Seller 2 Name:
Seller 1 E-mail: Seller 2 E-mail:
Seller 1 Cell Phone: Seller 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.)

     Yes   No
     U.S. Citizen   Resident alien   Non-resident alien 
(If you are a non-resident alien, kindly contact our office right away.)
     Husband & Wife   Married Individual   Unmarried  

If there is no HOA, please enter N/A in the association name field and all zeros for the phone number

Our forms are delivered on a secure network. However, if you prefer, you are always welcome to call our office at: 703-288-3333 and provide us with your social security number. If you prefer to call, please simply enter your name below and then 0000. Your social security number is a time sensitive piece of information that we need to process your file. Please do not delay in getting us this information.

If you do not have a loan to payoff, please enter NO LOAN in the fields for Lender Name/Phone and N/A in the loan # field

     Yes   No