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Mar 8th, 2016
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  1. <div class="loanApplication">
  2.  
  3. <!-- Nav tabs -->
  4. <ul class="nav nav-tabs" role="tablist">
  5. <li role="presentation" class="active"><a href="#personalInfo" aria-controls="home" role="tab" data-toggle="tab">Personal Info</a></li>
  6. <li role="presentation"><a href="#propertyInfo" aria-controls="profile" role="tab" data-toggle="tab">Property Info</a></li>
  7. </ul>
  8.  
  9. <!-- Tab panes -->
  10. <div class="tab-content">
  11. <div role="tabpanel" class="tab-pane active" id="personalInfo">
  12. <ul class="list-group">
  13. <li class="list-group-item focus">
  14. <div class="loanApplication__label">
  15. <label>Full Name</label>
  16. </div>
  17. <div class="loanApplication__input">
  18. <input name="fullName" type="text" class="form-control" />
  19. </div>
  20. <div class="loanApplication__info">
  21. <i class="fa fa-info-circle"></i>
  22. </div>
  23. </li>
  24. <li class="list-group-item">
  25. <div class="loanApplication__label">
  26. <label>Date of Birth</label>
  27. </div>
  28. <div class="loanApplication__input">
  29. <input name="dateOfBith" class="form-control inputDate" type="text"></input>
  30. </div>
  31. <div class="loanApplication__info">
  32. <i class="fa fa-info-circle"></i>
  33. </div>
  34. </li>
  35. <li class="list-group-item">
  36. <div class="loanApplication__label">
  37. <label>Education</label>
  38. </div>
  39. <div class="loanApplication__input">
  40. <select name="education" class="form-control">
  41. <option value="" selected disabled>Please select</option>
  42. <option>Some high school, no diploma</option>
  43. <option>High school graduate, diploma or the equivalent </option>
  44. <option>Some college credit, no degree</option>
  45. <option>Trade/technical/vocational training</option>
  46. <option>Associate degree</option>
  47. <option>Bachelor’s degree</option>
  48. <option>Master’s degree</option>
  49. <option>Professional degree</option>
  50. <option>Doctorate degree</option>
  51. </select>
  52. </div>
  53. <div class="loanApplication__info">
  54. <i class="fa fa-info-circle"></i>
  55. </div>
  56. </li>
  57. <li class="list-group-item">
  58. <div class="loanApplication__label">
  59. <label>Current Address</label>
  60. </div>
  61. <div class="loanApplication__input">
  62. <input name="currentAddress" type="text" class="form-control" />
  63. </div>
  64. <div class="loanApplication__info">
  65. <i class="fa fa-info-circle"></i>
  66. </div>
  67. </li>
  68. <li class="list-group-item">
  69. <div class="loanApplication__label">
  70. <label>Years at above address</label>
  71. </div>
  72. <div class="loanApplication__input">
  73. <input name="yearsAtAddress" type="text" class="form-control" />
  74. </div>
  75. <div class="loanApplication__info">
  76. <i class="fa fa-info-circle"></i>
  77. </div>
  78. </li>
  79. <li class="list-group-item">
  80. <div class="loanApplication__label">
  81. <label>Mailing Address (if different from above)</label>
  82. </div>
  83. <div class="loanApplication__input">
  84. <div class="loanApplication__input">
  85. <input name="mailingAddress" type="text" class="form-control" />
  86. </div>
  87. </div>
  88. <div class="loanApplication__info">
  89. <i class="fa fa-info-circle"></i>
  90. </div>
  91. </li>
  92. <li class="list-group-item">
  93. <div class="loanApplication__label">
  94. <label>Marital Status</label>
  95. </div>
  96. <div class="loanApplication__input">
  97. <select name="MaritalStatus" class="form-control">
  98. <option value="" selected disabled>Please select</option>
  99. <option>Single, never married</option>
  100. <option>Married or domestic partnership</option>
  101. <option>Widowed</option>
  102. <option>Divorced</option>
  103. <option>Separated</option>
  104. </select>
  105. </div>
  106. <div class="loanApplication__info">
  107. <i class="fa fa-info-circle"></i>
  108. </div>
  109. <li class="list-group-item">
