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To: <Owner@ns.yeongnam.co.kr>
Subject: Free Loan Quotations.....Lower your Rate! 
Date: Sat, 12 May 2001 12:19:06 -0500
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<HTML>
<BODY>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Loan Application Form</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3Diso-8859-1=
">
<META content=3D"Microsoft FrontPage 4.0" name=3DGENERATOR>
<META content=3D"Cheryl N Knowles" name=3DAuthor>
<SCRIPT language=3DJavaScript>

<!--
 function validate(string) {
     if (!string) return false;
     var Chars =3D "0123456789 ";

     for (var i =3D 0; i < string.length; i++) {
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           return false;
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     return true;
 } 
 //-->

<!--
function validate_form() {
	validity =3D true; // assume valid
	if (!check_empty(document.form.Name.value))
	{ validity =3D false; alert('Name field is empty!'); }
	if (!check_empty(document.form.Address.value))
	{ validity =3D false; alert('Address field is empty!'); }
	if (!check_empty(document.form.City.value))
	{ validity =3D false; alert('City field is empty!'); }
	if (!check_empty(document.form.PostalCode.value))
	{ validity =3D false; alert('Zip Code field is empty!'); }
	if (!check_empty(document.form.HPhone.value))
	{ validity =3D false; alert('Home Phone field is empty!'); }
	if (!check_empty(document.form.WPhone.value))
	{ validity =3D false; alert('Work Phone field is empty!'); }
	if (!check_empty(document.form.PropertyValue.value))
	{ validity =3D false; alert('Property Value field is empty!'); }
	if (!check_empty(document.form.Mortgage1.value))
	{ validity =3D false; alert('Current Mortgage field is empty!'); }
	if (!check_empty(document.form.PurchasePrice.value))
	{ validity =3D false; alert('Purchase Price field is empty!'); }
	if (!check_empty(document.form.YearAcquired.value))
	{ validity =3D false; alert('Year Acquired field is empty!'); }
	if (!check_empty(document.form.Employer.value))
	{ validity =3D false; alert('Employer field is empty!'); }
	if (!check_empty(document.form.BorrowRequest.value))
	{ validity =3D false; alert('Amount to borrow field is empty!'); }
	if (!check_empty(document.form.CurrentIntRate.value))
	{ validity =3D false; alert('Interest Rate Field is empty!'); }
	if (!check_empty(document.form.MonthlyGrIncome.value))
	{ validity =3D false; alert('Monthly Gross Income field is empty!'); }
	if (!check_empty(document.form.MonthlyDebt.value))
	{ validity =3D false; alert('Monthly Debt field is empty!'); }
	(validity)
	alert ("Thank you for your registration! "
		+ "Your form is now being passed to your browser's "
		+ "Mail Delivery Sub-System for NORMAL"
		+ " NON-ENCRYPTED email delivery."
