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<table width="750" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF"> <!--DWLayoutTable--> <tr> <td height="133" colspan="2" valign="top" bgcolor="#FFFFFF"><a href="index.htm"><img src="Logo.gif" width="212" height="133" border="0"></a></td> <td colspan="2" valign="top" bgcolor="#FFFFFF"><!--DWLayoutEmptyCell--> </td> </tr> <tr> <td height="20" colspan="4" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0"> <!--DWLayoutTable--> <tr> <td width="150" height="20" valign="top"><a href="index.htm" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('home','','home1.gif',1)"><img src="home.gif" name="home" width="150" height="20" border="0"></a></td> <td width="126" valign="top"><a href="program.refinance.htm" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('program','','program1.gif',1)"><img src="program.gif" name="program" width="150" height="20" border="0"></a></td> <td width="101" valign="top"><a href="Contact%20Us.htm" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('contact','','contact1.gif',1)"><img src="contact.gif" name="contact" width="150" height="20" border="0"></a></td> <td width="150" valign="top"><a href="getloan.htm" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('getloan','','getloan1.gif',1)"><img src="getloan.gif" name="getloan" width="150" height="20" border="0"></a></td> <td width="150" valign="top"><a href="#" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('employment','','employment1.gif',1)"><img src="employment.gif" name="employment" width="150" height="20" border="0"></a></td> </tr> </table></td> </tr> <tr> <td height="118" colspan="4" valign="top"><object classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="750" height="118"> <param name="movie" value="Untitled-1.swf"> <param name="quality" value="high"> <embed src="Untitled-1.swf" quality="high" pluginspage="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" width="750" height="118"></embed></object></td> </tr> <tr> <td height="16" colspan="4" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0"> <!--DWLayoutTable--> <tr> <td width="750" height="16" valign="top" bgcolor="#666666"><div align="left"><font size="-1">January 20, 2005 9:58 PM</font></div></td> </tr> </table></td> </tr> <tr> <td width="101" height="1047"> </td> <td colspan="2" valign="top"><div align="justify"> <p><font size="-1"> </font> <Form action="/wwwroot/cgi-bin/formmail.cgi"method="post"> <table width="525" border="0" align="left" cellpadding="1" cellspacing="1"> <tr> <td colspan="2"><div align="center"><font color="#0033CC" size="-1" face="Times New Roman, Times, serif">BORROWER INFORMATION </font><font size="-1" face="Times New Roman, Times, serif"> <font color="#FF0000"> * indicates a required field</font></font></div></td> </tr> <tr> <td colspan="1" width="270" height="23"><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Loan Program Requested :</font></div></td> <td width="248"><div align="left"> <font size="-1"> <select name="Loan Program Requested" id="Loan Program Requested"> <option value="Select.....">Select ....</option> <option value="Refinance Cash Out">Refinance Cash Out</option> <option value="Refinance No Cash Out">Refinance No Cash Out</option> <option value="Refinance Investment Property">Refinance Investment Property</option> <option value="Refinance Get Out of Foreclosure">Refinance Get Out of Foreclosure</option> <option value="Equity Loan Fixed Cash Out">Equity Loan Fixed Cash Out</option> <option value="Equity Loan Debt Consolidation">Equity Loan Debt Consolidation</option> <option value="Purchase Home">Purchase Home</option> </select> </font></div></td> </tr> <tr> <td height="23"><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Loan Amount :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield2" type="text" size="40"> </font></div></td> </tr> <tr> <td> <div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> First Name :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield" type="text" value="" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Last Name :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield3" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Address : </font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield4" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> City :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield5" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> State :</font></div></td> <td><div align="left"> <font size="-1"> <select name="select"> <option value="Select State">Select State</option> <option value="AL">Alabama </option> <option value="AK">Alaska </option> <option value="AZ">Arizona </option> <option value="AR">Arkansas </option> <option value="CA">California </option> <option value="CO">Colorado </option> <option value="CT">Connecticut </option> <option value="DC">District of Columbia </option> <option value="DE">Delaware </option> <option value="FL">Florida </option> <option value="GA">Georgia </option> <option value="HI">Hawaii </option> <option value="IA">Iowa </option> <option value="ID">Idaho </option> <option value="IL">Illinois </option> <option value="IN">Indiana </option> <option value="KS">Kansas </option> <option value="KY">Kentucky </option> <option value="LA">Louisiana </option> <option value="MA">Maine </option> <option