www.firstrepublic.com Open in urlscan Pro
184.24.170.236  Public Scan

Submitted URL: https://refer.firstrepublic.com/s/srobbins
Effective URL: https://www.firstrepublic.com/personal-line-of-credit/calculator?extole_advocate_code=srobbins&RMF=&RML=&RME=&cmpid=purl_rm_pl...
Submission: On November 07 via api from US — Scanned from DE

Form analysis 3 forms found in the DOM

<form id="estimatorConversationalForm" class="form-design" novalidate="novalidate">
  <div class="form-section" data-section="1">
    <div id="questionName" class="row">
      <div class="small-12">
        <div class="question">
          <p>Welcome! You can view our available rate options by answering a few questions and completing a prequalification for credit (this is not an application). First, please provide your <b>name</b>.</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">Hi, my name is</div>
          <div class="floating-label-wrapper">
            <label for="firstName" class="lbl-placeholder has-content active">First Name</label>
            <input maxlength="256" type="text" id="firstName" name="firstName">
          </div>
          <div class="floating-label-wrapper">
            <label for="lastName" class="lbl-placeholder">Last Name</label>
            <input maxlength="256" type="text" id="lastName" name="lastName" placeholder="Last Name">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-7">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">Hi, my name is <a href="#" data-s-object-id="calculator-no text found-8"><span class="name-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="small-4 small-offset-8 show-for-medium-up"></div>
    </div>
    <div id="questionPhone" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>May we also get your <b>phone number</b>?</p>
          <p class="subtitle">By entering a phone number, you agree to receive text messages and phone calls from First Republic Bank. You can opt out anytime.</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My number is</div>
          <div class="floating-label-wrapper">
            <label for="phoneNumber" class="lbl-placeholder">Phone</label>
            <input type="text" id="phoneNumber" name="phoneNumber" size="30" placeholder="Phone" inputmode="text">
            <div class="lbl-tooltip show-onvalid"></div>
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-9">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My number is <a href="#" data-s-object-id="calculator-no text found-10"><span class="phone-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionEmail" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>Pleasure to help you, <span class="first-name-result"></span>. Can you please provide your <b>email</b>?</p>
          <p class="subtitle">After you enter your email, a dedicated banker may reach out to you personally.</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My email is </div>
          <div class="floating-label-wrapper">
            <label for="emailAddress" class="lbl-placeholder">Email Address</label>
            <input type="text" id="emailAddress" name="emailAddress" size="30" placeholder="Email Address">
            <div class="lbl-tooltip show-onvalid"></div>
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-11">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My email is <a href="#" data-s-object-id="calculator-no text found-12"><span class="email-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionRepeatHappyCheck" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>Thank you, we're checking to see if you've completed this form before.</p>
        </div>
      </div>
    </div>
    <div id="questionAddress" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>First Republic Bank can only serve clients within our geographic footprint. <br>We'd like to ensure <b>your address</b> falls within our service area.</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My address is</div>
          <div class="floating-label-wrapper">
            <label for="Address" class="lbl-placeholder">Address</label>
            <input type="text" id="Address" name="Address" placeholder="Address" maxlength="256" class="pac-target-input" autocomplete="off">
          </div>
          <div class="floating-label-wrapper">
            <label for="AptSuite" class="lbl-placeholder">Apt, suite, etc.</label>
            <input type="text" id="AptSuite" name="AptSuite" placeholder="Apt, suite, etc.">
          </div>
          <div class="floating-label-wrapper clearfloat">
            <label for="city" class="lbl-placeholder">City</label>
            <input type="text" id="city" name="city" placeholder="City" maxlength="256">
          </div>
          <div class="floating-label-wrapper ">
            <label for="state" class="lbl-placeholder">State</label>
            <select id="state" name="state" class="span-input how-DidYouHear-Lbl default">
              <option value="" class="default">State</option>
              <option value="AL">AL</option>
              <option value="AK">AK</option>
              <option value="AZ">AZ</option>
              <option value="AR">AR</option>
              <option value="CA">CA</option>
              <option value="CO">CO</option>
              <option value="CT">CT</option>
              <option value="DE">DE</option>
              <option value="DC">DC</option>
              <option value="FL">FL</option>
              <option value="GA">GA</option>
              <option value="GU">GU</option>
              <option value="HI">HI</option>
              <option value="ID">ID</option>
              <option value="IL">IL</option>
              <option value="IN">IN</option>
              <option value="IA">IA</option>
              <option value="KS">KS</option>
              <option value="LA">LA</option>
              <option value="ME">ME</option>
              <option value="MH">MH</option>
              <option value="MD">MD</option>
              <option value="MA">MA</option>
              <option value="MI">MI</option>
              <option value="MN">MN</option>
              <option value="MS">MS</option>
              <option value="MO">MO</option>
              <option value="MT">MT</option>
              <option value="NE">NE</option>
              <option value="NV">NV</option>
              <option value="NH">NH</option>
              <option value="NJ">NJ</option>
              <option value="NM">NM</option>
              <option value="NY">NY</option>
              <option value="NC">NC</option>
              <option value="ND">ND</option>
              <option value="OH">OH</option>
              <option value="OK">OK</option>
              <option value="OR">OR</option>
              <option value="PA">PA</option>
              <option value="RI">RI</option>
              <option value="SC">SC</option>
              <option value="SD">SD</option>
              <option value="TN">TN</option>
              <option value="TX">TX</option>
              <option value="UT">UT</option>
              <option value="VT">VT</option>
              <option value="VA">VA</option>
              <option value="WA">WA</option>
              <option value="WV">WV</option>
