<?xml version="1.0" encoding="UTF-8"?>

<form url="myform.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="568"
 height="366"
 bkcolor="0x000000"
 transparent="f"
 outlinecolor="0x000000"
 fontcolor="0x000000"
 themecolor="0xFFA953"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 bcc=""
 cc=""
 reqmessage="One or More Fields are Required"
 transition="0"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://www.msn.com"
></hidden>

<hidden
 name="subject"
 value="Pre-qualification"
></hidden>

<textinput
 name="Firstname"
 x="276"
 y="36"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Lastname"
 x="276"
 y="64"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Morningphone"
 x="276"
 y="92"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
  restrict="phone"
>
</textinput>

<textinput
 name="Eveningphone1"
 x="276"
 y="116"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
  restrict="phone"
>
</textinput>

<textinput
 name="email"
 x="276"
 y="144"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
  restrict="email"
>
</textinput>

<textinput
 name="Lamount"
 x="276"
 y="252"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
  restrict="num"
>
</textinput>

<textinput
 name="Marketvalue"
 x="276"
 y="280"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Verdana"
  fontcolor="0x000000"
 required="true"
  restrict="num"
>
</textinput>

<combobox
 name="State"
 x="276"
 y="172"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="139"
 h="20">
  <item name="Select One..."></item>
  <item name="Alabama"></item>
  <item name="Alaska"></item>
  <item name="Arizona"></item>
  <item name="Arkansas"></item>
  <item name="California"></item>
  <item name="Colorado"></item>
  <item name="Connecticut"></item>
  <item name="Delaware"></item>
  <item name="Florida"></item>
  <item name="Georgia"></item>
  <item name="Hawaii"></item>
  <item name="Idaho"></item>
  <item name="Illinois"></item>
  <item name="Indiana"></item>
  <item name="Iowa"></item>
  <item name="Kansas"></item>
  <item name="Kentucky"></item>
  <item name="Louisiana"></item>
  <item name="Maine"></item>
  <item name="Maryland"></item>
  <item name="Massachusetts"></item>
  <item name="Michigan"></item>
  <item name="Minnesota"></item>
  <item name="Mississippi"></item>
  <item name="Missouri"></item>
  <item name="Montana"></item>
  <item name="Nebraska"></item>
  <item name="Nevada"></item>
  <item name="New Hampshire"></item>
  <item name="New Jersey"></item>
  <item name="New Mexico"></item>
  <item name="New York"></item>
  <item name="North Carolina"></item>
  <item name="North Dakota"></item>
  <item name="Ohio"></item>
  <item name="Oklahoma"></item>
  <item name="Oregon"></item>
  <item name="Pennsylvania"></item>
  <item name="Rhode Island"></item>
  <item name="South Carolina"></item>
  <item name="South Dakota"></item>
  <item name="Tennessee"></item>
  <item name="Texas"></item>
  <item name="Utah"></item>
  <item name="Vermont"></item>
  <item name="Virginia"></item>
  <item name="Washington"></item>
  <item name="West Virginia"></item>
  <item name="Wisconsin"></item>
  <item name="Wyoming"></item>
</combobox>

<combobox
 name="timecontact"
 x="276"
 y="200"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="139"
 h="20">
  <item name="Select One..."></item>
  <item name="Morning"></item>
  <item name="Afternoon"></item>
  <item name="Evening"></item>
</combobox>

<combobox
 name="Credithistory"
 x="276"
 y="224"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="140"
 h="20">
  <item name="Select One..."></item>
  <item name="Excellent"></item>
  <item name="Good"></item>
  <item name="Fair"></item>
  <item name="Poor"></item>
</combobox>

<combobox
 name="Purpose"
 x="276"
 y="308"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="174"
 h="20">
  <item name="Select One..."></item>
  <item name="Purchase"></item>
  <item name="Refi - Adjust Rate/Term"></item>
  <item name="Refi - Cash Out"></item>
  <item name="Refi - Home Improvement"></item>
  <item name="Refi - Debt Consolidation"></item>
</combobox>

<combobox
 name="Occupancy"
 x="276"
 y="332"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="175"
 h="20">
  <item name="Select One..."></item>
  <item name="Primary Residence"></item>
  <item name="Secondary/Vacation Residence"></item>
  <item name="Investment Property"></item>
</combobox>

<submitbutton
 name="Submit Button 1"
 x="0"
 y="0"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="157"
 y="37"
 w="100"
 h="18"
 text="First Name:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 2"
 x="157"
 y="62"
 w="99"
 h="18"
 text="Last Name:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 3"
 x="126"
 y="88"
 w="131"
 h="18"
 text="Morning Phone:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 4"
 x="126"
 y="115"
 w="131"
 h="18"
 text="Evening Phone:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 5"
 x="130"
 y="143"
 w="127"
 h="18"
 text="Email Address:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 6"
 x="202"
 y="171"
 w="55"
 h="18"
 text="State:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 7"
 x="71"
 y="199"
 w="186"
 h="18"
 text="Best Time to Contact:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 8"
 x="133"
 y="227"
 w="124"
 h="18"
 text="Credit History:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 9"
 x="108"
 y="254"
 w="149"
 h="18"
 text="Loan Amount ($):"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 10"
 x="126"
 y="280"
 w="131"
 h="18"
 text="Property Value:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 11"
 x="136"
 y="307"
 w="121"
 h="18"
 text="Loan Purpose:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 12"
 x="118"
 y="335"
 w="139"
 h="18"
 text="Property will be:"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

</form>