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<html>
<head>
<title></title>
</head>
<body bgcolor=3D"#FFFFFF" text=3D"#FFFFFF">
<p align=3D"center"><b><font size=3D"5" color=3D"#FF0000">We will help you=
get the mortgage
loan you want! <br>
</font><font color=3D"#000000"><br>
Whether a new home loan is what you seek or<br>to refinance your current h=
ome loan at a lower interest rate and payment, we can help!<br>
<br>
<font size=3D"4">
Mortgage rates haven't been this low in the last 12 months, take action no=
w!<br>
</font>
Refinance your home with us and include all of those pesky credit card bil=
ls or<br>use the extra cash for that pool you've always wanted=2E=2E=2E&nbs=
p;<br>
<br>
</font><font size=3D"4" color=3D"#0000FF">
Where others says NO, we say YES!!!<br>
</font><font color=3D"#000000">
Even if you have been turned down elsewhere, we can help! <br>
<br>
</font><font color=3D"#0000FF">
Easy terms!</font><font color=3D"#000000">
Our mortgage referral service combines the<u><br>highest quality loans wi=
th most economical rates and the easiest
qualification</u>!<br>
<br>
</font><font size=3D"4" color=3D"#FF0000">
Take just 2 minutes to complete the following form=2E<br></font> </b><font=
size=3D"2" color=3D"#000000"><i>There is no obligation, all information is=
kept strictly confidential, and you must be at least 18 years of age=2E<br=
>
Service available within the United States only=2E This service is fast an=
d free=2E</i></font></p>
<p align=3D"center"> </p>
<p align=3D"center"><b><font color=3D"#FF0000" size=3D"5">Free information=
request
form:</font></b></p>
<html> <head> <title>Loan Application Form</title>
<script language=3D"JavaScript">
<!--
function check(form) {
if ( (form=2EName=2Evalue =3D=3D "") ||
(form=2ECity=2Evalue =3D=3D "") ||
(form=2EAddress=2Evalue =3D=3D "") ||
(form=2EState=2Evalue =3D=3D "") ||
(form=2EMortgage1=2Evalue =3D=3D "") ||
(form=2EMortgage2=2Evalue =3D=3D "") ||
(form=2EPostalCode=2Evalue =3D=3D "") ||
(form=2EEmail=2Evalue =3D=3D "") ) {
alert("Please fill in ALL required fields=2E Thank You!");
return false;
} else {
return true;
}
}
function validate(string) {
if (!string) return false;
var Chars =3D "0123456789 ";
for (var i =3D 0; i < string=2Elength; i++) {
if (Chars=2EindexOf(string=2EcharAt(i)) =3D=3D -1)
return false;
}
return true;
}
//-->
</script> </head> <form method=3D"POST" onSubmit=3D"return check(this)" ac=
tion=3D"mailto:halged_(at)_verizonmail=2Ecom" enctype=3D"text/plain"> <table bor=
der=3D"0" width=3D"600" align=3D"center"> <tr><td align=3D"center" height=3D=
"285" bgcolor=3D"#COCOCO"> <br> <hr width=3D"100%" align=3D"center"><br><p>=
Please complete all the information below=2E<br> Our loan specialist will b=
e contacting you at your convenience=2E<br> Thank You!</p> <table border=3D=
"0" cellspacing=3D"0" cellpadding=3D"0" align=3D"center" width=3D"600"><tr>=
<td align=3D"CENTER" valign=3D"TOP"> <hr width=3D"100%" align=3D"center"><p=
>Please use your mouse to navigate between fields=2E Thank You=2E</b></font=
></td></tr></table><br> <table border=3D"0" cellspacing=3D"0" cellpadding=3D=
"2" align=3D"center" width=3D"535"> <tr><td align=3D"RIGHT" width=3D"296" b=
ackground=3D"Greenbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" fac=
