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	Wells

tiffenschmee

6-19-2008 10:53 AM

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<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://www.clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/ff64e97e-e2af-4c26-98bf-088855907b91/38A761D3-9B2E-47B0-83A7-816CAC4B004F/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="https://financial.wellsfargo.com/retailservices/step2to3.do" href="https://financial.wellsfargo.com/retailservices/step2to3.do" style="font-size: 11px;">financial.wellsfargo.com</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="https://financial.wellsfargo.com/retailservices/step2to3.do"><FORM action="https://financial.wellsfargo.com/retailservices/submitApp.do" method="post" name="CreditAppForm">
<TABLE width="390" cellspacing="3" cellpadding="3" border="0" class="tableborder"><TBODY><TR><TD bgcolor="#666666" class="mwf-header-top" colspan="2"><B> </B> </TD></TR><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR valign="top" class="content"><TD class="generictext"> <STRONG>First Name:</STRONG>
</TD><TD class="generictext"><IMG width="12" height="1" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD class="generictext"> <STRONG>M.I.:</STRONG>
</TD><TD class="generictext"><IMG width="12" height="1" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD class="generictext"> <STRONG>Last Name:</STRONG>
</TD></TR></TBODY></TABLE></TD></TR><TR><TD><IMG width="1" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD></TR><TR><TD class="generictext"><STRONG> DOB:</STRONG>
- 
- 
</TD></TR><TR><TD bgcolor="#666666" class="mwf-header-top" colspan="2"> <B>Current Address Information</B> </TD></TR><TR><TD> <TABLE width="100%" cellspacing="2" cellpadding="0" border="0" id="tbl1"><TBODY><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR><TD class="generictext"> <STRONG>Address</STRONG>     

</TD></TR><TR><TD><IMG width="1" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD></TR><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR class="generictext"><TD> <STRONG>City</STRONG>
</TD><TD><IMG width="12" height="1" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD> <STRONG>State</STRONG>
</TD><TD><IMG width="12" height="1" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD> <STRONG>Zip</STRONG>
-  
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR valign="top" class="generictext"><TD><STRONG>Housing Status</STRONG>
</TD><TD><IMG width="25" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD><STRONG>Length at this Address</STRONG>
Years 
Months </TD></TR></TBODY></TABLE></TD></TR><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR class="generictext"><TD><STRONG>Value Of Home</STRONG>
</TD><TD><IMG width="25" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD><STRONG>Mortgage Balance</STRONG>
</TD></TR></TBODY></TABLE></TD></TR><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR><TD class="generictext"><STRONG>Evening Phone Number</STRONG>
-  
-  
</TD></TR></TBODY></TABLE></TD></TR><TR><TD class="generictext"><STRONG> E-mail Address</STRONG>
</TD></TR><TR><TD bgcolor="#666666" class="mwf-header-top" colspan="2"> <B>Employment Information</B> </TD></TR><TR><TD valign="top"><TABLE width="100%" cellspacing="0" cellpadding="0" border="0" class="whiteborder" id="tbl4"><TBODY><TR><TD> <TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR><TD><IMG width="1" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD></TR><TR><TD class="generictext"><STRONG>Employer Name</STRONG>
</TD></TR><TR><TD class="generictext"><STRONG>Social Security Number</STRONG>
XXX-XX-
	                                  </TD></TR><TR><TD class="generictext"><TABLE width="100%" cellspacing="0" cellpadding="0" border="0"><TBODY><TR><TD><STRONG>Daytime Phone Number</STRONG>
-  
-  
</TD><TD><IMG width="35" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD><TD class="content"><STRONG>Annual Salary</STRONG>
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
<TABLE width="390" cellspacing="0" cellpadding="0" border="0"><TBODY><TR><TD align="right"> <IMG width="1" height="16" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" />
<TABLE cellspacing="0" cellpadding="0" border="0"><TBODY><TR><TD class="generictext"> Select the "Submit" button to save information and submit for processing. Additional changes will not be allowed once the "Submit" button is selected. </TD><TD><IMG width="20" height="1" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /></TD></TR></TBODY></TABLE></TD></TR><TR><TD align="right"> <IMG width="1" height="8" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" />
<INPUT type="image" height="17" alt="Submit" src="https://financial.wellsfargo.com/retailservices/images/button_submit.gif" name="Submit" />
<IMG width="20" height="1" src="https://financial.wellsfargo.com/retailservices/images/spacer.gif" /> 
</TD></TR></TBODY></TABLE></FORM></blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/38A761D3-9B2E-47B0-83A7-816CAC4B004F/blog/" title="blog or email this clip"><img src="http://content9.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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