www.fidelitybankonline.com
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141.193.213.21
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Submitted URL: https://www.bing.com/ck/a?!&&p=b62406d6a302c38eJmltdHM9MTY5MTUzOTIwMCZpZ3VpZD0xNjJkOGJmMi1hZDQ0LTZjNzUtMjMwYi05OGY2YW...
Effective URL: https://www.fidelitybankonline.com/
Submission: On August 09 via manual from US — Scanned from DE
Effective URL: https://www.fidelitybankonline.com/
Submission: On August 09 via manual from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST /#gf_31
<form method="post" enctype="multipart/form-data" id="gform_31" action="/#gf_31" data-formid="31"><input type="hidden" class="gform_hidden" name="gnd_token" id="gnd_token" autocomplete="off"
value="20230809132720-cb17762024832c476550c4fcbbb556bb6f4ccb87">
<div class="gform-body gform_body">
<ul id="gform_fields_31" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_31_10" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_10">FOR YOUR
SECURITY, PLEASE DO NOT SEND CONFIDENTIAL INFORMATION VIA THIS FORM</li>
<li id="field_31_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_1"><label
class="gfield_label gform-field-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 ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_31_1">
<span id="input_31_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_31_1_3" value="" aria-required="true">
<label for="input_31_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_31_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.6" id="input_31_1_6" value="" aria-required="true">
<label for="input_31_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
</li>
<li id="field_31_12" class="gfield gfield--type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_12"><label
class="gfield_label gform-field-label gfield_label_before_complex">Zip Code</label>
<div class="ginput_complex ginput_container has_zip ginput_container_address gform-grid-row" id="input_31_12">
<input type="hidden" class="gform_hidden" name="input_12.4" id="input_31_12_4" value="Massachusetts"><span class="ginput_right address_zip ginput_address_zip gform-grid-col" id="input_31_12_5_container">
<input type="text" name="input_12.5" id="input_31_12_5" value="" aria-required="false">
<label for="input_31_12_5" id="input_31_12_5_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_12.6" id="input_31_12_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_31_3" class="gfield gfield--type-email gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_3"><label
class="gfield_label gform-field-label" for="input_31_3">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_3" id="input_31_3" type="text" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_31_6" class="gfield gfield--type-select gfield--width-full gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_6"><label
class="gfield_label gform-field-label" for="input_31_6">Preferred method of contact</label>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_31_6" class="medium gfield_select" aria-invalid="false">
<option value="Choose" selected="selected">Choose</option>
<option value="Phone">Phone</option>
<option value="Email">Email</option>
</select></div>
</li>
<li id="field_31_2" class="gfield gfield--type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_2"><label
class="gfield_label gform-field-label" for="input_31_2">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_2" id="input_31_2" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_31_15" class="gfield gfield--type-phone gfield--width-full gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_15"><label
class="gfield_label gform-field-label" for="input_31_15">Cell 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_15" id="input_31_15" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_31_14" class="gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_14"><label
class="gfield_label gform-field-label">What type of loan are you interested in?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_31_14">
<li class="gchoice gchoice_31_14_0">
<input name="input_14" type="radio" value="Home Mortgage (purchase or refinance)" id="choice_31_14_0">
<label for="choice_31_14_0" id="label_31_14_0" class="gform-field-label gform-field-label--type-inline">Home Mortgage (purchase or refinance)</label>
</li>
<li class="gchoice gchoice_31_14_1">
<input name="input_14" type="radio" value="Home Equity Line of Credit" id="choice_31_14_1">
<label for="choice_31_14_1" id="label_31_14_1" class="gform-field-label gform-field-label--type-inline">Home Equity Line of Credit</label>
</li>
<li class="gchoice gchoice_31_14_2">
<input name="input_14" type="radio" value="I'm not sure yet" id="choice_31_14_2">
<label for="choice_31_14_2" id="label_31_14_2" class="gform-field-label gform-field-label--type-inline">I'm not sure yet</label>
</li>
<li class="gchoice gchoice_31_14_3">
<input name="input_14" type="radio" value="Other" id="choice_31_14_3">
<label for="choice_31_14_3" id="label_31_14_3" class="gform-field-label gform-field-label--type-inline">Other</label>
</li>
</ul>
</div>
</li>
<li id="field_31_4" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_4"><label class="gfield_label gform-field-label"
