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Submitted URL: http://davisteam.com/
Effective URL: https://www.atlanticcoastmortgage.com/lo/scott-davis/
Submission: On November 02 via manual from US — Scanned from DE
Effective URL: https://www.atlanticcoastmortgage.com/lo/scott-davis/
Submission: On November 02 via manual from US — Scanned from DE
Form analysis 5 forms found in the DOM
POST /lo/scott-davis/#gf_3
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_3" id="gform_3" action="/lo/scott-davis/#gf_3">
<div class="gform_body gform-body">
<ul id="gform_fields_3" class="gform_fields top_label form_sublabel_above description_below">
<li id="field_3_1" class="gfield gfield_contains_required field_sublabel_above field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_1"><label class="gfield_label gfield_label_before_complex">Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_3_1">
<span id="input_3_1_3_container" class="name_first">
<label for="input_3_1_3">First Name</label>
<input type="text" name="input_1.3" id="input_3_1_3" value="" aria-required="true" placeholder="First">
</span>
<span id="input_3_1_6_container" class="name_last">
<label for="input_3_1_6">Last Name</label>
<input type="text" name="input_1.6" id="input_3_1_6" value="" aria-required="true" placeholder="Last">
</span>
</div>
</li>
<li id="field_3_7" class="gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_7"><label class="gfield_label" for="input_3_7">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_7" id="input_3_7" type="text" value="" class="large" placeholder="me@example.com" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_3_3" class="gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_3"><label class="gfield_label" for="input_3_3">Phone<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_3_3" type="text" value="" class="large" placeholder="(888) 867-5309" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_3_4" class="gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_4"><label class="gfield_label" for="input_3_4">Purpose<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_4" id="input_3_4" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Purchase related inquiry" selected="selected">Purchase related inquiry</option>
<option value="Refinance related inquiry">Refinance related inquiry</option>
<option value="Question about a current loan">Question about a current loan</option>
<option value="General loan related inquiry">General loan related inquiry</option>
</select></div>
</li>
<li id="field_3_20" class="gfield gf_list_inline gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_20"><label class="gfield_label">Did someone refer you?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_3_20">
<li class="gchoice gchoice_3_20_0">
<input name="input_20" type="radio" value="Yes" id="choice_3_20_0">
<label for="choice_3_20_0" id="label_3_20_0">Yes</label>
</li>
<li class="gchoice gchoice_3_20_1">
<input name="input_20" type="radio" value="No" checked="checked" id="choice_3_20_1">
<label for="choice_3_20_1" id="label_3_20_1">No</label>
</li>
</ul>
</div>
</li>
<li id="field_3_21" class="gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_21" style="display: none;"><label class="gfield_label" for="input_3_21">Please enter the
person's name who referred you<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_3_21" type="text" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
</li>
<li id="field_3_5" class="gfield field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_5"><label class="gfield_label" for="input_3_5">Message (optional)</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_5" id="input_3_5" class="textarea small" placeholder="Type your message here..." aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_3_9" class="gfield field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_3_9"><label class="gfield_label" for="input_3_9">CAPTCHA</label>
<div id="input_3_9" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM&co=aHR0cHM6Ly93d3cuYXRsYW50aWNjb2FzdG1vcnRnYWdlLmNvbTo0NDM.&hl=en&v=NJPGLzpIZgjszqyOymHUP0XR&theme=light&size=normal&cb=vfjb8zkh2pvt"
width="304" height="78" role="presentation" name="a-14d10cscfda0" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</li>
<li id="field_3_22" class="gfield gfield--width-full form-user-agreement gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_3_22"><label
class="gfield_label gfield_label_before_complex">Agreement<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_3_22">By entering a phone number and/or email address and clicking the "Submit" button or otherwise submitting or sending the information entered by you, you are giving express written
consent to Atlantic Coast Mortgage, its affiliates, agents, and service providers to contact you via email, or live, automated or pre-recorded telephone call, or text message (SMS and MMS) even if your telephone number is a cellular number
or on a corporate, state, or national Do Not Call Registry or other do not contact list. You accept the charges, which your phone carrier may impose for these communications. By communicating with us by phone, you consent to calls being
recorded and monitored. You can revoke any of these consents at any time by contacting us <a href="https://www.atlanticcoastmortgage.com/contact/" target="_blank">here</a>, and you are not required to provide any of the foregoing consents
as a condition of purchasing goods or services from Atlantic Coast Mortgage. The following additional terms and conditions may apply: <a href="https://www.atlanticcoastmortgage.com/privacy-policy/" target="_blank">Privacy Policy</a>,
<a href="https://www.atlanticcoastmortgage.com/privacy-notice/" target="_blank">Privacy Notice</a>, <a href="https://www.atlanticcoastmortgage.com/terms-of-service/" target="_blank">Terms of Service</a>, and
<a href="https://www.atlanticcoastmortgage.com/legal/" target="_blank">Additional Legal Information</a>.</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_3_22">
<li class="gchoice gchoice_3_22_1">
<input class="gfield-choice-input" name="input_22.1" type="checkbox" value="I Agree" id="choice_3_22_1" aria-describedby="gfield_description_3_22">
<label for="choice_3_22_1" id="label_3_22_1">I Agree</label>
</li>
</ul>
</div>
</li>
<li id="field_3_13" class="gfield field_sublabel_above field_description_below gfield_visibility_hidden" data-js-reload="field_3_13">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_13">LO First Name</label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_3_13" type="text" value="Scott" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_3_14" class="gfield field_sublabel_above field_description_below gfield_visibility_hidden" data-js-reload="field_3_14">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_14">LO Last Name</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_3_14" type="text" value="Davis" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_3_15" class="gfield field_sublabel_above field_description_below gfield_visibility_hidden" data-js-reload="field_3_15">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_15">LO Mobile Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_15" id="input_3_15" type="text" value="(703) 209-3138" class="medium" aria-invalid="false"></div>
</li>
<li id="field_3_16" class="gfield field_sublabel_above field_description_below gfield_visibility_hidden" data-js-reload="field_3_16">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_16">LO Office Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_16" id="input_3_16" type="text" value="(571) 495-6961" class="medium" aria-invalid="false"></div>
</li>
<li id="field_3_18" class="gfield field_sublabel_above field_description_below gfield_visibility_hidden" data-js-reload="field_3_18">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_18">LO Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_18" id="input_3_18" type="text" value="scottdavis@acmllc.com" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_3_19" class="gfield field_sublabel_above field_description_below gfield_visibility_hidden" data-js-reload="field_3_19">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_19">LO Apply Link</label>
<div class="ginput_container ginput_container_text"><input name="input_19" id="input_3_19" type="text" value="https://apply.acmllc.com/#/signup?referrerId=scottdavis@acmllc.com" class="medium" aria-invalid="false"> </div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_3" class="gform_button button" value="Send Message" onclick="if(window["gf_submitting_3"]){return false;} window["gf_submitting_3"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_3"]){return false;} window["gf_submitting_3"]=true; jQuery("#gform_3").trigger("submit",[true]); }"> <input type="hidden" name="gform_ajax"
value="form_id=3&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_3" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="3">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_3" value="WyJbXSIsIjU0ZTliYjQxOGFlMTE0NjU4N2EzMGE0YTAyNTY5OGJiIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_3" id="gform_target_page_number_3" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_3" id="gform_source_page_number_3" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<input type="hidden" id="ct_checkjs_e2ef524fbf3d9fe611d5a8e90fefdc9c" name="ct_checkjs" value="0"><input type="hidden" name="V-S_JCRADUng" value="IeqM1tyd"><input type="hidden" name="y_PQdbLk" value="Xyde7V2Zo8mul[M"><input type="hidden"
name="_JtzhrdcaRyuHGnq" value="jsWfAgKLRM[5rS"><input type="hidden" id="apbct_visible_fields_0" name="apbct_visible_fields"
value="{"0":{"visible_fields":"input_1.3 input_1.6 input_7 input_3 input_4 input_21 input_5","visible_fields_count":7,"invisible_fields":"g-recaptcha-response input_13 input_14 input_15 input_16 input_18 input_19 gform_ajax is_submit_3 gform_submit gform_unique_id state_3 gform_target_page_number_3 gform_source_page_number_3 gform_field_values V-S_JCRADUng y_PQdbLk _JtzhrdcaRyuHGnq","invisible_fields_count":18}}">
</form>POST /lo/scott-davis/#gf_7
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_7" id="gform_7" action="/lo/scott-davis/#gf_7"><span class="wrap_progress_bar" style="visibility:hidden;display:none">
<div id="gf_progressbar_wrapper_7" class="gf_progressbar_wrapper">
<h3 class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">12</span>
</h3>
<div class="gf_progressbar gf_progressbar_blue" aria-hidden="true">
<div class="gf_progressbar_percentage percentbar_blue percentbar_8" style="width: 8%;"><span>8%</span></div>
</div>
</div>
</span>
<div class="gform_body gform-body">
<div id="gform_page_7_1" class="gform_page frq-fid7-s1-ui_loan_scenario">
<div class="gform_page_fields">
<ul id="gform_fields_7" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_43" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_43">
<h3 style="margin-bottom: 20px">Get Your FREE Rate Quote!</h3>
<p style="max-width: 450px; font-size: 16px; color: #000000; margin: 0 auto 0 auto">We're excited to help you with this next step in your homebuying journey! Let's get started.</p>
</li>
<li id="field_7_40" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_40"><label class="gfield_label">Are you looking to Purchase a home or Refinance your
existing home?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_40">
<li class="gchoice gchoice_7_40_0">
<input name="input_40" type="radio" value="Purchase" id="choice_7_40_0">
<label for="choice_7_40_0" id="label_7_40_0">Purchase</label>
</li>
<li class="gchoice gchoice_7_40_1">
<input name="input_40" type="radio" value="Refinance" id="choice_7_40_1">
<label for="choice_7_40_1" id="label_7_40_1">Refinance</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_next_button_7_42" class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("2"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("2"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_2" class="gform_page frq-fid7-s2-ui_city_state" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_1" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_7_1"><label class="gfield_label" for="input_7_1">Please add the city and state where the
property you're trying to Purchase or Refinance is located.<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_7_1" type="text" value="" class="medium" placeholder="Property City" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_7_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_7_2"><label class="gfield_label" for="input_7_2">State<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_2" id="input_7_2" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Property State</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Maryland">Maryland</option>
<option value="North Carolina">North Carolina</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="South Carolina">South Carolina</option>
<option value="Tennessee">Tennessee</option>
<option value="Virginia" selected="selected">Virginia</option>
<option value="West Virginia">West Virginia</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_19" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("1"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("1"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_19"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("3"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("3"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_3" class="gform_page frq-fid7-s3-ui_property_type" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_3" style="display: none;"><label class="gfield_label">What type of property are you
purchasing?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_3">
<li class="gchoice gchoice_7_3_0">
<input name="input_3" type="radio" value="Single Family Home" id="choice_7_3_0" disabled="disabled">
<label for="choice_7_3_0" id="label_7_3_0">Single Family Home</label>
</li>
<li class="gchoice gchoice_7_3_1">
<input name="input_3" type="radio" value="Condominium" id="choice_7_3_1" disabled="disabled">
<label for="choice_7_3_1" id="label_7_3_1">Condominium</label>
</li>
<li class="gchoice gchoice_7_3_2">
<input name="input_3" type="radio" value="Townhome" id="choice_7_3_2" disabled="disabled">
<label for="choice_7_3_2" id="label_7_3_2">Townhome</label>
</li>
<li class="gchoice gchoice_7_3_3">
<input name="input_3" type="radio" value="Multi-Family Home" id="choice_7_3_3" disabled="disabled">
<label for="choice_7_3_3" id="label_7_3_3">Multi-Family Home</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_21" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("2"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("2"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_21"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("4"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("4"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_4" class="gform_page frq-fid7-s4-ui_credit_score" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_4"><label class="gfield_label">Estimate your credit score.<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_4">
<li class="gchoice gchoice_7_4_0">
