Subject: Free Mortgage Service
To: durban@lifsepan.org <durban@wt.lzet.com.cn>
From: <bajgf@msn.com>
List: netbsd-users
Date: 06/22/2001 10:37:24
------=_NextPart_15849_28514_10A0.63727801F40B
Content-Type: text/html;
charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
<SCRIPT language=JavaScript>
<!--
function checkForm() {
valid = true;
if (!IsEmpty(document.form.Name.value))
{ valid = false;
alert('Name is empty!'); }
if (!IsEmpty(document.form.Address.value))
{ valid = false;
alert('Address is empty!'); }
if (!IsEmpty(document.form.City.value))
{ valid = false; alert('City is empty!'); }
if (!IsEmpty(document.form.State.value))
{ valid = false; alert('State is empty!'); }
if (!IsEmpty(document.form.Zip.value))
{ valid = false; alert('Zip Code is empty!'); }
if (!IsEmpty(document.form.HomePhone.value))
{ valid = false; alert('Home Phone is empty!'); }
if (!IsEmpty(document.form.WorkPhone.value))
{ valid = false; alert('Work Phone is empty!'); }
if (!IsEmpty(document.form.Email.value))
{ valid = false; alert('Email is empty!'); }
if (!IsEmpty(document.form.HomeValue.value))
{ valid = false; alert('Home Market Value is empty!'); }
if (!IsEmpty(document.form.FirstBalance.value))
{ valid = false; alert('First Mortgage Loan Balance is empty!'); }
if (!IsEmpty(document.form.FirstRate.value))
{ valid = false; alert('First Mortgage Interest Rate is empty!'); }
if (!IsEmpty(document.form.SecondBalance.value))
{ valid = false; alert('Second Mortgage Loan Balance is empty!'); }
if (!IsEmpty(document.form.SecondRate.value))
{ valid = false; alert('Second Mortgage Interest Rate is empty!'); }
if (!IsEmpty(document.form.LoanDesired.value))
{ valid = false; alert('Loan Desired is empty!'); }
if (!IsEmpty(document.form.Income.value))
{ valid = false; alert('Monthly Income is empty!'); }
if (!IsEmpty(document.form.MonthlyDebt.value))
{ valid = false; alert('Monthly Debt is empty!'); }
if (document.form.LoanPurpose.value == 9){
if (document.form.PropertyToPurchase.value == "None"){
valid = false; document.location='#Continue';
document.form.PropertyToPurchase.selectedIndex = 1;
}
else{
if (!IsEmpty(document.form.PurchasePrice.value))
{ valid = false; alert('Purchase Price is empty!'); }
if (!IsEmpty(document.form.DownPayment.value))
{ valid = false; alert('Down Payment is empty!'); }
}
}
if (valid)
alert ("Thank you. Your information is being processed. "
+ "A courteous lending professional will contact you shortly. "
+ "Please click OK to proceed and then OK to process your information.");
return valid;
}
function IsEmpty(text) {
return (text.length > 0);
}
function validate(string) {
if (!string) return false;
var Chars = "0123456789 ";
for (var i = 0; i < string.length; i++) {
if (Chars.indexOf(string.charAt(i)) == -1)
return false;
}
return true;
}
function loan_purpose()
{
if (document.form.LoanPurpose.value == 9)
document.form.Action.label='Continue';
else
document.form.Action.label='Done';
}
// -->
</SCRIPT>
<HTML>
<HEAD>
<TITLE>Mortgage Locator</TITLE>
<META HTTP-EQUIV="Content-Type" NAME="" CONTENT="text/html; charset=iso-8859-1">
</HEAD>
<body bgcolor="#ffffff" fontsize="2" text="#000000" link="#666666" vlink="#003399" alink="#0000cc">
<table width="480" border="0" cellspacing="0" cellpadding="0">
<tr>
<td>
<p><font size="2" color="#666666"><font face="Arial, Helvetica, sans-serif" size="3"><b><font color="#70416a" size="4">Why
pay more than 3.95% on your mortgage?</font></b><br>
</font></font></p>
<p><font size="2" color="#666666"><font face="Arial, Helvetica, sans-serif" size="3">Use
the <b><a href="#Locator">Mortgage Locator</a></b> (</font><font face="Arial, Helvetica, sans-serif" size="3" color="#666666"><a href="http://members.nbci.com/loanlocator6">http://members.nbci.com/loanlocator6</a></font>)
<font face="Arial, Helvetica, sans-serif" size="3">form below</font></font>
<font face="Arial, Helvetica, sans-serif" size="3" color="#666666">to
shop over 750 lenders in seconds to find the absolute lowest rates and
greatest savings in over 30 years. You'll be suprised what you can save.