              <option value="WI">WI</option>
              <option value="WY">WY</option>
            </select>
          </div>
          <div class="floating-label-wrapper">
            <label for="bankerZipCode" class="lbl-placeholder ">ZIP code</label>
            <input type="text" id="bankerZipCode" name="bankerZipCode" placeholder="ZIP code" maxlength="5" pattern="\d*" style="min-width: 90px;" inputmode="text">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-13">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My address is <a href="#" data-s-object-id="calculator-no text found-14"><span class="address-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionSoftCreditDisclaimer" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p><b>This is not an application</b>, but we need some additional information to run a soft credit check. <b>This will not affect your credit score, as it’s not a hard credit check.</b> We’re committed to handling your information securely.
          </p>
        </div>
      </div>
    </div>
    <div id="questionDOB" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>What is your <b>date of birth</b>?</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My date of birth is</div>
          <div class="floating-label-wrapper">
            <label for="Yourdateofbirth" class="lbl-placeholder">MM/DD/YYYY</label>
            <input type="text" id="Yourdateofbirth" name="Yourdateofbirth" placeholder="MM/DD/YYYY" inputmode="text">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-15">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My date of birth is <a href="#" data-s-object-id="calculator-no text found-16"><span class="dob-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionSSN" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>And what is your <b>Social Security number?</b></p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My Social Security number is</div>
          <div class="floating-label-wrapper">
            <label for="YourSocialSecurityNumber" class="lbl-placeholder">000-00-0000</label>
            <input type="password" id="YourSocialSecurityNumber" name="YourSocialSecurityNumber" placeholder="000-00-0000" inputmode="text">
            <span class="mask-s">Show</span>
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-17">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My social Security Number is <a href="#" data-s-object-id="calculator-XXX-XX-XXXX-18"><span class="ssn-result green">XXX-XX-XXXX</span></a></div>
        </div>
      </div>
    </div>
    <div id="questionConsent" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>Please read and agree to the following to proceed:</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="">
            <div class="custom-checkbox left">
              <label for="consent" class="left">
                <input class="real-input" type="checkbox" name="consent" id="consent" tabindex="0"><span class="fake-input"></span>
              </label> I acknowledge and agree that I have read, understood and consent to the <a href="https://www.firstrepublic.com/e-sign-agreement" target="_blank" data-s-object-id="calculator-E-Sign Consent-19">E-Sign Consent and Agreement</a>
              to Use Electronic Records and Signatures. If I do not agree, I will not be able to continue. First Republic Bank recommends you retain a copy of this agreement for your records.
            </div>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="custom-checkbox left">
            <label for="consentresult" class="left checked">
              <input class="real-input" type="checkbox" name="consentresult" id="consentresult" checked="" tabindex="0"><span class="fake-input"></span>
            </label> I acknowledge and agree that I have read, understood and consent to the <a href="https://www.firstrepublic.com/e-sign-agreement" target="_blank" data-s-object-id="calculator-E-Sign Consent-20">E-Sign Consent and Agreement</a> to
            Use Electronic Records and Signatures. If I do not agree, I will not be able to continue. First Republic Bank recommends you retain a copy of this agreement for your records.
          </div>
        </div>
      </div>
    </div>
    <div id="questionAgree" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>You understand that by clicking on the “I agree” button immediately following this notice, you are providing written instructions and authorizing First Republic Bank to check for any available existing prescreen offers, and in the event
            there are none, you are providing written instructions under the Fair Credit Reporting Act authorizing First Republic Bank to obtain information from your personal credit profile or other information from a consumer reporting agency
            solely to conduct a prequalification for credit.</p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="">
            <a href="#" id="agree-button" class="next-button button" data-s-object-id="calculator-I agree-21">I agree</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey"><a href="#" data-s-object-id="calculator-I agree-22"><span class="green">I agree</span></a></div>
        </div>
      </div>
    </div>
    <div id="questionSoftCreditPull" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>Thank you. This will only take a moment.</p>
          <div class="response-wrapper-ajax processing">
            <img src="/dist/frb/images/icons/loader.svg" alt="loading">
          </div>
        </div>
      </div>
    </div>
    <div id="questionSelfReportCredit" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>We ran into an issue obtaining information from your personal credit profile. Please provide a self-reported credit score range to proceed.</p>
        </div>
      </div>
      <div class="small-12 medium-10 medium-offset-2 large-9 large-offset-3">
        <div class="answer initial">
          <div class="floating-label-wrapper">
            <div class="custom-radio">
              <label for="creditScore01">
                <input class="real-input" type="radio" name="creditScore" id="creditScore01" data-code="01" value="750 or Higher" tabindex="0"><span class="fake-input"></span><span class="label">750 or Higher</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="creditScore02">
                <input class="real-input" type="radio" name="creditScore" id="creditScore02" data-code="02" value="720-749" tabindex="0"><span class="fake-input"></span><span class="label">720-749</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="creditScore03">
                <input class="real-input" type="radio" name="creditScore" id="creditScore03" data-code="03" value="700-719" tabindex="0"><span class="fake-input"></span><span class="label">700-719</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="creditScore04">
                <input class="real-input" type="radio" name="creditScore" id="creditScore04" data-code="04" value="699 and Below" tabindex="0"><span class="fake-input"></span><span class="label">699 and Below</span>
              </label>
            </div>
            <script>
              const validFicoScore = "01,02,03";
