www.usadirectautos.com
Open in
urlscan Pro
3.13.162.110
Public Scan
Submitted URL: http://usadirectautos.com/
Effective URL: http://www.usadirectautos.com/
Submission: On June 21 via api from PT — Scanned from DE
Effective URL: http://www.usadirectautos.com/
Submission: On June 21 via api from PT — Scanned from DE
Form analysis 6 forms found in the DOM
GET http://www.usadirectautos.com/inventory/
<form action="http://www.usadirectautos.com/inventory/" id="hsearch-frm" method="get">
<input type="text" name="q" id="hsearch" placeholder=" Search here... 706 Used cars in Houston " required="">
<button type="submit" class="tda-search__button"><i class="fa fa-search"></i></button>
<input type="hidden" name="request_page" value="home">
</form>POST
<form class="value_trade_in_from has-validation-callback" id="value_trade_in_from" method="Post">
<div class="formBlock ">
<div class="half">
<div class="form-group">
<label class="one-third">Vin</label>
<input type="text" name="vin" class="form-control two-thirds" placeholder="Vin.." id="vin" data-validation="" data-validation-length="min2" data-validation-error-msg="Vin can't be empty and must be alphanumeric"
data-validation-error-msg-container="#vin-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="vin-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group">
<label class="one-third">Year<span class="required">*</span></label>
<input type="text" name="year" class="form-control two-thirds" placeholder="Year.." id="year" data-validation="date length" data-validation-format="yyyy" data-validation-allowing="range[1996;2022]" data-validation-length="min4"
data-validation-error-msg="Year can't be empty and must be between 1996-2022" data-validation-error-msg-container="#year-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="year-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group selectbox">
<label class="one-third">Make<span class="required">*</span></label>
<input name="make" type="text" class="form-control two-thirds " id="vtf-make" placeholder="Make..." data-validation="length" data-validation-length="min2" data-validation-error-msg="Make can't be empty"
data-validation-error-msg-container="#make-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="make-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group selectbox">
<label class="one-third">Model<span class="required ">*</span></label>
<input name="model" type="text" class="form-control two-thirds " id="vtf-model" placeholder="Model..." data-validation="length" data-validation-length="min2" data-validation-error-msg="Model can't be empty"
data-validation-error-msg-container="#model-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="model-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group">
<label class="one-third">Miles<span class="required">*</span></label>
<input type="text" name="miles" class="form-control two-thirds" placeholder="Miles.." id="miles" data-validation="number length" data-validation-allowing="range[1;999999]" data-validation-length="min2"
data-validation-error-msg="Miles can't be empty and must be integer" data-validation-error-msg-container="#miles-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="miles-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group">
<label class="one-third">Price</label>
<input type="text" name="price" class="form-control two-thirds" placeholder="Expected amount.." id="price" data-validation="" data-validation-allowing="range[1;9999999]" data-validation-length="min2"
data-validation-error-msg="Price can't be empty and must be integer" data-validation-error-msg-container="#price-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="price-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-group">
<label class="one-third">First Name<span class="required">*</span></label>
<input type="text" name="firstname" class="form-control two-thirds" placeholder="First Name.." id="firstname" data-validation="custom length" data-validation-regexp="^([A-Za-z]+)$" data-validation-length="min2"
data-validation-error-msg="First name can't be empty and only accept alphabets" data-validation-error-msg-container="#fname-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="fname-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group">
<label class="one-third">Last Name</label>
<input type="text" name="lastname" class="form-control two-thirds" placeholder="Last Name.." id="lastname" data-validation="" data-validation-regexp="^([A-Za-z]+)$" data-validation-length="min2"
data-validation-error-msg="Last name can't be empty and only accept alphabets" data-validation-error-msg-container="#lname-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="lname-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group">
<label class="one-third">Email</label>
<input type="email" name="email" class="form-control two-thirds" placeholder="Email.." id="email" data-validation="" data-validation-length="min2" data-validation-error-msg="Email can't be empty and must be valid email address"
data-validation-error-msg-container="#email-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="email-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-group">
<label class="one-third">Phone<span class="required">*</span></label>
<input type="text" class="form-control two-thirds" id="phone1" placeholder="Phone.." name="phone" data-validation="number length" data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2"
data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number" data-validation-error-msg-container="#phone-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="phone-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<input type="hidden" name="action" value="vtfformsubmit">
<div class="form-group">
<label class="one-third">Questions<span class="required"></span></label>
<textarea name="questions" class="form-control two-thirds" id="questions" rows="6" cols="4" placeholder="Questions..."></textarea>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<br>
<div style="text-align:center">
<button class="custom-btn" id="btn1" type="submit">SUBMIT</button>
</div>
</form>POST
<form id="custom_finance_form" method="post" class="has-validation-callback">
<input type="hidden" name="ip" value="81.95.5.37">
<div class="cff-step step1 active" data-step="1">
<div class="formBlock form-group">
<div>The following information will be used to process your credit application. You may apply for joint credit by selecting the 'Add Co-Applicant' button. </div>
</div>
<div class="form-elements show">
<div class="half">
<div class="form-label">First Name <span class="red-text">*</span></div>
<div class="field cname form-group">
<input name="first_name" id="cff-first-name" class="text visible-placeholder plugintest" autocomplete="off" placeholder="First Name" type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z ]+)$"
data-validation-length="min2" data-validation-error-msg="First name can't be empty and only accept alphabets" data-validation-error-msg-container="#cff-first-name-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-first-name-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Last Name <span class="red-text">*</span></div>
<div class="field cname form-group">
<input name="last_name" id="cff-last-name" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Last Name" type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z ]+)$"
data-validation-length="min2" data-validation-error-msg="Last name can't be empty and only accept alphabets" data-validation-error-msg-container="#cff-last-name-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-last-name-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Phone Number <span class="red-text">*</span></div>
<div class="field cphone form-group">
<input name="phone" id="cff-phone" class="text modern-input masked phone visible-placeholder" autocomplete="off" placeholder="Phone" type="number" value="" data-validation="number length"
data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2" data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number" data-validation-error-msg-container="#cff-phone-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-phone-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Email Address <span class="red-text">*</span></div>
<div class="field cemail form-group">
<input name="email" id="cff-email" class="text email visible-placeholder" autocomplete="off" placeholder="Email" type="email" data-validation="email length" data-validation-length="min2"
data-validation-error-msg="Email can't be empty and must be valid email address" data-validation-error-msg-container="#cff-email-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-email-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Date of Birth <span class="red-text">*</span></div>
<div class="field cphone form-group">
<input name="dob" id="cff-dob" class="text modern-input masked dob visible-placeholder" autocomplete="off" placeholder=" mm/dd/yyyy" type="text" value="" data-validation="custom"
data-validation-regexp="^(0[1-9]|1[0-2])\/(0[1-9]|1\d|2\d|3[01])\/(19|20)\d{2}$" data-validation-error-msg="Date of Birth can't be empty and must be valid date" data-validation-error-msg-container="#cff-dob-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-dob-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="one-third">
<label for="check-ssn"><input type="checkbox" id="check-ssn" name="check_ssn" checked="checked" class="app_check_box" value="yes"> SSN </label>
</div>
<div class="one-third">
<label for="check-itin"><input type="checkbox" id="check-itin" name="check_itin" class="app_check_box" value="yes"> ITIN </label>
</div>
<div class="one-third">
<label for="check-nossn"><input type="checkbox" id="check-nossn" name="check_nossn" class="app_check_box" value="yes"> No SSN </label>
</div>
</div>
<div class="half"> We will keep your information safe and secure. </div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="app-check-ssn app-check ">
<div class="field app_ssn form-group">
<input name="ssno" id="app_ssn" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Social security number" type="TEXT" value="" data-validation="number length" data-validation-allowing="range[1000000;999999999]"
data-validation-length="min2" data-validation-error-msg="Social security number can't be empty and only accepts 9 digits numeric value" data-validation-error-msg-container="#app_ssn-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_ssn-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="app-check-itin app-check-nossn app-check hide">
<div style="width:48%;display:inline-block;">
<div class="field country form-group">
<select name="country" class="form-control" id="app_country" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Country" data-validation-error-msg-container="#app_country-error">
<option value="">Select One</option>
<option value="AF" ng-reflect-value="AF"> Afghanistan</option>
<option value="AX" ng-reflect-value="AX"> land Islands</option>
<option value="AL" ng-reflect-value="AL"> Albania</option>
<option value="DZ" ng-reflect-value="DZ"> Algeria</option>
<option value="AS" ng-reflect-value="AS"> American Samoa</option>
<option value="AD" ng-reflect-value="AD"> AndorrA</option>
<option value="AO" ng-reflect-value="AO"> Angola</option>
<option value="AI" ng-reflect-value="AI"> Anguilla</option>
<option value="AQ" ng-reflect-value="AQ"> Antarctica</option>
<option value="AG" ng-reflect-value="AG"> Antigua and Barbuda</option>
<option value="AR" ng-reflect-value="AR"> Argentina</option>
<option value="AM" ng-reflect-value="AM"> Armenia</option>
<option value="AW" ng-reflect-value="AW"> Aruba</option>
<option value="AU" ng-reflect-value="AU"> Australia</option>
<option value="AT" ng-reflect-value="AT"> Austria</option>
<option value="AZ" ng-reflect-value="AZ"> Azerbaijan</option>
<option value="BS" ng-reflect-value="BS"> Bahamas</option>
<option value="BH" ng-reflect-value="BH"> Bahrain</option>
<option value="BD" ng-reflect-value="BD"> Bangladesh</option>
<option value="BB" ng-reflect-value="BB"> Barbados</option>
<option value="BY" ng-reflect-value="BY"> Belarus</option>
<option value="BE" ng-reflect-value="BE"> Belgium</option>
<option value="BZ" ng-reflect-value="BZ"> Belize</option>
<option value="BJ" ng-reflect-value="BJ"> Benin</option>
<option value="BM" ng-reflect-value="BM"> Bermuda</option>
<option value="BT" ng-reflect-value="BT"> Bhutan</option>
<option value="BO" ng-reflect-value="BO"> Bolivia</option>
<option value="BA" ng-reflect-value="BA"> Bosnia and Herzegovina</option>
<option value="BW" ng-reflect-value="BW"> Botswana</option>
<option value="BV" ng-reflect-value="BV"> Bouvet Island</option>
<option value="BR" ng-reflect-value="BR"> Brazil</option>
<option value="IO" ng-reflect-value="IO"> British Indian Ocean Territory</option>
<option value="BN" ng-reflect-value="BN"> Brunei Darussalam</option>
<option value="BG" ng-reflect-value="BG"> Bulgaria</option>
<option value="BF" ng-reflect-value="BF"> Burkina Faso</option>
<option value="BI" ng-reflect-value="BI"> Burundi</option>
<option value="KH" ng-reflect-value="KH"> Cambodia</option>
<option value="CM" ng-reflect-value="CM"> Cameroon</option>
<option value="CA" ng-reflect-value="CA"> Canada</option>
<option value="CV" ng-reflect-value="CV"> Cape Verde</option>
<option value="KY" ng-reflect-value="KY"> Cayman Islands</option>
<option value="CF" ng-reflect-value="CF"> Central African Republic</option>
<option value="TD" ng-reflect-value="TD"> Chad</option>
<option value="CL" ng-reflect-value="CL"> Chile</option>
<option value="CN" ng-reflect-value="CN"> China</option>
<option value="CX" ng-reflect-value="CX"> Christmas Island</option>
<option value="CC" ng-reflect-value="CC"> Cocos (Keeling) Islands</option>
<option value="CO" ng-reflect-value="CO"> Colombia</option>
<option value="KM" ng-reflect-value="KM"> Comoros</option>
<option value="CG" ng-reflect-value="CG"> Congo</option>
<option value="CD" ng-reflect-value="CD"> Congo, The Democratic Republic of the</option>
<option value="CK" ng-reflect-value="CK"> Cook Islands</option>
<option value="CR" ng-reflect-value="CR"> Costa Rica</option>
<option value="CI" ng-reflect-value="CI"> Cote D"Ivoire</option>
<option value="HR" ng-reflect-value="HR"> Croatia</option>
<option value="CU" ng-reflect-value="CU"> Cuba</option>
<option value="CY" ng-reflect-value="CY"> Cyprus</option>
<option value="CZ" ng-reflect-value="CZ"> Czech Republic</option>
<option value="DK" ng-reflect-value="DK"> Denmark</option>
<option value="DJ" ng-reflect-value="DJ"> Djibouti</option>
<option value="DM" ng-reflect-value="DM"> Dominica</option>
<option value="DO" ng-reflect-value="DO"> Dominican Republic</option>
<option value="EC" ng-reflect-value="EC"> Ecuador</option>
<option value="EG" ng-reflect-value="EG"> Egypt</option>
<option value="SV" ng-reflect-value="SV"> El Salvador</option>
<option value="GQ" ng-reflect-value="GQ"> Equatorial Guinea</option>
<option value="ER" ng-reflect-value="ER"> Eritrea</option>
<option value="EE" ng-reflect-value="EE"> Estonia</option>
<option value="ET" ng-reflect-value="ET"> Ethiopia</option>
<option value="FK" ng-reflect-value="FK"> Falkland Islands (Malvinas)</option>
<option value="FO" ng-reflect-value="FO"> Faroe Islands</option>
<option value="FJ" ng-reflect-value="FJ"> Fiji</option>
<option value="FI" ng-reflect-value="FI"> Finland</option>
<option value="FR" ng-reflect-value="FR"> France</option>
<option value="GF" ng-reflect-value="GF"> French Guiana</option>
<option value="PF" ng-reflect-value="PF"> French Polynesia</option>
<option value="TF" ng-reflect-value="TF"> French Southern Territories</option>
<option value="GA" ng-reflect-value="GA"> Gabon</option>
<option value="GM" ng-reflect-value="GM"> Gambia</option>
<option value="GE" ng-reflect-value="GE"> Georgia</option>
<option value="DE" ng-reflect-value="DE"> Germany</option>
<option value="GH" ng-reflect-value="GH"> Ghana</option>
<option value="GI" ng-reflect-value="GI"> Gibraltar</option>
<option value="GR" ng-reflect-value="GR"> Greece</option>
<option value="GL" ng-reflect-value="GL"> Greenland</option>
<option value="GD" ng-reflect-value="GD"> Grenada</option>
<option value="GP" ng-reflect-value="GP"> Guadeloupe</option>
<option value="GU" ng-reflect-value="GU"> Guam</option>
<option value="GT" ng-reflect-value="GT"> Guatemala</option>
<option value="GG" ng-reflect-value="GG"> Guernsey</option>
<option value="GN" ng-reflect-value="GN"> Guinea</option>
<option value="GW" ng-reflect-value="GW"> Guinea-Bissau</option>
<option value="GY" ng-reflect-value="GY"> Guyana</option>
<option value="HT" ng-reflect-value="HT"> Haiti</option>