e=3D"Arial, Helvetica, sans-serif"><b> Your Full Name</b></font></td><td wi=
dth=3D"282" align=3D"left"> <input type=3D"text" size=3D"20" name=3D"Name">=
*</td></tr><tr> <td align=3D"RIGHT" width=3D"296" background=3D"Greenbackg=
round=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetica,s=
ans-serif"><b> Address</b></font></td> <td width=3D"282"> <input type=3D"te=
xt" name=3D"Address" size=3D"20"> *</td></tr><tr> <td align=3D"RIGHT" width=
=3D"296" background=3D"Greenbackground=2Ejpg"> <font size=3D"2" color=3D"#0=
00000" face=3D"Arial, Helvetica,sans-serif"><b> City</b></font></td> <td wi=
dth=3D"282"> <input type=3D"text" size=3D"20" name=3D"City"> *</td></tr><tr=
> <td align=3D"RIGHT" width=3D"296" background=3D"Greenbackground=2Ejpg"> <=
font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetica,sans-serif"><b> =
State(USA Only)</b></font></td> <td width=3D"282"> <select name=3D"State" s=
ize=3D"1"> <option value=3D"AK">AK</option> <option value=3D"AL">AL</option=
> <option value=3D"AR">AR</option> <option value=3D"AZ">AZ</option> <option=
value=3D"CA">CA</option> <option value=3D"CO">CO</option> <option value=3D=
"CT">CT</option> <option value=3D"DC">DC</option> <option value=3D"DE">DE</=
option> <option value=3D"FL">FL</option> <option value=3D"GA">GA</option> <=
option value=3D"HI">HI</option> <option value=3D"IA">IA</option> <option va=
lue=3D"ID">ID</option> <option value=3D"IL">IL</option> <option value=3D"IN=
">IN</option> <option value=3D"KS">KS</option> <option value=3D"KY">KY</opt=
ion> <option value=3D"LA">LA</option> <option value=3D"MA">MA</option> <opt=
ion value=3D"MD">MD</option> <option value=3D"ME">ME</option> <option value=
=3D"MI">MI</option> <option value=3D"MN">MN</option> <option value=3D"MO">M=
O</option> <option value=3D"MS">MS</option> <option value=3D"MT">MT</option=
> <option value=3D"NC">NC</option> <option value=3D"ND">ND</option> <option=
value=3D"NE">NE</option> <option value=3D"NH">NH</option> <option value=3D=
"NJ">NJ</option> <option value=3D"NM">NM</option> <option value=3D"NV">NV</=
option> <option value=3D"NY">NY</option> <option value=3D"OH">OH</option> <=
option value=3D"OK">OK</option> <option value=3D"OR">OR</option> <option va=
lue=3D"PA">PA</option> <option value=3D"RI">RI</option> <option value=3D"SC=
">SC</option> <option value=3D"SD">SD</option> <option value=3D"TN">TN</opt=
ion> <option value=3D"TX">TX</option> <option value=3D"UT">UT</option> <opt=
ion value=3D"VA">VA</option> <option value=3D"VT">VT</option> <option value=
=3D"WA">WA</option> <option value=3D"WI">WI</option> <option value=3D"WV">W=
V</option> <option value=3D"WY">WY</option> </select><b> * <u>UNITED STATES=
ONLY!</u></b></td></tr><tr> <td align=3D"RIGHT" width=3D"296" background=3D=
"Greenbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, =
Helvetica,sans-serif"><b> Zip/Postal Code</b></font></td><td width=3D"282">=
<input type=3D"text" size=3D"10" maxlength=3D"15" name=3D"PostalCode"> *</=
td></tr><tr><td align=3D"RIGHT" width=3D"296" background=3D"Greenbackground=
=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetica,sans-s=
erif"><b> Home Phone</b></font></td> <td width=3D"282"> <input type=3D"text=
" size=3D"20" maxlength=3D"30" name=3D"HPhone"> *</td></tr><tr> <td align=3D=