            </script>
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-23">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My credit score is <a href="#" data-s-object-id="calculator-no text found-24"><span class="credit-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionBankerProfile" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <div class="left text-center">
            <img class="banker-photo" src="" alt="" title="">
          </div>
          <div class="left">
            <p class="banker-profile">Hi <span class="first-name-result"></span>, I'm <span class="associate-name-result"></span>. Nice to meet you. I’ll be helping you from here. I look forward to working with you.
              <b>As this is not yet an approval</b>, please schedule a call with me to proceed to a full loan application.</p>
          </div>
        </div>
      </div>
      <div id="banker-appointment-scheduler" class="small-12 hide">
        <div class="row scheduler-introduction">
          <div class="columns"> Select a time to speak with <span class="associate-first-name-result"></span>: </div>
        </div>
        <div class="row scheduler-error-js hide scheduler-error">
          <div class="column">
            <span class="error"></span>
          </div>
        </div>
        <div class="row schedule-appt">
          <div class="columns ">
            <div class="row scheduler-settings">
              <div class="columns small-12 timezone-settings">
                <div class="left show-for-medium-up">Times are displayed in</div>
                <div class="left">
                  <select id="SchedulerTimeZone" class="dropdown">
                    <option value="-8" data-name="Pacific Time">Pacific Time</option>
                    <option value="-7" data-name="Mountain Time">Mountain Time</option>
                    <option value="-6" data-name="Central Time">Central Time</option>
                    <option value="-5" data-name="Eastern Time">Eastern Time</option>
                  </select>
                </div>
              </div>
            </div>
            <div class="row time-slots text-center">
            </div>
            <div class="row appointments-cta">
              <div class="columns">
                <div class="row text-right">
                  <div class="columns small-8">
                    <a href="#" class="schedule-call" target="_blank" data-s-object-id="calculator-View more avai-25">View more availability</a>
                  </div>
                  <div class="columns small-4 large-3 end ">
                    <a href="#" class="skip-schedule" data-s-object-id="calculator-Skip for now-26">Skip for now</a>
                  </div>
                </div>
                <div class="row">
                  <div class="columns disclaimer"> We use a third-party booking site to make it easy for you to book and manage your appointment. If you do not wish to use this feature, please email me your available times and we can coordinate
                    directly. </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="row book-appt hide">
          <div class="columns">
            <div class="selected-appointment-location row">
              <div class="column"><img> Online/phone</div>
            </div>
            <div class="row">
              <div class="column">
                <span class="slot-date"></span>
              </div>
            </div>
            <div class="row">
              <div class="column">
                <span class="slot-time"></span>
              </div>
            </div>
            <div class="selected-appointment-timezone-description row">
              <div class="column"> Times are displayed in <span class="timezone-name"></span>.
                <hr>
              </div>
            </div>
            <div class="row confirmation-js hide">
              <div class="column">
                <h2 class="h4-sr"> Thank you, <span class="customer-name"></span>! Your banker will be in touch with you soon. </h2>
              </div>
            </div>
            <div class="booking-form-js">
              <div class="row">
                <div class="column">
                  <h2 class="h4-sr"> Confirm your details </h2>
                </div>
              </div>
              <div class="row">
                <div class="column small-12 large-6">
                  <div class="floating-label-wrapper">
                    <label for="SchedulerFirstName" class="lbl-placeholder">First Name</label>
                    <input maxlength="256" type="text" id="SchedulerFirstName" name="SchedulerFirstName" placeholder="First Name">
                  </div>
                </div>
                <div class="column small-12 large-6">
                  <div class="floating-label-wrapper">
                    <label for="SchedulerLastName" class="lbl-placeholder">Last Name</label>
                    <input maxlength="256" type="text" id="SchedulerLastName" name="SchedulerLastName" placeholder="Last Name">
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="column small-12 large-6">
                  <div class="floating-label-wrapper">
                    <label for="SchedulerEmailAddress" class="lbl-placeholder">Email Address</label>
                    <input type="text" id="SchedulerEmailAddress" name="SchedulerEmailAddress" placeholder="Email Address">
                  </div>
                </div>
                <div class="column small-12 large-6">
                  <div class="floating-label-wrapper">
                    <label for="SchedulerPhoneNumber" class="lbl-placeholder">Phone</label>
                    <input type="text" id="SchedulerPhoneNumber" name="SchedulerPhoneNumber" placeholder="Phone" inputmode="text">
                  </div>
                </div>
              </div>
              <div class="row e-consent">
                <div class="column small-12">
                  <div class="custom-checkbox">
                    <label class="js-agree-checkbox" for="SchedulerPermission">
                      <input class="real-input" type="checkbox" name="SchedulerPermission" id="SchedulerPermission" tabindex="0"><span class="fake-input"></span>
                      <span class="e-consent__text">
                        <span class="checkbox-label">Permission to use your information to make bookings</span>
                      </span>
                    </label>
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="column small-12 large-6">
                  <a id="CancelScheduleAppt" href="#" class="button" data-s-object-id="calculator-Back-27">Back</a>
                </div>
                <div class="column small-12 large-6">
                  <a id="ScheduleAppt" href="#" class="button" data-s-object-id="calculator-Schedule-28">Schedule</a>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row section-completed hide">
      <div class="small-12 text-center">
        <img alt="Contact info completed">Contact info
      </div>
    </div>
  </div>
  <div class="form-section border-top hide" data-section="2">
    <div class="row section-starting">
      <div class="small-12 text-center">