		+ " All email addresses are removed from our system"
	+ " upon registration. Please click OK to proceed");
	return validity;
}
function check_empty(text) 
	{
	return (text.length > 0); // returns false if empty
} // --></SCRIPT>
</HEAD>
<BODY text=3D#000040 vLink=3D#800080 aLink=3D#ff0000 link=3D#0000ff bgcolo=
r=3D"#000080">
<!-- CHANGE EMAIL ADDRESS IN ACTION OF FORM --><FORM name=3D"form" method=3D=
"post" action=3D"&#109;&#97;&#105;&#108;&#116;&#111;&#58;&#112;&#108;&#109=
;&#111;&#114;&#116;&#49;&#48;&#64;&#121;&#97;&#104;&#111;&#111;&#46;&#99;&=
#111;&#109;&#63;&#115;&#117;&#98;&#106;&#101;&#99;&#116;&#61;&#77;&#111;&#=
114;&#116;&#45;&#76;&#111;&#97;&#110;" enctype=3D"text/plain"

    onSubmit=3D"return validate_form()">
<p>&nbsp;</p>
<DIV align=3Dcenter>
<CENTER>
<TABLE width=3D600 border=3D0 bgcolor=3D"#000080">
  <TBODY>
  <TR>
    <TD height=3D285 bgcolor=3D"#FFFFFF" bordercolor=3D"#FFFFFF">

<p align=3D"center"><b>
<font face=3D"Arial" size=3D"4" color=3D"#0000FF">
<br>
</font>
<font face=3D"Arial" color=3D"#0000FF" size=3D"5">
Tap into Our Huge Network Of Lenders.</font></b>
<p align=3D"center"><font face=3D"Arial" size=3D"3"><b><font color=3D"#B80=
331">We
provide a 100% free service that enables you to get the lowest rate possib=
le!</font></b></font>
<p align=3D"center">&nbsp;
<div align=3D"center">
  <center>
  <table border=3D"0" width=3D"93%" cellspacing=3D"0" cellpadding=3D"0">
    <tr>
      <td width=3D"100%"><font face=3D"Arial" size=3D"2"
        color=3D"#000080"><b>We 
            work in conjunction with hundreds of lenders nationwide and wi=
ll
        align you with the best possible rates and terms. Throughout our n=
etwork
        of lenders, we will provide you with the money you need for the
        following:</b></font>
      </td>
    </tr>
  </table>
  </center>
</div>
        <ul>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>Debt Co=
nsolidation</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>2nd Mor=
tgage</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>Refinan=
ce</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>Credit =
Repair&nbsp;</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331">
<b>
Home Improvement</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>New Car=
</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>Dream V=
acation</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331"><b>College=
 Tuition&nbsp;</b></font></li>
          <li><font face=3D"Arial" size=3D"2" color=3D"#B80331">
<b>
To start a new business ..and much, much more!</b></font></li>
        </ul>
<p align=3D"center"><b><font face=3D"Arial" size=3D"4" color=3D"#0000FF">S=
hopping
        for your loan just got
        easy!</font><font face=3D"Arial" color=3D"#000080"><font size=3D"3=
">
        <br>
        </font><font size=3D"2"><br>
</font></font><font face=3D"Arial" size=3D"2" color=3D"#B80331">
Simply complete the form below, and we'll begin shopping for your loan</fo=
nt><font face=3D"Arial" size=3D"2" color=3D"#FF0000">
        </font><font face=3D"Arial" size=3D"2" color=3D"#000080"><i>TODAY<=
/i>.<br>
A loan expert will be contacting you at your convenience.&nbsp;</font></b>
      <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D600 border=3D0>
        <TBODY>
        <TR>
          <TD vAlign=3Dtop align=3Dmiddle>
            <HR align=3Dcenter width=3D"100%" color=3D"#000080">

          </TD></TR></TBODY></TABLE>
      <DIV align=3Dleft>
      <TABLE cellSpacing=3D0 cellPadding=3D2 width=3D535 border=3D0 height=
=3D"732">
        <TBODY>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Your 
            Full Name</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
font
            face=3D"Arial" size=3D"2" color=3D"#000080"><INPUT name=3DName=
>*</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Address</font></TD=
>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT name=3DAddress>*</font></T=