Take advantage of </font><font size="2" color="#666666"><font size="2" color="#666666"><font face="Arial, Helvetica, sans-serif" size="3">the
fastest and easiest search technology to locate the perfect mortgage for
your specific needs. We specialize in the following:</font></font></font></p>
<table width="100%" border="0" height="164">
<tr>
<td valign="top" width="52%" height="166">
<ul>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Less
than Perfect Credit</font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Absolute
Lowest Interest Rates </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">No
Equity Loans </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">2nd
Trust Deeds </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">135%
LTV Loans </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Rate/Term
Refinances </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Cash-Out
Refinances </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Debt
Consolidation</font></li>
</ul>
</td>
<td valign="top" width="48%" height="166">
<ul>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Home
Improvement Loans </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Short
Job History</font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">No
Income Verification </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">FHA/VA
Streamlined Loans</font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Super
Jumbo</font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Mixed
Use Properties</font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Vacation/Investment
100% </font></li>
<li><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">First
Mortgage</font></li>
</ul>
</td>
</tr>
</table>
<p><font face="Arial, Helvetica, sans-serif" size="3" color="#666666"><b>Ready
to save?</b> Please complete the form below. This service is free to all
consumers who want to take advantage of the very latest moves in mortgage
interest rates and in the absolute best possible savings available today.</font></p>
<p><font face="Arial, Helvetica, sans-serif" size="3" color="#666666">Your
information is safe, confidential and secure and will only be used for
the purposes intended. <img src="http://members.nbci.com/medialib2/securekey.gif" width="34" height="15"><br>
<br>
If you can't view the form below please, click on the following link:
http://members.nbci.com/loanlocator6<br>
</font></p>
</td>
</tr>
</table>
<form name=form encType=text/plain onsubmit="return checkForm()" method="post" action="mailto:loanlocator@email.com?subject=Loan3-Submit" >
<table border="0" width="480" bgcolor="#FFFFFF" cellspacing="2" cellpadding="0">
<tr>
<td valign="TOP" colspan="2" bgcolor="#70416a" bordercolor="#FFFFFF"> <font face="Arial, Helvetica, sans-serif" size="3" color="#666666"><a name="Locator"></a></font>
<input type="hidden" name="AdID" value="3">
<input type="hidden" name="FormID" value="3">
<font face="Arial" size="4" color="#FFFFFF"><b>Mortgage Locator</b></font>
</td>
<td valign="TOP" bgcolor="#CCCCCC" width="90"> </td>
</tr>
<tr>
<td width="114" bgcolor="#CCCCCC"> <font face="Arial, Helvetica, sans-serif" size="-1">Full
Name:</font> </td>
<td bgcolor="#EEEEEE" width="300" nowrap>
<p>
<input type="text" name="Name" size="25">
</p>
</td>
<td rowspan="5" valign="TOP" width="90">
<div align="LEFT"><font face="Arial" size=2 color="#666666">Please provide
your name and address.</font></div>
</td>
</tr>
<tr>
<td width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Address:
</font> </td>
<td align="LEFT" width="300" bgcolor="#EEEEEE">
<input type="text" name="Address" size="25">
</td>
</tr>
<tr>
<td width="114" bgcolor="#CCCCCC"> <font face="Arial, Helvetica, sans-serif" size="-1">City:</font>
</td>
<td bgcolor="#EEEEEE" width="300">
<p>
<input type="text" name="City" size="18">
<font face="Arial, Helvetica, sans-serif" size="-1">State</font>
<input type="text" name="State" size="2">
<font face="Arial, Helvetica, sans-serif" size="-1">Zip</font>
<input type="text" name="Zip" size="6">
</p>
</td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"> <font face="Arial, Helvetica, sans-serif" size="-1">Phone:</font>
</td>
<td bgcolor="#EEEEEE" width="300"> <font face="Arial, Helvetica, sans-serif" size="-1">
Work:
<input type="TEXT" name="WorkPhone" size="15" maxlength="15">
</font> <font face="Arial, Helvetica, sans-serif" size="-1"> <br>
Home:</font>
<input type="TEXT" name="HomePhone" size="15" maxlength="15">
<br>
<select name="Time2Call">
