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#599400
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"><html><body><form action="check.php" method="post" name="page1"> <div><label> Type of loan: <select name="loan"> <option value="loan-unset">Pick one</option> <option value="refinance" selected>Refinance loan</option> <option value="purchase">Purchase</option> </select> </label></div> <div><label>Property description: <select name="property-description"> <option value="property-description-unset">Pick one</option> <option value="single">Single family</option> <option value="multi">Multi-unit</option> <option value="townhome">Townhome</option> <option value="condo">Condominium</option> </select> </label></div> <div><label>Credit report estimate: <select name="credit-report-estimate"> <option value="credit-report-estimate-unset">Pick one</option> <option value="10">10 (Perfect credit)</option> <option value="7-9" selected>7-9 (Excellent)</option> <option value="5-6">5-6 (Average)</option> <option value="3-4">3-4 (Late payments)</option> <option value="1-2">1-2 (Foreclosure)</option> </select> </label></div> <div> <input name="submit" type="submit" value="Continue" selected/> <input name="clear" type="reset" value="Reset this page"/> </div> <input name="page" type="hidden" value="1" selected/></form></body></html>