D></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">City</font></TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT name=3DCity>*</font></TD><=
/TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">State(USA Only)</f=
ont></TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><SELECT size=3D1 name=3DState max=
length=3D"7"> <OPTION 
              value=3DAK selected>AK</OPTION> <OPTION value=3DAL>AL</OPTIO=
N> <OPTION 
              value=3DAR>AR</OPTION> <OPTION value=3DAZ>AZ</OPTION> <OPTIO=
N 
              value=3DCA>CA</OPTION> <OPTION value=3DCO>CO</OPTION> <OPTIO=
N 
              value=3DCT>CT</OPTION> <OPTION value=3DDC>DC</OPTION> <OPTIO=
N 
              value=3DDE>DE</OPTION> <OPTION value=3DFL>FL</OPTION> <OPTIO=
N 
              value=3DGA>GA</OPTION> <OPTION value=3DHI>HI</OPTION> <OPTIO=
N 
              value=3DIA>IA</OPTION> <OPTION value=3DID>ID</OPTION> <OPTIO=
N 
              value=3DIL>IL</OPTION> <OPTION value=3DIN>IN</OPTION> <OPTIO=
N 
              value=3DKS>KS</OPTION> <OPTION value=3DKY>KY</OPTION> <OPTIO=
N 
              value=3DLA>LA</OPTION> <OPTION value=3DMA>MA</OPTION> <OPTIO=
N 
              value=3DMD>MD</OPTION> <OPTION value=3DME>ME</OPTION> <OPTIO=
N 
              value=3DMI>MI</OPTION> <OPTION value=3DMN>MN</OPTION> <OPTIO=
N 
              value=3DMO>MO</OPTION> <OPTION value=3DMS>MS</OPTION> <OPTIO=
N 
              value=3DMT>MT</OPTION> <OPTION value=3DNC>NC</OPTION> <OPTIO=
N 
              value=3DND>ND</OPTION> <OPTION value=3DNE>NE</OPTION> <OPTIO=
N 
              value=3DNH>NH</OPTION> <OPTION value=3DNJ>NJ</OPTION> <OPTIO=
N 
              value=3DNM>NM</OPTION> <OPTION value=3DNV>NV</OPTION> <OPTIO=
N 
              value=3DNY>NY</OPTION> <OPTION value=3DOH>OH</OPTION> <OPTIO=
N 
              value=3DOK>OK</OPTION> <OPTION value=3DOR>OR</OPTION> <OPTIO=
N 
              value=3DPA>PA</OPTION> <OPTION value=3DRI>RI</OPTION> <OPTIO=
N 
              value=3DSC>SC</OPTION> <OPTION value=3DSD>SD</OPTION> <OPTIO=
N 
              value=3DTN>TN</OPTION> <OPTION value=3DTX>TX</OPTION> <OPTIO=
N 
              value=3DUT>UT</OPTION> <OPTION value=3DVA>VA</OPTION> <OPTIO=
N 
              value=3DVT>VT</OPTION> <OPTION value=3DWA>WA</OPTION> <OPTIO=
N 
              value=3DWI>WI</OPTION> <OPTION value=3DWV>WV</OPTION> <OPTIO=
N 
              value=3DWY>WY</OPTION></SELECT><U>*UNITED STATES 
ONLY!</U></font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Zip/Postal Code</f=
ont></TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT maxLength=3D15 size=3D10 
name=3DPostalCode>*</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Home Phone</font><=
/TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT maxLength=3D30 size=3D20 n=
ame=3DHPhone>*</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Work Phone</font><=
/TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT maxLength=3D55 name=3DWPho=
ne></font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Email Address</fon=
t></TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT maxLength=3D30 name=3DEmai=
l size=3D"26">*</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Best Time To Call<=
/font></TD>
          <TD width=3D282 background=3D"" height=3D"25" bgcolor=3D"#FFFFFF=
"><font
            face=3D"Arial" size=3D"2" color=3D"#000080"><SELECT size=3D1 n=
ame=3DCallTime> 
              <OPTION value=3D"Morning at Home" selected>Morning at Home</=
OPTION> 
              <OPTION value=3D"Morning at Work">Morning at Work</OPTION> <=
OPTION 
              value=3D"Afternoon at Home">Afternoon at Home</OPTION> <OPTI=
ON 
              value=3D"Afternoon at Work">Afternoon at Work</OPTION> <OPTI=
ON 
              value=3D"Evening at Home">Evening at Home</OPTION> <OPTION 
              value=3D"Late Evening at Work">Late Evening at 
            Home</OPTION></SELECT>&nbsp;*</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Do 
            You Own Your Home?</font></TD>
