REAL ESTATE TRANSACTIONS CLOSING STATEMENT
DT1617 2/2007 (Replaces RE3013) Ch. 84 Wis. Stats. Transferee Transferor/Property Owner Name and Address
Wisconsin Department of Transportation
Wisconsin Department of Transportation
Due Property Owner Agreed Upon Purchase Price 1st Mortgage Release Amount $ 2nd Mortgage Release Amount $ Land Contract Payment Amount $ Tax Proration for year ,Prorated from to Last year's tax $ (Attach Form DT1616) Delinquent Taxes for years Special Assessments Unpaid-Delinquent & Future (Form DT1616) Estimated water and/or sewer service charges Rent Prorated if tenant occupied L.P. Gals., $ Fuel Oil Gals., $ Retention of Improvements-List (if none, so state) $ $ Other TOTAL Less Deductions Balance Due Property Owner
Deductions XXXXXXXX
XXXXXXXX XXXXXXXX
1st Installment 2nd Installment 3rd Installment Total Settlement Due Property Owner This statement is accepted as correct.
(Signature) (Date) (Signature) (Date)
(Closing Agent) Project
(Date) County Parcel
Transaction Over $600 IRS 1099-S Purposes SOCIAL SECURITY NUMBER OR FEDERAL EMPLOYER IDENTIFICATION NUMBER
OWNER NAME
ALLOCATED COMPENSATION
Total Compensation Attributable to the Real Estate Legal Description