for="input_31_4">What can we help you with?</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_4" id="input_31_4" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_31_8" class="gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_8"><label
class="gfield_label gform-field-label">Would you like to work with a specific Home Loan Specialist?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_31_8">
<li class="gchoice gchoice_31_8_0">
<input name="input_8" type="radio" value="Yes" id="choice_31_8_0">
<label for="choice_31_8_0" id="label_31_8_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</li>
<li class="gchoice gchoice_31_8_1">
<input name="input_8" type="radio" value="No" id="choice_31_8_1">
<label for="choice_31_8_1" id="label_31_8_1" class="gform-field-label gform-field-label--type-inline">No</label>
</li>
</ul>
</div>
</li>
<li id="field_31_9" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_31_9"><label
class="gfield_label gform-field-label" for="input_31_9">I'd like to work with:<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_31_9" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="Jamie Burgoyne">Jamie Burgoyne</option>
<option value="Courtney Gatta">Courtney Gatta</option>
<option value="Allison Giangrande">Allison Giangrande</option>
<option value="Brenda Lockhart-Leblanc">Brenda Lockhart-Leblanc</option>
<option value="Liza Pauquette">Liza Pauquette</option>
<option value="Steve Smith">Steve Smith</option>
<option value="Dave Wilder">Dave Wilder</option>
</select></div>
</li>
<li id="field_31_16" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_31_16"><label
class="gfield_label gform-field-label" for="input_31_16">CAPTCHA</label>
<div id="input_31_16" class="ginput_container ginput_recaptcha" data-sitekey="6LfJZCYdAAAAAHjTvByn6WwdLXB1Al5pc3MwayVM" data-theme="light" data-tabindex="-1" data-size="invisible" data-badge="bottomright"></div>
</li>
<li id="field_31_17" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_31_17"><label
class="gfield_label gform-field-label" for="input_31_17">Phone</label>
<div class="ginput_container"><input name="input_17" id="input_31_17" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_31_17">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_31" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_31"]){return false;} window["gf_submitting_31"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_31"]){return false;} window["gf_submitting_31"]=true; jQuery("#gform_31").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_31" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="31">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_31" value="WyJbXSIsImZjNmY0N2IyYWIxMDg4NDY4MzUwNmQ5ZWYxNjliNTJjIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_31" id="gform_target_page_number_31" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_31" id="gform_source_page_number_31" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>POST /#gf_10
<form method="post" enctype="multipart/form-data" id="gform_10" action="/#gf_10" data-formid="10"><input type="hidden" class="gform_hidden" name="gnd_token" id="gnd_token" autocomplete="off"
value="20230809132720-88d5ca1fde98366e782f38dc65b72125f17d56ce">
<div class="gform-body gform_body">
<ul id="gform_fields_10" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_10_10" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_10">FOR YOUR
SECURITY, PLEASE DO NOT SEND CONFIDENTIAL INFORMATION VIA THIS FORM</li>
<li id="field_10_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_1"><label
class="gfield_label gform-field-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 ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_10_1">
<span id="input_10_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_10_1_3" value="" aria-required="true">
<label for="input_10_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_10_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.6" id="input_10_1_6" value="" aria-required="true">
<label for="input_10_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
</li>
<li id="field_10_12" class="gfield gfield--type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_12"><label
class="gfield_label gform-field-label gfield_label_before_complex">Zip Code</label>
<div class="ginput_complex ginput_container has_zip ginput_container_address gform-grid-row" id="input_10_12">
<input type="hidden" class="gform_hidden" name="input_12.4" id="input_10_12_4" value="Massachusetts"><span class="ginput_right address_zip ginput_address_zip gform-grid-col" id="input_10_12_5_container">
<input type="text" name="input_12.5" id="input_10_12_5" value="" aria-required="false">
<label for="input_10_12_5" id="input_10_12_5_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_12.6" id="input_10_12_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_10_3" class="gfield gfield--type-email gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_3"><label
class="gfield_label gform-field-label" for="input_10_3">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_3" id="input_10_3" type="text" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_10_6" class="gfield gfield--type-select gfield--width-full gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_6"><label
