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our representatives contact you as soon as possible. Alternatively, if you would prefer to fill out the application form in Abobe Acrobat and then email, mail or fax it to us, please use
this Email/Print Application.

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First Applicant

First Name:
Middle Initial:
Last Name:
Social Security #:
Birthday (mm/dd/yy):
Application Type:
Marriage Status:
Phone:
Email Address:

Housing Information

Present Address:
(Number, Street, Apt. P.O. Box)
City:
County:
State:
Zip:
How Long? years months

Previous Address:
(If less than 5 years)
 (Number, Street, Apt. P.O. Box)
City:
County:
State:
Zip:
How Long?

 

 years months

 

First Applicant Employment Information

Employer:
How Long? years months
Employer Phone:
Position:
Gross Monthly Income:

Previous Employer:
(If less than 2 years @ current)
How Long? years months
Employer Phone:
Position:
Gross Monthly Income:
Additional Income Source:
Gross Additional Income:
(monthly) 
 

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws.  'You are not required to furnish this information, but are encouraged to do so.  The law provides that a lender may not discriminate on this information , or on whether you choose to furnish it.  However, if you choose not to furnish this information, under federal regulations,, the lender is required to note ethnicity and sex on the basis of visual observation or surname.  If you do not which to furnish this information please select that option.
Ethnicity
Race or National Origin:
Sex:
 
 

Second Applicant

First Name:
Middle Initial:
Last Name:
Social Security #:
Birthday (mm/dd/yy):
Daytime Phone:
Email Address:
 

Second Applicant Employment Information

Employer:
How Long? years months 
Employer Phone:
Position:
Gross Monthly Income:

Previous Employer:
(If less than 2 years @ current) 
How Long? years months
Employer Phone:
Position:
Gross Monthly Income:
Additional Income Source:
Gross Additional Income:
(monthly) 

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws.  'You are not required to furnish this information, but are encouraged to do so.  The law provides that a lender may not discriminate on this information , or on whether you choose to furnish it.  However, if you choose not to furnish this information, under federal regulations,, the lender is required to note ethnicity and sex on the basis of visual observation or surname.  If you do not which to furnish this information please select that option.
Ethnicity
Race or National Origin:
Sex:
 
 

General

Current Home Value:
Purchase Date
(ex. mm/dd/yy):
Purchase Price:
First Lender:
Balance:
Monthly Payment:
Second Lender (if any):
Second Balance:
Second Monthly Payment:
Last Appraisal Amount:
Last Refinance Date:
(if applicable)
County:
Other Creditor:
Type:
Monthly Payment:
Balance:
 

Funds Requested
Contract Price: $
Down Payment: $
 Amount Requested: $
Term:   months
Defer Payment:  
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 My wife and I recently had a pool installed by Holland Pools. The experience was a very pleasant one. Chipp Rapp did the initial estimate and design work. He also handled the follow up work leading up to installation. We had a very difficult time getting our permits from Seminole County. Chip spent 8 weeks overcoming a great deal of hurdles to get our permits approved and did a great job.
Brett Holland was the project manager and from the day they broke ground until the final inspection, he did an excellent job. We'd heard horror stories from our neighbors about their experiences with other pool builders. We had prepared ourselves for a minimum of 12 weeks that we'd have to deal with pool installation. This was not the case with Holland Pools. Everything was scheduled in such a way that there was never more than two days between one portion of work and another. The subcontractors were professional, courteous, and very good at what they do.
Thanks to Holland Pools, we were able to start enjoying our pool within 6 weeks of the start of construction. We would highly recommend them to anyone thinking about a new pool. 
 
− Bill and Amy Harper
 

 



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Florida Counties Served - Citrus, Hardee, Hernando,
Hillsborough, Manatee, Pasco, Pinellas
© Holland Pools and Spas Corporate Headquarters
1090 Kensington Park Drive » Altamonte Springs, Florida 32714
Office 407.830.5327 » Toll-Free 877.346.5526 » Fax 407.830.6404
Certified Commercial Pool Contractor License # CPC 0056809