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</font></div> </td> </tr> <tr> <td align="center" width="650" valign="top" bgcolor="white" height="6"> </td> </tr> <tr> <td align="left" width="650" valign="top" bgcolor="white"> <div align="left"> <font size="-1" face="arial,helvetica,verdana" color="Navy"> <form action="http://www.holidaymarine.com/post_creditapp.cfm" method="post"> <div align="center"> <table width="400" cellpadding="0" cellspacing="0" border="0"> </table> <table width="400" cellpadding="0" cellspacing="0" border="0"> <tr> <td> <font size=3 face="Arial, Helvetica, sans-serif"><strong>Applicant Information</strong></font> <br /><br /></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> First Name: </font></td> <td align="left" width="225"> <input name="first_name" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Middle Name: </font></td> <td align="left" width="225"> <input name="middle_name" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Last Name: </font></td> <td align="left" width="225"> <input name="last_name" size="15" > </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Street Address: </font></td> <td align="left" width="225"> <input name="street_address" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> City: </font></td> <td align="left" width="225"> <input name="city" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> State/Province: </font></td> <td align="left" width="225"> <input name="state" size="2"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Zip/Postal Code: </font></td> <td align="left" width="225"> <input name="postal" size="5"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Since: </font></td> <td align="left" width="225"> <input name="year" size="4"> <font size="2" face="Arial, Helvetica, sans-serif">YYYY <input name="month" size="2"> <font color="#000000">MM</font></font></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> </font></td> <td align="left" width="225"> <font size="2" face="Arial, Helvetica, sans-serif"> <input type="radio" name="own_rent" value="own"> Own: </font> <font size="2" face="Arial, Helvetica, sans-serif"> <input type="radio" name="own_rent" value="rent"> Rent:</font></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Monthly Payment: </font></td> <td align="left" width="225"> <input name="mortgagePayment" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Mortgage Outstanding: </font></td> <td align="left" width="225"> <input name="mortageOutstanding" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Purchase Price: </font></td> <td align="left" width="225"> <input name="purchase_price" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Property Value: </font></td> <td align="left" width="225"> <input name="property_value" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Mortgage Holder: </font></td> <td align="left" width="225"> <input name="mortgage_holder" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Home Phone: </font></td> <td align="left" width="225"> <input name="home_phone" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Cell Phone: </font></td> <td align="left" width="225"> <input name="cell_phone" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Daytime Phone: </font></td> <td align="left" width="225"> <input name="daytime_phone" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Driver's License No: </font></td> <td align="left" width="225"> <input name="driver_license_no" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Social Security No: </font></td> <td align="left" width="225"> <input name="SSN" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Date of Birth: </font></td> <td align="left" width="225"> <input name="birth_year" size="4"> <font size="2" face="Arial, Helvetica, sans-serif">YYYY <input name="birth_month" size="2"> MM <input name="birth_day" size="2"> DD </font></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Employer: </font></td> <td align="left" width="225"> <input name="employer" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Occupation: </font></td> <td align="left" width="225"> <input name="occupation" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Since: </font></td> <td align="left" width="225"> <font size="2" face="Arial, Helvetica, sans-serif"> <input name="occu_year" size="4"> YYYY <input name="occu_month" size="2"> MM </font></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Gross Pay Per Year: </font></td> <td align="left" width="225"> <input name="gross_pay" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Other income per year: </font></td> <td align="left" width="225"> <input name="other_income" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Income source: </font></td> <td align="left" width="225"> <input name="other_income_source" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Vehicle Owned: </font></td> <td align="left" width="225"> <input name="vehicle_owned" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Financed By: </font></td> <td align="left" width="225"> <input name="vehicle_financing" size="20"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Balance Owing: </font></td> <td align="left" width="225"> <input name="vehicle_balance" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Monthly Payment: </font></td> <td align="left" width="225"> <input name="carMonthlyPayment" size="10"> </td> </tr> </table> <table width="400" cellspacing="0" cellpadding="0"> <tr> <td><br /> <br /> <strong><font size="3" face="Arial, Helvetica, sans-serif">Co-Applicant Information<br><br /> </font></strong></td> </tr> </table> <table