        <img alt="Use of funds">Use of funds
      </div>
    </div>
    <div id="questionUseFunds" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>Alright, <span class="first-name-result"></span>. How are you planning to <b>use the funds</b>?</p>
        </div>
      </div>
      <div class="small-12 medium-11 medium-offset-1">
        <div class="answer initial">
          <div class="">
            <fieldset>
              <div class="custom-checkbox">
                <label for="studentDebt">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="studentDebt" value="studentDebt" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Refinance Student Loans">
                    <span class="label">Refinance Student Loans</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label for="householdExpenses">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="householdExpenses" value="householdExpenses" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Minor Home Improvements">
                    <span class="label">Minor Home Improvements</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label for="autoLoan">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="autoLoan" value="autoLoan" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Auto Loan Refinancing or Financing">
                    <span class="label">Auto Loan Refinancing or Financing</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label for="familyPlanning">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="familyPlanning" value="familyPlanning" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Family Planning">
                    <span class="label">Family Planning</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label for="medExpenses">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="medExpenses" value="medExpenses" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Medical/Dental Expenses">
                    <span class="label">Medical/Dental Expenses</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label for="taxes">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="taxes" value="taxes" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Current Taxes">
                    <span class="label">Current Taxes</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label for="majorPurchase">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="majorPurchase" value="majorPurchase" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Major Purchase">
                    <span class="label">Major Purchase</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox">
                <label class="js-loanOptionOther" for="loanOptionOther">
                  <input class="real-input" type="checkbox" name="loanOptionGroup" id="loanOptionOther" value="Other" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <span class="label">Other</span>
                  </span>
                </label>
              </div>
              <div class="floating-label-wrapper hide">
                <label for="loanOptionOtherInput" class="lbl-placeholder">Please explain "Other"</label>
                <input type="text" id="loanOptionOtherInput" name="loanOptionOtherInput" maxlength="100" placeholder="Please explain &quot;Other&quot;">
              </div>
            </fieldset>
            <div class="next-button-container">
              <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-29">Next</a>
            </div>
          </div>
        </div>
      </div>
      <div class="small-12 medium-11 medium-offset-1">
        <div class="answer result">
          <div class="darkgrey">
            <fieldset>
              <div class="custom-checkbox hide">
                <label for="studentDebtResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="studentDebtResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Refinance Student Loans">
                    <span class="label">Refinance Student Loans</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="householdExpensesResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="householdExpensesResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Minor Home Improvements">
                    <span class="label">Minor Home Improvements</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="autoLoanResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="autoLoanResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Auto Loan Refinancing or Financing">
                    <span class="label">Auto Loan Refinancing or Financing</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="familyPlanningResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="familyPlanningResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Family Planning">
                    <span class="label">Family Planning</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="medExpensesResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="medExpensesResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Medical/Dental Expenses">
                    <span class="label">Medical/Dental Expenses</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="taxesResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="taxesResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Current Taxes">
                    <span class="label">Current Taxes</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="majorPurchaseResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionGroupResult" id="majorPurchaseResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <img alt="Major Purchase">
                    <span class="label">Major Purchase</span>
                  </span>
                </label>
              </div>
              <div class="custom-checkbox hide">
                <label for="loanOptionOtherResult" class="checked">
                  <input class="real-input" type="checkbox" name="loanOptionOtherResult" id="loanOptionOtherResult" checked="" tabindex="0">
                  <span class="fake-input"></span>
                  <span class="label-wrapper text-center">
                    <span class="label">Other</span>
                  </span>
                </label>
              </div>
              <div class="darkgrey hide loanoption-other-result-container clearfloat">Other <span class="loanoption-other-result green"></span></div>
            </fieldset>
          </div>
        </div>
      </div>
    </div>
    <div id="questionRefinance" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p> Are you looking to refinance existing debt? <span id="tip1-1" class="span-tooltip">
              <svg class="icon-info" width="16" height="16" viewBox="0 0 16 16" fill="none" xmlns="http://www.w3.org/2000/svg">
                <circle class="icon-info__circle" cx="8" cy="8" r="8" fill="#2B705B"></circle>
                <rect class="icon-info__part1" x="7" y="7" width="2" height="5" fill="#E0DCD4"></rect>
                <rect class="icon-info__part2" x="7" y="3" width="2" height="2" fill="#E0DCD4"></rect>
              </svg>
              <span class="tooltiptext small-right">Up to 90% of the loan can be used to pay off existing debt, and the remaining 10% will be available to you as line of credit.</span>
