Submit Seller Information

Personal Information

Full Property Address:

Street Address (required)

City (required)



Seller 1 Info

Name (required)

Email (required)

Cell Phone

Home Phone

Forwarding Address

Seller 2 Info



Cell Phone

Power Of Attorney

Will The Seller Be Using A Power Of Attorney?: YesNo

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

Name Of Seller Giving Power

Seller Is Giving Power To


Seller1 Is A: U.S. CitizenResident alienNon-resident alien
(If you are a non-resident alien, kindly contact our office right away.)

Seller's Current Marital Status: Husband & WifeMarried IndividualUnmarried

Please Provide Social Security Numbers For Each Seller

Our forms are delivered on a secure network. However, if you prefer, you are always welcome to call our office at: 703-591-2325 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.

Seller1 Name

Seller1 SSN (last 4 only)

Seller2 Name

Seller2 SSN (last 4 only)

Payoff Information

Lender Name/Phone

Loan Number

Lender Name/Phone

Loan Number

Payoff 2 Information (if applicable)

Lender Name/Phone

Loan Number

Lender Name/Phone

Loan Number

Homeowner Associations

Association Name


Association Name



All commission checks will be sent by way of overnight delivery to the brokerage address as listed in the contract. Instructions for any other means of disbursement must be on company letterhead and must be communicated directly to your assigned processor here at Walker Title.

Listing Agent %

Selling Agent %

Are There Any Administrative Fees: $

Additional Comments

Notes or Special Instructions to us


Please Release Payoff Information To Walker Title, LLC.

In order to process your 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.
*This is a very important step in the processing of your transaction and prompt attention to this is most appreciated.*

For added security, please enter the verification code shown in the image.