  110. <div class="loanApplication__label">
  111. <label>Number of Dependents</label>
  112. </div>
  113. <div class="loanApplication__input">
  114. <input name="numOfDependents" type="text" class="form-control" />
  115. </div>
  116. <div class="loanApplication__info">
  117. <i class="fa fa-info-circle"></i>
  118. </div>
  119. </li>
  120. <li class="list-group-item">
  121. <div class="loanApplication__label">
  122. <label>Employment Status</label>
  123. </div>
  124. <div class="loanApplication__input">
  125. <select name="employmentStatus" class="form-control">
  126. <option value="" selected disabled>Please select</option>
  127. <option>Employed for wages</option>
  128. <option>Self-employed</option>
  129. <option>Out of work and looking for work</option>
  130. <option>Out of work but not currently looking for work</option>
  131. <option>A homemaker</option>
  132. <option>A student</option>
  133. <option>Military</option>
  134. <option>Retired</option>
  135. <option>Unable to work</option>
  136. </select>
  137. </div>
  138. <div class="loanApplication__info">
  139. <i class="fa fa-info-circle"></i>
  140. </div>
  141. </li>
  142. <li class="list-group-item">
  143. <div class="loanApplication__label">
  144. <label>Years at Current Employer</label>
  145. </div>
  146. <div class="loanApplication__input">
  147. <input name="yearsAtEmployer" type="text" class="form-control" />
  148. </div>
  149. <div class="loanApplication__info">
  150. <i class="fa fa-info-circle"></i>
  151. </div>
  152. </li>
  153. <li class="list-group-item">
  154. <div class="loanApplication__label">
  155. <label>Monthly employment income</label>
  156. </div>
  157. <div class="loanApplication__input">
  158. <div class="loanApplication__input">
  159. <form class="form-inline">
  160. <div class="form-group">
  161. <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
  162. <div class="input-group">
  163. <div class="input-group-addon">$</div>
  164. <input name="monthlyIncome" type="text" class="form-control" />
  165. </div>
  166. </div>
  167. </form>
  168. </div>
  169. </div>
  170. <div class="loanApplication__info">
  171. <i class="fa fa-info-circle"></i>
  172. </div>
  173. </li>
  174. <li class="list-group-item">
  175. <div class="loanApplication__label">
  176. <label>Annual self-employment income</label>
  177. </div>
  178. <div class="loanApplication__input">
  179. <form class="form-inline">
  180. <div class="form-group">
  181. <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
  182. <div class="input-group">
  183. <div class="input-group-addon">$</div>
  184. <input name="annualIncome" type="text" class="form-control" />
  185. </div>
  186. </div>
  187. </form>
  188. </div>
  189. <div class="loanApplication__info">
  190. <i class="fa fa-info-circle"></i>
  191. </div>
  192. </li>
  193. <li class="list-group-item">
  194. <div class="loanApplication__label">
  195. <label>Total value of asset</label>
  196. </div>
  197. <div class="loanApplication__input">
  198. <form class="form-inline">
  199. <div class="form-group">
  200. <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
  201. <div class="input-group">
  202. <div class="input-group-addon">$</div>
  203. <input name="valueOfAssets" type="text" class="form-control" />
  204. </div>
  205. </div>
  206. </form>
  207. </div>
  208. <div class="loanApplication__info">
  209. <i class="fa fa-info-circle"></i>
  210. </div>
  211. </li>
  212. <li class="list-group-item">
  213. <div class="loanApplication__label">
  214. <label>Total value of liabilites</label>
  215. </div>
  216. <div class="loanApplication__input">
  217. <form class="form-inline">
  218. <div class="form-group">
  219. <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
  220. <div class="input-group">
  221. <div class="input-group-addon">$</div>
  222. <input name="valueOfLiabilities" type="text" class="form-control" />
  223. </div>
  224. </div>
  225. </form>
  226. </div>
  227. <div class="loanApplication__info">