            </span>
          </p>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="floating-label-wrapper">
            <div class="custom-radio">
              <label for="refinanceDebt">
                <input class="real-input" type="radio" name="planFundsGroup" id="refinanceDebt" value="refinanceDebt" tabindex="0"><span class="fake-input"></span><span class="label">Yes</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="accessCredit">
                <input class="real-input" type="radio" name="planFundsGroup" id="accessCredit" value="accessCredit" tabindex="0"><span class="fake-input"></span><span class="label">No</span>
              </label>
            </div>
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-30">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">
            <div class="floating-label-wrapper">
              <div class="custom-radio">
                <label for="refinanceDebtResult">
                  <input class="real-input" type="radio" name="planFundsGroupResult" id="refinanceDebtResult" value="refinanceDebtResult" tabindex="0"><span class="fake-input"></span><span class="label">Yes</span>
                </label>
              </div>
              <div class="custom-radio">
                <label for="accessCreditResult">
                  <input class="real-input" type="radio" name="planFundsGroupResult" id="accessCreditResult" value="accessCreditResult" tabindex="0"><span class="fake-input"></span><span class="label">No</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div id="questionLoanAmount" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <div>
            <p>What is your desired loan amount?</p>
            <p class="combination-loan subtitle">The minimum is $70,000, and the maximum is the lesser of $350,000 or the debt to be repaid at origination plus $100,000. If no debt is to be repaid at origination, the maximum loan amount is $100,000.
              This product cannot be used to pay off credit card debt at origination. Please note only debts that appear on your consumer credit report or student loans are eligible to be repaid at origination.</p>
            <p class="lineofcredit-loan subtitle">If you’re not refinancing debt, you can borrow between <b>$70,000 and $100,000</b>.</p>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">I'm looking to borrow</div>
          <div class="floating-label-wrapper">
            <label for="loanAmountValueText" class="lbl-placeholder">Loan Amount: $</label>
            <input type="text" id="loanAmountValueText" name="loanAmountValueText" class="input-currency loan" placeholder="Loan Amount: $" inputmode="numeric">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-31">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">I'm looking to borrow <a href="#" data-s-object-id="calculator-no text found-32"><span class="borrow-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionLoanGraph" class="row" style="display:none;"> [Loan amount graph goes here] </div>
    <div class="row section-completed hide">
      <div class="small-12 text-center">
        <img alt="Use of funds completed">Use of funds
      </div>
    </div>
  </div>
  <div class="form-section border-top hide" data-section="3">
    <div class="row section-starting">
      <div class="small-12 text-center">
        <img alt="Additional info">Additional info
      </div>
    </div>
    <div id="questionFinancialStatus" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <div>
            <p>Great! We’re almost done. We just have a few more pieces of information we’d like to provide to your personal banker. This information will help make your call productive as you learn more about applying for a loan.</p>
          </div>
        </div>
      </div>
    </div>
    <div id="questionGrossIncome" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <div>
            <p>What is your <b>gross annual income</b>?</p>
            <p class="combination-loan subtitle">You don't have to include alimony, child support, or any separate maintenance income unless you choose to have that income considered.</p>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My gross annual income is </div>
          <div class="floating-label-wrapper">
            <label for="grossIncome" class="lbl-placeholder">Gross annual income: $</label>
            <input type="text" class="input-currency asset" id="grossIncome" name="grossIncome" placeholder="Gross annual income: $" inputmode="numeric">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-33">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My gross annual income is <a href="#" data-s-object-id="calculator-no text found-34"><span class="annual-income-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionAccountBalance" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <div>
            <p>What is the approximate balance across your checking, savings and brokerage accounts? </p>
            <p class="subtitle">Examples of brokerage accounts include funds held as stocks, bonds, mutual funds or other non-retirement investments.</p>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My approximate balance is</div>
          <div class="floating-label-wrapper">
            <label for="approximateBalance" class="lbl-placeholder">Approximate balance of accounts: $</label>
            <input type="text" class="input-currency asset" id="approximateBalance" name="approximateBalance" placeholder="Approximate balance of accounts: $" inputmode="numeric">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button disabled" data-s-object-id="calculator-Next-35">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My approximate balance is <a href="#" data-s-object-id="calculator-no text found-36"><span class="approx-balance-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionReferral" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <p>Relationships are important to us, so we love learning how our clients get connected to the Bank. <b>How did you hear about us?</b></p>
        </div>
      </div>
      <div class="small-12 medium-10 medium-offset-2 large-9 large-offset-3">
        <div class="answer initial">
          <div class="floating-label-wrapper">
            <div class="custom-radio">