<input name="input_4" type="radio" value="Excellent 740+" id="choice_7_4_0">
<label for="choice_7_4_0" id="label_7_4_0">Excellent 740+</label>
</li>
<li class="gchoice gchoice_7_4_1">
<input name="input_4" type="radio" value="Good 700-739" id="choice_7_4_1">
<label for="choice_7_4_1" id="label_7_4_1">Good 700-739</label>
</li>
<li class="gchoice gchoice_7_4_2">
<input name="input_4" type="radio" value="Average 660-699" id="choice_7_4_2">
<label for="choice_7_4_2" id="label_7_4_2">Average 660-699</label>
</li>
<li class="gchoice gchoice_7_4_3">
<input name="input_4" type="radio" value="Fair 600-659" id="choice_7_4_3">
<label for="choice_7_4_3" id="label_7_4_3">Fair 600-659</label>
</li>
<li class="gchoice gchoice_7_4_4">
<input name="input_4" type="radio" value="Low < 600" id="choice_7_4_4">
<label for="choice_7_4_4" id="label_7_4_4">Low < 600</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_22" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("3"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("3"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_22"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("5"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("5"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_5" class="gform_page frq-fid7-s5-ui_fthb" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_5" style="display: none;"><label class="gfield_label">Is this your first property
purchase?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_5">
<li class="gchoice gchoice_7_5_0">
<input name="input_5" type="radio" value="Yes" id="choice_7_5_0" disabled="disabled">
<label for="choice_7_5_0" id="label_7_5_0">Yes</label>
</li>
<li class="gchoice gchoice_7_5_1">
<input name="input_5" type="radio" value="No" id="choice_7_5_1" disabled="disabled">
<label for="choice_7_5_1" id="label_7_5_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_23" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("4"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("4"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_23"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("6"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("6"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_6" class="gform_page frq-fid7-s6-ui_current_purchase_situation" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_6" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_6" style="display: none;"><label class="gfield_label">What is your current property
purchase situation?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_6">
<li class="gchoice gchoice_7_6_0">
<input name="input_6" type="radio" value="Signed a Purchase Agreement" id="choice_7_6_0" disabled="disabled">
<label for="choice_7_6_0" id="label_7_6_0">Signed a Purchase Agreement</label>
</li>
<li class="gchoice gchoice_7_6_1">
<input name="input_6" type="radio" value="Offer Pending / Found Property" id="choice_7_6_1" disabled="disabled">
<label for="choice_7_6_1" id="label_7_6_1">Offer Pending / Found Property</label>
</li>
<li class="gchoice gchoice_7_6_2">
<input name="input_6" type="radio" value="Buying in 2-6 Months" id="choice_7_6_2" disabled="disabled">
<label for="choice_7_6_2" id="label_7_6_2">Buying in 2-6 Months</label>
</li>
<li class="gchoice gchoice_7_6_3">
<input name="input_6" type="radio" value="Researching Options" id="choice_7_6_3" disabled="disabled">
<label for="choice_7_6_3" id="label_7_6_3">Researching Options</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_24" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("5"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("5"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_24"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("7"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("7"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_7" class="gform_page frq-fid7-s7-ui_use_type" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_7" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_7" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_7" style="display: none;"><label class="gfield_label">How will this property by
used?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_7">
<li class="gchoice gchoice_7_7_0">
<input name="input_7" type="radio" value="Primary Home" id="choice_7_7_0" disabled="disabled">
<label for="choice_7_7_0" id="label_7_7_0">Primary Home</label>
</li>
<li class="gchoice gchoice_7_7_1">
<input name="input_7" type="radio" value="Secondary Home" id="choice_7_7_1" disabled="disabled">
<label for="choice_7_7_1" id="label_7_7_1">Secondary Home</label>
</li>
<li class="gchoice gchoice_7_7_2">
<input name="input_7" type="radio" value="Rental Property" id="choice_7_7_2" disabled="disabled">
<label for="choice_7_7_2" id="label_7_7_2">Rental Property</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_25" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("6"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("6"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_25"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("8"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("8"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_8" class="gform_page frq-fid7-s8-ui_purchase_price" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_8" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_8" style="display: none;"><label class="gfield_label" for="input_7_8">What is the
purchase price of the new property?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_8" id="input_7_8" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="Less than $80K">Less than $80K</option>
<option value="$80,000 - $99,999">$80,000 - $99,999</option>
<option value="$100,000 - $124,999">$100,000 - $124,999</option>
<option value="$125,000 - $149,999">$125,000 - $149,999</option>
<option value="$150,000 - $174,999">$150,000 - $174,999</option>
<option value="$175,000 - $199,999">$175,000 - $199,999</option>
<option value="$200,000 - $224,999">$200,000 - $224,999</option>
<option value="$225,000 - $245,999">$225,000 - $245,999</option>
<option value="$250,000 - $274,999">$250,000 - $274,999</option>
<option value="$275,000 - $299,999">$275,000 - $299,999</option>
<option value="$300,000 - $324,999">$300,000 - $324,999</option>
<option value="$300,000 - $324,999">$300,000 - $324,999</option>
<option value="$325,000 - $349,999">$325,000 - $349,999</option>
<option value="$350,000 - $374,999">$350,000 - $374,999</option>
<option value="$375,000 - $399,999">$375,000 - $399,999</option>
<option value="$400,000 - $424,999">$400,000 - $424,999</option>
<option value="$425,000 - $449,999">$425,000 - $449,999</option>
<option value="$450,000 - $474,999">$450,000 - $474,999</option>
<option value="$475,000 - $499,999">$475,000 - $499,999</option>
<option value="$500,000 - $524,999">$500,000 - $524,999</option>
<option value="$525,000 - $549,999">$525,000 - $549,999</option>
<option value="$550,000 - $574,999">$550,000 - $574,999</option>
<option value="$575,000 - $599,999">$575,000 - $599,999</option>
<option value="$600,000 - $624,999">$600,000 - $624,999</option>
<option value="$625,000 - $649,999">$625,000 - $649,999</option>
<option value="$650,000 - $674,999">$650,000 - $674,999</option>
<option value="$675,000 - $699,999">$675,000 - $699,999</option>
<option value="$700,0006- $724,999">$700,0006- $724,999</option>
<option value="$725,000 - $749,999">$725,000 - $749,999</option>
<option value="$750,000 - $774,999">$750,000 - $774,999</option>
<option value="$775,000 - $799,999">$775,000 - $799,999</option>
<option value="$800,000 - $824,999">$800,000 - $824,999</option>
<option value="$825,000 - $849,999">$825,000 - $849,999</option>
<option value="$850,000 - $874,999">$850,000 - $874,999</option>
<option value="$875,000 - $899,999">$875,000 - $899,999</option>
<option value="$900,000 - $924,999">$900,000 - $924,999</option>
<option value="$925,000 - $949,999">$925,000 - $949,999</option>
<option value="$950,000 - $974,999">$950,000 - $974,999</option>
<option value="$975,000 - $999,999">$975,000 - $999,999</option>
<option value="$1,000,000 - $1,249,999">$1,000,000 - $1,249,999</option>
<option value="$1,250,000 - $1,499,999">$1,250,000 - $1,499,999</option>
<option value="$1,500,000 - $1,749,999">$1,500,000 - $1,749,999</option>
<option value="$1,750,000 - $1,999,999">$1,750,000 - $1,999,999</option>
<option value="$2M+">$2M+</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_26" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("7"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("7"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_26"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("9"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("9"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_9" class="gform_page frq-fid7-s9-ui_est_downpayment" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_9" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_9" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_9" style="display: none;"><label class="gfield_label" for="input_7_9">What is your
estimated down payment?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_9" id="input_7_9" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="0%">0%</option>
<option value="1%">1%</option>
<option value="2%">2%</option>
<option value="3%">3%</option>
<option value="4%">4%</option>
<option value="5%">5%</option>
<option value="6%">6%</option>
<option value="7%">7%</option>
<option value="8%">8%</option>
<option value="9%">9%</option>
<option value="10%">10%</option>
<option value="11%">11%</option>
<option value="12%">12%</option>
<option value="13%">13%</option>
<option value="14%">14%</option>
<option value="15%">15%</option>
<option value="16%">16%</option>
<option value="17%">17%</option>
<option value="18%">18%</option>
<option value="19%">19%</option>
<option value="20%">20%</option>
<option value="21%">21%</option>
<option value="22%">22%</option>
<option value="23%">23%</option>
<option value="24%">24%</option>
<option value="25%">25%</option>
<option value="26%">26%</option>
<option value="27%">27%</option>
<option value="28%">28%</option>
<option value="29%">29%</option>
<option value="30%">30%</option>
<option value="31%">31%</option>
<option value="32%">32%</option>
<option value="33%">33%</option>
<option value="34%">34%</option>
<option value="35%">35%</option>
<option value="36%">36%</option>
<option value="37%">37%</option>
<option value="38%">38%</option>
<option value="39%">39%</option>
<option value="40%">40%</option>
<option value="41%">41%</option>
<option value="42%">42%</option>
<option value="43%">43%</option>
<option value="44%">44%</option>
<option value="45%">45%</option>
<option value="46%">46%</option>
<option value="47%">47%</option>
<option value="48%">48%</option>
<option value="49%">49%</option>
<option value="50%">50%</option>
<option value="51%">51%</option>
<option value="52%">52%</option>
<option value="53%">53%</option>
<option value="54%">54%</option>
<option value="55%">55%</option>
<option value="56%">56%</option>
<option value="57%">57%</option>
<option value="58%">58%</option>
<option value="59%">59%</option>
<option value="60%">60%</option>
<option value="61%">61%</option>
<option value="62%">62%</option>
<option value="63%">63%</option>
<option value="64%">64%</option>
<option value="65%">65%</option>
<option value="66%">66%</option>
<option value="67%">67%</option>
<option value="68%">68%</option>
<option value="69%">69%</option>
<option value="70%">70%</option>
<option value="71%">71%</option>
<option value="72%">72%</option>
<option value="73%">73%</option>
<option value="74%">74%</option>
<option value="75%">75%</option>
<option value="76%">76%</option>
<option value="77%">77%</option>
<option value="78%">78%</option>
<option value="79%">79%</option>
<option value="80%">80%</option>
<option value="81%">81%</option>
<option value="82%">82%</option>
<option value="83%">83%</option>
<option value="84%">84%</option>
<option value="85%">85%</option>
<option value="86%">86%</option>
<option value="87%">87%</option>
<option value="88%">88%</option>
<option value="89%">89%</option>
<option value="90%">90%</option>
<option value="91%">91%</option>
<option value="92%">92%</option>
<option value="93%">93%</option>
<option value="94%">94%</option>
<option value="95%">95%</option>
<option value="96%">96%</option>
<option value="97%">97%</option>
<option value="98%">98%</option>
<option value="99%">99%</option>
<option value="100%">100%</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_27" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("8"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("8"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_27"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("10"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("10"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_10" class="gform_page frq-fid7-s10-ui_preferred_rate_type" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_10" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_10" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_10" style="display: none;"><label class="gfield_label">What kind of rate do you
prefer?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_10">
<li class="gchoice gchoice_7_10_0">
<input name="input_10" type="radio" value="Adjustable Rate" id="choice_7_10_0" disabled="disabled">
<label for="choice_7_10_0" id="label_7_10_0">Adjustable Rate</label>
</li>
<li class="gchoice gchoice_7_10_1">
<input name="input_10" type="radio" value="Fixed Rate" id="choice_7_10_1" disabled="disabled">
<label for="choice_7_10_1" id="label_7_10_1">Fixed Rate</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_28" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("9"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("9"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_28"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("11"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("11"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_11" class="gform_page frq-fid7-s11-ui_gross_annual_household_income" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_11" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_11"><label class="gfield_label" for="input_7_11">What is your gross annual household
income?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_11" id="input_7_11" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="Less than $80K">Less than $80K</option>
<option value="$80,000 - $99,999">$80,000 - $99,999</option>
<option value="$100,000 - $124,999">$100,000 - $124,999</option>
<option value="$125,000 - $149,999">$125,000 - $149,999</option>
<option value="$150,000 - $174,999">$150,000 - $174,999</option>
<option value="$174,000 - $199,999">$174,000 - $199,999</option>
<option value="$200,000 - $224,999">$200,000 - $224,999</option>