  228. <i class="fa fa-info-circle"></i>
  229. </div>
  230. </li>
  231. <li class="list-group-item">
  232. <div class="loanApplication__label">
  233. <label>Are you a U.S citizen?</label>
  234. </div>
  235. <div class="loanApplication__input">
  236. <select name="citizen" class="form-control">
  237. <option value="" selected disabled>Please select</option>
  238. <option>Yes</option>
  239. <option>No </option>
  240. </select>
  241. </div>
  242. <div class="loanApplication__info">
  243. <i class="fa fa-info-circle"></i>
  244. </div>
  245. </li>
  246. <li class="list-group-item">
  247. <div class="loanApplication__label">
  248. <label>Social Security Number</label>
  249. </div>
  250. <div class="loanApplication__input">
  251. <input name="socialSecurityNumber" class="form-control inputSSN" type="text"></input>
  252. </div>
  253. <div class="loanApplication__info">
  254. <i class="fa fa-info-circle"></i>
  255. </div>
  256. </li>
  257. </ul>
  258. </div>
  259. <div role="tabpanel" class="tab-pane" id="propertyInfo">
  260. <ul class="list-group">
  261. <li class="list-group-item focus">
  262. <div class="loanApplication__label">
  263. <label>Property Address</label>
  264. </div>
  265. <div class="loanApplication__input">
  266. <input name="propertyAddress" type="text" class="form-control" />
  267. </div>
  268. <div class="loanApplication__info">
  269. <i class="fa fa-info-circle"></i>
  270. </div>
  271. </li>
  272. <li class="list-group-item">
  273. <div class="loanApplication__label">
  274. <label>How Much do you want to buy it for?</label>
  275. </div>
  276. <div class="loanApplication__input">
  277. <div class="loanApplication__input">
  278. <form class="form-inline">
  279. <div class="form-group">
  280. <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
  281. <div class="input-group">
  282. <div class="input-group-addon">$</div>
  283. <input name="buyingAmount"type="text" class="form-control" />
  284. </div>
  285. </div>
  286. </form>
  287. </div>
  288. </div>
  289. <div class="loanApplication__info">
  290. <i class="fa fa-info-circle"></i>
  291. </div>
  292. </li>
  293. <li class="list-group-item">
  294. <div class="loanApplication__label">
  295. <label>Down Payment Amount</label>
  296. </div>
  297. <div class="loanApplication__input">
  298. <div class="loanApplication__input">
  299. <form class="form-inline">
  300. <div class="form-group">
  301. <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
  302. <div class="input-group">
  303. <div class="input-group-addon">$</div>
  304. <input name="downPaymentAmount" type="text" class="form-control" />
  305. </div>
  306. </div>
  307. </form>
  308. </div>
  309. </div>
  310. <div class="loanApplication__info">
  311. <i class="fa fa-info-circle"></i>
  312. </div>
  313. </li>
  314. <li class="list-group-item">
  315. <div class="loanApplication__label">
  316. <label>Property Type</label>
  317. </div>
  318. <div class="loanApplication__input">
  319. <select name="propertyType" class="form-control">
  320. <option value="" selected disabled>Please select</option>
  321. <option>Single Family Home</option>
  322. <option>Property Type Here</option>
  323. <option>Property Type Here</option>
  324. </select>
  325. </div>
  326. <div class="loanApplication__info">
  327. <i class="fa fa-info-circle"></i>
  328. </div>
  329. </li>
  330. <li class="list-group-item">
  331. <div class="loanApplication__label">
  332. <label>Purpose of Loan</label>
  333. </div>
  334. <div class="loanApplication__input">
  335. <select name="purposeOfLoan" class="form-control">
  336. <option value="" selected disabled>Please select</option>
  337. <option>Purchase</option>
  338. <option>Purpose of loan here</option>
  339. <option>Purpose of loan here</option>
  340. </select>
  341. </div>
  342. <div class="loanApplication__info">
  343. <i class="fa fa-info-circle"></i>
  344. </div>
  345. </li>
  346. </ul>
  347. </div>
  348. </div>
  349. </div>
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