              <label for="howDidYouHear01">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear01" data-code="01" data-isrequired="true" data-placeholder1="First Name" data-placeholder2="Last Name" value="First Republic Bank Client" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">FRB Client</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear02" class="checked">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear02" data-code="02" data-isrequired="true" data-placeholder1="First Name" data-placeholder2="Last Name" value="First Republic Bank Employee" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">FRB Employee</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear06">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear06" data-code="06" value="Mailer" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Mailer</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear03">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear03" data-code="03" data-isrequired="false" data-placeholder1="Search Engine (optional)" value="Search Engine" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Search Engine</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear04">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear04" data-code="04" data-isrequired="false" data-placeholder1="Social Media (optional)" value="Social Media" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Social Media</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear10">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear10" data-code="10" data-isrequired="false" data-placeholder1="Podcast (optional)" value="Podcast" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Podcast</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear09">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear09" data-code="09" data-isrequired="false" data-placeholder1="Website/Advertisement (optional)" data-refcode="w" value="Website/Advertisement" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Website/Advertisement</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear05">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear05" data-code="05" data-isrequired="false" data-placeholder1="Event (optional)" value="Event" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Event</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear11">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear11" data-code="11" data-isrequired="true" data-placeholder1="Company Name" data-refcode="c" value="Company" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Company</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear12">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear12" data-code="12" data-isrequired="true" data-placeholder1="School Name" data-refcode="u" value="University" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">University</span>
              </label>
            </div>
            <div class="custom-radio">
              <label for="howDidYouHear08">
                <input class="real-input" type="radio" name="howDidYouHear" id="howDidYouHear08" data-code="08" data-isrequired="true" data-placeholder1="Other" value="Other" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Other</span>
              </label>
            </div>
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button" data-s-object-id="calculator-Next-37">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="floating-label-wrapper">
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear01Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear01Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">FRB Client</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: block;">
              <label for="howDidYouHear02Result" class="checked">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear02Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">FRB Employee</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear06Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear06Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Mailer</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear03Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear03Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Search Engine</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear04Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear04Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Social Media</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear10Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear10Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Podcast</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear09Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear09Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Website/Advertisement</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear05Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear05Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Event</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear11Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear11Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Company</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear12Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear12Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">University</span>
              </label>
            </div>
            <div class="custom-radio hide" style="display: none;">
              <label for="howDidYouHear08Result">
                <input class="real-input" type="radio" name="howDidYouHearResult" id="howDidYouHear08Result" tabindex="0">
                <span class="fake-input"></span>
                <span class="label">Other</span>
              </label>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div id="questionReferralDescription" class="row" style="display:none;">
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">Please describe</div>
          <div class="floating-label-wrapper">
            <label for="howDidYouHearDependent1" class="lbl-placeholder" aria-hidden="true">First Name</label>
            <input type="text" id="howDidYouHearDependent1" name="howDidYouHearDependent1" maxlength="100" placeholder="First Name">
          </div>
          <div class="floating-label-wrapper">
            <label for="howDidYouHearDependent2" class="lbl-placeholder">Last Name</label>
            <input type="text" id="howDidYouHearDependent2" name="howDidYouHearDependent2" maxlength="100" placeholder="Last Name">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button" data-s-object-id="calculator-Next-38">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">I heard about you through <a href="#" data-s-object-id="calculator-no text found-39"><span class="howdidyouheardep1-result green"></span> <span class="howdidyouheardep2-result green"></span></a></div>
        </div>
      </div>
    </div>
    <div id="questionPromocode" class="row" style="display:none;">
      <div class="small-12">
        <div class="question">
          <div>
            <p> Finally, please type in a <b>personal offer number</b> if you have one. </p>
            <p class="subtitle">
            </p>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer initial">
          <div class="answer-label">My personal offer number is</div>
          <div class="floating-label-wrapper">
            <label for="promoCode" class="lbl-placeholder">Personal Offer # (optional)</label>
            <input type="text" id="promoCode" maxlength="10" name="promoCode" placeholder="Personal Offer # (optional)">
          </div>
          <div class="next-button-container">
            <a href="#" class="next-button button" data-s-object-id="calculator-Next-40">Next</a>
          </div>
        </div>
      </div>
      <div class="small-12">
        <div class="answer result">
          <div class="darkgrey">My personal offer number is <a href="#" data-s-object-id="calculator-no text found-41"><span class="promocode-result green"></span></a></div>
        </div>
      </div>
    </div>
  </div>
</form>