<option value="More than $250K">More than $250K</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_33" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("10"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("10"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_33"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("12"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("12"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_12" class="gform_page frq-fid7-s12-ui_employment_status" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_12" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_12" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_12"><label class="gfield_label">What is your employment status?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_12">
<li class="gchoice gchoice_7_12_0">
<input name="input_12" type="radio" value="Employed" id="choice_7_12_0">
<label for="choice_7_12_0" id="label_7_12_0">Employed</label>
</li>
<li class="gchoice gchoice_7_12_1">
<input name="input_12" type="radio" value="Not Employed" id="choice_7_12_1">
<label for="choice_7_12_1" id="label_7_12_1">Not Employed</label>
</li>
<li class="gchoice gchoice_7_12_2">
<input name="input_12" type="radio" value="Self Employed" id="choice_7_12_2">
<label for="choice_7_12_2" id="label_7_12_2">Self Employed</label>
</li>
<li class="gchoice gchoice_7_12_3">
<input name="input_12" type="radio" value="Military" id="choice_7_12_3">
<label for="choice_7_12_3" id="label_7_12_3">Military</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_34" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("11"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("11"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_34"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("13"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("13"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_13" class="gform_page frq-fid7-s13-ui_bankruptcy_shortsale_foreclosure" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_13" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_13"><label class="gfield_label">Have you had a bankruptcy, short sale, or foreclosure
in the last 3 years?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_13">
<li class="gchoice gchoice_7_13_0">
<input name="input_13" type="radio" value="Yes" id="choice_7_13_0">
<label for="choice_7_13_0" id="label_7_13_0">Yes</label>
</li>
<li class="gchoice gchoice_7_13_1">
<input name="input_13" type="radio" value="No" id="choice_7_13_1">
<label for="choice_7_13_1" id="label_7_13_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_20" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("12"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("12"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_20"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("14"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("14"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_14" class="gform_page frq-fid7-s14-ui_proof_of_income" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_14" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_14" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_14"><label class="gfield_label">Can you show proof of income?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_14">
<li class="gchoice gchoice_7_14_0">
<input name="input_14" type="radio" value="Yes" id="choice_7_14_0">
<label for="choice_7_14_0" id="label_7_14_0">Yes</label>
</li>
<li class="gchoice gchoice_7_14_1">
<input name="input_14" type="radio" value="No" id="choice_7_14_1">
<label for="choice_7_14_1" id="label_7_14_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_32" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("13"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("13"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_32"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("15"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("15"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_15" class="gform_page frq-fid7-s15-ui_working_with_realtor" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_15" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_15" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_15" style="display: none;"><label class="gfield_label">Are you working with a real
estate agent?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_15">
<li class="gchoice gchoice_7_15_0">
<input name="input_15" type="radio" value="Yes" id="choice_7_15_0" disabled="disabled">
<label for="choice_7_15_0" id="label_7_15_0">Yes</label>
</li>
<li class="gchoice gchoice_7_15_1">
<input name="input_15" type="radio" value="No" id="choice_7_15_1" disabled="disabled">
<label for="choice_7_15_1" id="label_7_15_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_31" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("14"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("14"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_31"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("16"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("16"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_16" class="gform_page frq-fid7-s16-ui_were_you_referred" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_16" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_70" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_70"><label class="gfield_label">Did someone refer you?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_70">
<li class="gchoice gchoice_7_70_0">
<input name="input_70" type="radio" value="Yes" id="choice_7_70_0">
<label for="choice_7_70_0" id="label_7_70_0">Yes</label>
</li>
<li class="gchoice gchoice_7_70_1">
<input name="input_70" type="radio" value="No" checked="checked" id="choice_7_70_1">
<label for="choice_7_70_1" id="label_7_70_1">No</label>
</li>
</ul>
</div>
</li>
<li id="field_7_68" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_68" style="display: none;"><label class="gfield_label" for="input_7_68">Please enter
the person's name who referred you<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_68" id="input_7_68" type="text" value="" class="medium" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_67" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("15"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("15"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_67"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("17"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("17"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_17" class="gform_page frq-fid7-s17-ui_contact_full_name" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_17" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_16" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_7_16"><label class="gfield_label gfield_label_before_complex">What is your full
name?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_7_16">
<span id="input_7_16_3_container" class="name_first">
<input type="text" name="input_16.3" id="input_7_16_3" value="" aria-required="true" placeholder="First Name">
<label for="input_7_16_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_7_16_6_container" class="name_last">
<input type="text" name="input_16.6" id="input_7_16_6" value="" aria-required="true" placeholder="Last Name">
<label for="input_7_16_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_30" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("16"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("16"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_30"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("18"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("18"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_18" class="gform_page frq-fid7-s18-ui_contact_phone" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_18" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_18" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_18"><label class="gfield_label" for="input_7_18">What is your phone number?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_18" id="input_7_18" type="text" value="" class="medium" placeholder="(XXX) XXX-XXXX" aria-required="true" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_41" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("17"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("17"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_41"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("19"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("19"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_19" class="gform_page frq-fid7-s19-ui_contact_pref_method" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_19" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_47" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_47"><label class="gfield_label">How do you prefer being contacted?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_7_47">
<li class="gchoice gchoice_7_47_0">
<input name="input_47" type="radio" value="Phone Call" id="choice_7_47_0">
<label for="choice_7_47_0" id="label_7_47_0">Phone Call</label>
</li>
<li class="gchoice gchoice_7_47_1">
<input name="input_47" type="radio" value="Email" id="choice_7_47_1">
<label for="choice_7_47_1" id="label_7_47_1">Email</label>
</li>
<li class="gchoice gchoice_7_47_2">
<input name="input_47" type="radio" value="Phone Call and/or Email" id="choice_7_47_2">
<label for="choice_7_47_2" id="label_7_47_2">Phone Call and/or Email</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_44" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("18"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("18"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_44"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("20"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("20"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_20" class="gform_page frq-fid7-s20-ui_contact_pref_call_time" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_20" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_65" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_65" style="display: none;"><label
class="gfield_label gfield_label_before_complex">When is the best time to call?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_7_65">
<li class="gchoice gchoice_7_65_1">
<input class="gfield-choice-input" name="input_65.1" type="checkbox" value="As soon as possible" id="choice_7_65_1" disabled="disabled">
<label for="choice_7_65_1" id="label_7_65_1">As soon as possible</label>
</li>
<li class="gchoice gchoice_7_65_2">
<input class="gfield-choice-input" name="input_65.2" type="checkbox" value="Early morning (7:00 AM to 10:00 AM)" id="choice_7_65_2" disabled="disabled">
<label for="choice_7_65_2" id="label_7_65_2">Early morning (7:00 AM to 10:00 AM)</label>
</li>
<li class="gchoice gchoice_7_65_3">
<input class="gfield-choice-input" name="input_65.3" type="checkbox" value="Late morning (10:00 AM to 12:00 PM)" id="choice_7_65_3" disabled="disabled">
<label for="choice_7_65_3" id="label_7_65_3">Late morning (10:00 AM to 12:00 PM)</label>
</li>
<li class="gchoice gchoice_7_65_4">
<input class="gfield-choice-input" name="input_65.4" type="checkbox" value="Early afternoon (12:00 PM to 2:00 PM)" id="choice_7_65_4" disabled="disabled">
<label for="choice_7_65_4" id="label_7_65_4">Early afternoon (12:00 PM to 2:00 PM)</label>
</li>
<li class="gchoice gchoice_7_65_5">
<input class="gfield-choice-input" name="input_65.5" type="checkbox" value="Mid-afternoon (2:00 PM to 4:00 PM)" id="choice_7_65_5" disabled="disabled">
<label for="choice_7_65_5" id="label_7_65_5">Mid-afternoon (2:00 PM to 4:00 PM)</label>
</li>
<li class="gchoice gchoice_7_65_6">
<input class="gfield-choice-input" name="input_65.6" type="checkbox" value="Late afternoon (4:00 PM to 6:00 PM)" id="choice_7_65_6" disabled="disabled">
<label for="choice_7_65_6" id="label_7_65_6">Late afternoon (4:00 PM to 6:00 PM)</label>
</li>
<li class="gchoice gchoice_7_65_7">
<input class="gfield-choice-input" name="input_65.7" type="checkbox" value="Evening (6:00 PM to 8:00 PM)" id="choice_7_65_7" disabled="disabled">
<label for="choice_7_65_7" id="label_7_65_7">Evening (6:00 PM to 8:00 PM)</label>
</li>
<li class="gchoice gchoice_7_65_8">
<input class="gfield-choice-input" name="input_65.8" type="checkbox" value="Night (8:00 PM to 10:00 PM)" id="choice_7_65_8" disabled="disabled">
<label for="choice_7_65_8" id="label_7_65_8">Night (8:00 PM to 10:00 PM)</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_7_29" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_7").val("19"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("19"); jQuery("#gform_7").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_7_29"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_7").val("21"); jQuery("#gform_7").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_7").val("21"); jQuery("#gform_7").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_7_21" class="gform_page frq-fid7-s21-ui_contact_email_and_agreement" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_7_21" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_7_17" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_17"><label class="gfield_label" for="input_7_17">What is your email address?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_17" id="input_7_17" type="text" value="" class="medium" placeholder="example@gmail.com" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_7_66" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_7_66"><label class="gfield_label" for="input_7_66">CAPTCHA</label>
<div id="input_7_66" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM&co=aHR0cHM6Ly93d3cuYXRsYW50aWNjb2FzdG1vcnRnYWdlLmNvbTo0NDM.&hl=en&v=NJPGLzpIZgjszqyOymHUP0XR&theme=light&size=normal&cb=lirx2xqqr29e"
width="304" height="78" role="presentation" name="a-ihrvvfbmmo00" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response-1" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</li>
<li id="field_7_71" class="gfield gfield--width-full form-user-agreement gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_7_71"><label
class="gfield_label gfield_label_before_complex">Agreement<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_7_71">By entering a phone number and/or email address and clicking the "Submit" button or otherwise submitting or sending the information entered by you, you are giving express
written consent to Atlantic Coast Mortgage, its affiliates, agents, and service providers to contact you via email, or live, automated or pre-recorded telephone call, or text message (SMS and MMS) even if your telephone number is a
cellular number or on a corporate, state, or national Do Not Call Registry or other do not contact list. You accept the charges, which your phone carrier may impose for these communications. By communicating with us by phone, you
consent to calls being recorded and monitored. You can revoke any of these consents at any time by contacting us <a href="https://www.atlanticcoastmortgage.com/contact/" target="_blank">here</a>, and you are not required to provide any
of the foregoing consents as a condition of purchasing goods or services from Atlantic Coast Mortgage. The following additional terms and conditions may apply:
<a href="https://www.atlanticcoastmortgage.com/privacy-policy/" target="_blank">Privacy Policy</a>, <a href="https://www.atlanticcoastmortgage.com/privacy-notice/" target="_blank">Privacy Notice</a>,
