{"id":185,"date":"2011-11-07T19:40:28","date_gmt":"2011-11-07T19:40:28","guid":{"rendered":"http:\/\/5612512859.swiftwebdesigner.com\/?page_id=19"},"modified":"2017-04-21T04:43:24","modified_gmt":"2017-04-21T04:43:24","slug":"apply-now","status":"publish","type":"page","link":"https:\/\/ocreverse.com\/webadmin\/apply-now","title":{"rendered":"Apply Now"},"content":{"rendered":"<script type=\"text\/javascript\" src=\"http:\/\/swiftcloud.io\/js\/jstz.min.js\"><\/script>\r\n<form class=\"TTWForm\" method=\"post\" action=\"http:\/\/swiftcloud.io\/forms\/fh.php\">\r\n    <input id=\"formid\" type=\"hidden\" value=\"824\" name=\"formid\">\r\n    <input id=\"trackingvars\" type=\"hidden\" name=\"trackingvars\">\r\n    <input id=\"referer\" type=\"hidden\" value=\"\" name=\"referer\">\r\n    <input id=\"current_form_type\" type=\"hidden\" value=\"standard\" name=\"current_form_type\">\r\n    <input id=\"SC_fh_timezone\" type=\"hidden\" value=\"\" name=\"timezone\">\r\n    <input id=\"SC_fh_language\" type=\"hidden\" value=\"\" name=\"language\">\r\n    <input id=\"SC_fh_capturepage\" type=\"hidden\" value=\"\" name=\"capturepage\">\r\n    <input id=\"sc_lead_referer\" type=\"hidden\" value=\"\" name=\"sc_lead_referer\">\r\n    <input id=\"sc_referer_qstring\" type=\"hidden\" value=\"\" name=\"sc_referer_qstring\">\r\n    <input id=\"browserResolution\" type=\"hidden\" name=\"browserResolution\" value=\"1583x757px\">\r\n\r\n    <table width=\"100%\" cellspacing=\"3\" cellpadding=\"5\" class=\"tbl-apply-now\">\r\n        <tr>\r\n            <td><h2>The Property:<\/h2><\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td>\r\n                <table width=\"100%\" border=\"1\">\r\n                    <tr>\r\n                        <td style=\"width: 48%; padding-left: 1%; padding-right: 1%\" valign=\"top\">\r\n                            <table width=\"100%\" cellspacing=\"3\" cellpadding=\"5\" class=\"pad_03\">\r\n                                <tr>\r\n                                    <td align=\"right\">Street Address<\/td>\r\n                                    <td><input type=\"text\" name=\"street_address\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Street Address 2 (Optional)<\/td>\r\n                                    <td><input type=\"text\" name=\"street_address2\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">City<\/td>\r\n                                    <td><input type=\"text\" name=\"city\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">State<\/td>\r\n                                    <td>\r\n                                        <select name=\"state\" id=\"state\">\r\n                                            <option selected=\"selected\">-- State --<\/option>\r\n                                            <option value=\"AL\">Alabama<\/option>\r\n                                            <option value=\"AK\">Alaska<\/option>\r\n                                            <option value=\"AZ\">Arizona<\/option>\r\n                                            <option value=\"AR\">Arkansas<\/option>\r\n                                            <option value=\"CA\">California<\/option>\r\n                                            <option value=\"CO\">Colorado<\/option>\r\n                                            <option value=\"CT\">Connecticut<\/option>\r\n                                            <option value=\"DE\">Delaware<\/option>\r\n                                            <option value=\"DC\">District of Columbia<\/option>\r\n                                            <option value=\"FL\">Florida<\/option>\r\n                                            <option value=\"GA\">Georgia<\/option>\r\n                                            <option value=\"HI\">Hawaii<\/option>\r\n                                            <option value=\"ID\">Idaho<\/option>\r\n                                            <option value=\"IL\">Illinois<\/option>\r\n                                            <option value=\"IN\">Indiana<\/option>\r\n                                            <option value=\"IA\">Iowa<\/option>\r\n                                            <option value=\"KS\">Kansas<\/option>\r\n                                            <option value=\"KY\">Kentucky<\/option>\r\n                                            <option value=\"LA\">Louisiana<\/option>\r\n                                            <option value=\"ME\">Maine<\/option>\r\n                                            <option value=\"MD\">Maryland<\/option>\r\n                                            <option value=\"MA\">Massachusetts<\/option>\r\n                                            <option value=\"MI\">Michigan<\/option>\r\n                                            <option value=\"MN\">Minnesota<\/option>\r\n                                            <option value=\"MS\">Mississippi<\/option>\r\n                                            <option value=\"MO\">Missouri<\/option>\r\n                                            <option value=\"MT\">Montana<\/option>\r\n                                            <option value=\"NE\">Nebraska<\/option>\r\n                                            <option value=\"NV\">Nevada<\/option>\r\n                                            <option value=\"NH\">New Hampshire<\/option>\r\n                                            <option value=\"NJ\">New Jersey<\/option>\r\n                                            <option value=\"NM\">New Mexico<\/option>\r\n                                            <option value=\"NY\">New York<\/option>\r\n                                            <option value=\"NC\">North Carolina<\/option>\r\n                                            <option value=\"ND\">North Dakota<\/option>\r\n                                            <option value=\"OH\">Ohio<\/option>\r\n                                            <option value=\"OK\">Oklahoma<\/option>\r\n                                            <option value=\"OR\">Oregon<\/option>\r\n                                            <option value=\"PA\">Pennsylvania<\/option>\r\n                                            <option value=\"RI\">Rhode Island<\/option>\r\n                                            <option value=\"SC\">South Carolina<\/option>\r\n                                            <option value=\"SD\">South