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Text Content

Secure


PERSONAL LINE OF CREDIT CALCULATOR


SEE AVAILABLE RATES IN 2 MIN

Contact info
Use of funds
Additional info
Your Personal Banker
 * 
 * 
 * LinkedIn

Schedule a Call
Learn more
FAQ
Contact info
1 of 3
Use of funds
2 of 3
Additional info
3 of 3


Welcome! You can view our available rate options by answering a few questions
and completing a prequalification for credit (this is not an application).
First, please provide your name.

Hi, my name is
First Name
Last Name
Next
Hi, my name is


May we also get your phone number?

By entering a phone number, you agree to receive text messages and phone calls
from First Republic Bank. You can opt out anytime.

My number is
Phone

Next
My number is

Pleasure to help you, . Can you please provide your email?

After you enter your email, a dedicated banker may reach out to you personally.

My email is
Email Address

Next
My email is

Thank you, we're checking to see if you've completed this form before.

First Republic Bank can only serve clients within our geographic footprint.
We'd like to ensure your address falls within our service area.

My address is
Address
Apt, suite, etc.
City
State State AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS LA ME MH MD MA
MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV
WI WY
ZIP code
Next
My address is

This is not an application, but we need some additional information to run a
soft credit check. This will not affect your credit score, as it’s not a hard
credit check. We’re committed to handling your information securely.

What is your date of birth?

My date of birth is
MM/DD/YYYY
Next
My date of birth is

And what is your Social Security number?

My Social Security number is
000-00-0000 Show
Next
My social Security Number is XXX-XX-XXXX

Please read and agree to the following to proceed:

I acknowledge and agree that I have read, understood and consent to the E-Sign
Consent and Agreement to Use Electronic Records and Signatures. If I do not
agree, I will not be able to continue. First Republic Bank recommends you retain
a copy of this agreement for your records.
I acknowledge and agree that I have read, understood and consent to the E-Sign
Consent and Agreement to Use Electronic Records and Signatures. If I do not
agree, I will not be able to continue. First Republic Bank recommends you retain
a copy of this agreement for your records.

You understand that by clicking on the “I agree” button immediately following
this notice, you are providing written instructions and authorizing First
Republic Bank to check for any available existing prescreen offers, and in the
event there are none, you are providing written instructions under the Fair
Credit Reporting Act authorizing First Republic Bank to obtain information from
your personal credit profile or other information from a consumer reporting
agency solely to conduct a prequalification for credit.

I agree
I agree

Thank you. This will only take a moment.



We ran into an issue obtaining information from your personal credit profile.
Please provide a self-reported credit score range to proceed.

750 or Higher
720-749
700-719
699 and Below
Next
My credit score is

Hi , I'm . Nice to meet you. I’ll be helping you from here. I look forward to
working with you. As this is not yet an approval, please schedule a call with me
to proceed to a full loan application.

Select a time to speak with :

Times are displayed in
Pacific Time Mountain Time Central Time Eastern Time

View more availability
Skip for now
We use a third-party booking site to make it easy for you to book and manage
your appointment. If you do not wish to use this feature, please email me your
available times and we can coordinate directly.
Online/phone


Times are displayed in .

--------------------------------------------------------------------------------


THANK YOU, ! YOUR BANKER WILL BE IN TOUCH WITH YOU SOON.