<a href="https://www.atlanticcoastmortgage.com/terms-of-service/" target="_blank">Terms of Service</a>, and <a href="https://www.atlanticcoastmortgage.com/legal/" target="_blank">Additional Legal Information</a>.</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_7_71">
<li class="gchoice gchoice_7_71_1">
<input class="gfield-choice-input" name="input_71.1" type="checkbox" value="I Agree" id="choice_7_71_1" aria-describedby="gfield_description_7_71">
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_56">LO Profile Image URL</label>
<div class="ginput_container ginput_container_phone"><input name="input_56" id="input_7_56" type="text" value="https://www.atlanticcoastmortgage.com/wp-content/uploads/LO-600x600Scott-Davis.jpg" class="medium" aria-invalid="false"></div>
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<li id="field_7_48" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_7_48">
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_60">LO Last Name</label>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_57">LO Title</label>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_58">LO NMLS ID</label>
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<li id="field_7_38" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_7_38">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_38">LO Mobile Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_38" id="input_7_38" type="text" value="(703) 209-3138" class="medium" aria-invalid="false"></div>
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<li id="field_7_49" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_7_49">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_49">LO Office Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_49" id="input_7_49" type="text" value="(571) 495-6961" class="medium" aria-invalid="false"></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_39">LO Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_39" id="input_7_39" type="text" value="scottdavis@acmllc.com" class="medium" aria-invalid="false">
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_51">LO Address</label>
<div class="ginput_container ginput_container_phone"><input name="input_51" id="input_7_51" type="text" value="20365 Exchange Street Suite 300 Ashburn VA 20147" class="medium" aria-invalid="false"></div>
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<li id="field_7_52" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_7_52">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_52">LO City</label>
<div class="ginput_container ginput_container_phone"><input name="input_52" id="input_7_52" type="text" value="Ashburn" class="medium" aria-invalid="false"></div>
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<li id="field_7_53" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_7_53">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_53">LO State</label>
<div class="ginput_container ginput_container_phone"><input name="input_53" id="input_7_53" type="text" value="VA" class="medium" aria-invalid="false"></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_54">LO Zip</label>
<div class="ginput_container ginput_container_phone"><input name="input_54" id="input_7_54" type="text" value="20147" class="medium" aria-invalid="false"></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_59">LO Apply Link</label>
<div class="ginput_container ginput_container_phone"><input name="input_59" id="input_7_59" type="text" value="https://apply.acmllc.com/#/signup?referrerId=scottdavis@acmllc.com" class="medium" aria-invalid="false"></div>
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<li id="field_7_55" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_7_55">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_7_55">LO Video ID</label>
<div class="ginput_container ginput_container_phone"><input name="input_55" id="input_7_55" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
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<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_7" class="gform_previous_button button" value="Previous"
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onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_7"]){return false;} window["gf_submitting_7"]=true; jQuery("#gform_7").trigger("submit",[true]); }"> <input type="submit"
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<div id="gf_progressbar_wrapper_17" class="gf_progressbar_wrapper">
<h3 class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">12</span>
</h3>
<div class="gf_progressbar gf_progressbar_blue" aria-hidden="true">
<div class="gf_progressbar_percentage percentbar_blue percentbar_8" style="width: 8%;"><span>8%</span></div>
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<div class="gform_body gform-body">
<div id="gform_page_17_1" class="gform_page frq-fid7-s1-ui_loan_scenario">
<div class="gform_page_fields">
<ul id="gform_fields_17" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_43" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_43">
<h3 style="margin-bottom: 20px">Get Your FREE Rate Quote!</h3>
<p style="max-width: 450px; font-size: 16px; color: #000000; margin: 0 auto 0 auto">We're excited to help you with this next step in your homebuying journey! Let's get started.</p>
</li>
<li id="field_17_40" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_40"><label class="gfield_label">Are you looking to Purchase a home or Refinance
your existing home?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
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<ul class="gfield_radio" id="input_17_40">
<li class="gchoice gchoice_17_40_0">
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<input name="input_40" type="radio" value="Refinance" id="choice_17_40_1">
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<div class="gform_page_footer top_label">
<input type="button" id="gform_next_button_17_42" class="gform_next_button button" value="Next >"
onclick="jQuery("#gform_target_page_number_17").val("2"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("2"); jQuery("#gform_17").trigger("submit",[true]); } ">
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<div id="gform_page_17_2" class="gform_page frq-fid7-s2-ui_city_state" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_1" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_17_1"><label class="gfield_label" for="input_17_1">Please add the city and state where
the property you're trying to Purchase or Refinance is located.<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_17_1" type="text" value="" class="medium" placeholder="Property City" aria-required="true" aria-invalid="false"> </div>
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<li id="field_17_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_17_2"><label class="gfield_label" for="input_17_2">State<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_2" id="input_17_2" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Property State</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Maryland">Maryland</option>
<option value="North Carolina">North Carolina</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="South Carolina">South Carolina</option>
<option value="Tennessee">Tennessee</option>
<option value="Virginia" selected="selected">Virginia</option>
<option value="West Virginia">West Virginia</option>
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</li>
</ul>
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<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_19" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("1"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("1"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_19"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("3"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("3"); jQuery("#gform_17").trigger("submit",[true]); } ">
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</div>
<div id="gform_page_17_3" class="gform_page frq-fid7-s3-ui_property_type" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_3" style="display: none;"><label class="gfield_label">What type of property are you
purchasing?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_3">
<li class="gchoice gchoice_17_3_0">
<input name="input_3" type="radio" value="Single Family Home" id="choice_17_3_0" disabled="disabled">
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<li class="gchoice gchoice_17_3_2">
<input name="input_3" type="radio" value="Townhome" id="choice_17_3_2" disabled="disabled">
<label for="choice_17_3_2" id="label_17_3_2">Townhome</label>
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<li class="gchoice gchoice_17_3_3">
<input name="input_3" type="radio" value="Multi-Family Home" id="choice_17_3_3" disabled="disabled">
<label for="choice_17_3_3" id="label_17_3_3">Multi-Family Home</label>
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</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_21" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("2"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("2"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_21"
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<div id="gform_page_17_4" class="gform_page frq-fid7-s4-ui_credit_score" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_4"><label class="gfield_label">Estimate your credit score.<span
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<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_4">
<li class="gchoice gchoice_17_4_0">
<input name="input_4" type="radio" value="Excellent 740+" id="choice_17_4_0">
<label for="choice_17_4_0" id="label_17_4_0">Excellent 740+</label>
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<li class="gchoice gchoice_17_4_1">
<input name="input_4" type="radio" value="Good 700-739" id="choice_17_4_1">
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<li class="gchoice gchoice_17_4_2">
<input name="input_4" type="radio" value="Average 660-699" id="choice_17_4_2">
<label for="choice_17_4_2" id="label_17_4_2">Average 660-699</label>
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<input name="input_4" type="radio" value="Fair 600-659" id="choice_17_4_3">
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<input name="input_4" type="radio" value="Low < 600" id="choice_17_4_4">
<label for="choice_17_4_4" id="label_17_4_4">Low < 600</label>
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</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_22" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("3"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("3"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_22"
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<div id="gform_page_17_5" class="gform_page frq-fid7-s5-ui_fthb" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_5" style="display: none;"><label class="gfield_label">Is this your first property
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<ul class="gfield_radio" id="input_17_5">
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</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_23" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("4"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("4"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_23"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("6"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("6"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_6" class="gform_page frq-fid7-s6-ui_current_purchase_situation" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_6" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_6" style="display: none;"><label class="gfield_label">What is your current property
purchase situation?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_6">
<li class="gchoice gchoice_17_6_0">
<input name="input_6" type="radio" value="Signed a Purchase Agreement" id="choice_17_6_0" disabled="disabled">
<label for="choice_17_6_0" id="label_17_6_0">Signed a Purchase Agreement</label>
</li>
<li class="gchoice gchoice_17_6_1">
<input name="input_6" type="radio" value="Offer Pending / Found Property" id="choice_17_6_1" disabled="disabled">
<label for="choice_17_6_1" id="label_17_6_1">Offer Pending / Found Property</label>
</li>
<li class="gchoice gchoice_17_6_2">
<input name="input_6" type="radio" value="Buying in 2-6 Months" id="choice_17_6_2" disabled="disabled">
<label for="choice_17_6_2" id="label_17_6_2">Buying in 2-6 Months</label>
</li>
<li class="gchoice gchoice_17_6_3">
<input name="input_6" type="radio" value="Researching Options" id="choice_17_6_3" disabled="disabled">
<label for="choice_17_6_3" id="label_17_6_3">Researching Options</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_24" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("5"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("5"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_24"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("7"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("7"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_7" class="gform_page frq-fid7-s7-ui_use_type" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_7" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_7" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_7" style="display: none;"><label class="gfield_label">How will this property by
used?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_7">
<li class="gchoice gchoice_17_7_0">
<input name="input_7" type="radio" value="Primary Home" id="choice_17_7_0" disabled="disabled">
<label for="choice_17_7_0" id="label_17_7_0">Primary Home</label>
</li>
<li class="gchoice gchoice_17_7_1">
<input name="input_7" type="radio" value="Secondary Home" id="choice_17_7_1" disabled="disabled">
<label for="choice_17_7_1" id="label_17_7_1">Secondary Home</label>
</li>
<li class="gchoice gchoice_17_7_2">
<input name="input_7" type="radio" value="Rental Property" id="choice_17_7_2" disabled="disabled">
<label for="choice_17_7_2" id="label_17_7_2">Rental Property</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_25" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("6"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("6"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_25"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("8"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("8"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_8" class="gform_page frq-fid7-s8-ui_purchase_price" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_8" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_8" style="display: none;"><label class="gfield_label" for="input_17_8">What is the
purchase price of the new property?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_8" id="input_17_8" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="Less than $80K">Less than $80K</option>
<option value="$80,000 - $99,999">$80,000 - $99,999</option>
<option value="$100,000 - $124,999">$100,000 - $124,999</option>
<option value="$125,000 - $149,999">$125,000 - $149,999</option>
<option value="$150,000 - $174,999">$150,000 - $174,999</option>
<option value="$175,000 - $199,999">$175,000 - $199,999</option>
<option value="$200,000 - $224,999">$200,000 - $224,999</option>