value="MD">Maryland </option> <option value="ME">Massachusetts </option> <option value="MI">Michigan </option> <option value="MN">Minnesota </option> <option value="MS">Mississippi </option> <option value="MO">Missouri </option> <option value="MT">Montana </option> <option value="NE">Nebraska </option> <option value="NV">Nevada </option> <option value="NH">New Hampshire </option> <option value="NJ">New Jersey </option> <option value="NM">New Mexico </option> <option value="NY">New York </option> <option value="NC">North Carolina </option> <option value="ND">North Dakota </option> <option value="OH">Ohio </option> <option value="OK">Oklahoma </option> <option value="OR">Oregon </option> <option value="PA">Pennsylvania </option> <option value="RI">Rhode Island </option> <option value="SC">South Carolina </option> <option value="SD">South Dakota </option> <option value="TN">Tennessee </option> <option value="TX">Texas </option> <option value="UT">Utah </option> <option value="VT">Vermont </option> <option value="VA">Virginia </option> <option value="WA">Washington </option> <option value="WV">West Virginia </option> <option value="WI">Wisconsin </option> <option value="WY">Wyoming </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Zip Code :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield6" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> E-mail :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield7" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Home Telephone Number :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield8" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Work Telephone Number :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield82" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Cell Phone Number :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield83" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Employer Name :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield84" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Occupation :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield85" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Time on Job :</font></div></td> <td><div align="left"> <font size="-1"> <select name="Year" id="Year"> <option value="Years ">Years </option> <option value="1 Year ">1 Year </option> <option value="2 Years ">2 Years </option> <option value="3 Years ">3 Years </option> <option value="4 Years ">4 Years </option> <option value="5 Years ">5 Years </option> <option value="6 Years ">6 Years </option> <option value="7 Years ">7 Years </option> <option value="8 Years ">8 Years </option> <option value="9 Years ">9 Years </option> <option value="10 Years ">10 Years </option> <option value="11 Years ">11 Years </option> <option value="12 Years ">12 Years </option> <option value="13 Years ">13 Years </option> <option value="14 Years ">14 Years </option> <option value="15+ Years ">15+ Years </option> </select> <select name="Months1"> <option value="Months ">Months </option> <option value="1 Month ">1 Month </option> <option value="2 Months ">2 Months </option> <option value="3 Months ">3 Months </option> <option value="4 Months ">4 Months </option> <option value="5 Months ">5 Months </option> <option value="6 Months ">6 Months </option> <option value="7 Months ">7 Months </option> <option value="8 Months ">8 Months </option> <option value="9 Months ">9 Months </option> <option value="10 Months ">10 Months </option> <option value="11 Months ">11 Months </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Monthly Gross Income :</font></div></td> <td><div align="left"> <font size="-1"> <select name="MonthGross1"> <option value="Select ">Select </option> <option value="Less than $500.00 ">Less than $500.00 </option> <option value="$500 ">$500 </option> <option value="$600 ">$600 </option> <option value="$700 ">$700 </option> <option value="$800 ">$800 </option> <option value="$900 ">$900 </option> <option value="$1000 ">$1000 </option> <option value="$1,100 ">$1,100 </option> <option value="$1,200 ">$1,200 </option> <option value="$1,300 ">$1,300 </option> <option value="$1,400 ">$1,400 </option> <option value="$1,500 ">$1,500 </option> <option value="$1,600 ">$1,600 </option> <option value="$1,700 ">$1,700 </option> <option value="$1,800 ">$1,800 </option> <option value="$1,900 ">$1,900 </option> <option value="$2,000 ">$2,000 </option> <option value="$2,100 ">$2,100 </option> <option value="$2,200 ">$2,200 </option> <option value="$2,300 ">$2,300 </option> <option value="$2,400 ">$2,400 </option> <option value="$2,500 ">$2,500 </option> <option value="$2,600 ">$2,600 </option> <option value="$2,700 ">$2,700 </option> <option value="$2,800 ">$2,800 </option> <option value="$2,900 ">$2,900 </option> <option value="$3,000 ">$3,000 </option> <option value="$3,100 ">$3,100 </option> <option value="$3,200 ">$3,200 </option> <option value="$3,300 ">$3,300 </option> <option value="$3,400 ">$3,400 </option> <option value="$3,500 ">$3,500 </option> <option value="$3,600 ">$3,600 </option> <option value="$3,700 ">$3,700 </option> <option value="$3,800 ">$3,800 </option> <option value="$3,900 ">$3,900 </option> <option value="$4,000 ">$4,000 </option> <option value="$4,100 ">$4,100 </option> <option value="$4,200 ">$4,200 </option> <option value="$4,300 ">$4,300 </option> <option