<option value="HM" ng-reflect-value="HM"> Heard Island and Mcdonald Islands</option>
<option value="VA" ng-reflect-value="VA"> Holy See (Vatican City State)</option>
<option value="HN" ng-reflect-value="HN"> Honduras</option>
<option value="HK" ng-reflect-value="HK"> Hong Kong</option>
<option value="HU" ng-reflect-value="HU"> Hungary</option>
<option value="IS" ng-reflect-value="IS"> Iceland</option>
<option value="IN" ng-reflect-value="IN"> India</option>
<option value="ID" ng-reflect-value="ID"> Indonesia</option>
<option value="IR" ng-reflect-value="IR"> Iran, Islamic Republic Of</option>
<option value="IQ" ng-reflect-value="IQ"> Iraq</option>
<option value="IE" ng-reflect-value="IE"> Ireland</option>
<option value="IM" ng-reflect-value="IM"> Isle of Man</option>
<option value="IL" ng-reflect-value="IL"> Israel</option>
<option value="IT" ng-reflect-value="IT"> Italy</option>
<option value="JM" ng-reflect-value="JM"> Jamaica</option>
<option value="JP" ng-reflect-value="JP"> Japan</option>
<option value="JE" ng-reflect-value="JE"> Jersey</option>
<option value="JO" ng-reflect-value="JO"> Jordan</option>
<option value="KZ" ng-reflect-value="KZ"> Kazakhstan</option>
<option value="KE" ng-reflect-value="KE"> Kenya</option>
<option value="KI" ng-reflect-value="KI"> Kiribati</option>
<option value="KP" ng-reflect-value="KP"> Korea, Democratic People"S Republic of</option>
<option value="KR" ng-reflect-value="KR"> Korea, Republic of</option>
<option value="KW" ng-reflect-value="KW"> Kuwait</option>
<option value="KG" ng-reflect-value="KG"> Kyrgyzstan</option>
<option value="LA" ng-reflect-value="LA"> Lao People"S Democratic Republic</option>
<option value="LV" ng-reflect-value="LV"> Latvia</option>
<option value="LB" ng-reflect-value="LB"> Lebanon</option>
<option value="LS" ng-reflect-value="LS"> Lesotho</option>
<option value="LR" ng-reflect-value="LR"> Liberia</option>
<option value="LY" ng-reflect-value="LY"> Libyan Arab Jamahiriya</option>
<option value="LI" ng-reflect-value="LI"> Liechtenstein</option>
<option value="LT" ng-reflect-value="LT"> Lithuania</option>
<option value="LU" ng-reflect-value="LU"> Luxembourg</option>
<option value="MO" ng-reflect-value="MO"> Macao</option>
<option value="MK" ng-reflect-value="MK"> Macedonia, The Former Yugoslav Republic of</option>
<option value="MG" ng-reflect-value="MG"> Madagascar</option>
<option value="MW" ng-reflect-value="MW"> Malawi</option>
<option value="MY" ng-reflect-value="MY"> Malaysia</option>
<option value="MV" ng-reflect-value="MV"> Maldives</option>
<option value="ML" ng-reflect-value="ML"> Mali</option>
<option value="MT" ng-reflect-value="MT"> Malta</option>
<option value="MH" ng-reflect-value="MH"> Marshall Islands</option>
<option value="MQ" ng-reflect-value="MQ"> Martinique</option>
<option value="MR" ng-reflect-value="MR"> Mauritania</option>
<option value="MU" ng-reflect-value="MU"> Mauritius</option>
<option value="YT" ng-reflect-value="YT"> Mayotte</option>
<option value="MX" ng-reflect-value="MX"> Mexico</option>
<option value="FM" ng-reflect-value="FM"> Micronesia, Federated States of</option>
<option value="MD" ng-reflect-value="MD"> Moldova, Republic of</option>
<option value="MC" ng-reflect-value="MC"> Monaco</option>
<option value="MN" ng-reflect-value="MN"> Mongolia</option>
<option value="ME" ng-reflect-value="ME"> Montenegro</option>
<option value="MS" ng-reflect-value="MS"> Montserrat</option>
<option value="MA" ng-reflect-value="MA"> Morocco</option>
<option value="MZ" ng-reflect-value="MZ"> Mozambique</option>
<option value="MM" ng-reflect-value="MM"> Myanmar</option>
<option value="NA" ng-reflect-value="NA"> Namibia</option>
<option value="NR" ng-reflect-value="NR"> Nauru</option>
<option value="NP" ng-reflect-value="NP"> Nepal</option>
<option value="NL" ng-reflect-value="NL"> Netherlands</option>
<option value="AN" ng-reflect-value="AN"> Netherlands Antilles</option>
<option value="NC" ng-reflect-value="NC"> New Caledonia</option>
<option value="NZ" ng-reflect-value="NZ"> New Zealand</option>
<option value="NI" ng-reflect-value="NI"> Nicaragua</option>
<option value="NE" ng-reflect-value="NE"> Niger</option>
<option value="NG" ng-reflect-value="NG"> Nigeria</option>
<option value="NU" ng-reflect-value="NU"> Niue</option>
<option value="NF" ng-reflect-value="NF"> Norfolk Island</option>
<option value="MP" ng-reflect-value="MP"> Northern Mariana Islands</option>
<option value="NO" ng-reflect-value="NO"> Norway</option>
<option value="OM" ng-reflect-value="OM"> Oman</option>
<option value="PK" ng-reflect-value="PK"> Pakistan</option>
<option value="PW" ng-reflect-value="PW"> Palau</option>
<option value="PS" ng-reflect-value="PS"> Palestinian Territory, Occupied</option>
<option value="PA" ng-reflect-value="PA"> Panama</option>
<option value="PG" ng-reflect-value="PG"> Papua New Guinea</option>
<option value="PY" ng-reflect-value="PY"> Paraguay</option>
<option value="PE" ng-reflect-value="PE"> Peru</option>
<option value="PH" ng-reflect-value="PH"> Philippines</option>
<option value="PN" ng-reflect-value="PN"> Pitcairn</option>
<option value="PL" ng-reflect-value="PL"> Poland</option>
<option value="PT" ng-reflect-value="PT"> Portugal</option>
<option value="PR" ng-reflect-value="PR"> Puerto Rico</option>
<option value="QA" ng-reflect-value="QA"> Qatar</option>
<option value="RE" ng-reflect-value="RE"> Reunion</option>
<option value="RO" ng-reflect-value="RO"> Romania</option>
<option value="RU" ng-reflect-value="RU"> Russian Federation</option>
<option value="RW" ng-reflect-value="RW"> RWANDA</option>
<option value="SH" ng-reflect-value="SH"> Saint Helena</option>
<option value="KN" ng-reflect-value="KN"> Saint Kitts and Nevis</option>
<option value="LC" ng-reflect-value="LC"> Saint Lucia</option>
<option value="PM" ng-reflect-value="PM"> Saint Pierre and Miquelon</option>
<option value="VC" ng-reflect-value="VC"> Saint Vincent and the Grenadines</option>
<option value="WS" ng-reflect-value="WS"> Samoa</option>
<option value="SM" ng-reflect-value="SM"> San Marino</option>
<option value="ST" ng-reflect-value="ST"> Sao Tome and Principe</option>
<option value="SA" ng-reflect-value="SA"> Saudi Arabia</option>
<option value="SN" ng-reflect-value="SN"> Senegal</option>
<option value="RS" ng-reflect-value="RS"> Serbia</option>
<option value="SC" ng-reflect-value="SC"> Seychelles</option>
<option value="SL" ng-reflect-value="SL"> Sierra Leone</option>
<option value="SG" ng-reflect-value="SG"> Singapore</option>
<option value="SK" ng-reflect-value="SK"> Slovakia</option>
<option value="SI" ng-reflect-value="SI"> Slovenia</option>
<option value="SB" ng-reflect-value="SB"> Solomon Islands</option>
<option value="SO" ng-reflect-value="SO"> Somalia</option>
<option value="ZA" ng-reflect-value="ZA"> South Africa</option>
<option value="GS" ng-reflect-value="GS"> South Georgia and the South Sandwich Islands</option>
<option value="ES" ng-reflect-value="ES"> Spain</option>
<option value="LK" ng-reflect-value="LK"> Sri Lanka</option>
<option value="SD" ng-reflect-value="SD"> Sudan</option>
<option value="SR" ng-reflect-value="SR"> Suriname</option>
<option value="SJ" ng-reflect-value="SJ"> Svalbard and Jan Mayen</option>
<option value="SZ" ng-reflect-value="SZ"> Swaziland</option>
<option value="SE" ng-reflect-value="SE"> Sweden</option>
<option value="CH" ng-reflect-value="CH"> Switzerland</option>
<option value="SY" ng-reflect-value="SY"> Syrian Arab Republic</option>
<option value="TW" ng-reflect-value="TW"> Taiwan, Province of China</option>
<option value="TJ" ng-reflect-value="TJ"> Tajikistan</option>
<option value="TZ" ng-reflect-value="TZ"> Tanzania, United Republic of</option>
<option value="TH" ng-reflect-value="TH"> Thailand</option>
<option value="TL" ng-reflect-value="TL"> Timor-Leste</option>
<option value="TG" ng-reflect-value="TG"> Togo</option>
<option value="TK" ng-reflect-value="TK"> Tokelau</option>
<option value="TO" ng-reflect-value="TO"> Tonga</option>
<option value="TT" ng-reflect-value="TT"> Trinidad and Tobago</option>
<option value="TN" ng-reflect-value="TN"> Tunisia</option>
<option value="TR" ng-reflect-value="TR"> Turkey</option>
<option value="TM" ng-reflect-value="TM"> Turkmenistan</option>
<option value="TC" ng-reflect-value="TC"> Turks and Caicos Islands</option>
<option value="TV" ng-reflect-value="TV"> Tuvalu</option>
<option value="UG" ng-reflect-value="UG"> Uganda</option>
<option value="UA" ng-reflect-value="UA"> Ukraine</option>
<option value="AE" ng-reflect-value="AE"> United Arab Emirates</option>
<option value="GB" ng-reflect-value="GB"> United Kingdom</option>
<option value="US" ng-reflect-value="US"> United States</option>
<option value="UM" ng-reflect-value="UM"> United States Minor Outlying Islands</option>
<option value="UY" ng-reflect-value="UY"> Uruguay</option>
<option value="UZ" ng-reflect-value="UZ"> Uzbekistan</option>
<option value="VU" ng-reflect-value="VU"> Vanuatu</option>
<option value="VE" ng-reflect-value="VE"> Venezuela</option>
<option value="VN" ng-reflect-value="VN"> Viet Nam</option>
<option value="VG" ng-reflect-value="VG"> Virgin Islands, British</option>
<option value="VI" ng-reflect-value="VI"> Virgin Islands, U.S.</option>
<option value="WF" ng-reflect-value="WF"> Wallis and Futuna</option>
<option value="EH" ng-reflect-value="EH"> Western Sahara</option>
<option value="YE" ng-reflect-value="YE"> Yemen</option>
<option value="ZM" ng-reflect-value="ZM"> Zambia</option>
<option value="ZW" ng-reflect-value="ZW"> Zimbabwe</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_country-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div style="width:48%;display:inline-block;">
<div class="field app_passport form-group">
<input name="passport" id="app_passport" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Passport #" type="TEXT" value="" data-validation="length" data-validation-length="min2"
data-validation-error-msg="Passport can't be empty" data-validation-error-msg-container="#app_passport-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_passport-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
</div>
<div class="half">
<div class="app-check-itin app-check hide">
<div class="field app_itin form-group">
<input name="itin" id="app_itin" class="text visible-placeholder plugintest" autocomplete="off" placeholder="ITIN Number" type="TEXT" value="" data-validation="length" data-validation-length="min2"
data-validation-error-msg="ITIN Number can't be empty" data-validation-error-msg-container="#app_itin-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_itin-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="co-applicant-wrap ">
<h4> <button type="button" class="btn custom-btn cff-add-rm-ca-btn"> <i class="fa fa-plus"></i></button> <span class="add-rm-text"> Add</span> Co-Applicant</h4>
<input type="hidden" name="co_applicant" id="co_applicant" value="no">
<div class="co-applicant-form-wrap form-elements">
<div class="half">
<div class="form-label">First Name <span class="red-text">*</span></div>
<div class="field cname form-group">
<input name="first_name_ca" id="cff-first-name-ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="First Name" type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z ]+)$"
data-validation-length="min2" data-validation-error-msg="First name can't be empty and only accept alphabets" data-validation-error-msg-container="#cff-first-name-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-first-name-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Last Name <span class="red-text">*</span></div>
<div class="field cname form-group">
<input name="last_name_ca" id="cff-last-name-ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Last Name" type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z ]+)$"
data-validation-length="min2" data-validation-error-msg="First name can't be empty and only accept alphabets" data-validation-error-msg-container="#cff-last-name-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-last-name-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Phone Number <span class="red-text">*</span></div>
<div class="field cphone form-group">
<input name="phone_ca" id="cff-phone-ca" class="text modern-input masked phone phone visible-placeholder" autocomplete="off" placeholder="Phone" type="text" value="" data-validation="number length"
data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2" data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number" data-validation-error-msg-container="#cff-phone-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-phone-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Email Address <span class="red-text">*</span></div>
<div class="field cemail form-group">
<input name="email_ca" id="cff-email-ca" class="text email visible-placeholder" autocomplete="off" placeholder="Email" type="email" data-validation="email length" data-validation-length="min2"
data-validation-error-msg="Email can't be empty and must be valid email address" data-validation-error-msg-container="#cff-email-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-email-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Date of Birth <span class="red-text">*</span></div>
<div class="field dob form-group">
<input name="dob_ca" id="cff-dob-ca" class="text modern-input masked dob visible-placeholder" autocomplete="off" placeholder="Date of Birth - mm/dd/yyyy" type="text" value="" data-validation="custom"
data-validation-regexp="^(0[1-9]|1[0-2])\/(0[1-9]|1\d|2\d|3[01])\/(19|20)\d{2}$" data-validation-error-msg="Date of Birth can't be empty and must be valid date" data-validation-error-msg-container="#cff-dob-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-dob-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Relationship Type <span class="red-text">*</span></div>
<div class="field cphone form-group">
<select name="relationship_ca" class="form-control" id="relationship-ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select relationship" data-validation-error-msg-container="#relationship-ca-error">
<option value="">Select One</option>
<option value="resides_with">Resides With</option>
<option value="parent">Parent</option>
<option value="other">Other</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="relationship-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="full relationship_ca_other_wrap hide">
<div class="form-label"> Other Relationship Type<span class="red-text">*</span></div>
<div class="field form-group ">
<input name="relationship_ca_other" id="relationship-ca-other" class="text hide modern-input masked dob visible-placeholder" autocomplete="off" placeholder="Other Relationship Type" type="text" value="" data-validation="custom length"
data-validation-regexp="^([A-Za-z0-9 ]+)$" data-validation-length="min2" data-validation-error-msg="Please enter other relationship type" data-validation-error-msg-container="#cff-relationship-ca-other-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-relationship-ca-other-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="one-third">
<label for="check-ssn-ca"><input type="checkbox" id="check-ssn-ca" name="check_ssn_ca" checked="checked" class="app_check_box_ca" value="yes"> SSN </label>
</div>
<div class="one-third">
<label for="check-itin-ca"><input type="checkbox" id="check-itin-ca" name="check_itin_ca" class="app_check_box_ca" value="yes"> ITIN </label>
</div>
<div class="one-third">
<label for="check-nossn-ca"><input type="checkbox" id="check-nossn-ca" name="check_nossn_ca" class="app_check_box_ca" value="yes"> No SSN </label>
</div>
</div>
<div class="half"> We will keep your information safe and secure. </div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="app-check-ssn-ca app-check-ca">
<div class="field app_ssn_ca form-group">
<input name="ssno_ca" id="app_ssn_ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Social security number" type="TEXT" value="" data-validation="number length"
data-validation-allowing="range[1000000;999999999]" data-validation-length="min2" data-validation-error-msg="Social security number can't be empty and only accepts 9 digits numeric value"
data-validation-error-msg-container="#app_ssn_ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_ssn_ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="app-check-itin-ca app-check-nossn-ca app-check-ca hide">
<div style="width:48%;display:inline-block;">
<div class="field country_ca form-group">
<select name="country_ca" class="form-control" id="app_country_ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Country" data-validation-error-msg-container="#app_country_ca-error">
<option value="">Select One</option>
<option value="AF" ng-reflect-value="AF"> Afghanistan</option>