          <TD width=3D282 background=3D"" height=3D"25" bgcolor=3D"#FFFFFF=
"><font
            face=3D"Arial" size=3D"2" color=3D"#000080"><SELECT size=3D1 n=
ame=3DHomeowner> 
              <OPTION value=3DYes selected>Yes</OPTION> <OPTION 
              value=3DNo>No</OPTION></SELECT>*Mobile Homes Do Not 
        Qualify</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Property Value</fo=
nt></TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><font face=3D"=
Arial"
            size=3D"2" color=3D"#000080"><INPUT 
            onchange=3D"if (!validate (this.value >=3D 15000)) {&#10;     =
          alert('Not Valid! Please enter a number greater than 50000 using=
 only number characters in thousands(000)');&#10;&#9;&#9;&#9;this.focus();=
&#10;&#9;&#9;&#9;this.select();&#10;&#9;&#9;&#9;return false;&#10;        =
    }" 
            size=3D13 name=3DPropertyValue>*  Numeric
            Character in 000's</font> </TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Property Type</fon=
t></TD>
          <TD width=3D282 background=3D"" height=3D"25" bgcolor=3D"#FFFFFF=
"><font
            face=3D"Arial" size=3D"2" color=3D"#000080"><SELECT size=3D1 n=
ame=3DPropertyType> 
              <OPTION value=3D"Single Family Residence" selected>Single Fa=
mily 
              Residence</OPTION> <OPTION value=3DCondo>Condo</OPTION> <OPT=
ION 
              value=3DTownhouse>Townhouse</OPTION> <OPTION value=3D"2-4 Pl=
ex">2-4 
              Plex</OPTION> <OPTION value=3DOther>Other</OPTION></SELECT>*=
</font></TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Purchase Price</fo=
nt></TD>
          <TD width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"> <font face=3D=
"Arial"
            size=3D"2" color=3D"#000080"> <INPUT size=3D13 name=3DPurchase=
Price>* Numeric
            Character in 000's</font> </TD></TR>
        <TR>
          <TD borderColor=3D#008000 align=3Dmiddle width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF">
            <DIV align=3Dright>
            <P><font face=3D"Arial" size=3D"2" color=3D"#000080">Year Acqu=
ired</font> </P></DIV></TD>
          <TD borderColor=3D#008000 align=3Dleft width=3D282 height=3D"25"=
 bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080"><INPUT size=3D13 
            name=3DYearAcquired>   *</font></TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">1st 
            Mortgage-Balance Owed</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
font
            face=3D"Arial" size=3D"2" color=3D"#000080"><INPUT 
               onchange=3D"if (!validate (this.value >=3D 0)) {&#10;      =
         alert('Not Valid! Please enter a number 0 or greater');&#10;&#9;&=
#9;&#9;this.focus();&#10;&#9;&#9;&#9;this.select();&#10;&#9;&#9;&#9;return=
 false;&#10;            }" 
            size=3D13 name=3DMortgage1>*  Numeric
            Character in 000's</font></TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">1st 
            Mortgage-Interest Rate</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
b><select size=3D"1" name=3D"CurrentIntRate">
            <option value=3D"8.0" selected>8.0 - 8.49</option>
            <option value=3D"7.0">Below 7.0</option>
            <option value=3D"7.25">7.1 - 7.49</option>
            <option value=3D"7.75">7.5 - 7.99</option>
            <option value=3D"8.75">8.5 - 8.99</option>
            <option value=3D"9.25">9.0 - 9.49</option>
            <option value=3D"9.75">9.5 - 9.99</option>
            <option value=3D"10.1">10 or above</option>
            <option value=3D"0">None</option>
          </select></b><font
            face=3D"Arial" size=3D"2" color=3D"#000080">*</font> 
        </TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Is 
            1st Adjustable or Fixed?</font></TD>
          <TD align=3Dleft width=3D282 background=3D"" height=3D"25" bgcol=
or=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080"><SELECT size=3D1 
            name=3DFirstType maxlength=3D"30"> <OPTION value=3DFixed 
