buyer's behalf for the purpose of supporting a claim of an exception or exemption. Alamo Title Company is not an agent for the buyer for the purposes of receiving and analyzing any evidence or documentation that the seller in the subject transaction is a U.S. citizen or resident alien. Alamo Title Company is not responsible for the payment of this tax and/or penalty and/or interest incurred in connection therewith and such taxes are not a matter covered by the Owner's Policy of Title Insurance to be issued to the buyer. Alamo Title Company is not responsible for the completion of any IRS documents or related forms related to the referenced statute. The buyer is advised: they must independently make a determination of whether the contemplated transaction is subject to the withholding requirement; bear full responsibility for compliance with the withholding requirement if applicable and/or for payment of any tax, interest, penalties and/or other expenses that may be due on the subject transaction; and they are responsible for the completion of any and all forms, including but not limited to applicable IRS documentation, and the mailing of those forms. The Buyer is advised any forms, documents, or information received from Alamo Title Company is not tax or legal advice and should not be construed as such nor treated as a complete representation of FIRPTA requirements. Buyer should seek outside counsel from a qualified individual to determine any and all implications of the referenced statute. IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below. PURCHASER(S): City of Soa a home rule m icipal corporation .> Y:ttA A ST' CAROL ANN BORGES, IrRMC CITY SECRETARY Notice of Settlement Agent Responsibility SSTXD00237.doc '710-/i8 Date y�tiftift�il;� s. •rs.w�' Alamo Title Company 5004 Thompson Terrace, Suite 107 Colleyville, TX 76034 AFFILIATED BUSINESS ARRANGEMENT DISCLOSURE STATEMENT (Exhibit D in 24 CFR §3500) Pate: June 22, 2018 To: City of Southlake, a home rule municipal corporation Property: 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Surrey, Abstract 687, Southlake, TX 76092 This is to give you notice that Alamo Title Company, a subsidiary of Fidelity National Financial, Inc. has a business relationship with the settlement service providers listed below to which you have been referred. Each of the companies listed below is One -Hundred Percent (100%) owned directly or indirectly by Fidelity National Financial, Inc. Because of this relationship, this referral may provide Alamo Title Company with a financial or other benefit. Set forth below is the estimated charge or range of charges for the settlement services listed. You are NOT required to use the listed providers as a condition for the consummation of the transaction involving the above referenced property. Settlement Service Provider: Type of Settlement Range of Charges: Provided: National TaxNet Tax Information $22.50 to $80 including sales tax and $5 for each additional parcel over 3 parcels There are frequently other settlement service providers available who offer similar services. You are free to shop around to determine that you are receiving the best services and the best rate for these services. Acknowledgment I/We have read this disclosure form and understand that Alamo Title Company is referring me/us to purchase the above described settlement services and may receive a financial or other benefit as the result of this referral. IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below. t ftSout a home ru a rh icipal corporation BY: — ATTEST: ,-sOF QU%j # CAROL ANN BORGES, T MC CITY SECRETARY Affiliated Business Arrangement Disclosure Statement (Escrow) SSTXD00218.doc Previous editions are obsolete Printed on 06/22/2018 at 10:10:14AM C 6001721700028/55 Michael Newman HUD -1, Page 1 OMB Approval No. 2502-0265 4. A. FINAL SETTLEMENT STATEMENT (HUD -1) Alamo Title Company B. Type of Loan 1 • FHA 2. ❑ RHS 3. ❑ Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: 4. El VA 5. Conv. Ins. 6001721700028 MN 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. (6001721700028/55) D. Name and Address of Buyer: _ E. Name and Address of Seller: F. Name and Address of Lender: City of Southlake, a home rule municipal Lien -I Wang and Tzu-Jui Tang corporation 901 Mission Drive, 112 Sq Ft more or less parcel 1400 Main Street, Suite 320 of land located in the William H. Hall Survey, Southlake, TX 76092 Abstract 687 Southlake, TX 76092 G. Property Location: H. Settlement Agent: (817)656-8100 I. Settlement Date: 901 Mission Drive, 112 Sq Ft more or less parcel Alamo Title Company June 22, 2018 of land located in the William H. Hall Survey, 9288 Huntington Square, Ste 200 North Richland Hills, TX 76182 Abstract 687 -- Southlake, TX 76092 Place — - --------------------------- ----- — ----- -- — Disbursement Date: of Settlement: (817)656-8100 June 22, 2018 Tarrant County, Texas Alamo Title Company 9288 Huntington Square Ste 200 North Richland Hills, TX 76182 Previous editions are obsolete Printed on 06/22/2018 at 10:10:14AM C 6001721700028/55 Michael Newman HUD -1, Page 1 L. Settlement Charges *Paid outside of closing by borrower (B), seller (S), lender (L), third -party (T) Previous editions are obsolete Printed on 06/2212018 at 10:10:14AM C 6001721700028/55 HUD -1, Page 2 Comparison of Good Faith Estimate (GFE) and HUD-1 Charges Charges That Cannot Increase HUD-1 Line Number Good Faith Estimate .. . HUD-1 Our origination charge # 801 0.00 0.00 Your creditor charge (points) for the specific interest rate chosen # 802 0.00 0.00 - _ .......... __ _......