<option value="$225,000 - $245,999">$225,000 - $245,999</option>
<option value="$250,000 - $274,999">$250,000 - $274,999</option>
<option value="$275,000 - $299,999">$275,000 - $299,999</option>
<option value="$300,000 - $324,999">$300,000 - $324,999</option>
<option value="$300,000 - $324,999">$300,000 - $324,999</option>
<option value="$325,000 - $349,999">$325,000 - $349,999</option>
<option value="$350,000 - $374,999">$350,000 - $374,999</option>
<option value="$375,000 - $399,999">$375,000 - $399,999</option>
<option value="$400,000 - $424,999">$400,000 - $424,999</option>
<option value="$425,000 - $449,999">$425,000 - $449,999</option>
<option value="$450,000 - $474,999">$450,000 - $474,999</option>
<option value="$475,000 - $499,999">$475,000 - $499,999</option>
<option value="$500,000 - $524,999">$500,000 - $524,999</option>
<option value="$525,000 - $549,999">$525,000 - $549,999</option>
<option value="$550,000 - $574,999">$550,000 - $574,999</option>
<option value="$575,000 - $599,999">$575,000 - $599,999</option>
<option value="$600,000 - $624,999">$600,000 - $624,999</option>
<option value="$625,000 - $649,999">$625,000 - $649,999</option>
<option value="$650,000 - $674,999">$650,000 - $674,999</option>
<option value="$675,000 - $699,999">$675,000 - $699,999</option>
<option value="$700,0006- $724,999">$700,0006- $724,999</option>
<option value="$725,000 - $749,999">$725,000 - $749,999</option>
<option value="$750,000 - $774,999">$750,000 - $774,999</option>
<option value="$775,000 - $799,999">$775,000 - $799,999</option>
<option value="$800,000 - $824,999">$800,000 - $824,999</option>
<option value="$825,000 - $849,999">$825,000 - $849,999</option>
<option value="$850,000 - $874,999">$850,000 - $874,999</option>
<option value="$875,000 - $899,999">$875,000 - $899,999</option>
<option value="$900,000 - $924,999">$900,000 - $924,999</option>
<option value="$925,000 - $949,999">$925,000 - $949,999</option>
<option value="$950,000 - $974,999">$950,000 - $974,999</option>
<option value="$975,000 - $999,999">$975,000 - $999,999</option>
<option value="$1,000,000 - $1,249,999">$1,000,000 - $1,249,999</option>
<option value="$1,250,000 - $1,499,999">$1,250,000 - $1,499,999</option>
<option value="$1,500,000 - $1,749,999">$1,500,000 - $1,749,999</option>
<option value="$1,750,000 - $1,999,999">$1,750,000 - $1,999,999</option>
<option value="$2M+">$2M+</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_26" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("7"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("7"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_26"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("9"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("9"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_9" class="gform_page frq-fid7-s9-ui_est_downpayment" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_9" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_9" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_9" style="display: none;"><label class="gfield_label" for="input_17_9">What is your
estimated down payment?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_9" id="input_17_9" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="0%">0%</option>
<option value="1%">1%</option>
<option value="2%">2%</option>
<option value="3%">3%</option>
<option value="4%">4%</option>
<option value="5%">5%</option>
<option value="6%">6%</option>
<option value="7%">7%</option>
<option value="8%">8%</option>
<option value="9%">9%</option>
<option value="10%">10%</option>
<option value="11%">11%</option>
<option value="12%">12%</option>
<option value="13%">13%</option>
<option value="14%">14%</option>
<option value="15%">15%</option>
<option value="16%">16%</option>
<option value="17%">17%</option>
<option value="18%">18%</option>
<option value="19%">19%</option>
<option value="20%">20%</option>
<option value="21%">21%</option>
<option value="22%">22%</option>
<option value="23%">23%</option>
<option value="24%">24%</option>
<option value="25%">25%</option>
<option value="26%">26%</option>
<option value="27%">27%</option>
<option value="28%">28%</option>
<option value="29%">29%</option>
<option value="30%">30%</option>
<option value="31%">31%</option>
<option value="32%">32%</option>
<option value="33%">33%</option>
<option value="34%">34%</option>
<option value="35%">35%</option>
<option value="36%">36%</option>
<option value="37%">37%</option>
<option value="38%">38%</option>
<option value="39%">39%</option>
<option value="40%">40%</option>
<option value="41%">41%</option>
<option value="42%">42%</option>
<option value="43%">43%</option>
<option value="44%">44%</option>
<option value="45%">45%</option>
<option value="46%">46%</option>
<option value="47%">47%</option>
<option value="48%">48%</option>
<option value="49%">49%</option>
<option value="50%">50%</option>
<option value="51%">51%</option>
<option value="52%">52%</option>
<option value="53%">53%</option>
<option value="54%">54%</option>
<option value="55%">55%</option>
<option value="56%">56%</option>
<option value="57%">57%</option>
<option value="58%">58%</option>
<option value="59%">59%</option>
<option value="60%">60%</option>
<option value="61%">61%</option>
<option value="62%">62%</option>
<option value="63%">63%</option>
<option value="64%">64%</option>
<option value="65%">65%</option>
<option value="66%">66%</option>
<option value="67%">67%</option>
<option value="68%">68%</option>
<option value="69%">69%</option>
<option value="70%">70%</option>
<option value="71%">71%</option>
<option value="72%">72%</option>
<option value="73%">73%</option>
<option value="74%">74%</option>
<option value="75%">75%</option>
<option value="76%">76%</option>
<option value="77%">77%</option>
<option value="78%">78%</option>
<option value="79%">79%</option>
<option value="80%">80%</option>
<option value="81%">81%</option>
<option value="82%">82%</option>
<option value="83%">83%</option>
<option value="84%">84%</option>
<option value="85%">85%</option>
<option value="86%">86%</option>
<option value="87%">87%</option>
<option value="88%">88%</option>
<option value="89%">89%</option>
<option value="90%">90%</option>
<option value="91%">91%</option>
<option value="92%">92%</option>
<option value="93%">93%</option>
<option value="94%">94%</option>
<option value="95%">95%</option>
<option value="96%">96%</option>
<option value="97%">97%</option>
<option value="98%">98%</option>
<option value="99%">99%</option>
<option value="100%">100%</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_27" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("8"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("8"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_27"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("10"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("10"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_10" class="gform_page frq-fid7-s10-ui_preferred_rate_type" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_10" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_10" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_10" style="display: none;"><label class="gfield_label">What kind of rate do you
prefer?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_10">
<li class="gchoice gchoice_17_10_0">
<input name="input_10" type="radio" value="Adjustable Rate" id="choice_17_10_0" disabled="disabled">
<label for="choice_17_10_0" id="label_17_10_0">Adjustable Rate</label>
</li>
<li class="gchoice gchoice_17_10_1">
<input name="input_10" type="radio" value="Fixed Rate" id="choice_17_10_1" disabled="disabled">
<label for="choice_17_10_1" id="label_17_10_1">Fixed Rate</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_28" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("9"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("9"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_28"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("11"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("11"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_11" class="gform_page frq-fid7-s11-ui_gross_annual_household_income" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_11" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_11"><label class="gfield_label" for="input_17_11">What is your gross annual
household income?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_11" id="input_17_11" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="Less than $80K">Less than $80K</option>
<option value="$80,000 - $99,999">$80,000 - $99,999</option>
<option value="$100,000 - $124,999">$100,000 - $124,999</option>
<option value="$125,000 - $149,999">$125,000 - $149,999</option>
<option value="$150,000 - $174,999">$150,000 - $174,999</option>
<option value="$174,000 - $199,999">$174,000 - $199,999</option>
<option value="$200,000 - $224,999">$200,000 - $224,999</option>
<option value="More than $250K">More than $250K</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_33" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("10"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("10"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_33"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("12"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("12"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_12" class="gform_page frq-fid7-s12-ui_employment_status" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_12" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_12" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_12"><label class="gfield_label">What is your employment status?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_12">
<li class="gchoice gchoice_17_12_0">
<input name="input_12" type="radio" value="Employed" id="choice_17_12_0">
<label for="choice_17_12_0" id="label_17_12_0">Employed</label>
</li>
<li class="gchoice gchoice_17_12_1">
<input name="input_12" type="radio" value="Not Employed" id="choice_17_12_1">
<label for="choice_17_12_1" id="label_17_12_1">Not Employed</label>
</li>
<li class="gchoice gchoice_17_12_2">
<input name="input_12" type="radio" value="Self Employed" id="choice_17_12_2">
<label for="choice_17_12_2" id="label_17_12_2">Self Employed</label>
</li>
<li class="gchoice gchoice_17_12_3">
<input name="input_12" type="radio" value="Military" id="choice_17_12_3">
<label for="choice_17_12_3" id="label_17_12_3">Military</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_34" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("11"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("11"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_34"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("13"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("13"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_13" class="gform_page frq-fid7-s13-ui_bankruptcy_shortsale_foreclosure" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_13" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_13"><label class="gfield_label">Have you had a bankruptcy, short sale, or
foreclosure in the last 3 years?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_13">
<li class="gchoice gchoice_17_13_0">
<input name="input_13" type="radio" value="Yes" id="choice_17_13_0">
<label for="choice_17_13_0" id="label_17_13_0">Yes</label>
</li>
<li class="gchoice gchoice_17_13_1">
<input name="input_13" type="radio" value="No" id="choice_17_13_1">
<label for="choice_17_13_1" id="label_17_13_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_20" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("12"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("12"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_20"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("14"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("14"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_14" class="gform_page frq-fid7-s14-ui_proof_of_income" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_14" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_14" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_14"><label class="gfield_label">Can you show proof of income?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_14">
<li class="gchoice gchoice_17_14_0">
<input name="input_14" type="radio" value="Yes" id="choice_17_14_0">
<label for="choice_17_14_0" id="label_17_14_0">Yes</label>
</li>
<li class="gchoice gchoice_17_14_1">
<input name="input_14" type="radio" value="No" id="choice_17_14_1">
<label for="choice_17_14_1" id="label_17_14_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_32" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("13"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("13"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_32"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("15"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("15"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_15" class="gform_page frq-fid7-s15-ui_working_with_realtor" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_15" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_15" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_15" style="display: none;"><label class="gfield_label">Are you working with a real
estate agent?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_15">
<li class="gchoice gchoice_17_15_0">
<input name="input_15" type="radio" value="Yes" id="choice_17_15_0" disabled="disabled">
<label for="choice_17_15_0" id="label_17_15_0">Yes</label>
</li>
<li class="gchoice gchoice_17_15_1">
<input name="input_15" type="radio" value="No" id="choice_17_15_1" disabled="disabled">
<label for="choice_17_15_1" id="label_17_15_1">No</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_31" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("14"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("14"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_31"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("16"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("16"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_16" class="gform_page frq-fid7-s16-ui_were_you_referred" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_16" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_70" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_70"><label class="gfield_label">Did someone refer you?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_70">
<li class="gchoice gchoice_17_70_0">
<input name="input_70" type="radio" value="Yes" id="choice_17_70_0">
<label for="choice_17_70_0" id="label_17_70_0">Yes</label>
</li>
<li class="gchoice gchoice_17_70_1">
<input name="input_70" type="radio" value="No" checked="checked" id="choice_17_70_1">
<label for="choice_17_70_1" id="label_17_70_1">No</label>
</li>
</ul>
</div>
</li>
<li id="field_17_68" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_68" style="display: none;"><label class="gfield_label" for="input_17_68">Please