CONFIRM YOUR DETAILS

First Name
Last Name
Email Address
Phone
Permission to use your information to make bookings
Back
Schedule
Contact info
Use of funds

Alright, . How are you planning to use the funds?

Refinance Student Loans
Minor Home Improvements
Auto Loan Refinancing or Financing
Family Planning
Medical/Dental Expenses
Current Taxes
Major Purchase
Other
Please explain "Other"
Next
Refinance Student Loans
Minor Home Improvements
Auto Loan Refinancing or Financing
Family Planning
Medical/Dental Expenses
Current Taxes
Major Purchase
Other
Other

Are you looking to refinance existing debt? Up to 90% of the loan can be used to
pay off existing debt, and the remaining 10% will be available to you as line of
credit.

Yes
No
Next
Yes
No

What is your desired loan amount?

The minimum is $70,000, and the maximum is the lesser of $350,000 or the debt to
be repaid at origination plus $100,000. If no debt is to be repaid at
origination, the maximum loan amount is $100,000. This product cannot be used to
pay off credit card debt at origination. Please note only debts that appear on
your consumer credit report or student loans are eligible to be repaid at
origination.

If you’re not refinancing debt, you can borrow between $70,000 and $100,000.

I'm looking to borrow
Loan Amount: $
Next
I'm looking to borrow
[Loan amount graph goes here]
Use of funds
Additional info

Great! We’re almost done. We just have a few more pieces of information we’d
like to provide to your personal banker. This information will help make your
call productive as you learn more about applying for a loan.

What is your gross annual income?

You don't have to include alimony, child support, or any separate maintenance
income unless you choose to have that income considered.

My gross annual income is
Gross annual income: $
Next
My gross annual income is

What is the approximate balance across your checking, savings and brokerage
accounts?

Examples of brokerage accounts include funds held as stocks, bonds, mutual funds
or other non-retirement investments.

My approximate balance is
Approximate balance of accounts: $
Next
My approximate balance is

Relationships are important to us, so we love learning how our clients get
connected to the Bank. How did you hear about us?

FRB Client
FRB Employee
Mailer
Search Engine
Social Media
Podcast
Website/Advertisement
Event
Company
University
Other
Next
FRB Client
FRB Employee
Mailer
Search Engine
Social Media
Podcast
Website/Advertisement
Event
Company
University
Other
Please describe
First Name
Last Name
Next
I heard about you through

Finally, please type in a personal offer number if you have one.



My personal offer number is
Personal Offer # (optional)
Next
My personal offer number is

*
First Name:




*
Last Name:




*
Email Address:




*
Phone Custom:




*
Postal Code:




*
PLOC Prospect Flag:





Submit

Banking products and services are offered by First Republic Bank, Member FDIC
and Equal Housing Lender

Personal Line of Credit is an unsecured consumer loan that consists of a
two-year, interest-only, revolving draw period followed by a fully amortizing
repayment period of the remainder of the term. Draws are not permitted during
the repayment period. Full terms of 7, 10 and 15 years available.

This product can only be used for personal, family or household purposes. It
cannot be used for the following (among other prohibitions): to refinance or pay
any First Republic loans or lines of credit, to purchase securities or
investment products (including margin stock and cryptocurrency), for speculative
purposes, for business or commercial uses, for a down payment on any property or
for the direct payment of post-secondary educational expenses. This product
cannot be used to pay off credit card debt at origination. Please note only
debts that appear on your consumer credit report or student loans are eligible
to be repaid at origination.

The terms of this product may differ from terms of your current loan(s) that are
being paid off, including but not limited to student loans. By repaying such
loans, you may permanently be giving up tax and repayment benefits, including
forbearance, deferment and forgiveness, and you may not be able to reobtain such
benefits if this loan is refinanced with another lender in the future.

Borrower must open a First Republic ATM Rebate Checking account (“Account”).
Terms and conditions apply to the Account.

Personal Line of Credit minimum is $70,000; maximum is the lesser of $350,000 or
debt amount to be repaid at origination plus $100,000. If no debt to be repaid
at origination, the maximum loan amount is $100,000. This product cannot be used
to pay off credit card debt at origination. Please note only debts that appear
on your consumer credit report or student loans are eligible to be repaid at
origination. Line of credit cannot be fully drawn at origination.

By entering your email on this form, a dedicated banker will reach out to you
personally.

Contact your legal, tax and financial advisors for advice on deciding whether
this is the right product for you. Terms and conditions apply.

Product is not available in all markets. For a complete list of locations, visit
firstrepublic.com/locations. Applicants must meet a First Republic banker to
open account. This is not a commitment to lend. Loan approval is subject to a
completed application with associated documentation and confirmation that
income, liquidity, credit history and other application information meet the
minimum requirements for this product. Applicants should discuss line of credit
terms, conditions and account details with their banker.

© 2022 First Republic Bank.

--------------------------------------------------------------------------------

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