Buyer 2 Name:
Buyer 1 E-mail: Buyer 2 E-mail:
Buyer 1 Cell Phone: Buyer 2 Cell Phone:
     Husband & Wife   Married Individual   Unmarried  
     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 Buyer Giving Power:


     Yes   No

If paying cash, please enter CASH in the lender name and loan officer name fields, all zeros for the phone number and N/A for the email address.