enter the person's name who referred you<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_68" id="input_17_68" type="text" value="" class="medium" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_67" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("15"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("15"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_67"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("17"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("17"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_17" class="gform_page frq-fid7-s17-ui_contact_full_name" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_17" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_16" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_17_16"><label class="gfield_label gfield_label_before_complex">What is your
full name?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_17_16">
<span id="input_17_16_3_container" class="name_first">
<input type="text" name="input_16.3" id="input_17_16_3" value="" aria-required="true" placeholder="First Name">
<label for="input_17_16_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_17_16_6_container" class="name_last">
<input type="text" name="input_16.6" id="input_17_16_6" value="" aria-required="true" placeholder="Last Name">
<label for="input_17_16_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_30" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("16"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("16"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_30"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("18"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("18"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_18" class="gform_page frq-fid7-s18-ui_contact_phone" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_18" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_18" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_18"><label class="gfield_label" for="input_17_18">What is your phone number?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_18" id="input_17_18" type="text" value="" class="medium" placeholder="(XXX) XXX-XXXX" aria-required="true" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_41" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("17"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("17"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_41"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("19"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("19"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_19" class="gform_page frq-fid7-s19-ui_contact_pref_method" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_19" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_47" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_47"><label class="gfield_label">How do you prefer being contacted?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_17_47">
<li class="gchoice gchoice_17_47_0">
<input name="input_47" type="radio" value="Phone Call" id="choice_17_47_0">
<label for="choice_17_47_0" id="label_17_47_0">Phone Call</label>
</li>
<li class="gchoice gchoice_17_47_1">
<input name="input_47" type="radio" value="Email" id="choice_17_47_1">
<label for="choice_17_47_1" id="label_17_47_1">Email</label>
</li>
<li class="gchoice gchoice_17_47_2">
<input name="input_47" type="radio" value="Phone Call and/or Email" id="choice_17_47_2">
<label for="choice_17_47_2" id="label_17_47_2">Phone Call and/or Email</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_44" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("18"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("18"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_44"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("20"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("20"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_20" class="gform_page frq-fid7-s20-ui_contact_pref_call_time" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_20" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_65" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_65" style="display: none;"><label
class="gfield_label gfield_label_before_complex">When is the best time to call?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_17_65">
<li class="gchoice gchoice_17_65_1">
<input class="gfield-choice-input" name="input_65.1" type="checkbox" value="As soon as possible" id="choice_17_65_1" disabled="disabled">
<label for="choice_17_65_1" id="label_17_65_1">As soon as possible</label>
</li>
<li class="gchoice gchoice_17_65_2">
<input class="gfield-choice-input" name="input_65.2" type="checkbox" value="Early morning (7:00 AM to 10:00 AM)" id="choice_17_65_2" disabled="disabled">
<label for="choice_17_65_2" id="label_17_65_2">Early morning (7:00 AM to 10:00 AM)</label>
</li>
<li class="gchoice gchoice_17_65_3">
<input class="gfield-choice-input" name="input_65.3" type="checkbox" value="Late morning (10:00 AM to 12:00 PM)" id="choice_17_65_3" disabled="disabled">
<label for="choice_17_65_3" id="label_17_65_3">Late morning (10:00 AM to 12:00 PM)</label>
</li>
<li class="gchoice gchoice_17_65_4">
<input class="gfield-choice-input" name="input_65.4" type="checkbox" value="Early afternoon (12:00 PM to 2:00 PM)" id="choice_17_65_4" disabled="disabled">
<label for="choice_17_65_4" id="label_17_65_4">Early afternoon (12:00 PM to 2:00 PM)</label>
</li>
<li class="gchoice gchoice_17_65_5">
<input class="gfield-choice-input" name="input_65.5" type="checkbox" value="Mid-afternoon (2:00 PM to 4:00 PM)" id="choice_17_65_5" disabled="disabled">
<label for="choice_17_65_5" id="label_17_65_5">Mid-afternoon (2:00 PM to 4:00 PM)</label>
</li>
<li class="gchoice gchoice_17_65_6">
<input class="gfield-choice-input" name="input_65.6" type="checkbox" value="Late afternoon (4:00 PM to 6:00 PM)" id="choice_17_65_6" disabled="disabled">
<label for="choice_17_65_6" id="label_17_65_6">Late afternoon (4:00 PM to 6:00 PM)</label>
</li>
<li class="gchoice gchoice_17_65_7">
<input class="gfield-choice-input" name="input_65.7" type="checkbox" value="Evening (6:00 PM to 8:00 PM)" id="choice_17_65_7" disabled="disabled">
<label for="choice_17_65_7" id="label_17_65_7">Evening (6:00 PM to 8:00 PM)</label>
</li>
<li class="gchoice gchoice_17_65_8">
<input class="gfield-choice-input" name="input_65.8" type="checkbox" value="Night (8:00 PM to 10:00 PM)" id="choice_17_65_8" disabled="disabled">
<label for="choice_17_65_8" id="label_17_65_8">Night (8:00 PM to 10:00 PM)</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_17_29" class="gform_previous_button button" value="< Previous"
onclick="jQuery("#gform_target_page_number_17").val("19"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("19"); jQuery("#gform_17").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_17_29"
class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_17").val("21"); jQuery("#gform_17").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_17").val("21"); jQuery("#gform_17").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_17_21" class="gform_page frq-fid7-s21-ui_contact_email_and_agreement" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_17_21" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_17_17" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_17_17"><label class="gfield_label" for="input_17_17">What is your email address?<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_17" id="input_17_17" type="text" value="" class="medium" placeholder="example@gmail.com" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_17_66" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_17_66"><label class="gfield_label" for="input_17_66">CAPTCHA</label>
<div id="input_17_66" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM&co=aHR0cHM6Ly93d3cuYXRsYW50aWNjb2FzdG1vcnRnYWdlLmNvbTo0NDM.&hl=en&v=NJPGLzpIZgjszqyOymHUP0XR&theme=light&size=normal&cb=vulec5lmlt5c"
width="304" height="78" role="presentation" name="a-tv05ugkgoqlt" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response-2" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</li>
<li id="field_17_71" class="gfield gfield--width-full form-user-agreement gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_17_71"><label
class="gfield_label gfield_label_before_complex">Agreement<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_17_71">By entering a phone number and/or email address and clicking the "Submit" button or otherwise submitting or sending the information entered by you, you are giving express
written consent to Atlantic Coast Mortgage, its affiliates, agents, and service providers to contact you via email, or live, automated or pre-recorded telephone call, or text message (SMS and MMS) even if your telephone number is a
cellular number or on a corporate, state, or national Do Not Call Registry or other do not contact list. You accept the charges, which your phone carrier may impose for these communications. By communicating with us by phone, you
consent to calls being recorded and monitored. You can revoke any of these consents at any time by contacting us <a href="https://www.atlanticcoastmortgage.com/contact/" target="_blank">here</a>, and you are not required to provide any
of the foregoing consents as a condition of purchasing goods or services from Atlantic Coast Mortgage. The following additional terms and conditions may apply:
<a href="https://www.atlanticcoastmortgage.com/privacy-policy/" target="_blank">Privacy Policy</a>, <a href="https://www.atlanticcoastmortgage.com/privacy-notice/" target="_blank">Privacy Notice</a>,
<a href="https://www.atlanticcoastmortgage.com/terms-of-service/" target="_blank">Terms of Service</a>, and <a href="https://www.atlanticcoastmortgage.com/legal/" target="_blank">Additional Legal Information</a>.</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_17_71">
<li class="gchoice gchoice_17_71_1">
<input class="gfield-choice-input" name="input_71.1" type="checkbox" value="I Agree" id="choice_17_71_1" aria-describedby="gfield_description_17_71">
<label for="choice_17_71_1" id="label_17_71_1">I Agree</label>
</li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_17" class="gform_previous_button button" value="Previous"
onclick="if(window["gf_submitting_17"]){return false;} window["gf_submitting_17"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_17"]){return false;} window["gf_submitting_17"]=true; jQuery("#gform_17").trigger("submit",[true]); }"> <input type="submit"
id="gform_submit_button_17" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_17"]){return false;} window["gf_submitting_17"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_17"]){return false;} window["gf_submitting_17"]=true; jQuery("#gform_17").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=17&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_17" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="17">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_17" value="WyJbXSIsIjU0ZTliYjQxOGFlMTE0NjU4N2EzMGE0YTAyNTY5OGJiIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_17" id="gform_target_page_number_17" value="2">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_17" id="gform_source_page_number_17" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</div>
</div>
<input type="hidden" id="ct_checkjs_b6edc1cd1f36e45daf6d7824d7bb2283" name="ct_checkjs" value="0"><input type="hidden" name="ct_multipage_form" value="yes"><input type="hidden" name="V-S_JCRADUng" value="IeqM1tyd"><input type="hidden"
name="y_PQdbLk" value="Xyde7V2Zo8mul[M"><input type="hidden" name="_JtzhrdcaRyuHGnq" value="jsWfAgKLRM[5rS"><input type="hidden" id="apbct_visible_fields_2" name="apbct_visible_fields"
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</form>POST /lo/scott-davis/#gf_9
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_9" id="gform_9" action="/lo/scott-davis/#gf_9"><span class="wrap_progress_bar" style="visibility:hidden;display:none">
<div id="gf_progressbar_wrapper_9" class="gf_progressbar_wrapper">
<h3 class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">2</span>
</h3>
<div class="gf_progressbar gf_progressbar_blue" aria-hidden="true">
<div class="gf_progressbar_percentage percentbar_blue percentbar_50" style="width:50%;"><span>50%</span></div>
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</span>
<div class="gform_body gform-body">
<div id="gform_page_9_1" class="gform_page">
<div class="gform_page_fields">
<ul id="gform_fields_9" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_9_43" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_43">
<h3 style="color: #000000; margin-bottom: 20px">Let's Get Started!</h3>
<p style="max-width: 600px; font-size:16px; font-weight:400; color: #000000; margin: 0 auto 0 auto;">Please enter your information below, and we'll follow up shortly with more information and next steps to help you get started with your
Reverse Mortgage.</p> <!--<p>We're excited to help you with this next step in your homebuying journey! Let's get started.</p> -->
</li>
<li id="field_9_16" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_9_16"><label class="gfield_label gfield_label_before_complex">What
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<li id="field_9_17" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_9_17"><label class="gfield_label" for="input_9_17">What is your email
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<div class="ginput_container ginput_container_email">
<input name="input_17" id="input_9_17" type="text" value="" class="medium" placeholder="example@gmail.com" aria-required="true" aria-invalid="false">
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</li>
<li id="field_9_18" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_9_18"><label class="gfield_label" for="input_9_18">What is your phone
number?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_18" id="input_9_18" type="text" value="" class="medium" placeholder="(XXX) XXX-XXXX" aria-required="true" aria-invalid="false"></div>
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<div class="gform_page_footer top_label">
<input type="button" id="gform_next_button_9_26" class="gform_next_button button" value="Next >" onclick="jQuery("#gform_target_page_number_9").val("2"); jQuery("#gform_9").trigger("submit",[true]); "
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</div>
</div>
<div id="gform_page_9_2" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_9_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_9_47" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_47"><label class="gfield_label">How do you prefer being contacted?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_9_47">
<li class="gchoice gchoice_9_47_0">
<input name="input_47" type="radio" value="Phone Call" id="choice_9_47_0">
<label for="choice_9_47_0" id="label_9_47_0">Phone Call</label>
</li>
<li class="gchoice gchoice_9_47_1">
<input name="input_47" type="radio" value="Email" id="choice_9_47_1">
<label for="choice_9_47_1" id="label_9_47_1">Email</label>
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<li class="gchoice gchoice_9_47_2">
<input name="input_47" type="radio" value="Phone Call and/or Email" id="choice_9_47_2">
<label for="choice_9_47_2" id="label_9_47_2">Phone Call and/or Email</label>
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</ul>
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</li>
