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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. This article can help you better understand this form, which is important because, for one thing, it can help you prove a gain or loss when you sell your home. Omb approval no. 2502-0265 settlement statement (hud-1a) optional form for transactions without sellers name and address of borrower: name and address of lenderThe settlement agent shall complete the HUD-1 to itemize all charges imposed upon the Borrower and the Seller by the loan originator and all sales commissions, The settlement agent shall use the HUD-1 settlement statement in every settlement Alternatively, the form HUD-1A may be used for these transactions. HUD-1, Settlement Statement -- Instructions ; HUD-1A, Settlement Statement - Optional Form for Transactions without Sellers ; HUD-GFE, Good Faith Estimate ; HUD- This form is to be used as a statement of actual charges and adjustments paid by the borrower and the seller, to be given to the parties in connection with the