value="$4,400 ">$4,400 </option> <option value="$4,500 ">$4,500 </option> <option value="$4,600 ">$4,600 </option> <option value="$4,700 ">$4,700 </option> <option value="$4,800 ">$4,800 </option> <option value="$4,900 ">$4,900 </option> <option value="$5,000+ ">$5,000+ </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Credit Rating :</font></div></td> <td><div align="left"> <font size="-1"> <select name="CreditSelection"> <option value="Excellent">Excellent </option> <option value="Good">Good </option> <option value="Fair">Fair </option> <option value="Poor">Poor </option> </select> </font></div></td> </tr> <tr> <td colspan="2"><div align="center"><font color="#0066CC" size="-1" face="Times New Roman, Times, serif">CO-BORROWER INFORMATION (OPTIONAL)</font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">First Name :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield86" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Last Name :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield87" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">E-mail : </font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield88" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Home Telephone Number :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield89" type="text" size="40"> </font></div></td> </tr> <tr> <td height="24"><div align="right"> <p><font size="-1" face="Times New Roman, Times, serif">Work Telephone Number : </font></p> </div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield810" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Employer Name :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield811" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Occupation : </font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield812" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Time on Job :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <select name="select2" id="select"> <option value="Years ">Years </option> <option value="1 Year ">1 Year </option> <option value="2 Years ">2 Years </option> <option value="3 Years ">3 Years </option> <option value="4 Years ">4 Years </option> <option value="5 Years ">5 Years </option> <option value="6 Years ">6 Years </option> <option value="7 Years ">7 Years </option> <option value="8 Years ">8 Years </option> <option value="9 Years ">9 Years </option> <option value="10 Years ">10 Years </option> <option value="11 Years ">11 Years </option> <option value="12 Years ">12 Years </option> <option value="13 Years ">13 Years </option> <option value="14 Years ">14 Years </option> <option value="15+ Years ">15+ Years </option> </select> <select name="select3"> <option value="Months ">Months </option> <option value="1 Month ">1 Month </option> <option value="2 Months ">2 Months </option> <option value="3 Months ">3 Months </option> <option value="4 Months ">4 Months </option> <option value="5 Months ">5 Months </option> <option value="6 Months ">6 Months </option> <option value="7 Months ">7 Months </option> <option value="8 Months ">8 Months </option> <option value="9 Months ">9 Months </option> <option value="10 Months ">10 Months </option> <option value="11 Months ">11 Months </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Monthly Gross Income :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <select name="select4"> <option value="Select ">Select </option> <option value="Less than $500.00 ">Less than $500.00 </option> <option value="$500 ">$500 </option> <option value="$600 ">$600 </option> <option value="$700 ">$700 </option> <option value="$800 ">$800 </option> <option value="$900 ">$900 </option> <option value="$1000 ">$1000 </option> <option value="$1,100 ">$1,100 </option> <option value="$1,200 ">$1,200 </option> <option value="$1,300 ">$1,300 </option> <option value="$1,400 ">$1,400 </option> <option value="$1,500 ">$1,500 </option> <option value="$1,600 ">$1,600 </option> <option value="$1,700 ">$1,700 </option> <option value="$1,800 ">$1,800 </option> <option value="$1,900 ">$1,900 </option> <option value="$2,000 ">$2,000 </option> <option value="$2,100 ">$2,100 </option> <option value="$2,200 ">$2,200 </option> <option value="$2,300 ">$2,300 </option> <option value="$2,400 ">$2,400 </option> <option value="$2,500 ">$2,500 </option> <option value="$2,600 ">$2,600 </option> <option value="$2,700 ">$2,700 </option> <option value="$2,800 ">$2,800 </option> <option value="$2,900 ">$2,900 </option> <option value="$3,000 ">$3,000 </option> <option value="$3,100 ">$3,100 </option> <option value="$3,200 ">$3,200 </option> <option value="$3,300 ">$3,300 </option> <option value="$3,400 ">$3,400 </option> <option value="$3,500 ">$3,500 </option> <option value="$3,600 ">$3,600 </option> <option value="$3,700 ">$3,700 </option> <option value="$3,800 ">$3,800 </option> <option value="$3,900 ">$3,900 </option> <option value="$4,000 ">$4,000 </option> <option value="$4,100 ">$4,100 </option> <option value="$4,200 ">$4,200 </option> <option value="$4,300 ">$4,300 </option> <option value="$4,400 ">$4,400 </option> <option value="$4,500 ">$4,500 </option> <option value="$4,600 ">$4,600 </option> <option value="$4,700 ">$4,700 </option> <option value="$4,800 ">$4,800 </option> <option value="$4,900 ">$4,900 </option> <option value="$5,000+ ">$5,000+ </option> </select> </font></div></td> </tr> <tr> <td