<option value="AX" ng-reflect-value="AX"> land Islands</option>
<option value="AL" ng-reflect-value="AL"> Albania</option>
<option value="DZ" ng-reflect-value="DZ"> Algeria</option>
<option value="AS" ng-reflect-value="AS"> American Samoa</option>
<option value="AD" ng-reflect-value="AD"> AndorrA</option>
<option value="AO" ng-reflect-value="AO"> Angola</option>
<option value="AI" ng-reflect-value="AI"> Anguilla</option>
<option value="AQ" ng-reflect-value="AQ"> Antarctica</option>
<option value="AG" ng-reflect-value="AG"> Antigua and Barbuda</option>
<option value="AR" ng-reflect-value="AR"> Argentina</option>
<option value="AM" ng-reflect-value="AM"> Armenia</option>
<option value="AW" ng-reflect-value="AW"> Aruba</option>
<option value="AU" ng-reflect-value="AU"> Australia</option>
<option value="AT" ng-reflect-value="AT"> Austria</option>
<option value="AZ" ng-reflect-value="AZ"> Azerbaijan</option>
<option value="BS" ng-reflect-value="BS"> Bahamas</option>
<option value="BH" ng-reflect-value="BH"> Bahrain</option>
<option value="BD" ng-reflect-value="BD"> Bangladesh</option>
<option value="BB" ng-reflect-value="BB"> Barbados</option>
<option value="BY" ng-reflect-value="BY"> Belarus</option>
<option value="BE" ng-reflect-value="BE"> Belgium</option>
<option value="BZ" ng-reflect-value="BZ"> Belize</option>
<option value="BJ" ng-reflect-value="BJ"> Benin</option>
<option value="BM" ng-reflect-value="BM"> Bermuda</option>
<option value="BT" ng-reflect-value="BT"> Bhutan</option>
<option value="BO" ng-reflect-value="BO"> Bolivia</option>
<option value="BA" ng-reflect-value="BA"> Bosnia and Herzegovina</option>
<option value="BW" ng-reflect-value="BW"> Botswana</option>
<option value="BV" ng-reflect-value="BV"> Bouvet Island</option>
<option value="BR" ng-reflect-value="BR"> Brazil</option>
<option value="IO" ng-reflect-value="IO"> British Indian Ocean Territory</option>
<option value="BN" ng-reflect-value="BN"> Brunei Darussalam</option>
<option value="BG" ng-reflect-value="BG"> Bulgaria</option>
<option value="BF" ng-reflect-value="BF"> Burkina Faso</option>
<option value="BI" ng-reflect-value="BI"> Burundi</option>
<option value="KH" ng-reflect-value="KH"> Cambodia</option>
<option value="CM" ng-reflect-value="CM"> Cameroon</option>
<option value="CA" ng-reflect-value="CA"> Canada</option>
<option value="CV" ng-reflect-value="CV"> Cape Verde</option>
<option value="KY" ng-reflect-value="KY"> Cayman Islands</option>
<option value="CF" ng-reflect-value="CF"> Central African Republic</option>
<option value="TD" ng-reflect-value="TD"> Chad</option>
<option value="CL" ng-reflect-value="CL"> Chile</option>
<option value="CN" ng-reflect-value="CN"> China</option>
<option value="CX" ng-reflect-value="CX"> Christmas Island</option>
<option value="CC" ng-reflect-value="CC"> Cocos (Keeling) Islands</option>
<option value="CO" ng-reflect-value="CO"> Colombia</option>
<option value="KM" ng-reflect-value="KM"> Comoros</option>
<option value="CG" ng-reflect-value="CG"> Congo</option>
<option value="CD" ng-reflect-value="CD"> Congo, The Democratic Republic of the</option>
<option value="CK" ng-reflect-value="CK"> Cook Islands</option>
<option value="CR" ng-reflect-value="CR"> Costa Rica</option>
<option value="CI" ng-reflect-value="CI"> Cote D"Ivoire</option>
<option value="HR" ng-reflect-value="HR"> Croatia</option>
<option value="CU" ng-reflect-value="CU"> Cuba</option>
<option value="CY" ng-reflect-value="CY"> Cyprus</option>
<option value="CZ" ng-reflect-value="CZ"> Czech Republic</option>
<option value="DK" ng-reflect-value="DK"> Denmark</option>
<option value="DJ" ng-reflect-value="DJ"> Djibouti</option>
<option value="DM" ng-reflect-value="DM"> Dominica</option>
<option value="DO" ng-reflect-value="DO"> Dominican Republic</option>
<option value="EC" ng-reflect-value="EC"> Ecuador</option>
<option value="EG" ng-reflect-value="EG"> Egypt</option>
<option value="SV" ng-reflect-value="SV"> El Salvador</option>
<option value="GQ" ng-reflect-value="GQ"> Equatorial Guinea</option>
<option value="ER" ng-reflect-value="ER"> Eritrea</option>
<option value="EE" ng-reflect-value="EE"> Estonia</option>
<option value="ET" ng-reflect-value="ET"> Ethiopia</option>
<option value="FK" ng-reflect-value="FK"> Falkland Islands (Malvinas)</option>
<option value="FO" ng-reflect-value="FO"> Faroe Islands</option>
<option value="FJ" ng-reflect-value="FJ"> Fiji</option>
<option value="FI" ng-reflect-value="FI"> Finland</option>
<option value="FR" ng-reflect-value="FR"> France</option>
<option value="GF" ng-reflect-value="GF"> French Guiana</option>
<option value="PF" ng-reflect-value="PF"> French Polynesia</option>
<option value="TF" ng-reflect-value="TF"> French Southern Territories</option>
<option value="GA" ng-reflect-value="GA"> Gabon</option>
<option value="GM" ng-reflect-value="GM"> Gambia</option>
<option value="GE" ng-reflect-value="GE"> Georgia</option>
<option value="DE" ng-reflect-value="DE"> Germany</option>
<option value="GH" ng-reflect-value="GH"> Ghana</option>
<option value="GI" ng-reflect-value="GI"> Gibraltar</option>
<option value="GR" ng-reflect-value="GR"> Greece</option>
<option value="GL" ng-reflect-value="GL"> Greenland</option>
<option value="GD" ng-reflect-value="GD"> Grenada</option>
<option value="GP" ng-reflect-value="GP"> Guadeloupe</option>
<option value="GU" ng-reflect-value="GU"> Guam</option>
<option value="GT" ng-reflect-value="GT"> Guatemala</option>
<option value="GG" ng-reflect-value="GG"> Guernsey</option>
<option value="GN" ng-reflect-value="GN"> Guinea</option>
<option value="GW" ng-reflect-value="GW"> Guinea-Bissau</option>
<option value="GY" ng-reflect-value="GY"> Guyana</option>
<option value="HT" ng-reflect-value="HT"> Haiti</option>
<option value="HM" ng-reflect-value="HM"> Heard Island and Mcdonald Islands</option>
<option value="VA" ng-reflect-value="VA"> Holy See (Vatican City State)</option>
<option value="HN" ng-reflect-value="HN"> Honduras</option>
<option value="HK" ng-reflect-value="HK"> Hong Kong</option>
<option value="HU" ng-reflect-value="HU"> Hungary</option>
<option value="IS" ng-reflect-value="IS"> Iceland</option>
<option value="IN" ng-reflect-value="IN"> India</option>
<option value="ID" ng-reflect-value="ID"> Indonesia</option>
<option value="IR" ng-reflect-value="IR"> Iran, Islamic Republic Of</option>
<option value="IQ" ng-reflect-value="IQ"> Iraq</option>
<option value="IE" ng-reflect-value="IE"> Ireland</option>
<option value="IM" ng-reflect-value="IM"> Isle of Man</option>
<option value="IL" ng-reflect-value="IL"> Israel</option>
<option value="IT" ng-reflect-value="IT"> Italy</option>
<option value="JM" ng-reflect-value="JM"> Jamaica</option>
<option value="JP" ng-reflect-value="JP"> Japan</option>
<option value="JE" ng-reflect-value="JE"> Jersey</option>
<option value="JO" ng-reflect-value="JO"> Jordan</option>
<option value="KZ" ng-reflect-value="KZ"> Kazakhstan</option>
<option value="KE" ng-reflect-value="KE"> Kenya</option>
<option value="KI" ng-reflect-value="KI"> Kiribati</option>
<option value="KP" ng-reflect-value="KP"> Korea, Democratic People"S Republic of</option>
<option value="KR" ng-reflect-value="KR"> Korea, Republic of</option>
<option value="KW" ng-reflect-value="KW"> Kuwait</option>
<option value="KG" ng-reflect-value="KG"> Kyrgyzstan</option>
<option value="LA" ng-reflect-value="LA"> Lao People"S Democratic Republic</option>
<option value="LV" ng-reflect-value="LV"> Latvia</option>
<option value="LB" ng-reflect-value="LB"> Lebanon</option>
<option value="LS" ng-reflect-value="LS"> Lesotho</option>
<option value="LR" ng-reflect-value="LR"> Liberia</option>
<option value="LY" ng-reflect-value="LY"> Libyan Arab Jamahiriya</option>
<option value="LI" ng-reflect-value="LI"> Liechtenstein</option>
<option value="LT" ng-reflect-value="LT"> Lithuania</option>
<option value="LU" ng-reflect-value="LU"> Luxembourg</option>
<option value="MO" ng-reflect-value="MO"> Macao</option>
<option value="MK" ng-reflect-value="MK"> Macedonia, The Former Yugoslav Republic of</option>
<option value="MG" ng-reflect-value="MG"> Madagascar</option>
<option value="MW" ng-reflect-value="MW"> Malawi</option>
<option value="MY" ng-reflect-value="MY"> Malaysia</option>
<option value="MV" ng-reflect-value="MV"> Maldives</option>
<option value="ML" ng-reflect-value="ML"> Mali</option>
<option value="MT" ng-reflect-value="MT"> Malta</option>
<option value="MH" ng-reflect-value="MH"> Marshall Islands</option>
<option value="MQ" ng-reflect-value="MQ"> Martinique</option>
<option value="MR" ng-reflect-value="MR"> Mauritania</option>
<option value="MU" ng-reflect-value="MU"> Mauritius</option>
<option value="YT" ng-reflect-value="YT"> Mayotte</option>
<option value="MX" ng-reflect-value="MX"> Mexico</option>
<option value="FM" ng-reflect-value="FM"> Micronesia, Federated States of</option>
<option value="MD" ng-reflect-value="MD"> Moldova, Republic of</option>
<option value="MC" ng-reflect-value="MC"> Monaco</option>
<option value="MN" ng-reflect-value="MN"> Mongolia</option>
<option value="ME" ng-reflect-value="ME"> Montenegro</option>
<option value="MS" ng-reflect-value="MS"> Montserrat</option>
<option value="MA" ng-reflect-value="MA"> Morocco</option>
<option value="MZ" ng-reflect-value="MZ"> Mozambique</option>
<option value="MM" ng-reflect-value="MM"> Myanmar</option>
<option value="NA" ng-reflect-value="NA"> Namibia</option>
<option value="NR" ng-reflect-value="NR"> Nauru</option>
<option value="NP" ng-reflect-value="NP"> Nepal</option>
<option value="NL" ng-reflect-value="NL"> Netherlands</option>
<option value="AN" ng-reflect-value="AN"> Netherlands Antilles</option>
<option value="NC" ng-reflect-value="NC"> New Caledonia</option>
<option value="NZ" ng-reflect-value="NZ"> New Zealand</option>
<option value="NI" ng-reflect-value="NI"> Nicaragua</option>
<option value="NE" ng-reflect-value="NE"> Niger</option>
<option value="NG" ng-reflect-value="NG"> Nigeria</option>
<option value="NU" ng-reflect-value="NU"> Niue</option>
<option value="NF" ng-reflect-value="NF"> Norfolk Island</option>
<option value="MP" ng-reflect-value="MP"> Northern Mariana Islands</option>
<option value="NO" ng-reflect-value="NO"> Norway</option>
<option value="OM" ng-reflect-value="OM"> Oman</option>
<option value="PK" ng-reflect-value="PK"> Pakistan</option>
<option value="PW" ng-reflect-value="PW"> Palau</option>
<option value="PS" ng-reflect-value="PS"> Palestinian Territory, Occupied</option>
<option value="PA" ng-reflect-value="PA"> Panama</option>
<option value="PG" ng-reflect-value="PG"> Papua New Guinea</option>
<option value="PY" ng-reflect-value="PY"> Paraguay</option>
<option value="PE" ng-reflect-value="PE"> Peru</option>
<option value="PH" ng-reflect-value="PH"> Philippines</option>
<option value="PN" ng-reflect-value="PN"> Pitcairn</option>
<option value="PL" ng-reflect-value="PL"> Poland</option>
<option value="PT" ng-reflect-value="PT"> Portugal</option>
<option value="PR" ng-reflect-value="PR"> Puerto Rico</option>
<option value="QA" ng-reflect-value="QA"> Qatar</option>
<option value="RE" ng-reflect-value="RE"> Reunion</option>
<option value="RO" ng-reflect-value="RO"> Romania</option>
<option value="RU" ng-reflect-value="RU"> Russian Federation</option>
<option value="RW" ng-reflect-value="RW"> RWANDA</option>
<option value="SH" ng-reflect-value="SH"> Saint Helena</option>
<option value="KN" ng-reflect-value="KN"> Saint Kitts and Nevis</option>
<option value="LC" ng-reflect-value="LC"> Saint Lucia</option>
<option value="PM" ng-reflect-value="PM"> Saint Pierre and Miquelon</option>
<option value="VC" ng-reflect-value="VC"> Saint Vincent and the Grenadines</option>
<option value="WS" ng-reflect-value="WS"> Samoa</option>
<option value="SM" ng-reflect-value="SM"> San Marino</option>
<option value="ST" ng-reflect-value="ST"> Sao Tome and Principe</option>
<option value="SA" ng-reflect-value="SA"> Saudi Arabia</option>
<option value="SN" ng-reflect-value="SN"> Senegal</option>
<option value="RS" ng-reflect-value="RS"> Serbia</option>
<option value="SC" ng-reflect-value="SC"> Seychelles</option>
<option value="SL" ng-reflect-value="SL"> Sierra Leone</option>
<option value="SG" ng-reflect-value="SG"> Singapore</option>
<option value="SK" ng-reflect-value="SK"> Slovakia</option>
<option value="SI" ng-reflect-value="SI"> Slovenia</option>
<option value="SB" ng-reflect-value="SB"> Solomon Islands</option>
<option value="SO" ng-reflect-value="SO"> Somalia</option>
<option value="ZA" ng-reflect-value="ZA"> South Africa</option>
<option value="GS" ng-reflect-value="GS"> South Georgia and the South Sandwich Islands</option>
<option value="ES" ng-reflect-value="ES"> Spain</option>
<option value="LK" ng-reflect-value="LK"> Sri Lanka</option>
<option value="SD" ng-reflect-value="SD"> Sudan</option>
<option value="SR" ng-reflect-value="SR"> Suriname</option>
<option value="SJ" ng-reflect-value="SJ"> Svalbard and Jan Mayen</option>
<option value="SZ" ng-reflect-value="SZ"> Swaziland</option>
<option value="SE" ng-reflect-value="SE"> Sweden</option>
<option value="CH" ng-reflect-value="CH"> Switzerland</option>
<option value="SY" ng-reflect-value="SY"> Syrian Arab Republic</option>
<option value="TW" ng-reflect-value="TW"> Taiwan, Province of China</option>
<option value="TJ" ng-reflect-value="TJ"> Tajikistan</option>
<option value="TZ" ng-reflect-value="TZ"> Tanzania, United Republic of</option>
<option value="TH" ng-reflect-value="TH"> Thailand</option>
<option value="TL" ng-reflect-value="TL"> Timor-Leste</option>
<option value="TG" ng-reflect-value="TG"> Togo</option>
<option value="TK" ng-reflect-value="TK"> Tokelau</option>
<option value="TO" ng-reflect-value="TO"> Tonga</option>
<option value="TT" ng-reflect-value="TT"> Trinidad and Tobago</option>
<option value="TN" ng-reflect-value="TN"> Tunisia</option>
<option value="TR" ng-reflect-value="TR"> Turkey</option>
<option value="TM" ng-reflect-value="TM"> Turkmenistan</option>
<option value="TC" ng-reflect-value="TC"> Turks and Caicos Islands</option>
<option value="TV" ng-reflect-value="TV"> Tuvalu</option>
<option value="UG" ng-reflect-value="UG"> Uganda</option>
<option value="UA" ng-reflect-value="UA"> Ukraine</option>
<option value="AE" ng-reflect-value="AE"> United Arab Emirates</option>
<option value="GB" ng-reflect-value="GB"> United Kingdom</option>
<option value="US" ng-reflect-value="US"> United States</option>
<option value="UM" ng-reflect-value="UM"> United States Minor Outlying Islands</option>
<option value="UY" ng-reflect-value="UY"> Uruguay</option>
<option value="UZ" ng-reflect-value="UZ"> Uzbekistan</option>
<option value="VU" ng-reflect-value="VU"> Vanuatu</option>
<option value="VE" ng-reflect-value="VE"> Venezuela</option>
<option value="VN" ng-reflect-value="VN"> Viet Nam</option>
<option value="VG" ng-reflect-value="VG"> Virgin Islands, British</option>
<option value="VI" ng-reflect-value="VI"> Virgin Islands, U.S.</option>
<option value="WF" ng-reflect-value="WF"> Wallis and Futuna</option>
<option value="EH" ng-reflect-value="EH"> Western Sahara</option>
<option value="YE" ng-reflect-value="YE"> Yemen</option>
<option value="ZM" ng-reflect-value="ZM"> Zambia</option>
<option value="ZW" ng-reflect-value="ZW"> Zimbabwe</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_country_ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div style="width:48%;display:inline-block;">
<div class="field app_passport_ca form-group">
<input name="passport_ca" id="app_passport_ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Passport #" type="TEXT" value="" data-validation="length" data-validation-length="min2"
data-validation-error-msg="Passport can't be empty" data-validation-error-msg-container="#app_passport_ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_passport_ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
</div>
<div class="half">
<div class="app-check-itin-ca app-check-ca hide">
<div class="field app_itin_ca form-group">
<input name="itin_ca" id="app_itin_ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="ITIN Number" type="TEXT" value="" data-validation="length" data-validation-length="min2"
data-validation-error-msg="ITIN Number can't be empty" data-validation-error-msg-container="#app_itin_ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="app_itin_ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<p>This is an application for joint credit with another person.<br> We intend to apply for joint credit.Please check the boxes below to confirm and continue.</p>
<div class="full">
<div class="field dob form-group">
<span class="red-text">*</span>
<span style="width: 20px;display: inline-block;"><input type="checkbox" id="cff-joint-credit" data-validation="required" data-validation-error-msg="Please check to appy joint credit"