Dakota<\/option>\r\n                                            <option value=\"TN\">Tennessee<\/option>\r\n                                            <option value=\"TX\">Texas<\/option>\r\n                                            <option value=\"UT\">Utah<\/option>\r\n                                            <option value=\"VT\">Vermont<\/option>\r\n                                            <option value=\"VA\">Virginia<\/option>\r\n                                            <option value=\"WA\">Washington<\/option>\r\n                                            <option value=\"WV\">West Virginia<\/option>\r\n                                            <option value=\"WI\">Wisconsin<\/option>\r\n                                            <option value=\"WY\">Wyoming<\/option>\r\n                                        <\/select>\r\n                                    <\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Zip<\/td>\r\n                                    <td><input type=\"text\" name=\"zip\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"left\" colspan=\"2\">\r\n                                        <select name=\"property_type\" id=\"property_type\">\r\n                                            <option value=\"prop_type_not_given\" selected=\"selected\">-- TYPE OF PROPERTY --<\/option>\r\n                                            <option value=\"SFR_Detached\">Single Family Detached Home<\/option>\r\n                                            <option value=\"PUD_Condo\">Single Family Attached (Townhome, Condo)<\/option>\r\n                                            <option value=\"duplex\">2-Unit Duplex<\/option>\r\n                                            <option value=\"3u4u\">3-Unit or 4-Unit<\/option>\r\n                                            <option value=\"5uCommercial\">5 Unit or More Residential <\/option>\r\n                                            <option value=\"other\">Other<\/option>\r\n                                        <\/select>\r\n                                    <\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Value of Property<\/td>\r\n                                    <td><input type=\"text\" name=\"value_of_property\" \/><\/td>\r\n                                <\/tr>\r\n                            <\/table>\r\n                        <\/td>\r\n                        <td style=\"width: 48%; padding-left: 1%; padding-right: 1%\" valign=\"top\">\r\n                            <table width=\"100%\" class=\"pad_03\">\r\n                                <tr>\r\n                                    <td>\r\n                                        <input name=\"radio\" id=\"radio\" value=\"primary_ownerocc\" style=\"width:auto;\" type=\"radio\">\r\n                                        Primary Residence. I live here or am buying this to move into here.\r\n                                        <br>\r\n                                        <input name=\"radio\" id=\"radio2\" value=\"2nd_vacation\" style=\"width:auto;\" type=\"radio\">\r\n                                        2nd \/ Vacation Home.\r\n                                        <br>\r\n                                        <input name=\"radio\" id=\"radio3\" value=\"NOO_Investment\" style=\"width:auto;\" type=\"radio\">\r\n                                        Rental \/ Flip \/ Investment Property<p><\/p>\r\n                                        <p>Property is Held in These Names (List All Names on Property Title, or Name of Trust):<\/p>\r\n                                        <input name=\"extra_property_held_in\" id=\"extra_property_held_in\" type=\"text\">\r\n                                        <br><br>\r\n                                        <p>Held via...\r\n\r\n                                            <select name=\"property_held_via\" id=\"property_held_via\" style=\"width: auto\">\r\n                                                <option value=\"fee_simple\">Fee Simple (Default, Most Common)<\/option>\r\n                                                <option value=\"life_estate\">Life Estate<\/option>\r\n                                                <option value=\"leasehold\">Leasehold<\/option>\r\n                                            <\/select>\r\n                                            <br>\r\n                                            <input name=\"extra_heldintrust\" id=\"extra_heldintrust\" value=\"Prop_Held_In_Living_Trust\" style=\"width:auto;\" type=\"checkbox\">\r\n\r\n                                            This property is also held as Inter Vivos (Living) Trust (do not check if unsure)\r\n                                        <\/p>\r\n                                    <\/td>\r\n                                <\/tr>\r\n                            <\/table>\r\n                        <\/td>\r\n                    <\/tr>\r\n                <\/table>\r\n            <\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td><h2>The Borrower(s):<\/h2><\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td>\r\n                <table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\" border=\"1\">\r\n                    <tr>\r\n                        <td style=\"width: 50%\" class=\"tbl_head\">Borrower<\/td>\r\n                        <td style=\"width: 50%\" class=\"tbl_head\">Co-Borrower (Optional)<\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td style=\"width: 48%; padding-left: 1%; padding-right: 1%\" valign=\"top\">\r\n                            <table width=\"100%\" class=\"pad_03\">\r\n                                <tr>\r\n                                    <td align=\"right\">Name:<\/td>\r\n                                    <td><input type=\"text\" name=\"name\" required=\"required\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Phone:<\/td>\r\n                                    <td><input type=\"text\" name=\"phone\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">E-mail:<\/td>\r\n                                    <td><input type=\"email\" name=\"email\" required=\"required\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"left\" colspan=\"2\">Social Security # will be required but requested offline (via Phone or Mail) for Security.