height="22"><div align="right"><font size="-1" face="Times New Roman, Times, serif">Credit Rating :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <select name="select5"> <option value="Excellent">Excellent </option> <option value="Good">Good </option> <option value="Fair">Fair </option> <option value="Poor">Poor </option> </select> </font></div></td> </tr> <tr> <td height="27" colspan="2"><div align="center"><font color="#0033CC" size="-1" face="Times New Roman, Times, serif">PROPERTY INFORMATION</font> </div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Property Type :</font></div></td> <td><div align="left"> <font size="-1"> <select name="PropertyType"> <option value="Select ">Select </option> <option value="Single Family ">Single Family </option> <option value="Condominium ">Condominium </option> <option value="Duplex ">Duplex </option> <option value="Triplex ">Triplex </option> <option value="4 Unit ">4 Unit </option> <option value="5-10 Units ">5-10 Units </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">* </font><font size="-1" face="Times New Roman, Times, serif">Time in House :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <select name="select6" id="select2"> <option value="Years ">Years </option> <option value="1 Year ">1 Year </option> <option value="2 Years ">2 Years </option> <option value="3 Years ">3 Years </option> <option value="4 Years ">4 Years </option> <option value="5 Years ">5 Years </option> <option value="6 Years ">6 Years </option> <option value="7 Years ">7 Years </option> <option value="8 Years ">8 Years </option> <option value="9 Years ">9 Years </option> <option value="10 Years ">10 Years </option> <option value="11 Years ">11 Years </option> <option value="12 Years ">12 Years </option> <option value="13 Years ">13 Years </option> <option value="14 Years ">14 Years </option> <option value="15+ Years ">15+ Years </option> </select> <select name="select7"> <option value="Months ">Months </option> <option value="1 Month ">1 Month </option> <option value="2 Months ">2 Months </option> <option value="3 Months ">3 Months </option> <option value="4 Months ">4 Months </option> <option value="5 Months ">5 Months </option> <option value="6 Months ">6 Months </option> <option value="7 Months ">7 Months </option> <option value="8 Months ">8 Months </option> <option value="9 Months ">9 Months </option> <option value="10 Months ">10 Months </option> <option value="11 Months ">11 Months </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Loan Type :</font></div></td> <td><div align="left"> <font size="-1"> <select name="LoanType"> <option value="Select ">Select </option> <option value="Home Purchase ">Home Purchase </option> <option value="Refinancing ">Refinancing </option> <option value="Cash Out ">Cash Out </option> <option value="Conforming ">Conforming </option> <option value="FHA ">FHA </option> <option value="VA ">VA </option> <option value="Jumbo ">Jumbo </option> <option value="Fixed ">Fixed </option> <option value="Adjustable ">Adjustable </option> </select> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Mortgage Company :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield813" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Interest Rate :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield814" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Mortgage Payment :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield815" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Mortgage Balance :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield816" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font size="-1" face="Times New Roman, Times, serif">Second Mortgage Balance (Option) :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield817" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">*</font><font size="-1" face="Times New Roman, Times, serif"> Purchase Price :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield818" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1">*</font><font size="-1"> Property Value :</font></div></td> <td><div align="left"> <font size="-1"> <input name="textfield819" type="text" size="40"> </font></div></td> </tr> <tr> <td><div align="right"><font color="#FF0000" size="-1" face="Times New Roman, Times, serif">* </font><font size="-1" face="Times New Roman, Times, serif">How did you hear about us? :</font></div></td> <td><div align="left"><font size="-1" face="Times New Roman, Times, serif"> <input name="textfield820" type="text" size="40"> </font></div></td> </tr> </table> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p align="center"> </p> <p align="center"> </p> <p align="center"><font size="-1"> <input type="submit" name="Submit" value="Submit"> <input type="reset" name="Submit2" value="Cancel"> </font></p> <p align="center"><font size="-1"> </font></p> </form> <font size="-1"><br> </font> </div></td> <td width="98"> </td> </tr> <tr> <td height="168"></td> <td width="111"></td> <td width="440"> </td> <td> </td> </tr> <tr> <td height="30" colspan="4" valign="top"><div align="center"><font size="-1">Copyright ¨Ï 2005 Fast Line Mortgage, Inc. All rights reserved. Design by INMO Design Inc.</font></div></td> </tr> </table> <form name="form1" method="post" action=""> </form> </body> </html>
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