data-validation-error-msg-container="#cff-joint-credit-error"></span>
<label for="cff-joint-credit">By clicking this box, I intend to appy for joint credit.</label>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-joint-credit-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="field dob form-group">
<span class="red-text">*</span>
<span style="width: 20px;display: inline-block;"><input type="checkbox" id="cff-joint-credit-ca" data-validation="required" data-validation-error-msg="Please check to appy joint credit"
data-validation-error-msg-container="#cff-joint-credit-ca-error"></span>
<label for="cff-joint-credit-ca">By clicking this box, I confirm that the co-applicant intends to appy for joint credit.</label>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-joint-credit-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear"></div>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-next-btn"><span> Next <i class="fa fa-long-arrow-right"></i></span> </button>
</div>
</div> <!-- end step1 -->
<div class="clearfix clear"></div>
<div class="cff-step step2" data-step="2">
<div class="formBlock form-group">
<div>Next we need to know your current address and the length of time that you have lived at that address.</div>
</div>
<div class="mb10 mt10"><strong>Current Residence</strong></div>
<div class="form-elements show">
<div class="half">
<div class="form-label">Address <span class="red-text">*</span></div>
<div class="field address form-group">
<input name="address" id="cff-address" class="text change-address pac-target-input" autocomplete="off" placeholder="Address " type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z0-9, .-_#]+)$"
data-validation-length="min2" data-validation-error-msg="Address can't be empty & accepts alpha numeric characeters with space,.,-#_" data-validation-error-msg-container="#cff-address-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-address-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Address 2</div>
<div class="field address2 form-group">
<input name="address2" id="cff-address2" class="text change-address" autocomplete="off" placeholder="Address " type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">City <span class="red-text">*</span></div>
<div class="field form-group">
<input name="city" id="cff-city" class="text change-address" autocomplete="off" placeholder="City" type="text" value="" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 ]+)$" data-validation-length="min2"
data-validation-error-msg="City can't be empty & accepts alpha numeric characeters with space" data-validation-error-msg-container="#cff-city-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-city-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">State <span class="red-text">*</span></div>
<div class="field state form-group">
<select name="state" class="form-control change-address" id="cff-state" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select State" data-validation-error-msg-container="#cff-state-error">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-state-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Zip Code <span class="red-text">*</span></div>
<div class="field zip form-group">
<input name="zip_code" id="cff-zip" class="text change-address" maxlength="5" autocomplete="off" placeholder="ZIP Code" type="text" data-validation="number length" data-validation-allowing="range[100;99999]" data-validation-length="min5"
data-validation-error-msg="Zip code can't be empty and must be of 5 character" data-validation-error-msg-container="#cff-zip-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-zip-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Residence Type <span class="red-text">*</span></div>
<div class="field receidence-type form-group">
<select name="residence_type" class="form-control " id="cff-receidence-type" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Residence Type"
data-validation-error-msg-container="#cff-receidence-type-error">
<option value="">Select Residence Type</option>
<option value="Owns home Outright">Owns home Outright</option>
<option value="Buying Home">Buying Home</option>
<option value="Living with Relatives">Living with Relatives</option>
<option value="Renting/Leasing">Renting/Leasing</option>
<option value="Owns/Buying Mobile Home">Owns/Buying Mobile Home</option>
<option value="Unknown">Unknown</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-receidence-type-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="full recidence-rent-mortgate-wrap hide">
<div class="form-label">Rent/Mortgage <span class="red-text">*</span></div>
<div class="field dob form-group"> $ <input style="width:96%" name="recidence_rent_mortgage" id="recidence-rent-mortgate" class="text hide " autocomplete="off" placeholder="Rent/Mortgage" type="text" data-validation="custom length"
data-validation-regexp="^([0-9.]+)$" data-validation-length="min2" data-validation-error-msg="Please enter valid amount" data-validation-error-msg-container="#recidence-rent-mortgate-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="recidence-rent-mortgate-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="full recidence-rent-mortgate-wrap hide">
<div class="form-label">Landlord Name <span class="red-text">*</span></div>
<div class="field dob form-group">
<input style="width:96%" name="landloard_name" id="landloard-name" class="text hide " autocomplete="off" placeholder="Landlord Name" type="text" data-validation="length" data-validation-length="min2"
data-validation-error-msg="Landlord name can't be empty" data-validation-error-msg-container="#landloard-name-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="landloard-name-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="full recidence-rent-mortgate-wrap hide">
<div class="form-label">Landlord Phone # <span class="red-text">*</span></div>
<div class="field dob form-group">
<input style="width:96%" name="landloard_phone" id="landloard-phone" class="text hide " autocomplete="off" placeholder="Landlord Phone #" type="text" data-validation="number length" data-validation-allowing="range[1000000000;9999999999]"
data-validation-length="min2" data-validation-error-msg="Landlord phone can't be empty and must be valid 10 digit phone number" data-validation-error-msg-container="#landloard-phone-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="landloard-phone-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">How long have you lived there? <span class="red-text">*</span></div>
<div class="field residence-year form-group" style="width: auto;display: inline-block;">
<input name="residence_year" id="cff-residence-year" class="text recidence-year visible-placeholder" value="" min="1" max="100" autocomplete="off" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-residence-year-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-residence-year-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field residence-month form-group" style="width: auto;display: inline-block;">
<input name="residence_month" id="cff-residence-month" class="text recidence-month visible-placeholder" value="" min="0" max="11" autocomplete="off" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-recidence-month-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-recidence-month-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-elements previous-recidence hide">
<div class="mb10 mt10"><strong>Previous Residence </strong></div>
<div class="half">
<div class="form-label">Address <span class="red-text">*</span></div>
<div class="field address-prev form-group">
<input name="address_prev" id="cff-address-prev" class="text change-address pac-target-input" autocomplete="off" placeholder="Address " type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z0-9 .-_#]+)$"
data-validation-length="min2" data-validation-error-msg="Address can't be empty & accepts alpha numeric characeters with space,.,-#_" data-validation-error-msg-container="#cff-address-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-address-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Address 2</div>
<div class="field address2-prev form-group">
<input name="address2_prev" id="cff-address2-prev" class="text change-address" autocomplete="off" placeholder="Address 2 " type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">City <span class="red-text">*</span></div>
<div class="field form-group">
<input name="city_prev" id="cff-city-prev" class="text change-address" autocomplete="off" placeholder="City" type="text" value="" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 ]+)$" data-validation-length="min2"
data-validation-error-msg="City can't be empty & accepts alpha numeric characeters with space" data-validation-error-msg-container="#cff-city-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-city-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">State <span class="red-text">*</span></div>
<div class="field state form-group">
<select name="state_prev" class="form-control change-address" id="cff-state-prev" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select State" data-validation-error-msg-container="#cff-state-prev-error">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-state-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Zip Code <span class="red-text">*</span></div>
<div class="field zip form-group">
<input name="zip_code_prev" id="cff-zip-prev" class="text change-address" maxlength="5" autocomplete="off" placeholder="Zip Code" type="text" data-validation="number length" data-validation-allowing="range[100;99999]"
data-validation-length="min5" data-validation-error-msg="Zip code can't be empty and must be of 5 character" data-validation-error-msg-container="#cff-zip-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-zip-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">How long have you lived there? <span class="red-text">*</span></div>
<div class="field residence-year form-group" style="width: auto;display: inline-block;">
<input name="residence_year_prev" id="cff-residence-year-prev" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-residence-year-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-residence-year-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Year can't be empty</span>
<div class="field residence-month form-group" style="width: auto;display: inline-block;">
<input name="residence_month_prev" id="cff-residence-month-prev" class="text recidence-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-recidence-month-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-recidence-month-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
</div>
<div class="clearfix clear mb10"></div>
</div>
<div class="form-elements drivers-licence show">
<div class="mb10 mt10"><strong>Driver's License Info </strong></div>
<div class="half">
<div class="form-label">License Number <span class="red-text">*</span></div>
<div class="field address-prev form-group">
<input name="license_number" id="cff-license-number" class="text visible-placeholder " autocomplete="off" placeholder="License Number " type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z0-9]+)$"
data-validation-length="min2" data-validation-error-msg="Address can't be empty & accepts alpha numeric characeters" data-validation-error-msg-container="#cff-license-number-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-license-number-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">License State <span class="red-text">*</span></div>
<div class="field state form-group">
<select name="license_state" class="form-control " id="cff-license-state" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select State" data-validation-error-msg-container="#cff-license-state-error">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-license-state-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Identification & Proof of Residence </div>
<div class="field address-prev form-group">
<!--input name="license_docs[]" id="cff-license-docs" multiple class="text visible-placeholder " type="file" value="" /-->
<input data-name="license_docs" id="cff-license-docs" multiple="" class="dynamic-file-up " type="file" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="address-info-ca hide">
<hr style="background-color: #ccc;height: 2px;border: 0;">
<div class="mb10 mt10">
<h3>
<span>Co-Applicant Current Residence</span>
<label for="same-address-chkbox" class="same-address-chkbox-label">
<input type="checkbox" id="same-address-chkbox"> Use same address as of applicant </label>
</h3>
</div>
<div class="form-elements">
<div class="half">
<div class="form-label">Address <span class="red-text">*</span></div>
<div class="field address form-group">
<input name="address_ca" id="cff-address-ca" class="text visible-placeholder pac-target-input" autocomplete="off" placeholder="Address " type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z0-9 .-_#]+)$"
data-validation-length="min2" data-validation-error-msg="Address can't be empty & accepts alpha numeric characeters with space,.,-#_" data-validation-error-msg-container="#cff-address-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-address-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Address 2</div>
<div class="field address2 form-group">
<input name="address2_ca" id="cff-address2-ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Address " type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">City <span class="red-text">*</span></div>
<div class="field form-group">
<input name="city_ca" id="cff-city-ca" class="text modern-input masked city visible-placeholder" autocomplete="off" placeholder="City" type="text" value="" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 ]+)$"
data-validation-length="min2" data-validation-error-msg="City can't be empty & accepts alpha numeric characeters with space" data-validation-error-msg-container="#cff-city-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-city-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">State <span class="red-text">*</span></div>
<div class="field state form-group">
<select name="state_ca" class="form-control " id="cff-state-ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select State" data-validation-error-msg-container="#cff-state-ca-error">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-state-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Zip Code <span class="red-text">*</span></div>
<div class="field zip form-group">
<input name="zip_code_ca" id="cff-zip-ca" class="text zip visible-placeholder" maxlength="5" autocomplete="off" placeholder="ZIP Code" type="text" data-validation="number length" data-validation-allowing="range[100;99999]"
data-validation-length="min5" data-validation-error-msg="Zip code can't be empty and must be of 5 character" data-validation-error-msg-container="#cff-zip-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-zip-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Residence Type <span class="red-text">*</span></div>
<div class="field receidence-type form-group">
<select name="residence_type_ca" class="form-control " id="cff-receidence-type-ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Residence Type"
data-validation-error-msg-container="#cff-receidence-ca-type-error">
<option value="">Select Residence Type</option>
<option value="Owns Home Outright">Owns home outright</option>
<option value="Buying Home">Buying home</option>
<option value="Living With Relatives">Living with relatives</option>
<option value="Renting/Leasing">Renting/Leasing</option>
<option value="Owns/Buying Mobile Home">Owns/buying mobile home</option>
<option value="Unknown">Unknown</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-receidence-ca-type-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="full recidence-rent-mortgate-ca-wrap hide">
<div class="form-label">Rent/Mortgage <span class="red-text">*</span></div>
<div class="field dob form-group"> $ <input style="width:96%" name="recidence_rent_mortgage_ca" id="recidence-rent-mortgate-ca" class="text hide " autocomplete="off" placeholder="Rent/Mortgage" type="text" value=""
data-validation="custom length" data-validation-regexp="^([0-9.]+)$" data-validation-length="min2" data-validation-error-msg="Please enter valid amount" data-validation-error-msg-container="#recidence-rent-mortgate-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="recidence-rent-mortgate-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">How long have co-applicant lived there? <span class="red-text">*</span></div>
<div class="field residence-year form-group" style="width: auto;display: inline-block;">