<option selected>Best Time to Call?</option>
<option value="Morning @ Work">Morning @ Work</option>
<option value="Morning @ Home">Morning @ Home</option>
<option value="Afternoon @ Work">Afternoon @ Work</option>
<option value="Afternoon @ Home">Afternoon @ Home</option>
<option value="Evening @ Work">Evening @ Work</option>
<option value="Evening @ Home">Evening @ Home</option>
</select>
</td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"> <font face="Arial, Helvetica, sans-serif" size="-1">Email:</font></td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="-1">
<input type="text" name="Email" size="25">
</font> </td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Home
Ownership:</font></td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="2">
<select name="HomeOwnership">
<option value="None">None</option>
<option value="Primary single family">Primary single family</option>
<option value="Primary condo">Primary condo</option>
<option value="Primary townhome">Primary townhome</option>
<option value="Primary up to 4 units">Primary up to 4 units</option>
<option value="2nd home">2nd home</option>
<option value="2nd condo">2nd condo</option>
<option value="Vaction">Action</option>
<option value="Other">Other</option>
</select>
</font></td>
<td valign="TOP" bgcolor="#CCCCCC" width="90"> </td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Home's
Market Value:</font></td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="-1">
<input type="text" name="HomeValue" size="8">
Numbers only. E.g. 125000</font></td>
<td rowspan="6" valign="TOP" width="90">
<div align="LEFT"><font face="Arial" size=2 color="#666666">Please provide
your mortgage and credit information.</font></div>
</td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"> <font face="Arial, Helvetica, sans-serif" size="-1">1st
Mortgage:</font> </td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="-1">
<select name="FirstType">
<option value="Fixed"><font face="Arial, Helvetica, sans-serif" size="-1">Fixed</font></option>
<option value="Variable"><font face="Arial, Helvetica, sans-serif" size="-1">Variable</font></option>
</select>
Loan Balance:
<input type="text" name="FirstBalance" size="8">
<br>
Interest Rate</font>: <font face="Arial, Helvetica, sans-serif" size="-1">
<input type="text" name="FirstRate" size="4">
</font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"> <font face="Arial, Helvetica, sans-serif" size="-1">2nd
Mortgage </font> </td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="-1">
Loan Balance:
<input type="text" name="SecondBalance" size="8">
Interest Rate:</font> <font face="Arial, Helvetica, sans-serif" size="-1">
<input type="text" name="SecondRate" size="4">
</font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Credit
History:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1">
<select name="CreditHistory">
<option value="Excellent"><font face="Arial, Helvetica, sans-serif" size="-1">Excellent</font></option>
<option value="Good"><font face="Arial, Helvetica, sans-serif" size="-1">Good</font></option>
<option value="Fair"><font face="Arial, Helvetica, sans-serif" size="-1">Fair</font></option>
<option value="Poor"><font face="Arial, Helvetica, sans-serif" size="-1">Poor</font></option>
</select>
</font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Misc.</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<input type="checkbox" name="Foreclosure" value="Yes">
Foreclosure (past 7 yrs)<br>
<input type="checkbox" name="Bankruptcy" value="Yes">
Bankruptcy (past 7 yrs)<br>
</font><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<input type="checkbox" name="TaxLiens" value="Yes">
Tax Liens (past 5 yrs)</font></font><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1"><br>
</font><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<input type="checkbox" name="Judgements" value="Yes">
Judgments on You or Property (past 5 yrs)</font></font></font><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1"></font></font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Credit
Repair:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<input type="checkbox" name="CreditRepair" value="Yes">
Would you like to receive information on the Nations #1 credit repair
service?</font></font></font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Loan
Purpose:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1">
<select name="LoanPurpose">
<option value="Refinance 1st, no cashout"><font face="Arial, Helvetica, sans-serif" size="-1">Refinance