<li id="field_9_65" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_65" style="display: none;"><label
class="gfield_label gfield_label_before_complex">When is the best time to call?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_9_65">
<li class="gchoice gchoice_9_65_1">
<input class="gfield-choice-input" name="input_65.1" type="checkbox" value="As soon as possible" id="choice_9_65_1" disabled="disabled">
<label for="choice_9_65_1" id="label_9_65_1">As soon as possible</label>
</li>
<li class="gchoice gchoice_9_65_2">
<input class="gfield-choice-input" name="input_65.2" type="checkbox" value="Early morning (7:00 AM to 10:00 AM)" id="choice_9_65_2" disabled="disabled">
<label for="choice_9_65_2" id="label_9_65_2">Early morning (7:00 AM to 10:00 AM)</label>
</li>
<li class="gchoice gchoice_9_65_3">
<input class="gfield-choice-input" name="input_65.3" type="checkbox" value="Late morning (10:00 AM to 12:00 PM)" id="choice_9_65_3" disabled="disabled">
<label for="choice_9_65_3" id="label_9_65_3">Late morning (10:00 AM to 12:00 PM)</label>
</li>
<li class="gchoice gchoice_9_65_4">
<input class="gfield-choice-input" name="input_65.4" type="checkbox" value="Early afternoon (12:00 PM to 2:00 PM)" id="choice_9_65_4" disabled="disabled">
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</li>
<li class="gchoice gchoice_9_65_5">
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<label for="choice_9_65_5" id="label_9_65_5">Mid-afternoon (2:00 PM to 4:00 PM)</label>
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<li class="gchoice gchoice_9_65_6">
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<li class="gchoice gchoice_9_65_7">
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<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcC-6UUAAAAAIPYpJ4ZI1U4M3IC_fCPiL87JiKM&co=aHR0cHM6Ly93d3cuYXRsYW50aWNjb2FzdG1vcnRnYWdlLmNvbTo0NDM.&hl=en&v=NJPGLzpIZgjszqyOymHUP0XR&theme=light&size=normal&cb=o7o2qknswcac"
width="304" height="78" role="presentation" name="a-16499v1zx3xr" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response-3" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</li>
<li id="field_9_67" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_9_67"><label
class="gfield_label gfield_label_before_complex">Agreement<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description gfield_consent_description" id="gfield_consent_description_9_67">By entering a phone number and/or email address and clicking the "Submit" button or otherwise submitting or sending the information entered by
you, you are giving express written consent to Atlantic Coast Mortgage, its affiliates, agents, and service providers to contact you via email, or live, automated or pre-recorded telephone call, or text message (SMS and MMS) even if
your telephone number is a cellular number or on a corporate, state, or national Do Not Call Registry or other do not contact list. You accept the charges, which your phone carrier may impose for these communications. By communicating
with us by phone, you consent to calls being recorded and monitored. You can revoke any of these consents at any time by contacting us <a href="https://www.atlanticcoastmortgage.com/contact/" target="_blank">here</a>, and you are not
required to provide any of the foregoing consents as a condition of purchasing goods or services from Atlantic Coast Mortgage. The following additional terms and conditions may apply:
<a href="https://www.atlanticcoastmortgage.com/privacy-policy/" target="_blank">Privacy Policy</a>, <a href="https://www.atlanticcoastmortgage.com/privacy-notice/" target="_blank">Privacy Notice</a>,
<a href="https://www.atlanticcoastmortgage.com/terms-of-service/" target="_blank">Terms of Service</a>, and <a href="https://www.atlanticcoastmortgage.com/legal/" target="_blank">Additional Legal Information</a>.</div>
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class="gform_hidden"></div>
</li>
<li id="field_9_56" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_56">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_56">LO Profile Image URL</label>
<div class="ginput_container ginput_container_phone"><input name="input_56" id="input_9_56" type="text" value="https://www.atlanticcoastmortgage.com/wp-content/uploads/LO-600x600Scott-Davis.jpg" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_48" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_48">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_48">LO First Name</label>
<div class="ginput_container ginput_container_phone"><input name="input_48" id="input_9_48" type="text" value="Scott" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_60" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_60">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_60">LO Last Name</label>
<div class="ginput_container ginput_container_phone"><input name="input_60" id="input_9_60" type="text" value="Davis" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_57" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_57">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_57">LO Title</label>
<div class="ginput_container ginput_container_phone"><input name="input_57" id="input_9_57" type="text" value="Scott Davis" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_58" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_58">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_58">LO NMLS ID</label>
<div class="ginput_container ginput_container_phone"><input name="input_58" id="input_9_58" type="text" value="166596" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_38" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_38">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_38">LO Mobile Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_38" id="input_9_38" type="text" value="(703) 209-3138" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_49" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_49">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_49">LO Office Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_49" id="input_9_49" type="text" value="(571) 495-6961" class="medium" aria-invalid="false"></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_39">LO Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_39" id="input_9_39" type="text" value="scottdavis@acmllc.com" class="medium" aria-invalid="false">
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</li>
<li id="field_9_51" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_51">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_51">LO Address</label>
<div class="ginput_container ginput_container_phone"><input name="input_51" id="input_9_51" type="text" value="20365 Exchange Street Suite 300 Ashburn VA 20147" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_52" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_52">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_52">LO City</label>
<div class="ginput_container ginput_container_phone"><input name="input_52" id="input_9_52" type="text" value="Ashburn" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_53" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_53">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_53">LO State</label>
<div class="ginput_container ginput_container_phone"><input name="input_53" id="input_9_53" type="text" value="VA" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_54" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_54">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_54">LO Zip</label>
<div class="ginput_container ginput_container_phone"><input name="input_54" id="input_9_54" type="text" value="20147" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_59" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_59">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_59">LO Apply Link</label>
<div class="ginput_container ginput_container_phone"><input name="input_59" id="input_9_59" type="text" value="https://apply.acmllc.com/#/signup?referrerId=scottdavis@acmllc.com" class="medium" aria-invalid="false"></div>
</li>
<li id="field_9_55" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_9_55">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_9_55">LO Video ID</label>
<div class="ginput_container ginput_container_phone"><input name="input_55" id="input_9_55" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
</ul>
</div>
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<input type="hidden" id="ct_checkjs_c15da1f2b5e5ed6e6837a3802f0d1593" name="ct_checkjs" value="0"><input type="hidden" name="ct_multipage_form" value="yes"><input type="hidden" name="V-S_JCRADUng" value="IeqM1tyd"><input type="hidden"
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</form>POST #
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CONTACT SCOTT DAVIS
Message Me Call Me Apply Now Make A Payment
SCOTT DAVIS
* VP | Sr. Loan Officer
NMLS ID 166596
* Office: (571) 495-6961 | Mobile: (703) 209-3138
* 20365 Exchange Street
Suite 300
Ashburn, VA 20147
Contact Me Get A Free Rate Quote Apply Now
Our team philosophy is to always listen to each customer’s needs and respond to
those needs efficiently and effectively. We strive to build long-term
relationships so that, as your lender, we will be with you each time your life
necessitates a home change. Many lenders can ‘get you a loan, but our goal is to
‘get you the right loan.
We look forward to first earning your trust and then earning your business.
LICENSED IN:
Virginia, Florida
WHAT OTHERS ARE SAYING ABOUT SCOTT
5.0
“I received great support throughout the process and each step was explained
thoroughly from beginning to end. Thanks for the help Scott! Great talking
sports with you too!”
* DOUGLAS D.
* Homebuyer
5.0
“Scott and his ENTIRE team were more than helpful throughout every step of the
process. They constantly went above and beyond answering questions and
performing tasks that didn't even have to do with their job. They were always
available and ensured everything went smoothly. This is my 3rd house I have had
Scott help me with personally, and he has helped my brother and my mother with
their homes. I cannot recommend him highly enough. Just awesome.”
* MARCO R.
* Homebuyer
5.0
“Scott and his team did a fantastic job of providing updates on the mortgage
loan process as well timely follow up to any questions that came up during the
process.”
* ANGELA H.
* Homebuyer
5.0
“Scott Davis and his team are the absolute best in the business, got in contact
with them last minute because of better interest rate and they were able to
swing into action to help us close on our new home within 21 days. Scott was
reliable, responsive, reliable and very honest through the entire process, I
will definitely be back for more deals.”
* ERNEST O.
* Homebuyer
HOMEBUYING ESSENTIALS
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SCOTT DAVIS
VP | Sr. Loan Officer NMLS ID 166596
* Mobile
* Office
Call Scott Directly
* Mobile (703) 209-3138
* Office (571) 495-6961
Address 20365 Exchange Street, Suite 300
Ashburn, VA 20147
CONNECT WITH SCOTT DAVIS
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automated or pre-recorded telephone call, or text message (SMS and MMS) even
if your telephone number is a cellular number or on a corporate, state, or
national Do Not Call Registry or other do not contact list. You accept the
charges, which your phone carrier may impose for these communications. By
communicating with us by phone, you consent to calls being recorded and
monitored. You can revoke any of these consents at any time by contacting us
here, and you are not required to provide any of the foregoing consents as a
condition of purchasing goods or services from Atlantic Coast Mortgage. The
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* Atlantic Coast Mortgage, LLC
* NMLS ID 643114
* nmlsconsumeraccess.org
* 4097 Monument Corner Drive 6th Floor, Fairfax, VA 22030
* Phone: (703) 592-6235
* Toll-Free: (866) 311-8627
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©2022 Atlantic Coast Mortgage, LLC markets certain of its products and services
under the trade name, Nucasa Mortgage, and in Pennsylvania markets certain of
its products and services under the trade name, ACM, LLC of PA. All rights
reserved.
×
SCOTT DAVIS
NMLS ID #166596
Call Scott Directly!
* Mobile (703) 209-3138
* Office (571) 495-6961
Address 20365 Exchange Street Suite 300 Ashburn VA 20147
STEP 1 OF 12
8%
* GET YOUR FREE RATE QUOTE!
We're excited to help you with this next step in your homebuying journey!
Let's get started.
* Are you looking to Purchase a home or Refinance your existing home?*
* Purchase
* Refinance
* Please add the city and state where the property you're trying to Purchase or
Refinance is located.*
* State*
Property StateDelawareDistrict of ColumbiaFloridaGeorgiaMarylandNorth
CarolinaOklahomaOregonPennsylvaniaSouth CarolinaTennesseeVirginiaWest
Virginia
* What type of property are you purchasing?*
* Single Family Home
* Condominium
* Townhome
* Multi-Family Home
* Estimate your credit score.*
* Excellent 740+
* Good 700-739
* Average 660-699
* Fair 600-659
* Low < 600
* Is this your first property purchase?*
* Yes
* No
* What is your current property purchase situation?*
* Signed a Purchase Agreement
* Offer Pending / Found Property
* Buying in 2-6 Months
* Researching Options
* How will this property by used?*
* Primary Home
* Secondary Home
* Rental Property
* What is the purchase price of the new property?*
Less than $80K$80,000 - $99,999$100,000 - $124,999$125,000 - $149,999$150,000
- $174,999$175,000 - $199,999$200,000 - $224,999$225,000 - $245,999$250,000 -
$274,999$275,000 - $299,999$300,000 - $324,999$300,000 - $324,999$325,000 -
$349,999$350,000 - $374,999$375,000 - $399,999$400,000 - $424,999$425,000 -
$449,999$450,000 - $474,999$475,000 - $499,999$500,000 - $524,999$525,000 -
$549,999$550,000 - $574,999$575,000 - $599,999$600,000 - $624,999$625,000 -
$649,999$650,000 - $674,999$675,000 - $699,999$700,0006- $724,999$725,000 -
$749,999$750,000 - $774,999$775,000 - $799,999$800,000 - $824,999$825,000 -
$849,999$850,000 - $874,999$875,000 - $899,999$900,000 - $924,999$925,000 -
$949,999$950,000 - $974,999$975,000 - $999,999$1,000,000 -
$1,249,999$1,250,000 - $1,499,999$1,500,000 - $1,749,999$1,750,000 -
$1,999,999$2M+
* What is your estimated down payment?*
0%1%2%3%4%5%6%7%8%9%10%11%12%13%14%15%16%17%18%19%20%21%22%23%24%25%26%27%28%29%30%31%32%33%34%35%36%37%38%39%40%41%42%43%44%45%46%47%48%49%50%51%52%53%54%55%56%57%58%59%60%61%62%63%64%65%66%67%68%69%70%71%72%73%74%75%76%77%78%79%80%81%82%83%84%85%86%87%88%89%90%91%92%93%94%95%96%97%98%99%100%
* What kind of rate do you prefer?*
* Adjustable Rate
* Fixed Rate
* What is your gross annual household income?*
Less than $80K$80,000 - $99,999$100,000 - $124,999$125,000 - $149,999$150,000
- $174,999$174,000 - $199,999$200,000 - $224,999More than $250K
* What is your employment status?*
* Employed
* Not Employed
* Self Employed
* Military
* Have you had a bankruptcy, short sale, or foreclosure in the last 3 years?*
* Yes
* No
* Can you show proof of income?*
* Yes
* No
* Are you working with a real estate agent?*
* Yes
* No
* Did someone refer you?