class="gfield_label gform-field-label" for="input_10_6">Preferred method of contact</label>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_10_6" class="medium gfield_select" aria-invalid="false">
<option value="Choose" selected="selected">Choose</option>
<option value="Phone">Phone</option>
<option value="Email">Email</option>
</select></div>
</li>
<li id="field_10_2" class="gfield gfield--type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_2"><label
class="gfield_label gform-field-label" for="input_10_2">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_2" id="input_10_2" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_10_15" class="gfield gfield--type-phone gfield--width-full gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_15"><label
class="gfield_label gform-field-label" for="input_10_15">Cell 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_15" id="input_10_15" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_10_14" class="gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_14"><label
class="gfield_label gform-field-label">What type of loan are you interested in?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_10_14">
<li class="gchoice gchoice_10_14_0">
<input name="input_14" type="radio" value="Home Mortgage (purchase or refinance)" id="choice_10_14_0">
<label for="choice_10_14_0" id="label_10_14_0" class="gform-field-label gform-field-label--type-inline">Home Mortgage (purchase or refinance)</label>
</li>
<li class="gchoice gchoice_10_14_1">
<input name="input_14" type="radio" value="Home Equity Line of Credit" id="choice_10_14_1">
<label for="choice_10_14_1" id="label_10_14_1" class="gform-field-label gform-field-label--type-inline">Home Equity Line of Credit</label>
</li>
<li class="gchoice gchoice_10_14_2">
<input name="input_14" type="radio" value="I'm not sure yet" id="choice_10_14_2">
<label for="choice_10_14_2" id="label_10_14_2" class="gform-field-label gform-field-label--type-inline">I'm not sure yet</label>
</li>
<li class="gchoice gchoice_10_14_3">
<input name="input_14" type="radio" value="Other" id="choice_10_14_3">
<label for="choice_10_14_3" id="label_10_14_3" class="gform-field-label gform-field-label--type-inline">Other</label>
</li>
</ul>
</div>
</li>
<li id="field_10_4" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_4"><label class="gfield_label gform-field-label"
for="input_10_4">What can we help you with?</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_4" id="input_10_4" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_10_8" class="gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_8"><label
class="gfield_label gform-field-label">Would you like to work with a specific Home Loan Specialist?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_10_8">
<li class="gchoice gchoice_10_8_0">
<input name="input_8" type="radio" value="Yes" id="choice_10_8_0">
<label for="choice_10_8_0" id="label_10_8_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</li>
<li class="gchoice gchoice_10_8_1">
<input name="input_8" type="radio" value="No" id="choice_10_8_1">
<label for="choice_10_8_1" id="label_10_8_1" class="gform-field-label gform-field-label--type-inline">No</label>
</li>
</ul>
</div>
</li>
<li id="field_10_9" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_9"><label
class="gfield_label gform-field-label" for="input_10_9">I'd like to work with:<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_10_9" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="Jamie Burgoyne">Jamie Burgoyne</option>
<option value="Courtney Gatta">Courtney Gatta</option>
<option value="Allison Giangrande">Allison Giangrande</option>
<option value="Brenda Lockhart-Leblanc">Brenda Lockhart-Leblanc</option>
<option value="Liza Pauquette">Liza Pauquette</option>
<option value="Steve Smith">Steve Smith</option>
<option value="Dave Wilder">Dave Wilder</option>
</select></div>
</li>
<li id="field_10_16" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_10_16"><label
class="gfield_label gform-field-label" for="input_10_16">CAPTCHA</label>
<div id="input_10_16" class="ginput_container ginput_recaptcha" data-sitekey="6LfJZCYdAAAAAHjTvByn6WwdLXB1Al5pc3MwayVM" data-theme="light" data-tabindex="-1" data-size="invisible" data-badge="bottomright"></div>
</li>
<li id="field_10_17" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_10_17"><label
class="gfield_label gform-field-label" for="input_10_17">Comments</label>
<div class="ginput_container"><input name="input_17" id="input_10_17" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_10_17">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_10" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_10"]){return false;} window["gf_submitting_10"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_10"]){return false;} window["gf_submitting_10"]=true; jQuery("#gform_10").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_10" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="10">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_10" value="WyJbXSIsImZjNmY0N2IyYWIxMDg4NDY4MzUwNmQ5ZWYxNjliNTJjIl0=">
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SECURE, STRONG AND STABLE
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