<input name="residence_year_ca" id="cff-residence-year-ca" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-residence-year-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-residence-year-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field residence-month form-group" style="width: auto;display: inline-block;">
<input name="residence_month_ca" id="cff-residence-month-ca" class="text recidence-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-recidence-month-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-recidence-month-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-elements previous-recidence-ca hide">
<div class="mb10 mt10"><strong>Co-Applicant Previous Residence</strong></div>
<div class="half">
<div class="form-label">Address <span class="red-text">*</span></div>
<div class="field address-prev form-group">
<input name="address_ca_prev" id="cff-address-ca-prev" class="text visible-placeholder pac-target-input" autocomplete="off" placeholder="Address " type="text" value="" data-validation="custom length"
data-validation-regexp="^([A-Za-z0-9 .-_#]+)$" data-validation-length="min2" data-validation-error-msg="Address can't be empty & accepts alpha numeric characeters with space,.,-#_"
data-validation-error-msg-container="#cff-address-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-address-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Address 2</div>
<div class="field address2-prev form-group">
<input name="address2_ca_prev" id="cff-address2-ca-prev" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Address 2 " type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">City <span class="red-text">*</span></div>
<div class="field form-group">
<input name="city_ca_prev" id="cff-city-ca-prev" class="text modern-input masked city visible-placeholder" autocomplete="off" placeholder="City" type="text" value="" data-validation="custom length"
data-validation-allowing="([A-Za-z0-9 ]+)$" data-validation-length="min2" data-validation-error-msg="City can't be empty & accepts alpha numeric characeters with space" data-validation-error-msg-container="#cff-city-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="#cff-city-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">State <span class="red-text">*</span></div>
<div class="field state form-group">
<select name="state_ca_prev" class="form-control " id="cff-state-ca-prev" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select State" data-validation-error-msg-container="#cff-state-ca-prev-error">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-state-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Zip Code <span class="red-text">*</span></div>
<div class="field zip form-group">
<input name="zip_code_ca_prev" id="cff-zip-ca-prev" class="text zip visible-placeholder" maxlength="5" autocomplete="off" placeholder="Zip Code" type="text" data-validation="number length" data-validation-allowing="range[100;99999]"
data-validation-length="min5" data-validation-error-msg="Zip code can't be empty and must be of 5 character" data-validation-error-msg-container="#cff-zip-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-zip-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">How long have co-applicant lived there? <span class="red-text">*</span></div>
<div class="field residence-year form-group" style="width: auto;display: inline-block;">
<input name="residence_year_ca_prev" id="cff-residence-year-ca-prev" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-residence-year-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-residence-year-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field residence-month form-group" style="width: auto;display: inline-block;">
<input name="residence_month_ca_prev" id="cff-residence-month-ca-prev" class="text recidence-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-recidence-month-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-recidence-month-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
</div>
<div class="clearfix clear mb10"></div>
</div>
<div class="form-elements drivers-licence-ca">
<div class="mb10 mt10"><strong>Co-Applicant Driver's License Info</strong></div>
<div class="half">
<div class="form-label">License Number <span class="red-text">*</span></div>
<div class="field address-prev form-group">
<input name="license_number_ca" id="cff-license-number-ca" class="text visible-placeholder " autocomplete="off" placeholder="License Number " type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z0-9]+)$"
data-validation-length="min2" data-validation-error-msg="Address can't be empty & accepts alpha numeric characeters" data-validation-error-msg-container="#cff-license-number-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-license-number-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">License State <span class="red-text">*</span></div>
<div class="field state form-group">
<select name="license_state_ca" class="form-control " id="cff-license-state-ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select State"
data-validation-error-msg-container="#cff-license-state-ca-error">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-license-state-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Identification</div>
<div class="field address-prev form-group">
<!--input name="license_docs_ca[]" id="cff-license-docs-ca" multiple class="text visible-placeholder " type="file" value="" /-->
<input data-name="license_docs_ca" id="cff-license-docs-ca" multiple="" class="dynamic-file-up " type="file">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<!-- End address-info-ca -->
<div class="clearfix clear"></div>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-prev-btn"><span> <i class="fa fa-long-arrow-left"></i> Back </span> </button>
<button type="button" class="btn custom-btn cff-next-btn"><span> Next <i class="fa fa-long-arrow-right"></i></span> </button>
</div>
</div> <!-- end step2 -->
<div class="clearfix clear"></div>
<div class="cff-step step3" data-step="3">
<div class="formBlock form-group">
<div>Here you will be asked for information about your income and employment </div>
</div>
<div class="form-elements show">
<div class="mb10 mt10"><strong>Current Employer</strong></div>
<div class="half">
<div class="form-label">Employment Status <span class="red-text">*</span></div>
<div class="field cphone form-group">
<select name="employment_status" class="form-control" id="cff-employment-status" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Employment Status"
data-validation-error-msg-container="#cff-employment-status-error">
<option value="">Select One</option>
<option value="Military">Active Military</option>
<option value="Contract">Contract</option>
<option value="Full Time">Full Time</option>
<option value="Not Applicable">Not Applicable</option>
<option value="Part Time">Part Time</option>
<option value="Retired">Retired</option>
<option value="Seasonal">Seasonal</option>
<option value="Self-Employed">Self-Employed</option>
<option value="Temporary">Temporary</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-status-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half cur-emp-not-aplicable">
<div class="form-label"><span class="cur_emp_last hide">Last </span> Employer Name <span class="red-text">*</span></div>
<div class="field employer-name form-group">
<input name="employer_name" id="cff-employer-name" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Name" type="text" value="" data-validation="custom length" data-validation-regexp="^([A-Za-z0-9 -_]+)$"
data-validation-length="min2" data-validation-error-msg="Employer name can't be empty and only accept alph numeric characters" data-validation-error-msg-container="#cff-employer-name-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-name-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="cur-emp-not-aplicable">
<div class="half">
<div class="form-label">Employer Phone <span class="red-text">*</span></div>
<div class="field employer-phone form-group">
<input name="employer_phone" id="cff-employer-phone" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Phone" type="number" data-validation="number length"
data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2" data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number"
data-validation-error-msg-container="#cff-employer-phone-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-phone-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Job Title <span class="red-text">*</span></div>
<div class="field job-title form-group">
<input name="job_title" id="cff-job-title" class="text email visible-placeholder" autocomplete="off" placeholder="Job Title" type="text" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 _-]+)$"
data-validation-length="min2" data-validation-error-msg="Job title can't be empty & accepts alpha numeric characeters" data-validation-error-msg-container="#cff-job-title-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-job-title-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Job Type <span class="red-text">*</span></div>
<div class="field jobtype form-group">
<select name="job_type" class="form-control" id="cff-job-type" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Job type" data-validation-error-msg-container="#cff-job-type-error">
<option value="Accounting">Accounting</option>
<option value="Attorney/Lawyer">Attorney/Lawyer</option>
<option value="Bail Bonds">Bail Bonds</option>
<option value="Bounty Hunter">Bounty Hunter</option>
<option value="Bus/Delivery">Bus/Delivery</option>
<option value="Cashier/Clerical">Cashier/Clerical</option>
<option value="Collector-Misc">Collector-Misc</option>
<option value="Construction">Construction</option>
<option value="CNA">CNA</option>
<option value="Customer Service">Customer Service</option>
<option value="Day Care">Day Care</option>
<option value="Emergency/Police">Emergency/Police</option>
<option value="Entertainer/DJ">Entertainer/DJ</option>
<option value="Field/Farm Labor">Field/Farm Labor</option>
<option value="General Labor">General Labor</option>
<option value="Hair Stylist">Hair Stylist</option>
<option value="Housekeeper/Maid">Housekeeper/Maid</option>
<option value="Maintenance">Maintenance</option>
<option value="Landscaper">Landscaper</option>
<option value="Limo Driver">Limo Driver</option>
<option value="Long Haul Driver">Long Haul Driver</option>
<option value="Mechanic">Mechanic</option>
<option value="Medical/Dental">Medical/Dental</option>
<option value="Militray-Air Frc">Militray-Air Frc</option>
<option value="Militray-Army">Militray-Army</option>
<option value="Military-Coast G">Military-Coast G</option>
<option value="Military-Marines">Military-Marines</option>
<option value="Military-Navy">Military-Navy</option>
<option value="Moving Co/Mover">Moving Co/Mover</option>
<option value="Non-Profit">Non-Profit</option>
<option value="Other-Not Listed">Other-Not Listed</option>
<option value="Postal/Gov't">Postal/Gov't</option>
<option value="Professional">Professional</option>
<option value="Restaurant/Hotel">Restaurant/Hotel</option>
<option value="Security Guard">Security Guard</option>
<option value="Self-Employed">Self-Employed</option>
<option value="Smokeshop/Hookah">Smokeshop/Hookah</option>
<option value="Tattoo Artist">Tattoo Artist</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-job-type-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">How long have you worked there? <span class="red-text">*</span></div>
<div class="field employment-year form-group" style="width: auto;display: inline-block;">
<input name="employment_year" id="cff-employment-year" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-employment-year-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-year-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field employment-month form-group" style="width: auto;display: inline-block;">
<input name="employment_month" id="cff-employment-month" class="text employment-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-employment-month-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-month-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
<div class="clearfix clear"></div>
<div class="full">
<div class="form-label">Employer State</div>
<div class="field employer-state form-group">
<select name="employer_state" class="form-control " id="cff-employer-state">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
<div class="full">
<div class="form-label">Employer Zip</div>
<div class="field employer-zip form-group">
<input name="employer_zip" id="cff-employer-zip" class="text visible-placeholder " autocomplete="off" placeholder="Employer Zip" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="half">
<div class="form-label">Employer Address</div>
<div class="field employer-address form-group">
<input name="employer_address" id="cff-employer-address" class="text visible-placeholder pac-target-input" autocomplete="off" placeholder="Employer Address" type="text" value="">
<div class="clearfix clear"></div>
</div>
<div class="full">
<div class="form-label">Employer City</div>
<div class="field employer-city form-group">
<input name="employer_city" id="cff-employer-city" class="text visible-placeholder " autocomplete="off" placeholder="Employer City" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
<div class="form-elements previous-employment hide cur-emp-not-aplicable">
<div class="mb10 mt10"><strong>Previous Employer</strong></div>
<!--div class="half">
<div class="form-label">Employment Status <span class="red-text">*</span></div>
<div class="field cphone form-group">
<select name="employment_status_prev" class="form-control" id="cff-employment-status-prev"
data-validation="length"
data-validation-length="min2"
data-validation-error-msg="Select Employment Status"
data-validation-error-msg-container="#cff-employment-status-prev-error"
>
<option value="">Select One</option>
<option value="Military">Active Military</option>
<option value="Contract">Contract</option>
<option value="Full Time">Full Time</option>
<option value="Not Applicable">Not Applicable</option>
<option value="Part Time">Part Time</option>
<option value="Retired">Retired</option>
<option value="Seasonal">Seasonal</option>
<option value="Self-Employed">Self-Employed</option>
<option value="Temporary">Temporary</option>
</select>
<div class="error-dialog"><div class="error-icon"></div><div id="cff-employment-status-prev-error" class="error-message"></div></div>
<div class="clearfix clear"></div>
</div>
</div-->
<div class="half pre-emp-not-aplicable">
<div class="form-label"><span class="pre_emp_last hide">Last </span>Employer Name <span class="red-text">*</span></div>
<div class="field employer-name form-group">
<input name="employer_name_prev" id="cff-employer-name-prev" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Name" type="text" value="" data-validation="custom length"
data-validation-regexp="^([A-Za-z0-9 -_]+)$" data-validation-length="min2" data-validation-error-msg="Employer name can't be empty and only accept alph numeric characters"
data-validation-error-msg-container="#cff-employer-name-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-name-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="pre-emp-not-aplicable">
<div class="half ">
<div class="form-label">Employer Phone <span class="red-text">*</span></div>
<div class="field employer-phone form-group">
<input name="employer_phone_prev" id="cff-employer-phone-prev" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Phone" type="number" data-validation="number length"
data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2" data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number"
data-validation-error-msg-container="#cff-employer-phone-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-phone-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Job Title <span class="red-text">*</span></div>
<div class="field job-title form-group">
<input name="job_title_prev" id="cff-job-title-prev" class="text email visible-placeholder" autocomplete="off" placeholder="Job Title" type="text" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 _-]+)$"
data-validation-length="min2" data-validation-error-msg="Job title can't be empty & accepts alpha numeric characeters" data-validation-error-msg-container="#cff-job-title-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-job-title-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">How long have you worked there? <span class="red-text">*</span></div>
<div class="field employment-year form-group" style="width: auto;display: inline-block;">