<\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Date of Birth (MM\/DD\/YYYY)<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_dob\" placeholder=\"MM\/DD\/YYYY\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Monthly Income:<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_monthly_income\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Real Estate Assets $<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_real_estate_assets\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Available Liquid Assets<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_avail_liquid_assets\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Home Phone (including area code):<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_home_phone\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Years Living at This Address:<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_years_living\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Mailing Address if Different:<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_mailing_address\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">City, State, Zip:<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_citystatezip\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Marital Status:<\/td>\r\n                                    <td>\r\n                                        <select name=\"borrower_marital_status\" id=\"borrower_marital_status\">\r\n                                            <option value=\"marital_status_not_given\" selected=\"selected\">-- Marital Status --<\/option>\r\n                                            <option value=\"married\">Married<\/option>\r\n                                            <option value=\"unmarried\">Unmarried (Single, Divorced, Widowed)<\/option>\r\n                                        <\/select>\r\n                                    <\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td style=\"text-align: center\" colspan=\"2\"><strong>Alternate Contact Person<\/strong><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Name:<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_altername_contact_name\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Phone:<\/td>\r\n                                    <td><input type=\"text\" name=\"borrower_altername_contact_phone\" \/><\/td>\r\n                                <\/tr>\r\n                            <\/table>\r\n                        <\/td>\r\n                        <td style=\"width: 48%; padding-left: 1%; padding-right: 1%\" valign=\"top\">\r\n                            <table width=\"100%\" class=\"pad_03\">\r\n                                <tr>\r\n                                    <td align=\"right\">Name:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_name\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Phone:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_phone\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">E-mail:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_email\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"left\" colspan=\"2\">Social Security # will be required but requested offline (via Phone or Mail) for Security.<\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Date of Birth (MM\/DD\/YYYY)<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_dob\" placeholder=\"MM\/DD\/YYYY\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Monthly Income:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_monthly_income\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Real Estate Assets $<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_real_estate_assets\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Available Liquid Assets<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_avail_liquid_assets\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Home Phone (including area code):<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_home_phone\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Years Living at This Address:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_years_living\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Mailing Address if Different:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_mailing_address\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">City, State, Zip:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_citystatezip\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Marital Status:<\/td>\r\n                                    <td>\r\n                                        <select name=\"co_borrower_marital_status\" id=\"co_borrower_marital_status\">\r\n                                            <option value=\"marital_status_not_given\" selected=\"selected\">-- Marital Status --<\/option>\r\n                                            <option value=\"married\">Married<\/option>\r\n                                            <option value=\"unmarried\">Unmarried (Single, Divorced, Widowed)<\/option>\r\n                                        <\/select>\r\n                                    <\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td style=\"text-align: center\" colspan=\"2\"><strong>Alternate Contact Person<\/strong><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Name:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_altername_contact_name\" \/><\/td>\r\n                                <\/tr>\r\n                                <tr>\r\n                                    <td align=\"right\">Phone:<\/td>\r\n                                    <td><input type=\"text\" name=\"co_borrower_altername_contact_phone\" \/><\/td>\r\n                                <\/tr>\r\n                            <\/table>\r\n                        <\/td>\r\n                    <\/tr>\r\n                <\/table>\r\n            <\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td><h2>Liens Against Subject Property (Required to be Paid Off)<\/h2><\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td>\r\n                <table id=\"liens\" width=\"100%\" cellspacing=\"0\" cellpadding=\"0\" border=\"1\">\r\n                    <tr>\r\n                        <td class=\"tbl_head\" style=\"width: 20%\">Lender Name<\/td>\r\n                        <td class=\"tbl_head\" style=\"width: 30%\">Type<\/td>\r\n                        <td class=\"tbl_head\" style=\"width: 30%\">Address of Lender<\/td>\r\n                        <td class=\"tbl_head\" style=\"width: 