Borrower 2 Name:
Borrower 1 E-mail: Borrower 2 E-mail:
Borrower 1 Cell Phone: Borrower 2 Cell Phone:

     Yes   No

IF YES, Vesta Settlements, LLC MUST review the POA in advance of settlement. (Please be sure to bring the original to settlement.)

Name of Borrower Giving Power:

     Yes  No

     Yes   No

** Please be sure to include any Home Equity or 2nd trust information.**



Please release payoff information to Vesta Settlements, LLC, Leesburg, VA 20176

In order to process your refinance or sale we will need to collect payoff information from your current lender. The bank will require us to obtain written authorization from you and they will not accept e-signatures. Once you hit “submit” you will see Vesta’s authorization form. Kindly print it out, sign and fax or email back to us. *This is a very important step in the processing of your transaction and prompt attention to this is most appreciated.*