* Yes
* No
* Please enter the person's name who referred you*
* What is your full name?*
First Last
* What is your phone number?*
* How do you prefer being contacted?
* Phone Call
* Email
* Phone Call and/or Email
* When is the best time to call?*
* As soon as possible
* Early morning (7:00 AM to 10:00 AM)
* Late morning (10:00 AM to 12:00 PM)
* Early afternoon (12:00 PM to 2:00 PM)
* Mid-afternoon (2:00 PM to 4:00 PM)
* Late afternoon (4:00 PM to 6:00 PM)
* Evening (6:00 PM to 8:00 PM)
* Night (8:00 PM to 10:00 PM)
* What is your email address?*
* CAPTCHA
* Agreement*
By entering a phone number and/or email address and clicking the "Submit"
button or otherwise submitting or sending the information entered by you, you
are giving express written consent to Atlantic Coast Mortgage, its
affiliates, agents, and service providers to contact you via email, or live,
automated or pre-recorded telephone call, or text message (SMS and MMS) even
if your telephone number is a cellular number or on a corporate, state, or
national Do Not Call Registry or other do not contact list. You accept the
charges, which your phone carrier may impose for these communications. By
communicating with us by phone, you consent to calls being recorded and
monitored. You can revoke any of these consents at any time by contacting us
here, and you are not required to provide any of the foregoing consents as a
condition of purchasing goods or services from Atlantic Coast Mortgage. The
following additional terms and conditions may apply: Privacy Policy, Privacy
Notice, Terms of Service, and Additional Legal Information.
* I Agree
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Privacy Policy: Terms and conditions apply. This is not a loan commitment. All
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Company NMLS ID #643114
×
STEP 1 OF 12
8%
* GET YOUR FREE RATE QUOTE!
We're excited to help you with this next step in your homebuying journey!
Let's get started.
* Are you looking to Purchase a home or Refinance your existing home?*
* Purchase
* Refinance
* Please add the city and state where the property you're trying to Purchase or
Refinance is located.*
* State*
Property StateDelawareDistrict of ColumbiaFloridaGeorgiaMarylandNorth
CarolinaOklahomaOregonPennsylvaniaSouth CarolinaTennesseeVirginiaWest
Virginia
* What type of property are you purchasing?*
* Single Family Home
* Condominium
* Townhome
* Multi-Family Home
* Estimate your credit score.*
* Excellent 740+
* Good 700-739
* Average 660-699
* Fair 600-659
* Low < 600
* Is this your first property purchase?*
* Yes
* No
* What is your current property purchase situation?*
* Signed a Purchase Agreement
* Offer Pending / Found Property
* Buying in 2-6 Months
* Researching Options
* How will this property by used?*
* Primary Home
* Secondary Home
* Rental Property
* What is the purchase price of the new property?*
Less than $80K$80,000 - $99,999$100,000 - $124,999$125,000 - $149,999$150,000
- $174,999$175,000 - $199,999$200,000 - $224,999$225,000 - $245,999$250,000 -
$274,999$275,000 - $299,999$300,000 - $324,999$300,000 - $324,999$325,000 -
$349,999$350,000 - $374,999$375,000 - $399,999$400,000 - $424,999$425,000 -
$449,999$450,000 - $474,999$475,000 - $499,999$500,000 - $524,999$525,000 -
$549,999$550,000 - $574,999$575,000 - $599,999$600,000 - $624,999$625,000 -
$649,999$650,000 - $674,999$675,000 - $699,999$700,0006- $724,999$725,000 -
$749,999$750,000 - $774,999$775,000 - $799,999$800,000 - $824,999$825,000 -
$849,999$850,000 - $874,999$875,000 - $899,999$900,000 - $924,999$925,000 -
$949,999$950,000 - $974,999$975,000 - $999,999$1,000,000 -
$1,249,999$1,250,000 - $1,499,999$1,500,000 - $1,749,999$1,750,000 -
$1,999,999$2M+
* What is your estimated down payment?*
0%1%2%3%4%5%6%7%8%9%10%11%12%13%14%15%16%17%18%19%20%21%22%23%24%25%26%27%28%29%30%31%32%33%34%35%36%37%38%39%40%41%42%43%44%45%46%47%48%49%50%51%52%53%54%55%56%57%58%59%60%61%62%63%64%65%66%67%68%69%70%71%72%73%74%75%76%77%78%79%80%81%82%83%84%85%86%87%88%89%90%91%92%93%94%95%96%97%98%99%100%
* What kind of rate do you prefer?*
* Adjustable Rate
* Fixed Rate
* What is your gross annual household income?*
Less than $80K$80,000 - $99,999$100,000 - $124,999$125,000 - $149,999$150,000
- $174,999$174,000 - $199,999$200,000 - $224,999More than $250K
* What is your employment status?*
* Employed
* Not Employed
* Self Employed
* Military
* Have you had a bankruptcy, short sale, or foreclosure in the last 3 years?*
* Yes
* No
* Can you show proof of income?*
* Yes
* No
* Are you working with a real estate agent?*
* Yes
* No
* Did someone refer you?
* Yes
* No
* Please enter the person's name who referred you*
* What is your full name?*
First Last
* What is your phone number?*
* How do you prefer being contacted?
* Phone Call
* Email
* Phone Call and/or Email
* When is the best time to call?*
* As soon as possible
* Early morning (7:00 AM to 10:00 AM)
* Late morning (10:00 AM to 12:00 PM)
* Early afternoon (12:00 PM to 2:00 PM)
* Mid-afternoon (2:00 PM to 4:00 PM)
* Late afternoon (4:00 PM to 6:00 PM)
* Evening (6:00 PM to 8:00 PM)
* Night (8:00 PM to 10:00 PM)
* What is your email address?*
* CAPTCHA
* Agreement*
By entering a phone number and/or email address and clicking the "Submit"
button or otherwise submitting or sending the information entered by you, you
are giving express written consent to Atlantic Coast Mortgage, its
affiliates, agents, and service providers to contact you via email, or live,
automated or pre-recorded telephone call, or text message (SMS and MMS) even
if your telephone number is a cellular number or on a corporate, state, or
national Do Not Call Registry or other do not contact list. You accept the
charges, which your phone carrier may impose for these communications. By
communicating with us by phone, you consent to calls being recorded and
monitored. You can revoke any of these consents at any time by contacting us
here, and you are not required to provide any of the foregoing consents as a
condition of purchasing goods or services from Atlantic Coast Mortgage. The
following additional terms and conditions may apply: Privacy Policy, Privacy
Notice, Terms of Service, and Additional Legal Information.
* I Agree
×
SCOTT DAVIS
NMLS ID #166596
Call Scott Directly!
* Mobile (703) 209-3138
* Office (571) 495-6961
Address 20365 Exchange Street Suite 300 Ashburn VA 20147
STEP 1 OF 2
50%
* LET'S GET STARTED!
Please enter your information below, and we'll follow up shortly with more
information and next steps to help you get started with your Reverse
Mortgage.
* What is your full name?*
First Last
* What is your email address?*
* What is your phone number?*
* How do you prefer being contacted?
* Phone Call
* Email
* Phone Call and/or Email
* When is the best time to call?*
* As soon as possible
* Early morning (7:00 AM to 10:00 AM)
* Late morning (10:00 AM to 12:00 PM)
* Early afternoon (12:00 PM to 2:00 PM)
* Mid-afternoon (2:00 PM to 4:00 PM)
* Late afternoon (4:00 PM to 6:00 PM)
* Evening (6:00 PM to 8:00 PM)
* Night (8:00 PM to 10:00 PM)
* CAPTCHA
* Agreement*
By entering a phone number and/or email address and clicking the "Submit"
button or otherwise submitting or sending the information entered by you, you
are giving express written consent to Atlantic Coast Mortgage, its
affiliates, agents, and service providers to contact you via email, or live,
automated or pre-recorded telephone call, or text message (SMS and MMS) even
if your telephone number is a cellular number or on a corporate, state, or
national Do Not Call Registry or other do not contact list. You accept the
charges, which your phone carrier may impose for these communications. By
communicating with us by phone, you consent to calls being recorded and
monitored. You can revoke any of these consents at any time by contacting us
here, and you are not required to provide any of the foregoing consents as a
condition of purchasing goods or services from Atlantic Coast Mortgage. The
following additional terms and conditions may apply: Privacy Policy, Privacy
Notice, Terms of Service, and Additional Legal Information.
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Privacy Policy: Terms and conditions apply. This is not a loan commitment. All
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Company NMLS ID #643114
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use the website by eliminating the risk of seizures resulting from flashing
or blinking animations and risky color combinations.
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Tunnel Vision, Cataract, Glaucoma, and others.
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features to help users with cognitive disabilities such as Autism, Dyslexia,
CVA, and others, to focus on the essential elements more easily.
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noise to help people with ADHD, and Neurodevelopmental disorders browse,
read, and focus on the essential elements more easily.
* Blind Users Profile (Screen-readers): this profile adjusts the website to be
compatible with screen-readers such as JAWS, NVDA, VoiceOver, and TalkBack. A
screen-reader is installed on the blind user’s computer, and this site is
compatible with it.
* Keyboard Navigation Profile (Motor-Impaired): this profile enables
motor-impaired persons to operate the website using the keyboard Tab,
Shift+Tab, and the Enter keys. Users can also use shortcuts such as “M”
(menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics) to
jump to specific elements.
Additional UI, design, and readability adjustments
1. Font adjustments – users can increase and decrease its size, change its
family (type), adjust the spacing, alignment, line height, and more.
2. Color adjustments – users can select various color contrast profiles such as
light, dark, inverted, and monochrome. Additionally, users can swap color
schemes of titles, texts, and backgrounds with over seven different coloring
options.
3. Animations – epileptic users can stop all running animations with the click
of a button. Animations controlled by the interface include videos, GIFs,
and CSS flashing transitions.
4. Content highlighting – users can choose to emphasize essential elements such
as links and titles. They can also choose to highlight focused or hovered
elements only.
5. Audio muting – users with hearing devices may experience headaches or other
issues due to automatic audio playing. This option lets users mute the
entire website instantly.
6. Cognitive disorders – we utilize a search engine linked to Wikipedia and
Wiktionary, allowing people with cognitive disorders to decipher meanings of
phrases, initials, slang, and others.
7. Additional functions – we allow users to change cursor color and size, use a
printing mode, enable a virtual keyboard, and many other functions.
Assistive technology and browser compatibility
We aim to support as many browsers and assistive technologies as possible, so
our users can choose the best fitting tools for them, with as few limitations as
possible. Therefore, we have worked very hard to be able to support all major
systems that comprise over 95% of the user market share, including Google
Chrome, Mozilla Firefox, Apple Safari, Opera and Microsoft Edge, JAWS, and NVDA
(screen readers), both for Windows and MAC users.
Notes, comments, and feedback
Despite our very best efforts to allow anybody to adjust the website to their
needs, there may still be pages or sections that are not fully accessible, are
in the process of becoming accessible, or are lacking an adequate technological
solution to make them accessible. Still, we are continually improving our
accessibility, adding, updating, improving its options and features, and
developing and adopting new technologies. All this is meant to reach the optimal
level of accessibility following technological advancements. If you wish to
contact the website’s owner, please use the website's form
Hide Accessibility Interface? Please note: If you choose to hide the
accessibility interface, you won't be able to see it anymore, unless you clear
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interface?
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