<input name="employment_year_prev" id="cff-employment-year-prev" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-employment-year-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-year-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field employment-month form-group" style="width: auto;display: inline-block;">
<input name="employment_month_prev" id="cff-employment-month-prev" class="text employment-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-employment-month-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-month-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
<div class="clearfix clear"></div>
<div class="full">
<div class="form-label">Employer State</div>
<div class="field employer-state-prev form-group">
<select name="employer_state_prev" class="form-control " id="cff-employer-state-prev">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="clearfix clear"></div>
</div>
</div>
<div class="full">
<div class="form-label">Employer Zip</div>
<div class="field employer-zip-prev form-group">
<input name="employer_zip_prev" id="cff-employer-zip-prev" class="text visible-placeholder " autocomplete="off" placeholder="Employer Zip" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="half">
<div class="form-label">Employer Address </div>
<div class="field employer-address form-group">
<input name="employer_address_prev" id="cff-employer-address-prev" class="text visible-placeholder pac-target-input" autocomplete="off" placeholder="Employer Address" type="text" value="">
<div class="clearfix clear"></div>
</div>
<div class="full">
<div class="form-label">Employer City</div>
<div class="field employer-city-prev form-group">
<input name="employer_city_prev" id="cff-employer-city-prev" class="text visible-placeholder " autocomplete="off" placeholder="Employer City" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mt10 mb10"></div>
<div class="form-elements annual-income show ">
<!--div class="mb10 mt10"><strong>Income Info</strong></div-->
<div class="half">
<div class="form-label"><strong>Gross income <span class="red-text">*</span></strong></div>
<div class="full">
<div class="field gross-income form-group">
<input name="gross_income" id="cff-gross-income" class="text gross-income-calc-text" min="0" autocomplete="off" placeholder="Gross income" type="number" value="" data-validation="custom length" data-validation-regexp="^([0-9.]+)$"
data-validation-length="min2" data-validation-error-msg="Gross income can't be empty and only accept numeric value" data-validation-error-msg-container="#cff-gross-income-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="cff-gross-income-devide"></div>
</div>
<div class="full">
<div class="field cphone form-group">
<select name="gross_income_time" class="form-control gross-income-calc-time" id="cff-gross-income-time" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Income Interval"
data-validation-error-msg-container="#cff-gross-income-time-error">
<option value="Weekly">Weekly</option>
<option selected="selected" value="Monthly">Monthly</option>
<option value="Yearly">Yearly</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income-time-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="half">
<div style="margin-top:25px;">
<span class="small-text spad">Your income ( before tax) including salary, wages, overtime and bonuses.</span><br>
</div>
</div>
<div class="clearfix clear"></div>
<div class="half">
<div class="form-label">Income Type <span class="red-text">*</span></div>
<div class="field incometype form-group">
<select name="income_type" class="form-control" id="cff-income-type" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Income type" data-validation-error-msg-container="#cff-income-type-error">
<option value="W2">W2</option>
<option value="1099">1099</option>
<option value="Job Letter/Passive Income">Job Letter/Passive Income</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-income-type-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear mt10 mb10"></div>
<div class="2nd-income-source-wrap">
<h4> <button type="button" class="btn custom-btn cff-add-rm-2nd-income-btn"> <i class="fa fa-plus"></i></button> <span class="add-rm-text"> Add</span> Secondary Source of Income </h4>
<div class="form-elements 2nd-income-source ">
<div class="full">
<div class="form-label">Source of income <span class="red-text">*</span></div>
<div class="field income-source form-group">
<input name="income_source" id="cff-income-source" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Describe source of income" type="text" value="" data-validation="custom length"
data-validation-regexp="^([a-zA-Z0-9. -_#]+)$" data-validation-length="min2" data-validation-error-msg="Source of income can't be empty" data-validation-error-msg-container="#cff-income-source-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-income-source-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Other gross income <span class="red-text">*</span></div>
<div class="half">
<div class="field gross-income form-group">
<input name="gross_income2" id="cff-gross-income2" class="text gross-income-calc-text" min="0" autocomplete="off" placeholder="Gross income" type="number" value="" data-validation="custom length" data-validation-regexp="^([0-9.]+)$"
data-validation-length="min2" data-validation-error-msg="Gross income can't be empty and only accept numeric value" data-validation-error-msg-container="#cff-gross-income2-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income2-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="cff-gross-income2-devide"></div>
</div>
<div class="half">
<div class="field cphone form-group">
<select name="gross_income_time2" class="form-control gross-income-calc-time" id="cff-gross-income2-time" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Income Interval"
data-validation-error-msg-container="#cff-gross-income-time2-error">
<option value="Weekly">Weekly</option>
<option selected="selected" value="Monthly">Monthly</option>
<option value="Yearly">Yearly</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income-time2-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="half">
<div style="margin-top:25px;">
<span class="small-text">Alimony, child support or separate maintenance does not need to be revealed if you do not want it considered when repaying this obligation</span>
</div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mt10 mb10"></div>
<!--div class="form-elements social-security show ">
<div class="half">
<div class="mb10 mt10"><strong>Social Security Number <span class="red-text">*</span></strong></div>
<div class="field ssn form-group">
<input name="ssn" id="cff-ssn" class="text visible-placeholder plugintest" placeholder="Social security number" type="TEXT" value=""
data-validation="number length"
data-validation-allowing="range[1000000;999999999]"
data-validation-length="min2"
data-validation-error-msg="Social security number can't be empty and only accepts 9 digits numeric value"
data-validation-error-msg-container="#cff-ssn-error"
/>
<div class="error-dialog"><div class="error-icon"></div><div id="cff-ssn-error" class="error-message"></div></div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div style="margin-top:50px;">
<span class="small-text text-green" >We will keep your information safe and secure.</span>
</div>
</div>
<div class="clearfix clear"></div>
</div-->
<div class="clearfix clear"></div>
<div class="half">
<div class="form-label">Proof of Income</div>
<div class="field address-prev form-group">
<!--input name="income_docs[]" id="cff-income-docs" multiple class="text visible-placeholder " type="file" value="" /-->
<input data-name="income_docs" id="cff-income-docs" multiple="" class="dynamic-file-up " type="file">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="income-info-ca hide">
<hr style="background-color: #ccc;height: 2px;border: 0;">
<div class="mb10 mt10">
<h3>Co-Applicant Income Info</h3>
</div>
<div class="form-elements ">
<div class="mb10 mt10"><strong>Current Employer</strong></div>
<div class="half">
<div class="form-label">Employment Status <span class="red-text">*</span></div>
<div class="field cphone form-group">
<select name="employment_status_ca" class="form-control" id="cff-employment-status-ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Employment Status"
data-validation-error-msg-container="#cff-employment-status-ca-error">
<option value="">Select One</option>
<option value="Military">Active Military</option>
<option value="Contract">Contract</option>
<option value="Full Time">Full Time</option>
<option value="Not Applicable">Not Applicable</option>
<option value="Part Time">Part Time</option>
<option value="Retired">Retired</option>
<option value="Seasonal">Seasonal</option>
<option value="Self-Employed">Self-Employed</option>
<option value="Temporary">Temporary</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-status-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half cur-emp-not-aplicable-ca">
<div class="form-label"> <span class="cur_emp_last_ca hide">Last </span> Employer Name <span class="red-text">*</span></div>
<div class="field employer-name form-group">
<input name="employer_name_ca" id="cff-employer-name-ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Name " type="text" value="" data-validation="custom length"
data-validation-regexp="^([A-Za-z0-9 -_]+)$" data-validation-length="min2" data-validation-error-msg="Employer name can't be empty and only accept alph numeric characters"
data-validation-error-msg-container="#cff-employer-name-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-name-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="cur-emp-not-aplicable-ca">
<div class="half">
<div class="form-label">Employer Phone <span class="red-text">*</span></div>
<div class="field employer-phone form-group">
<input name="employer_phone_ca" id="cff-employer-phone-ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Phone" type="number" data-validation="number length"
data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2" data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number"
data-validation-error-msg-container="#cff-employer-phone-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-phone-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Job Title <span class="red-text">*</span></div>
<div class="field job-title form-group">
<input name="job_title_ca" id="cff-job-title-ca" class="text email visible-placeholder" autocomplete="off" placeholder="Job Title" type="text" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 _-]+)$"
data-validation-length="min2" data-validation-error-msg="Job title can't be empty & accepts alpha numeric characeters" data-validation-error-msg-container="#cff-job-title-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-job-title-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">How long have co-applicant worked there? <span class="red-text">*</span></div>
<div class="field employment-year form-group" style="width: auto;display: inline-block;">
<input name="employment_year_ca" id="cff-employment-year-ca" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-employment-year-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-year-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field employment-month form-group" style="width: auto;display: inline-block;">
<input name="employment_month_ca" id="cff-employment-month-ca" class="text employment-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-employment-month-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-month-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
</div>
<div class="half">
<div class="form-label">Employer Address</div>
<div class="field employer-address-ca form-group">
<input name="employer_address_ca" id="cff-employer-address-ca" class="text visible-placeholder pac-target-input" autocomplete="off" placeholder="Employer Address" type="text" value="">
<div class="clearfix clear"></div>
</div>
<div class="half">
<div class="form-label">Employer City</div>
<div class="field employer-city-ca form-group">
<input name="employer_city_ca" id="cff-employer-city-ca" class="text visible-placeholder " autocomplete="off" placeholder="Employer City" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Employer State</div>
<div class="field employer-state-ca form-group">
<select name="employer_state_ca" class="form-control " id="cff-employer-state-ca">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Employer Zip</div>
<div class="field employer-zip-ca form-group">
<input name="employer_zip_ca" id="cff-employer-zip-ca" class="text visible-placeholder " autocomplete="off" placeholder="Employer Zip" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
<div class="form-elements previous-employment-ca hide cur-emp-not-aplicable-ca ">
<div class="mb10 mt10"><strong>Previous Employer</strong></div>
<!--div class="half">
<div class="form-label">Employment Status <span class="red-text">*</span></div>
<div class="field cphone form-group">
<select name="employment_status_ca_prev" class="form-control" id="cff-employment-status-ca-prev"
data-validation="length"
data-validation-length="min2"
data-validation-error-msg="Select Employment Status"
data-validation-error-msg-container="#cff-employment-status-ca-prev-error"
>
<option value="">Select One</option>
<option value="Military">Active Military</option>
<option value="Contract">Contract</option>
<option value="Full Time">Full Time</option>
<option value="Not Applicable">Not Applicable</option>
<option value="Part Time">Part Time</option>
<option value="Retired">Retired</option>
<option value="Seasonal">Seasonal</option>
<option value="Self-Employed">Self-Employed</option>
<option value="Temporary">Temporary</option>
</select>
<div class="error-dialog"><div class="error-icon"></div><div id="cff-employment-status-ca-prev-error" class="error-message"></div></div>
<div class="clearfix clear"></div>
</div>
</div-->
<div class="half pre-emp-not-aplicable-ca">
<div class="form-label">Employer Name <span class="red-text">*</span></div>
<div class="field employer-name form-group">
<input name="employer_name_ca_prev" id="cff-employer-name-ca-prev" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Name" type="text" value="" data-validation="custom length"
data-validation-regexp="^([A-Za-z0-9 -_]+)$" data-validation-length="min2" data-validation-error-msg="Employer name can't be empty and only accept alph numeric characters"
data-validation-error-msg-container="#cff-employer-name-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-name-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="pre-emp-not-aplicable-ca">
<div class="half">
<div class="form-label">Employer Phone <span class="red-text">*</span></div>
<div class="field employer-phone form-group">
<input name="employer_phone_ca_prev" id="cff-employer-phone-ca-prev" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Employer Phone" type="number" data-validation="number length"
data-validation-allowing="range[1000000000;9999999999]" data-validation-length="min2" data-validation-error-msg="Phone can't be empty and must be valid 10 digit phone number"
data-validation-error-msg-container="#cff-employer-phone-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-phone-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div class="form-label">Job Title <span class="red-text">*</span></div>
<div class="field job-title form-group">
<input name="job_title_ca_prev" id="cff-job-title-ca-prev" class="text email visible-placeholder" autocomplete="off" placeholder="Job Title" type="text" data-validation="custom length" data-validation-allowing="([A-Za-z0-9 _-]+)$"
data-validation-length="min2" data-validation-error-msg="Job title can't be empty & accepts alpha numeric characeters" data-validation-error-msg-container="#cff-job-title-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-job-title-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">How long have co-applicant worked there? <span class="red-text">*</span></div>
<div class="field employment-year form-group" style="width: auto;display: inline-block;">
<input name="employment_year_ca_prev" id="cff-employment-year-ca-prev" class="text recidence-year visible-placeholder" autocomplete="off" value="" min="1" max="100" placeholder="Years" type="number" data-validation="number"
data-validation-error-msg="Year can't be empty" data-validation-error-msg-container="#cff-employment-year-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-year-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Years</span>
<div class="field employment-month form-group" style="width: auto;display: inline-block;">
