Please complete this form for fast, personal service. All information is confidential. Financing Preference   (select one) Conventional FHA   VA   FMHA Desired Price Range: Cash Available for Closing: Borrower's Information Name (Please Enter Full Name) Email: S.S.#:   Birthdate:   Address: Employment Information: Employer: Gross Income: Month   Year Time on Job: Years   Months Have You Declared Bankruptcy in the Past 2 Years? Yes   No Co-Borrower's Information Name (Please Enter Full Name) S.S.#:   Birthdate:   Address: Employment Information: Employer: Gross Income: Month   Year Time on Job: Years   Months Have You Declared Bankruptcy in the Past 2 Years? Yes   No Other Income: Explanation: Home Phone:   Work Phone: Monthly Debt (Minimum Payment) Auto: Credit Card: Auto: Credit Card: Loan: Credit Card: Child Care: Child Care: I certify that the information in this application is complete and true. I authorize CENTURY 21 Sutton and Associates to investigate my credit and employment history, obtain credit reports, and release information about their credit experience with me. I also authorize CENTURY 21 Sutton and Associates, their affiliates, and marketing associates to use information about me, including information in my application for marketing and administrative purposes. YES, I accept these terms. NOTE: Checking this box will be considered acceptance of the above terms and will be considered the same as a signature.