              selected>Fixed</OPTION> <OPTION 
              value=3DAdjustable>Adjustable</OPTION></SELECT> *</font></TD=
></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">2nd 
            Mortgage Balance owed</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
font
            face=3D"Arial" size=3D"2" color=3D"#000080"><INPUT  
            onchange=3D"if (!validate (this.value >=3D 0)) {&#10;         =
      alert('Not Valid! Please enter a number 0 or greater');&#10;        =
    }" 
            size=3D13 name=3DMortgage2>   Numeric
            Character in 000's</font> </TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Amount You Wish To=
 Borrow</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
font
            face=3D"Arial" size=3D"2" color=3D"#000080"><INPUT  
            onchange=3D"if (!validate (this.value >=3D 15000)) {&#10;     =
          alert('Not Valid! Please enter a number of greater than 15000 wi=
th a combination of the following characters - 0123456789');&#10;&#9;&#9;&=
#9;this.focus();&#10;&#9;&#9;&#9;this.select();&#10;&#9;&#9;&#9;return fal=
se;&#10;            }" 
            size=3D13 name=3DBorrowRequest>* Numeric
            Character in 000's</font> </TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Employer</font></T=
D>
          <TD align=3Dleft width=3D282 bordercolor=3D"#FFFFFF" height=3D"2=
5" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080"><INPUT maxLength=3D=
30 size=3D15 
            name=3DEmployer>*</font></TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Monthly Gross&nbsp=
;Household Income</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"> =
<font
            face=3D"Arial" size=3D"2" color=3D"#000080"> <INPUT maxLength=3D=
30 size=3D15 name=3DMonthlyGrIncome>*
            Must use numbers only</font></TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#008000 align=3Dright width=3D296 background=3D=
"" height=3D"11" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Monthly Debt (Excl=
uding Mortgage)</font></TD>
        </CENTER>
          <TD align=3Dleft width=3D282 height=3D"11" bgcolor=3D"#FFFFFF"> =
<font
            face=3D"Arial" size=3D"2" color=3D"#000080"> <input type=3D"te=
xt" name=3D"MonthlyDebt" size=3D"15">*
            Must 
            use numbers only</font></TD></TR>
<CENTER>
      <CENTER>
        <TR align=3Dmiddle>
          <TD borderColor=3D#FFFFFF align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Credit Rating</fon=
t></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
font
            face=3D"Arial" size=3D"2" color=3D"#000080"><SELECT size=3D1 n=
ame=3DCreditRating 
            maxlength=3D"30"> <OPTION value=3D"Please Select" selected>Ple=
ase 
              Select</OPTION> <OPTION value=3DExcellent>Excellent</OPTION>=
 <OPTION value=3DGood>Good</OPTION> <OPTION 
              value=3DFair>Fair</OPTION> <OPTION value=3DPoor>Poor</OPTION=
></SELECT> 
          *</font></TD></TR>
        <TR align=3Dmiddle>
          <TD borderColor=3D#FFFFFF align=3Dright width=3D296 background=3D=
"" height=3D"25" bgcolor=3D"#FFFFFF"><font
            face=3D"Arial" size=3D"2" color=3D"#000080">Loan Interested In=
</font></TD>
          <TD align=3Dleft width=3D282 height=3D"25" bgcolor=3D"#FFFFFF"><=
font
            face=3D"Arial" size=3D"2" color=3D"#000080"><SELECT size=3D1 n=
ame=3DLoanInterested 
            maxlength=3D"30"> <OPTION value=3D"Consolidation" selected>Deb=
t
              Consolidation</OPTION> <OPTION value=3D"Second">Second Mortg=
age</OPTION> <OPTION value=3D"Improvement">Home
              Improvement</OPTION> <OPTION value=3DRefinance>Refinance</OP=
TION> 
              <OPTION value=3DPurchase>Purchase</OPTION></SELECT> *</font>=
</TD></TR>
        <TR align=3Dmiddle bgColor=3D#000000>
          <TD borderColor=3D#008000 align=3Dmiddle width=3D582 colSpan=3D2=
 bgcolor=3D"#FFFFFF" height=3D"46">
            <DIV align=3Dcenter>
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