20%\">Balance<\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>\r\n                            <input name=\"extra_lender1_name\" id=\"extra_lender1_name\" type=\"text\">\r\n                        <\/td>\r\n                        <td>\r\n                            <select name=\"extra_lender1_type\" id=\"extra_lender1_type\">\r\n                                <option value=\"mortgage\" selected=\"selected\">Mortgage<\/option>\r\n                                <option value=\"heloc\">Home Equity Line of Credit (HELOC)<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"other_lien\">Other Lien<\/option>\r\n                            <\/select>\r\n                        <\/td>\r\n                        <td><input name=\"extra_lender1_address\" id=\"textfield18\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender1_balance\" id=\"textfield23\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender2_name\" id=\"textfield14\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender2_type\" id=\"extra_lender2_type\">\r\n                                <option value=\"NotGiven_Blank\" selected=\"selected\">-- Lien Type --<\/option>\r\n                                <option value=\"mortgage\">Mortgage<\/option>\r\n                                <option value=\"heloc\">Home Equity Line of Credit (HELOC)<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"other_lien\">Other Lien<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender2_address\" id=\"textfield19\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender2_balance\" id=\"textfield24\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender3_name\" id=\"textfield15\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender3_type\" id=\"extra_lender3_type\">\r\n                                <option value=\"NotGiven_Blank\" selected=\"selected\">-- Lien Type --<\/option>\r\n                                <option value=\"mortgage\">Mortgage<\/option>\r\n                                <option value=\"heloc\">Home Equity Line of Credit (HELOC)<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"other_lien\">Other Lien<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender3_address\" id=\"textfield20\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender3_balance\" id=\"textfield25\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender4_name\" id=\"textfield16\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender4_type\" id=\"extra_lender4_type\">\r\n                                <option value=\"NotGiven_Blank\" selected=\"selected\">-- Lien Type --<\/option>\r\n                                <option value=\"mortgage\">Mortgage<\/option>\r\n                                <option value=\"heloc\">Home Equity Line of Credit (HELOC)<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"other_lien\">Other Lien<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender4_address\" id=\"textfield21\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender4_balance\" id=\"textfield26\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender5_name\" id=\"textfield17\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender5_type\" id=\"extra_lender5_type\">\r\n                                <option value=\"NotGiven_Blank\" selected=\"selected\">-- Lien Type --<\/option>\r\n                                <option value=\"mortgage\">Mortgage<\/option>\r\n                                <option value=\"heloc\">Home Equity Line of Credit (HELOC)<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"other_lien\">Other Lien<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender5_address\" id=\"textfield22\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender5_balance\" id=\"textfield27\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td colspan=\"3\" align=\"right\">Total<\/td>\r\n                        <td><input name=\"vLeadTypeField2\" id=\"liens_sum\" readonly=\"readonly\" style=\"font-weight:bold;\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n\r\n                <\/table>\r\n            <\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td><h2>Total Non-Real Estate Debt<\/h2><\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td>\r\n                <table id=\"non_real_estate\" width=\"100%\" cellspacing=\"0\" cellpadding=\"0\" border=\"1\">\r\n                    <tr>\r\n                        <td class=\"tbl_head\" style=\"width: 20%\">Lender Name<\/td>\r\n                        <td class=\"tbl_head\" style=\"width: 30%\">Type<\/td>\r\n                        <td class=\"tbl_head\" style=\"width: 30%\">Address of Lender<\/td>\r\n                        <td class=\"tbl_head\" style=\"width: 20%\">Balance<\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>\r\n                            <input name=\"extra_lender1_name\" id=\"textfield29\" type=\"text\">\r\n                        <\/td>\r\n                        <td>\r\n                            <select name=\"extra_lender1_type\" id=\"extra_lender1_type\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select>\r\n                        <\/td>\r\n                        <td><input name=\"extra_lender1_address\" id=\"textfield30\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender1_balance\" id=\"textfield31\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender2_name\" id=\"textfield32\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender2_type\" id=\"extra_lender2_type\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender2_address\" id=\"textfield33\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender2_balance\" id=\"textfield34\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender3_name\" id=\"textfield35\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender3_type\" id=\"extra_lender3_type\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender3_address\" id=\"textfield36\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender3_balance\" id=\"textfield37\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender4_name\" id=\"textfield38\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender4_type\" id=\"extra_lender4_type\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender4_address\" id=\"textfield39\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender4_balance\" id=\"textfield40\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender5_name\" id=\"textfield51\