"RIGHT" width=3D"296" background=3D"Greenbackground=2Ejpg"> <font size=3D"2=
" color=3D"#000000" face=3D"Arial, Helvetica,sans-serif"><b> Work Phone</b>=
</font></td><td width=3D"282"> <input type=3D"text" size=3D"20" maxlength=3D=
"55" name=3D"WPhone"> *</td></tr><tr> <td align=3D"RIGHT" width=3D"296" bac=
kground=3D"Greenbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D=
"Arial, Helvetica,sans-serif"><b> Email Address</b></font></td><td width=3D=
"282"> <input type=3D"text" size=3D"20" maxlength=3D"30" name=3D"Email"> *<=
/td></tr><tr> <td align=3D"RIGHT" width=3D"296" background=3D"Greenbackgrou=
nd=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetica,sans=
-serif"><b> Best Time To Call</b></font></td><td width=3D"282" background=3D=
"Greenbackground=2Ejpg"> <select size=3D"1" name=3D"CallTime"> <option valu=
e=3D"Morning at Home" selected>Morning at Home</option> <option value=3D"Mo=
rning at Work">Morning at Work</option> <option value=3D"Afternoon at Home"=
>Afternoon at Home</option> <option value=3D"Afternoon at Work">Afternoon a=
t Work</option> <option value=3D"Evening at Home">Evening at Home</option> =
<option value=3D"Late Evening at Work">Late Evening at Home</option> </sele=
ct> *</td></tr><tr> <td align=3D"RIGHT" width=3D"296" background=3D"Greenba=
ckground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetic=
a,sans-serif"><b> Do You Own Your Home?</b></font></td><td width=3D"282" ba=
ckground=3D"Greenbackground=2Ejpg"> <select size=3D"1" name=3D"Homeowner"> =
<option value=3D"Yes" selected>Yes</option> <option value=3D"No">No</option=
> </select><font color=3D"#000000" size=3D"1"> * Mobile Homes Do Not Qualif=
y</font></td></tr><tr> <td align=3D"RIGHT" width=3D"296" background=3D"Gree=
nbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helve=
tica,sans-serif"><b> Property Value</b></font></td><td width=3D"282"> <inpu=
t type=3D"text" size=3D"13" name=3D"PropertyValue" onBlur=3D"if (!validate =
(this=2Evalue>=3D 50000)) { alert('Not Valid! Please enter the approximate =
value of current property or property you wish to purchase \n (greater than=
or equal to 50000) using only number characters - 0123456789'); this=2Efoc=
us(); this=2Eselect(); return false; }"> * <font size=3D"1" color=3D"#00000=
0">Please use numbers only</font></td></tr><tr> <td align=3D"RIGHT" width=3D=
"296" background=3D"Greenbackground=2Ejpg"> <font color=3D"#000000" face=3D=
"Arial, Helvetica,sans-serif" size=3D"2"><b>Property Type</b></font></td> <=
td width=3D"282" background=3D"Greenbackground=2Ejpg"> <select size=3D"1" n=
ame=3D"PropertyType"> <option value=3D"Single Family Residence" selected>Si=
ngle Family Residence</option> <option value=3D"Condo">Condo</option> <opti=
on value=3D"Townhouse">Townhouse</option> <option value=3D"2-4 Plex">2-4 Pl=
ex</option> <option value=3D"Other">Other</option> </select> *</td></tr><tr=
> <td align=3D"RIGHT" width=3D"296" background=3D"Greenbackground=2Ejpg"> <=
font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetica,sans-serif"><b> =
Purchase Price</b></font></td><td width=3D"282"> <input type=3D"text" size=3D=
"13" name=3D"PurchasePrice"> * <font size=3D"1" color=3D"#000000">Please us=
e numbers only</font></td></tr><tr> <td align=3D"right" width=3D"296" backg=