_ Your adjusted origination charges . .._...._ # 803 ......... ................ 0 00 0.00 _ .. Transfer taxes # 1203 0.00 0.00 - Charges That In Total Cannot Increase More Than 10% Good Faith Estimate ...... HUD-1 Government recording charges # 1201 84.00 84.00 Appraisal fee # 804 0.00 0.00 Credit report # 805 0.991 0.00 Tax service # 806 0.00 0.00 Flood certification# 807 0.00 0.00 . _.. i Title services and lender's title insurance .... # 1101 1,270.45 1,270.45 -—��-���—�� Total 1,354.45 1,354.45 Increase between G F E and H1. UD-1 Char es $ 0.00 or 0.00 Charges That Can ChangeGood Faith Estimate HUD-1 Initial deposit for your escrow account # 1001 0.00 0 00 _. Daily interest charges # 901 $ /day 0.00 0 00 Homeowner's insurance # 903 0.00 0.00 Loan Terms I µYour initial loan amount is _ $ Your loan term is 30 years Your interest rate is % Your initial monthly amount owed for principal, interest and $ N/A includes any mortgage insurance is ❑ Principal ❑ Interest ❑ Mortgage insurance Can your interest rate rise? ❑x No ❑ Yes, it can rise to a maximum of %. The first change will be and can change again every after Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be i lower than % or higher than % Even if you make payments on time, can your loan balance rise? ❑x No ❑ Yes, it can rise to a maximum of $ Even if you make payments on time, can your monthlyx❑ No ❑ Yes, the first increase can be and the monthly j amount owed for principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever rise to is $ ............ Does your loan have a prepayment penalty? ....._ ....... __ ❑x No ❑ Yes, your maximum prepayment penalty is $ .. Does your loan have a balloon payment? ❑x No ❑ Yes, you have a balloon payment of $ due in years on Total monthly amount owed including escrow account payments ❑x You do not have a monthly escrow payment for items, such as property taxes and homeowners insurance. You must pay these items directly yourself. ❑ You have an additional monthly escrow payment of $ that results in a total initial monthly amount owed of $. This includes principal, interest, any mortgage insurance and any i items checked below: ❑ Property taxes ❑ Homeowner's insurance ❑ Flood insurance Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. Printed on 0612212018 at 10:10:14AM C 6001721700028155 Previous editions are Obsolete HUD -1, Page 3 Alamo Title Company 9288 Huntington Square, Ste 200, North Richland Hills, TX 76182 Phone: (817)656-8100 1 FAX: (817)656-0700 FINAL HUD -1, ATTACHMENT Settlement Date: June 22, 2018 Escrow no.: ATD-172-6001721700028 Disbursement Date: June 22, 2018 Escrow Officer: Michael Newman Settlement Agent: Alamo Title Company Place of Settlement: 9288 Huntington Square (817)656-8100 Ste 200 North Richland Hills, TX 76182 Buyer : City of Southlake, a home rule municipal corporation 1400 Main Street, Suite 320 Southlake, TX 76092 Property: 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Survey, Abstract 687 Southlake, TX 76092 Tarrant County, Texas Lot(s): 1 Block: 3 Mission Hill Estates Tax/Map ID(s): 05075424, 112 sq ft, more or less parcel of land located in the William H. Hall Survey, Abstract 687 in the City of Southlake Title Services Seller: Lien -I Wang and Tzu-Jui Tang 901 Mission Drive, 112 Sq Ft more or less parcel of land located in the William H. Hall Survey, Abstract 687 Southlake, TX 76092 Description Buyer Seller Line 1101 Detail - Payee: Alamo Title Company Title services and lender's title insurance Title services and lender's title insurance - E Recording Fee 19.50 Payee: Alamo Title FBO National TaxNet Title services and lender's title insurance - Tax Certificate 50.95 Line 1102 Detail - Payee: Michael S. Newman, Attorney at Law PLLC Settlement or closing fee - Escrow Fee Line 1101 Total: 70.45 Line 1102 Total: Line 1103 Detail - Payee: Alamo Title Company Owner's title insurance (60% to Michael S. Newman, Attorney at Law PLLC) T-3 Amendment of Survey Exception for T-1 (T-3 or Deletion) T-19.2 Minerals and Surface Damage Owner's Policy Endorsement (Eff. 11/1/09) T-19.1 Restrictions, Encroachments, Minerals Endorsement -Owner's Policy - 2014 Payee: Texas Title Insurance Guaranty Association Guaranty Assessment Recoupment Charge Line 1103 Total: Total Title Services: 1,200.00 1,200.00 264.00 39.60 50.00 50.00 4.50 408.10 1,678.55 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 this transaction. I further certify that I have received a copy of the HUD -1 Settlement Statement. BUYER: SELLER: of Southlake ho a le municipal corporation--t���//l'z-'ter_ Lien -I Wang BY: /'Ltd �tteN Ta n CAROL ANN BORGE , T CITY SECRETARY Previous editions are obsolete Printed on 06/22/2018 at 10:10:14AM C 6001721700028/55 HUD -1, Attachment