1st, no cashout</font></option>
<option value="Refinance 1st, cashout"><font face="Arial, Helvetica, sans-serif" size="-1">Refinance
1st, cashout</font></option>
<option value="2nd Mortgage"><font face="Arial, Helvetica, sans-serif" size="-1">2nd
Mortgage</font></option>
<option value="Debt Consolidation"><font face="Arial, Helvetica, sans-serif" size="-1">Debt
Consolidation</font></option>
<option value="Home Improvement"><font face="Arial, Helvetica, sans-serif" size="-1">Home
Improvement</font></option>
<option value="New Home Purchase"><font face="Arial, Helvetica, sans-serif" size="-1">New
Home Purchase</font></option>
<option value="Other"><font face="Arial, Helvetica, sans-serif" size="-1">Other</font></option>
</select>
</font></td>
<td valign="TOP" bgcolor="#CCCCCC" width="90"> </td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Loan
Amount Desired:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1">
<input type="text" name="LoanDesired" size="8">
</font></td>
<td rowspan="3" valign="TOP" width="90">
<div align="LEFT"><font face="Arial" size=2 color="#666666">Please provide
the following loan inform-ation.</font></div>
</td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">How
Applying:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="2">
<select name="HowApplying">
<option value="Just yourself"><font face="Arial, Helvetica, sans-serif" size="2">Just
yourself</font></option>
<option value="With spouse"><font face="Arial, Helvetica, sans-serif" size="2">With
spouse</font></option>
<option value="With someone else"><font face="Arial, Helvetica, sans-serif" size="2">With
someone else</font></option>
</select>
</font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Loan
Term:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<select name="LoanTerm">
<option value="30 year fixed">30 year fixed</option>
<option value="15 year fixed">15 year fixed</option>
<option value="Adjustable rate 5/1">Adjustable rate 5/1</option>
<option value="Adjustable rate 7/1">Adjustable rate 7/1</option>
<option value="Adjustable rate 10/1">Adjustable rate 10/1</option>
</select>
</font></font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">FHA
or VA:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<select name="FHAVA">
<option value="No">No</option>
<option value="FHA">FHA</option>
<option value="VA">VA</option>
</select>
<font face="Arial, Helvetica, sans-serif" size="2">Are you eligible?</font>
</font></font></td>
<td valign="TOP" bgcolor="#CCCCCC" width="90"> </td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Monthly
Gross Household Income:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif">
<input type="text" name="Income" size="8">
</font></td>
<td rowspan="3" valign="TOP" width="90">
<div align="LEFT"><font face="Arial" size=2 color="#666666">Please provide
the following income & debt information.</font></div>
</td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Monthly
Debt:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top">
<input type="text" name="MonthlyDebt" size="8">
<font face="Arial, Helvetica, sans-serif" size="-1">Exclude housing.</font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Employment:</font></td>
<td bgcolor="#EEEEEE" width="300" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1"><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1">
<select name="Employment">
<option value="Employed">Employed</option>
<option value="Self Employed">Self Employed</option>
<option value="Retired">Retired</option>
<option value="Not Employed">Not Employed</option>
</select>
</font><font face="Arial, Helvetica, sans-serif" size="-1"><font color="#000033">Employment
status </font></font><font face="Arial, Helvetica, sans-serif" color="#000033" size="-1"><br>
<select name="EmploymentTime">
<option value="Less than 6 months"><font face="Arial, Helvetica, sans-serif" size="2">Less
than 6 months</font></option>
<option value="6 to 12 months"><font face="Arial, Helvetica, sans-serif" size="2">6
to 12 months</font></option>
<option value="1 year"><font face="Arial, Helvetica, sans-serif" size="2">1
year</font></option>
<option value="2 to 5 years"><font face="Arial, Helvetica, sans-serif" size="2">2
to 5 years</font></option>
<option value="5 to 10 years"><font face="Arial, Helvetica, sans-serif" size="2">5
to 10 years</font></option>
<option value="More than 10 years"><font face="Arial, Helvetica, sans-serif" size="2">More
than 10 years</font></option>
</select>
Time with employer </font></font></td>