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender5_type\" id=\"select17\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender5_address\" id=\"textfield52\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender5_balance\" id=\"textfield53\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender6_name\" id=\"textfield48\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender6_type\" id=\"select16\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender6_address\" id=\"textfield49\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender6_balance\" id=\"textfield50\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender7_name\" id=\"textfield45\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender7_type\" id=\"select15\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender7_address\" id=\"textfield46\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender7_balance\" id=\"textfield47\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td><input name=\"extra_lender8_name\" id=\"textfield41\" type=\"text\"><\/td>\r\n                        <td><select name=\"extra_lender8_type\" id=\"extra_lender8_type\">\r\n                                <option value=\"debt_type\" selected=\"selected\">-- Debt Type --<\/option>\r\n                                <option value=\"mortgage_on_other_prop\">Mortgage on Other Property<\/option>\r\n                                <option value=\"heloc_on_other_prop\">HELOC on Other Property<\/option>\r\n                                <option value=\"lien_on_other_prop\">Lien on Other Property<\/option>\r\n                                <option value=\"credit_card\">Credit Card<\/option>\r\n                                <option value=\"personal_debt\">Personal Debt<\/option>\r\n                                <option value=\"store_credit\">Store Credit<\/option>\r\n                                <option value=\"tax_lien\">Tax Lien<\/option>\r\n                                <option value=\"child_support\">Child Support<\/option>\r\n                            <\/select><\/td>\r\n                        <td><input name=\"extra_lender8_address\" id=\"textfield42\" type=\"text\"><\/td>\r\n                        <td><input name=\"extra_lender8_balance\" id=\"textfield43\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td colspan=\"3\" align=\"right\">Total<\/td>\r\n                        <td><input name=\"extra_lender1_TOTAL\" id=\"non_real_estate_sum\" style=\"font-weight:bold;\" type=\"text\"><\/td>\r\n                    <\/tr>\r\n                <\/table>\r\n            <\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td><h2>&nbsp;<\/h2><\/td>\r\n        <\/tr>\r\n        <tr>\r\n            <td>\r\n                <table width=\"100%\" border=\"1\" class=\"pad_03\">\r\n                    <tr>\r\n                        <td width=\"72%\"><h2>Declarations:<\/h2><\/td>\r\n                        <td colspan=\"2\" style=\"text-align: center\"><strong>Borrower<\/strong><\/td>\r\n                        <td colspan=\"2\" style=\"text-align: center\"><strong>Co-Borrower<\/strong><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <th>&nbsp;<\/th>\r\n                        <th width=\"7%\" class=\"text-center\">Yes<\/th>\r\n                        <th width=\"7%\" class=\"text-center\">No<\/th>\r\n                        <th width=\"7%\" class=\"text-center\">Yes<\/th>\r\n                        <th width=\"7%\" class=\"text-center\">No<\/th>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Are there any outstanding judgements against you?<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec1B_judgements\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec1B_judgements\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec1COB_judgements\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec1COB_judgements\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Have you filed for any bankruptcy that has not been resolved?<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec2B_bk\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec2B_bk\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec2COB_bk\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec2COB_bk\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Are you party to a lawsuit?<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec3B_lawsuit\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec3B_lawsuit\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec3COB_lawsuit\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec3COB_lawsuit\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? [If \"Yes\", give details including date, name and address of lender, FHA or VA Case number (if applicable), and reason for delinquency\/default]<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec4B_fed\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec4B_fed\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec4COB_fed\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec4COB_fed\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Do you intend to occupy the property as your primary residence?<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec5B_primary\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec5B_primary\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec5COB_primary\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec5COB_primary\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Are you a co-maker or endorser on a note? (Optional for HUD)<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec6B_maker\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec6B_maker\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec6COB_maker\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec6COB_maker\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Are you a U.S. citizen? (Optional for HUD)<\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec7B_citizen\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"extra_dec7B_citizen\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"radio4\" id=\"radio6\" value=\"Yes\" type=\"radio\"><\/td>\r\n                        <td class=\"text-center\"><input name=\"radio4\" id=\"radio7\" value=\"No\" type=\"radio\"><\/td>\r\n                    <\/tr>\r\n                    <tr>\r\n                        <td>Are you a permanent resident alien? 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