<input name="employment_month_ca_prev" id="cff-employment-month-ca-prev" class="text employment-month visible-placeholder" autocomplete="off" value="" min="0" max="11" placeholder="Months" type="number" data-validation="number"
data-validation-error-msg="Month can't be empty" data-validation-error-msg-container="#cff-employment-month-ca-prev-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employment-month-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<span class="small-text">Months</span>
</div>
<div class="half">
<div class="form-label">Employer Address</div>
<div class="field employer-address form-group">
<input name="employer_address_ca_prev" id="cff-employer-address-ca-prev" class="text visible-placeholder pac-target-input" autocomplete="off" placeholder="Employer Address" type="text" value="">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-employer-address-ca-prev-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="one-third">
<div class="form-label">Employer City</div>
<div class="field employer-city-ca-prev form-group">
<input name="employer_city_ca_prev" id="cff-employer-city-ca-prev" class="text visible-placeholder " autocomplete="off" placeholder="Employer City" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="one-third">
<div class="form-label">Employer State</div>
<div class="field employer-state-ca-prev form-group">
<select name="employer_state_ca_prev" class="form-control " id="cff-employer-state-ca-prev">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces Africa/Canada/Europe/Middle East</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="clearfix clear"></div>
</div>
</div>
<div class="one-third">
<div class="form-label">Employer Zip</div>
<div class="field employer-zip-ca-prev form-group">
<input name="employer_zip_ca_prev" id="cff-employer-zip-ca-prev" class="text visible-placeholder " autocomplete="off" placeholder="Employer Zip" type="text" value="">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mt10 mb10"></div>
<div class="form-elements annual-income ">
<!--div class="mb10 mt10"><strong>Income Info</strong></div-->
<div class="half">
<div class="form-label"><strong>Employer Zip <span class="red-text">*</span></strong></div>
<div class="half">
<div class="field gross-income form-group">
<input name="gross_income_ca" id="cff-gross-income-ca" class="text gross-income-calc-text" autocomplete="off" placeholder="Gross income" type="number" value="" data-validation="custom length" data-validation-regexp="^([0-9.]+)$"
data-validation-length="min2" data-validation-error-msg="Gross income can't be empty and only accept numeric value" data-validation-error-msg-container="#cff-gross-income-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="cff-gross-income-ca-devide"></div>
</div>
<div class="half">
<div class="field cphone form-group">
<select name="gross_income_time_ca" class="form-control gross-income-calc-time" id="cff-gross-income-ca-time" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Income Interval"
data-validation-error-msg-container="#cff-gross-income-time-ca-error">
<option value="Weekly">Weekly</option>
<option selected="selected" value="Monthly">Monthly</option>
<option value="Yearly">Yearly</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income-time-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="half">
<div style="margin-top:25px;">
<span class="small-text">Your income (before tax) including salary, wages, overtime and bonuses.</span>
</div>
</div>
<div class="clearfix clear"></div>
<div class="half">
<div class="form-label">Income Type <span class="red-text">*</span></div>
<div class="field incometype form-group">
<select name="income_type_ca" class="form-control" id="cff-income-type-ca" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Income type"
data-validation-error-msg-container="#cff-income-type-ca-error">
<option value="W2">W2</option>
<option value="1099">1099</option>
<option value="Job Letter/Passive Income">Job Letter/Passive Income</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-income-type-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="clearfix clear mt10 mb10"></div>
<div class="2nd-income-source-ca-wrap">
<h4> <button type="button" class="btn custom-btn cff-add-rm-2nd-income-ca-btn"> <i class="fa fa-plus"></i></button> <span class="add-rm-text"> Add</span> Secondary Source of Income </h4>
<div class=" 2nd-income-source-ca hide">
<div class="form-elements">
<div class="full">
<div class="form-label">Source of income <span class="red-text">*</span></div>
<div class="field income-source form-group">
<input name="income_source_ca" id="cff-income-source-ca" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Describe source of income" type="text" value="" data-validation="custom length"
data-validation-regexp="^([a-zA-Z0-9. -_#]+)$" data-validation-length="min2" data-validation-error-msg="Source of income can't be empty" data-validation-error-msg-container="#cff-income-source-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-income-source-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="half">
<div class="form-label">Other Gross income <span class="red-text">*</span></div>
<div class="half">
<div class="field gross-income form-group">
<input name="gross_income2_ca" id="cff-gross-income2-ca" class="text gross-income-calc-text" autocomplete="off" placeholder="Gross income" type="number" value="" data-validation="custom length" data-validation-regexp="^([0-9.]+)$"
data-validation-length="min2" data-validation-error-msg="Gross income can't be empty and only accept numeric value" data-validation-error-msg-container="#cff-gross-income2-ca-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income2-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="cff-gross-income2-ca-devide"></div>
</div>
<div class="half">
<div class="field cphone form-group">
<select name="gross_income_time2_ca" class="form-control gross-income-calc-time" id="cff-gross-income2-ca-time" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Income Interval"
data-validation-error-msg-container="#cff-gross-income-time2-ca-error">
<option value="Weekly">Weekly</option>
<option selected="selected" value="Monthly">Monthly</option>
<option value="Yearly">Yearly</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-gross-income-time2-ca-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="cff-gross-income2-ca-devide"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="half">
<div style="margin-top:25px;">
<span class="small-text">Alimony, child support or separate maintenance does not need to be revealed if you do not want it considered when repaying this obligation. </span>
</div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="clearfix clear mt10 mb10"></div>
<!--div class="form-elements social-security ">
<div class="half">
<div class="mb10 mt10"><strong> Social Security Number<span class="red-text">*</span></strong></div>
<div class="field ssn form-group">
<input name="ssn_ca" id="cff-ssn-ca" class="text visible-placeholder plugintest" placeholder="Social security number" type="text" value=""
data-validation="number length"
data-validation-allowing="range[1000000;999999999]"
data-validation-length="min2"
data-validation-error-msg="Social security number can't be empty and only accepts alpha numeric value"
data-validation-error-msg-container="#cff-ssn-ca-error"
/>
<div class="error-dialog"><div class="error-icon"></div><div id="cff-ssn-ca-error" class="error-message"></div></div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="half">
<div style="margin-top:50px;">
<span class="small-text text-green" >.We will keep your information safe and secure</span>
</div>
</div>
<div class="clearfix clear"></div>
</div-->
<div class="clearfix clear"></div>
<div class="half">
<div class="form-label">Proof of Income</div>
<div class="field address-prev form-group">
<!--input name="income_docs_ca[]" id="cff-income-docs-ca" multiple class="text visible-placeholder " type="file" value="" /-->
<input data-name="income_docs_ca" id="cff-income-docs-ca" multiple="" class="dynamic-file-up " type="file">
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
</div> <!-- end income info ca -->
<div class="clearfix clear"></div>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-prev-btn"><span> <i class="fa fa-long-arrow-left"></i> Back </span> </button>
<button type="button" class="btn custom-btn cff-next-btn"><span> Next <i class="fa fa-long-arrow-right"></i></span> </button>
</div>
</div> <!-- end step2 -->
<div class="clearfix clear"></div>
<div class="cff-step step4" data-step="4">
<div class="formBlock form-group">
<div>The last information that we need from you is about the vehicle you are interested in purchasing or leasing, and whether you are trading in a vehicle </div>
</div>
<div class="form-elements show">
<div class="mb10 mt10"><strong>Finance Info</strong></div>
<div class="half">
<div class="form-label">Down Payment <span class="red-text">*</span></div>
<div class="field down-payment form-group">
<input name="down_payment" id="cff-down-payment" class="text visible-placeholder plugintest" autocomplete="off" placeholder="Down Payment" type="number" value="" data-validation="number" data-validation-allowing="range[0;999999999]"
data-validation-length="min2" data-validation-error-msg="Downpayment can't be empty and only accept numeric value" data-validation-error-msg-container="#cff-down-payment-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-down-payment-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<!--div class="one-third">
<div class="form-label">Amount Financed</div>
<div class="field amount-financed form-group">
<input name="amount_financed" id="cff-amount-financed" class="text visible-placeholder plugintest" placeholder="Amount Financed" type="number" value=""
data-validation="custom length"
data-validation-regexp="^([0-9.]+)$"
data-validation-length="min2"
data-validation-error-msg="Amount financed can't be empty and only accept numeric value"
data-validation-error-msg-container="#cff-amount-financed-error"
/>
<div class="error-dialog"><div class="error-icon"></div><div id="cff-amount-financed-error" class="error-message"></div></div>
<div class="clearfix clear"></div>
</div>
</div-->
<div class="half">
<div class="form-label">Term(Months) <span class="red-text">*</span></div>
<div class="field term form-group">
<select name="term" class="form-control" id="cff-term" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Terms" data-validation-error-msg-container="#cff-term-error">
<option value="12">12</option>
<option value="24">24</option>
<option value="36">36</option>
<option value="42">42</option>
<option value="48">48</option>
<option value="54">54</option>
<option value="60">60</option>
<option value="72">72</option>
<option value="84">84</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-term-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear mb10"></div>
<div class="veh-search-wrap" style="min-height:150px;">
<div class="half">
<div class="form-label">Vehicle Info <span class="red-text">*</span></div>
<div class="field relative form-group" style="position:relative;">
<input name="veh_search_keyword" id="cff-veh-search-keyword" class="text " autocomplete="off" placeholder="Type,vin,stock,year,make,model...." type="text" data-validation="length" data-validation-length="min2"
data-validation-error-msg="Select Vehicle" data-validation-error-msg-container="#cff-veh-search-keyword-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-veh-search-keyword-error" class="error-message"></div>
</div>
<i class="fa fa-spinner fa-spin veh-search-load hide" style="position: absolute;top: 7px;right: 8px;"></i>
<i class="fa fa-window-close veh-search-rm hide" style="position: absolute;top: 7px;right: 8px;"></i>
<div class="clearfix clear"></div>
<div class="veh_search_result hide">
</div>
<input type="hidden" name="vin">
<input type="hidden" name="year">
<input type="hidden" name="make">
<input type="hidden" name="model">
<input type="hidden" name="price">
<input type="hidden" name="mileage">
<input type="hidden" name="trim">
</div>
<div class="form-label">Do you have a car to trade-in ? <span class="red-text">*</span></div>
<div class="field term form-group">
<select name="car_for_tradein" class="form-control" id="cff-car-for-tradein" data-validation="length" data-validation-length="min2" data-validation-error-msg="Select Yes or No"
data-validation-error-msg-container="#cff-car-for-tradein-error">
<option value="">Select One</option>
<option value="No">No</option>
<option value="Yes">Yes</option>
</select>
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-car-for-tradein-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="tradein-yes-wrap hide">
<div class="form-label">Trade-in Year <span class="red-text">*</span></div>
<div class="field relative form-group" style="position:relative;">
<input name="tradein_year" id="cff-tradein-year" class="text " autocomplete="off" placeholder="Trade-in year" type="text" data-validation="number length" data-validation-allowing="range[1900;2022]" data-validation-length="min2"
data-validation-error-msg="Enter valid 4 digit tradein year" data-validation-error-msg-container="#cff-tradein-year-error">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-tradein-year-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-label">Trade-in Make <span class="red-text">*</span></div>
<div class="field relative form-group" style="position:relative;">
<input name="tradein_make" id="cff-tradein-make" class="text " autocomplete="off" placeholder="Trade-in make" type="text" data-validation="length custom" data-validation-regexp="^([A-Za-z]+)$" data-validation-length="min2"
data-validation-error-msg="Enter valid trade-in make" data-validation-error-msg-container="#cff-tradein-make" -error"="">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-tradein-make-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
<div class="form-label">Trade-in Model <span class="red-text">*</span></div>
<div class="field relative form-group" style="position:relative;">
<input name="tradein_model" id="cff-tradein-model" class="text " autocomplete="off" placeholder="Trade-in model" type="text" data-validation="length" data-validation-length="min2" data-validation-error-msg="Enter trade-in model"
data-validation-error-msg-container="#cff-tradein-model" -error"="">
<div class="error-dialog">
<div class="error-icon"></div>
<div id="cff-tradein-model-error" class="error-message"></div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="half">
<div class="form-label">Sales Representative </div>
<div class="field relative form-group" style="position:relative;">
<select name="sales_person_id" class="form-control" id="cff-sales-person-id">
<option value="">Select One</option>
<option value="2449" data-phone="832-299-8160" data-email="Abel@houstondirectauto.com">Abel Avila</option>
<option value="3849" data-phone="979-406-6920" data-email="Alan@houstondirectauto.com">Alan Sanchez</option>
<option value="3549" data-phone="832-888-2647" data-email="josealfonso@houstondirectauto.com">Alfonso Leal</option>
<option value="3850" data-phone="940-360-4487" data-email="Ana@houstondirectauto.com">Ana Torres</option>
<option value="962" data-phone="281-661-0267" data-email="brandon@houstondirectauto.com">Brandon garcia</option>
<option value="3834" data-phone="346-515-0790" data-email="Brendac@houstondirectauto.com">Brenda Carpinteyro</option>
<option value="1667" data-phone="832-263-3174" data-email="Brenda@houstondirectauto.com">Brenda garcia</option>
<option value="2988" data-phone="501-585-1204" data-email="Dereck@houstondirectauto.com">Dereck Patman</option>
<option value="3243" data-phone="832-301-8665" data-email="Diana@houstondirectauto.com">Diana Sanchez</option>
<option value="2731" data-phone="2106924571" data-email="Emilio@houstondirectauto.com">Emilio Ortiz</option>
<option value="3642" data-phone="8322831679" data-email="emmanuel@houstondirectauto.com">Emmanuel Ponce</option>
<option value="3608" data-phone="346-704-8233" data-email="Fernando@houstondirectauto.com">Fernando Rodas</option>
<option value="3626" data-phone="936-243-3357" data-email="Gladys@houstondirectauto.com">Gladys Asturias</option>
<option value="1731" data-phone="346-267-2612" data-email="Glenn@houstondirectauto.com">Glenn Miller</option>
<option value="3817" data-phone="" data-email="Isaac@houstondirectauto.com">Isaac Miranda</option>
<option value="2953" data-phone="281-662-8100" data-email="James@houstondirectauto.com">James Urrego</option>
<option value="3627" data-phone="903-666-4149" data-email="John@houstondirectauto.com">John Derder</option>
<option value="1434" data-phone="832-577-7620" data-email="Jorge@houstondirectauto.com">Jorge Romero</option>