round=3D"Greenbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D=
"Arial, Helvetica,sans-serif"><b><p> Year Acquired</b></font></td><td align=
=3D"left" width=3D"282"> <input type=3D"text" name=3D"YearAcquired" size=3D=
"13"> *</td></tr><tr align=3D"CENTER"> <td align=3D"RIGHT" width=3D"296" ba=
ckground=3D"Greenbackground=2Ejpg"> <font color=3D"#000000" face=3D"Arial, =
Helvetica,sans-serif" size=3D"2"><b>1st Mortgage-Balance Owed</b></font></t=
d> <td width=3D"282" align=3D"left"> <input type=3D"text" size=3D"13" maxle=
ngth=3D"30" name=3D"Mortgage1" onBlur=3D"if (!validate (this=2Evalue)) { al=
ert('Not Valid! Please enter only number characters - 0123456789\n If you h=
ave no current mortgage please enter 0'); this=2Efocus(); this=2Eselect(); =
return false; }"> * <font size=3D"1" color=3D"#000000">Please use numbers o=
nly (ex:45000) enter 0 for none</font></td></tr> <tr align=3D"center"> <td =
align=3D"RIGHT" width=3D"296" background=3D"Greenbackground=2Ejpg"> <font c=
olor=3D"#000000" face=3D"Arial, Helvetica,sans-serif" size=3D"2"><b>1st Mor=
tgage-Interest Rate</b></font></td> <td width=3D"282" align=3D"left"><b> <s=
elect size=3D"1" name=3D"CurrentIntRate"> <option value=3D"10=2E0" selected=
>10 or above</option> <option value=3D"7=2E0">Below 7=2E0</option> <option =
value=3D"7=2E25">7=2E1 - 7=2E49</option> <option value=3D"7=2E75">7=2E5 - 7=
=2E99</option><option value=3D"8=2E0">8=2E0 - 8=2E49</option> <option value=
=3D"8=2E75">8=2E5 - 8=2E99</option> <option value=3D"9=2E25">9=2E0 - 9=2E49=
</option> <option value=3D"9=2E75">9=2E5 - 9=2E99</option> <option value=3D=
"0">None</option> </select> %</b></td></tr><tr align=3D"center"><td align=3D=
"RIGHT" width=3D"296" background=3D"Greenbackground=2Ejpg"> <font size=3D"2=
" color=3D"#000000" face=3D"Arial, Helvetica,sans-serif"><b> Is 1st Adjusta=
ble or Fixed?</b></font></td><td align=3D"LEFT" width=3D"282" background=3D=
"Greenbackground=2Ejpg"> <select size=3D"1" name=3D"FirstType"> <option val=
ue=3D"Fixed" selected>Fixed</option> <option value=3D"Adjustable">Adjustabl=
e</option> </select> *</td></tr> <tr align=3D"center"> <td align=3D"RIGHT" =
width=3D"296" background=3D"Greenbackground=2Ejpg"> <font color=3D"#000000"=
face=3D"Arial, Helvetica,sans-serif" size=3D"2"><b>Employer</b></font></td=
> <td width=3D"282" align=3D"left"> <input type=3D"text" size=3D"15" maxlen=
gth=3D"30" name=3D"Employer"> *</td></tr><tr align=3D"center"><td align=3D"=
RIGHT" width=3D"296" background=3D"Greenbackground=2Ejpg"> <font size=3D"2"=
color=3D"#000000" face=3D"Arial, Helvetica,sans-serif"><b> Monthly Gross&n=
bsp;Household Income</b></font></td><td width=3D"282" align=3D"left"> <inpu=
t type=3D"text" size=3D"13" maxlength=3D"30" name=3D"MonthlyGrIncome"> * <f=
ont size=3D"1" color=3D"#000000">Please use numbers only</font></td></tr> <=
tr align=3D"center"> <td align=3D"RIGHT" width=3D"296" background=3D"Greenb=
ackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helveti=
ca,sans-serif"><b> 2nd Mortgage Balance owed</b></font></td><td width=3D"28=
2" align=3D"left"> <input type=3D"text" size=3D"13" maxlength=3D"30" name=3D=
"Mortgage2" onBlur=3D"if (!validate (this=2Evalue)) { alert('Not Valid! Ple=
ase enter only number characters - 0123456789\n If you have no second mortg=