width="400" cellspacing="0" cellpadding="0"> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> First Name: </font></td> <td align="left" width="225"> <input name="coapp_first_name" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Middle Name: </font></td> <td align="left" width="225"> <input name="coapp_middle_name" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Last Name: </font></td> <td align="left" width="225"> <input name="coapp_last_name" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Street Address: </font></td> <td align="left" width="225"> <input name="coapp_address" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> City: </font></td> <td align="left" width="225"> <input name="coapp_city" size="15"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> State/Province: </font></td> <td align="left" width="225"> <input name="coapp_state" size="2"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif">Zip/Postal Code: </font></td> <td align="left" width="225"> <input name="coapp_postal" size="5"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Since: </font></td> <td align="left" width="225"> <input name="coapp_since_year" size="4"> <font size="2" face="Arial, Helvetica, sans-serif">YYYY </font><font face="Arial, Helvetica, sans-serif"> <input name="coapp_since_month" size="2"> <font size="2"> MM </font></font></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> </font></td> <td align="left" width="225"> <font size="2" face="Arial, Helvetica, sans-serif">Own</font>: <input type="radio" name="coapp_own" value="own"> <font size="2" face="Arial, Helvetica, sans-serif">Rent: </font> <input type="radio" name="coapp_own" value="rent"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Monthly Payment: </font></td> <td align="left" width="225"> <input name="coapp_monthly_payment" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Home Phone: </font></td> <td align="left" width="225"> <input name="coapp_home_phone" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> SSN: </font></td> <td align="left" width="225"> <input name="coapp_ssn" size="10"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Date of Birth: </font></td> <td align="left" width="225"> <input name="coapp_birth_year" size="4"> <font size="2" face="Arial, Helvetica, sans-serif">YYYY </font> <input name="coapp_birth_month" size="2"> <font size="2" face="Arial, Helvetica, sans-serif"> MM</font> <input name="coapp_birth_day" size="2"> <font size="2" face="Arial, Helvetica, sans-serif">DD</font> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Employer: </font></td> <td align="left" width="225"> <input name="coapp_employer" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Occupation: </font></td> <td align="left" width="225"> <input name="coapp_occupation" size="30"> </td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Since: </font></td> <td align="left" width="225"> <input name="coapp_occup_year" size="4"> <font size="2" face="Arial, Helvetica, sans-serif">YYYY</font> <input name="coapp_occup_month" size="2"> <font size="2" face="Arial, Helvetica, sans-serif">MM </font></td> </tr> <tr> <td width="175" align="right" colspan="3"><font size="2" face="Arial, Helvetica, sans-serif"> Gross Pay Per Year: </font></td> <td align="left" width="225"> <input name="coapp_grosspay" size="10"> </td> </tr> </table> <table width="400" cellspacing="0" cellpadding="0"> <tr> <td width="400" align="center"><br /> <button name="submit" value="post" type="submit">Submit</button> </td> </tr> </table> </div> </font></div> </td> </tr> <tr> <td align="center" width="650" valign="top" bgcolor="white" height="6"> </td> </tr> </table> </div> <br> <table border="0" cellpadding="0" cellspacing="0"> <tr> <td align="center" width="650" valign="bottom" height=102> <font size="+1" face="arial,helvetica,verdana" color="black">HOLIDAY MARINE</font> <br> <font size="-1" face="arial,helvetica,verdana" color="Navy"> 1126 NORTH BLVD., E. HWY. 441 <br>LEESBURG, FL 34748 <p><b>1 -352-787-4824</b> <br><b>Toll Free 1-866-476-6866 OR 1-866-4PONTOON</b> <br><a href="mailto:holiday@holidaymarine.com"><font size="-1" face="arial,helvetica,verdana" color="blue"><u>holiday@holidaymarine.com</u></font></a> </font> </td> </tr> </table> </td> </tr> </table> </td> </tr> <tr> <td align="center" valign="top" colspan="3" width="100%"> <div id="footerlinks" style="background-color:#f4d01e; font-color: white; font-size: 8px; font-face:bold;"> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/CurrentInventory">Current Inventory</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/NewBoatShowrooms">New Boat Showrooms</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/Pre-ownedInventory">Pre-owned Inventory</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/InternetSpecials">Internet Specials</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/Footer">Footer</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/OverStockSpecials">Over Stock Specials</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/LiquidationSale">Liquidation Sale</a> | </font> <font color="white" size="-1"> <a href="http://www.holidaymarine.com/pages/PreferredCustomers">Preferred Customers</a> | </font> </div> </td> </tr> <tr> <td align="center" valign="top" colspan="3" width=778 height="#footercelldepth#"> <table border="0" cellpadding="0" cellspacing="0"> <tr> <td align="center" width="778" valign="middle" bgcolor="white" height="0"> <img src="..//Graphics/holidayfooter.jpg" border="0"> </td> </tr> </table> </td> </tr> </table> </td> </tr> </table> </body> </html>