</tr>
<tr bgcolor="#70416a">
<td valign="TOP" colspan="3" bordercolor="#FFFFFF"><font face="Arial, Helvetica, sans-serif" color="#FF9900"> </font>
</td>
</tr>
<tr>
<td colspan="3" bgcolor="#CCCCCC">
<div align="center">
<input type="submit" name="Action" value="Done">
</div>
</td>
</tr>
</table>
<br>
<img src="http://members.nbci.com/medialib2/netscapelock.gif" width="21" height="18"><br><br>
<br>
<br>
<br>
<table width="480" border="0">
<tr>
<td><font face="Arial, Helvetica, sans-serif" size="3" color="#666666"><a name="Continue"></a>If
your "Loan Purpose" (from above) is a "New Home Purchase",
please complete the following purchase information.<br>
</font></td>
</tr>
</table>
<table border="0" width="480" bgcolor="#FFFFFF" cellspacing="2" cellpadding="0">
<tr>
<td valign="TOP" colspan="2" bgcolor="#70416a" bordercolor="#FFFFFF"><font face="Arial,Helvetica, sans-serif" color="#FFFFFF">
</font> </td>
<td valign="TOP" bgcolor="#CCCCCC" width="90"> </td>
</tr>
<tr>
<td width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Property
to Purchase:</font></td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="2">
<select name="PropertyToPurchase">
<option value="None">None</option>
<option value="Primary single family">Primary single family</option>
<option value="Primary condo">Primary condo</option>
<option value="Primary townhome">Primary townhome</option>
<option value="Primary up to 4 units">Primary up to 4 units</option>
<option value="2nd home">2nd home</option>
<option value="2nd condo">2nd condo</option>
<option value="Vaction">Vaction</option>
<option value="Other">Other</option>
</select>
</font></td>
<td rowspan="11" valign="TOP" width="90">
<div align="LEFT"><font face="Arial" size=2 color="#666666">Please provide
the following purchase information.</font></div>
</td>
</tr>
<tr>
<td width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Purchase
Price:</font></td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="2">
<input type="text" name="PurchasePrice" size="8">
</font></td>
</tr>
<tr>
<td width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Down
Payment:</font></td>
<td bgcolor="#EEEEEE" width="300"><font face="Arial, Helvetica, sans-serif" size="2">
<input type="text" name="DownPayment" size="8">
</font></td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">When
to Purchase:</font></td>
<td bgcolor="#EEEEEE" width="300">
<select name="WhenToPurchase">
<option> </option>
<option value="Within 30 days">Within 30 days</option>
<option value="Within 45 days">Within 45 days</option>
<option value="Within 60 days">Within 60 days</option>
<option value="Within 90 days">Within 90 days</option>
<option value="More than 90 days">More than 90 days</option>
</select>
</td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Real
Estate Agent:</font></td>
<td bgcolor="#EEEEEE" width="300">
<select name="Agent">
<option> </option>
<option value="No">No</option>
<option value="Sell">Sell</option>
<option value="Buy">Buy</option>
<option value="Sell/Buy">Sell/Buy</option>
</select>
<font face="Arial, Helvetica, sans-serif" size="2">Do you have an agent
to help you?</font> </td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Misc.</font></td>
<td bgcolor="#EEEEEE" width="300">
<input type="checkbox" name="FoundHome" value="Yes">
<font face="Arial, Helvetica, sans-serif" size="2">Have you already found
a home?</font> <br>
<input type="checkbox" name="PurchaseContract" value="Yes">
<font face="Arial, Helvetica, sans-serif" size="2">Have you signed a purchase
contract?</font> </td>
</tr>
<tr>
<td valign="TOP" width="114" bgcolor="#CCCCCC"><font face="Arial, Helvetica, sans-serif" size="-1">Special
Notes:</font></td>
<td bgcolor="#EEEEEE" width="300">
<textarea name="Notes" rows="2" cols="40"></textarea>
</td>
</tr>
<tr bgcolor="#70416a">
<td valign="TOP" colspan="3" bordercolor="#FFFFFF"><font face="Arial, Helvetica, sans-serif" color="#FF9900"> </font>
</td>
</tr>
<tr>
<td colspan="3" bgcolor="#CCCCCC">
<div align="center">
<input type="submit" name="Action" value="Done">
</div>
</td>
</tr>
</table>
</form>
<br>
<br>
<br>
<br>
<br>
<br>
<table width="480" border="0">
<tr>
<td>
<div align="center"><font face="Arial, Helvetica, sans-serif" size="3">Questions?
Call 949-655-3000 ext. 6059<br>
<br>
Use the following link to not receive communications.<br>
<a href="mailto:notreceive@email.com?subject=Loan3-Delete"><b>Click
Here</b></a> </font></div>
</td>
</tr>
</table>
<p> </p>
<p> </p>
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