age please enter 0'); this=2Efocus(); this=2Eselect(); return false; }">> *=
<font size=3D"1" color=3D"#000000">Please use numbers only(ex:45000) enter=
0 for none</font></td></tr><tr align=3D"center"> <td align=3D"RIGHT" width=
=3D"296" background=3D"Greenbackground=2Ejpg"> <font color=3D"#000000" face=
=3D"Arial, Helvetica,sans-serif" size=3D"2"><b>Amount You Wish To Borrow</b=
></font></td> <td width=3D"282" align=3D"left"> <select size=3D"1" name=3D"=
BorrowRequest"> <option value=3D"25000" selected>15,000 - 30,000</option> <=
option value=3D"40000">30,000 - 45,000</option> <option value=3D"55000">45,=
000 - 60,000</option> <option value=3D"70000">60,000 - 75,000</option> <opt=
ion value=3D"85000">75,000 - 90,000</option> <option value=3D"105000">90,00=
0 - 110,000</option> <option value=3D"120000">110,000 - 125,000</option> <o=
ption value=3D"150000">125,000 & Up</option> </select> *</td></tr><tr a=
lign=3D"center"> <td align=3D"RIGHT" width=3D"296" background=3D"Greenbackg=
round=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Helvetica,s=
ans-serif"><b> Credit Rating</b></font></td><td width=3D"282" align=3D"left=
"> <select size=3D"1" name=3D"CreditRating"> <option value=3D"Good" selecte=
d>Good</option> <option value=3D"Fair">Fair</option> <option value=3D"Poor"=
>Poor</option> <option value=3D"Excellent">Excellent</option> </select> *</=
td></tr><tr align=3D"center"> <td align=3D"RIGHT" width=3D"296" background=3D=
"Greenbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, =
Helvetica,sans-serif"><b> Monthly Debt</b></font></td><td width=3D"282" ali=
gn=3D"left"> <input type=3D"text" size=3D"13" name=3D"MonthlyDebt"> * <font=
color=3D"#000000" size=3D"1">Please use numbers <b>only</b></font></td></t=
r><tr valign=3D"middle"> <td align=3D"RIGHT" width=3D"296" background=3D"Gr=
eenbackground=2Ejpg"> <font size=3D"2" color=3D"#000000" face=3D"Arial, Hel=
vetica,sans-serif"><b> Loan Interested In</b></font></td><td width=3D"282" =
align=3D"left"> <select size=3D"1" name=3D"LoanInterested"> <option value=3D=
"Debt Consolidation" selected>Debt Consolidation</option> <option value=3D"=
Second Mortgage">Second Mortgage</option> <option value=3D"Home Improvement=
">Home Improvement</option> <option value=3D"Refinance">Refinance</option> =
<option value=3D"Purchase">Purchase</option> </select> *<br> </td></tr=
><tr align=3D"center"> <td align=3D"center" colspan=3D"2" width=3D"582" "><=
p><b><font face=3D"Arial">Fast & Easy -You Are Done !</font></b><br> <i=
nput type=3D"submit" value=3D"Submit This Application"></td></tr></table></=
td></tr></table> </form><p><font face=3D"Helvetica, sans-serif, Arial" size=
=3D"2">REMOVAL INSTRUCTIONS: This message is being sent to you in complianc=
e with the current Federal legislation=2E You must have either posted an AD=
to my FFA site, web-site, or requested information, or responded to one of=
our email letters=2E If you do not want to receive further emails or any o=
ther information from us, or you have received this mail in error, or for i=
mmediate removal you may simply use reply on your email program with "=
Remove from your mailing list#99221" in the subject=2E </font></p> </b=
ody> </html>
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