<option value="427" data-phone="832-981-2494" data-email="Jose@houstondirectauto.com">Jose Arris</option>
<option value="1802" data-phone="832-402-6167" data-email="Kamila@houstondirectauto.com">Kamila Roman</option>
<option value="1153" data-phone="713-330-9755" data-email="Keven@houstondirectauto.com">Keven chumbiray</option>
<option value="3252" data-phone="832-429-2522" data-email="Lorena@houstondirectauto.com">Lorena Torres</option>
<option value="3193" data-phone="281-961-7375" data-email="eduardo@houstondirectauto.com">Luis Alfaro</option>
<option value="2998" data-phone="832-944-2254" data-email="Luis@houstondirectauto.com">Luis Garcia</option>
<option value="3453" data-phone="432-287-9941" data-email="Mika@houstondirectauto.com">Mika Monte</option>
<option value="3426" data-phone="832-304-1359" data-email="Pricila@houstondirectauto.com">Pricila Cardenas</option>
<option value="3381" data-phone="713-553-9434" data-email="Yobani@houstondirectauto.com">Yobani Romero</option>
</select>
<input type="hidden" name="sales_person_email">
<input type="hidden" name="sales_person_name">
<input type="hidden" name="sales_person_phone">
</div>
<div class="form-label">Finance Representative</div>
<div class="field relative form-group" style="position:relative;">
<select name="finance_person_id" class="form-control" id="cff-finance-person-id">
<option value="">Select One</option>
<option value="148" data-phone=" 832-316-7079" data-email="Esby@houstondirectauto.com">Esby mantanico</option>
<option value="147" data-phone="346-391-7290" data-email="Jacob@houstondirectauto.com">Jacob mantanico</option>
<option value="1668" data-phone="346-401-3966" data-email="Kayla@houstondirectauto.com">Kayla Fernandez</option>
<option value="146" data-phone="832-660-3978" data-email="Santiago@houstondirectauto.com">Santiago son</option>
</select>
<input type="hidden" name="finance_person_email">
<input type="hidden" name="finance_person_name">
<input type="hidden" name="finance_person_phone">
</div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
<div class="clearfix clear"></div>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-prev-btn"><span> <i class="fa fa-long-arrow-left"></i> Back </span> </button>
<button type="button" class="btn custom-btn cff-next-btn"><span> Next <i class="fa fa-long-arrow-right"></i></span> </button>
</div>
</div> <!-- end step1 -->
<div class="clearfix clear"></div>
<div class="cff-step step5" data-step="5">
<div class="formBlock form-group">
<div>Please scroll down and review all entered information. Press Apply at the bottom of the page to continue the application process. </div>
</div>
<div class="review-steps-wrap">
<div class="review-step" step="1">
<div class="review-step-head">
<h3>Personal Info</h3>
<a href="javascript:;" class="review-edit-btn">Edit <i class="fa fa-edit"></i></a>
<div class="clearfix clear"></div>
</div>
<div class="review-step-content">
<div class="review-applicant">
<div class="one-third">
<div class="review-row">
<strong>Name</strong><br>
<span class="val_name"></span>
</div>
</div>
<div class="one-third">
<div class="review-row">
<strong>E-mail Address</strong><br>
<span class="val_email"></span>
</div>
<div class="review-row">
<strong>Phone Number</strong><br>
<span class="val_phone"></span>
</div>
</div>
<div class="one-third">
<div class="review-row">
<strong>Date of Birth</strong><br>
<span class="val_dob"></span>
</div>
</div>
<div class="clearfix clear"></div>
</div>
<br><br>
<div class="review-co-applicant hide">
<hr style="background-color: #ccc;height: 2px;border: 0;">
<div class="one-third">
<div class="review-row">
<strong>Co-Applicant Name</strong><br>
<span class="val_name_ca"></span>
</div>
</div>
<div class="one-third">
<div class="review-row">
<strong>Relationship Type</strong><br>
<span class="val_relationship_ca"></span> <span class="val_relationship_ca_other"></span>
</div>
<div class="review-row">
<strong>E-mail Address</strong><br>
<span class="val_email_ca"></span>
</div>
<div class="review-row">
<strong>Phone Number</strong><br>
<span class="val_phone_ca"></span>
</div>
</div>
<div class="one-third">
<div class="review-row">
<strong>Date of Birth</strong><br>
<span class="val_dob_ca"></span>
</div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="review-step" step="2">
<div class="review-step-head">
<h3>Address Info</h3>
<a href="javascript:;" class="review-edit-btn">Edit <i class="fa fa-edit"></i></a>
<div class="clearfix clear"></div>
</div>
<div class="review-step-content">
<div class="one-third">
<div class="review-row">
<strong>Address</strong><br>
<span class="val_address"></span> <span class="val_address2"></span><br>
<span class="val_city"></span> <span class="val_state"></span> <span class="val_zip_code"></span>
</div>
<div class="review-row">
<strong>Residence Type</strong><br>
<span class="val_residence_type"></span>
</div>
<div class="review-row rent-mortgage-view hide">
<strong>Rent/Mortgage</strong><br>
<span class="val_recidence_rent_mortgage"></span>
<br>
<strong>landloard Name</strong><br>
<span class="val_landloard_name"></span>
<br>
<strong>landloard Phone #</strong><br>
<span class="val_landloard_phone"></span>
</div>
<div class="review-row">
<strong>Time At Address</strong><br>
<span class="val_residence_year"></span> years <span class="val_residence_month"></span> months
</div>
</div>
<div class="one-third review-previous-address hide">
<div class="review-row">
<strong>Previous Address</strong><br>
<span class="val_address_prev"></span> <span class="val_address2_prev"></span><br>
<span class="val_city_prev"></span> <span class="val_state_prev"></span> <span class="val_zip_code_prev"></span>
</div>
<div class="review-row">
<strong>Time At Address</strong><br>
<span class="val_residence_year_prev"></span> years <span class="val_residence_month_prev"></span> months
</div>
</div>
<div class="one-third">
<div class="review-row">
<strong>Driver's License Number</strong><br>
<span class="val_license_number"></span>
</div>
<strong>Driver's License State</strong><br>
<span class="val_license_state"></span>
</div>
<div class="clearfix clear"></div>
<br><br>
<div class="review-co-applicant-address hide">
<hr style="background-color: #ccc;height: 2px;border: 0;">
<div class="one-third">
<strong>Co-Applicant Address</strong><br>
<span class="val_address_ca"></span> <span class="val_address2_ca"></span><br>
<span class="val_city_ca"></span> <span class="val_state_ca"></span> <span class="val_zip_code_ca"></span>
<br>
<strong>Co-Applicant Residence Type</strong><br>
<span class="val_residence_type_ca"></span>
<div class="review-row rent-mortgage-ca-view hide">
<strong>Rent/Mortgage</strong><br>
<span class="val_recidence_rent_mortgage_ca"></span>
</div>
<br>
<strong>Co-Applicant Time At Address</strong><br>
<span class="val_residence_year_ca"></span> years <span class="val_residence_month_ca"></span> months
</div>
<div class="one-third review-previous-address-ca hide">
<strong>Co-Applicant Previous Address</strong><br>
<span class="val_address_ca_prev"></span> <span class="val_address2_ca_prev"></span><br>
<span class="val_city_ca_prev"></span> <span class="val_state_ca_prev"></span> <span class="val_zip_code_ca_prev"></span>
<br>
<strong>Co-Applicant Time At Address</strong><br>
<span class="val_residence_year_ca_prev"></span> years <span class="val_residence_month_ca_prev"></span> months
</div>
<div class="one-third">
<strong>Co-Applicant Driver's License Number</strong><br>
<span class="val_license_number_ca"></span>
<br>
<strong>Co-Applicant Driver's License State</strong><br>
<span class="val_license_state_ca"></span>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="review-step" step="3">
<div class="review-step-head">
<h3>Employment Info</h3>
<a href="javascript:;" class="review-edit-btn">Edit <i class="fa fa-edit"></i></a>
<div class="clearfix clear"></div>
</div>
<div class="review-step-content">
<div class="one-third">
<strong>Employment Status</strong><br>
<span class="val_employment_status"></span>
<br>
<strong>Job Title</strong><br>
<span class="val_job_title"></span>
<br>
<strong>Employer Name</strong><br>
<span class="val_employer_name"></span>
<br>
<strong>Employer Phone</strong><br>
<span class="val_employer_phone"></span>
<br>
<strong>Employer Address</strong><br>
<span class="val_employer_address"></span> <span class="val_employer_city"></span> <span class="val_employer_state"></span> <span class="val_employer_zip"></span>
<br>
<strong>Time at Job</strong><br>
<span class="val_employment_year"></span> Years <span class="val_employment_month"></span> Months
</div>
<div class="one-third review-previous-employment hide">
<strong>Previous Employment Status</strong><br>
<span class="val_employment_status_prev"></span>
<br>
<strong>Previous Job Title</strong><br>
<span class="val_job_title_prev"></span>
<br>
<strong>Previous Employer Name</strong><br>
<span class="val_employer_name_prev"></span>
<br>
<strong>Previous Employer Phone</strong><br>
<span class="val_employer_phone_prev"></span>
<br>
<strong>Previous Employer Address</strong><br>
<span class="val_employer_address_prev"></span> <span class="val_employer_city_prev"></span> <span class="val_employer_state_prev"></span> <span class="val_employer_zip_prev"></span>
<br>
<strong>Time at Previous Job</strong><br>
<span class="val_employment_year_prev"></span> Years <span class="val_employment_month_prev"></span> Months
</div>
<div class="one-third">
<strong>Gross Income</strong><br>
<span class="val_gross_income"></span> <span class="val_gross_income_time"></span>
<br>
<strong>Social Security Number</strong><br>
<span class="val_ssn"></span>
<div class="review-2n-source-income hide">
<h3>Other Source of Income</h3>
<br>
<strong>Other Gross Income</strong><br>
<span class="val_gross_income2"></span> <span class="val_gross_income_time2"></span>
<br>
<strong>Source of Other Income</strong><br>
<span class="val_income_source"></span>
</div>
</div>
<div class="clearfix clear"></div>
<br><br>
<div class="review-co-applicant-income hide">
<hr style="background-color: #ccc;height: 2px;border: 0;">
<div class="one-third">
<strong>Co-Applicant Employment Status</strong><br>
<span class="val_employment_status_ca"></span>
<br>
<strong>Co-Applicant Job Title</strong><br>
<span class="val_job_title"></span>
<br>
<strong>Co-Applicant Employer Name</strong><br>
<span class="val_employer_name_ca"></span>
<br>
<strong>Co-Applicant Employer Phone</strong><br>
<span class="val_employer_phone_ca"></span>
<br>
<strong>Co-Applicant Employer Address</strong><br>
<span class="val_employer_address_ca"></span> <span class="val_employer_city_ca"></span> <span class="val_employer_state_ca"></span> <span class="val_employer_zip_ca"></span>
<br>
<strong>Co-Applicant Time at Job</strong><br>
<span class="val_employment_year_ca"></span> Years <span class="val_employment_month"></span> Months
</div>
<div class="one-third review-previous-employment hide">
<strong>Co-Applicant Previous Employment Status</strong><br>
<span class="val_employment_status_ca_prev"></span>
<br>
<strong>Co-Applicant Previous Job Title</strong><br>
<span class="val_job_title_ca_prev"></span>
<br>
<strong>Co-Applicant Previous Employer Name</strong><br>
<span class="val_employer_name_ca_prev"></span>
<br>
<strong>Co-Applicant Previous Employer Phone</strong><br>
<span class="val_employer_phone_ca_prev"></span>
<br>
<strong>Previous Employer Address</strong><br>
<span class="val_employer_address_ca_prev"></span> <span class="val_employer_city_ca_prev"></span> <span class="val_employer_state_ca_prev"></span> <span class="val_employer_zip_ca_prev"></span>
<br>
<strong>Co-Applicant Time at Previous Job</strong><br>
<span class="val_employment_year_ca_prev"></span> Years <span class="val_employment_month_ca_prev"></span> Months
</div>
<div class="one-third">
<strong>Co-Applicant Gross Income</strong><br>
<span class="val_gross_income_ca"></span>
<span class="val_gross_income_time_ca"></span>
<br>
<strong>Co-Applicant Social Security Number</strong><br>
<span class="val_ssn"></span>
<div class="review-2n-source-income hide">
<h3>Co-Applicant Other Source of Income</h3>
<br>
<strong>Other Gross Income</strong><br>
<span class="val_gross_income2_ca"></span>
<span class="gross_income_time2_ca"></span>
<br>
<strong>Source of Other Income</strong><br>
<span class="val_income_source_ca"></span>
</div>
</div>
<div class="clearfix clear"></div>
</div>
</div>
</div>
<div class="review-step" step="4">
<div class="review-step-head">
<h3>Finance & Vehicle Info</h3>
<a href="javascript:;" class="review-edit-btn">Edit <i class="fa fa-edit"></i></a>
<div class="clearfix clear"></div>
</div>
<div class="review-step-content">
<div class="one-third">
<strong>Down Payment</strong><br>
<span class="val_down_payment"></span>
<br>
<strong>Term(Months)</strong><br>
<span class="val_term"></span>
<br>
</div>
<div class="one-third">
<strong>Vehicle</strong><br>
<span class="veh_search_keyword_view"></span>
<br>
<strong>Do you have a car to trade-in ?</strong><br>
<span class="val_car_for_tradein"></span>
<span class="val-tradein-yes-wrap hide">
<span> - </span>
<span class="val_tradein_year"></span>
<span class="val_tradein_make"></span>
<span class="val_tradein_model"></span>
</span>
<br>
</div>
<div class="one-third">
<strong>Sales Representative </strong><br>
<span class="val_sales_person_name"></span>
<br>
<strong>Finance Representative</strong><br>
<span class="val_finance_person_name"></span>
<br>
</div>
<div class="clearfix clear"></div>
<br><br>
<div class="other_docs_wrap">
<div class="form-label">Identification</div>
<div class="field address-prev form-group">
<input data-name="other_docs" id="cff-other-docs" multiple="" class="dynamic-file-up " type="file">
<div class="clearfix clear"></div>
</div>
</div>
<strong>Attachments</strong>
<div class="attachments_wrap">
</div>
</div>
</div>
</div>
<div class="clearfix clear"></div>
<div class="hda-approved-wrap" style="max-width: 1200px;margin: 30px auto 30px auto;width: 95%;">
<h2 style="text-align:center;margin: 50px auto;color: #4d7fbb;font-size: 50px;" class="hda-approved-heading">Search. Apply. Drive!</h2>
<style>
.approved-box {
width: 98%;
margin: 10px auto;
}
.approved-box .ap-icon img {
width: 50%;
}
.approved-box .ap-view {
display: table;
padding-left: 0;
list-style: none;
justify-content: space-between;
align-items: center;
}
.approved-box .ap-view h4 {
font-size: 18px;
font-weight: 500;
display: block;
text-align: center;
margin-bottom: 0px;
color: #4d7fbb;
}
.approved-box .add-icon {
font-size: 40px;
font-weight: 700;
box-shadow: none !important;
width: 6%;
}
.approved-box .ap-view li {
padding: 2%;
box-shadow: 2px 2px 6px 0 rgba(0, 0, 0, .1);
display: table-cell;
vertical-align: middle;
text-align: center;
}
.approved-box .ap-view li.box {
width: 10%;
background: #fff;
border-radius: 5px;
position: relative;
}
.approved-done .ap-icon {
width: 100%;
height: auto;
margin: auto;
}
.approved-box .ap-view li.approved-done {
padding: 5px;
}
.approved-box .ap-view .approved-done h4 {
position: absolute;
top: 37%;
left: 3px;
width: 97%;
text-align: center;
font-size: 25px;
font-weight: bold;
transform: rotate(-28deg);
border: 3px solid;
padding: 2px 0;
}
@media (max-width: 1000px) {
.approved-box .ap-view .approved-done h4 {
font-size: 28px;
}
}
@media (max-width: 950px) {
.approved-box .ap-view .approved-done h4 {
font-size: 25px;
}
}
@media (max-width: 850px) {
.approved-box .ap-view .approved-done h4 {
font-size: 22px;
}
}
@media (max-width: 768px) {
.approved-box .add-icon {
font-size: 30px;
}
.approved-box .ap-view h4 {
font-size: 15px;
}
.approved-box .ap-view .approved-done h4 {
font-size: 20px;
}
}
@media (max-width: 650px) {
.approved-box .ap-view h4 {
font-size: 13px;
}
.approved-box .ap-view .approved-done h4 {
font-size: 15px;
}
}
@media (max-width:575px) {
.approved-box .add-icon {
font-size: 25px;
}
.approved-box .ap-view h4 {
font-size: 12px;
}
.approved-box .ap-view .approved-done h4 {
font-size: 13px;
}
}
@media (max-width:450px) {
.approved-box .ap-view h4 {
display: none;
}
}
</style>
<section class="approved-box">
<div class="container">
<ul class="ap-view">
<li class="box">
<div class="inner-ap">
<div class="ap-icon"><img src="http://www.usadirectautos.com/wp-content/themes/houstondirectauto/assets/images/address-proof.png" alt="address-proof"></div>
<h4>Proof of Address</h4>
</div>
</li>
<li class="add-icon">+</li>
<li class="box">
<div class="inner-ap">
<div class="ap-icon"><img src="http://www.usadirectautos.com/wp-content/themes/houstondirectauto/assets/images/income-proof.png" alt="income-proof"></div>
<h4>Proof of Income</h4>
</div>
</li>
<li class="add-icon">+</li>
<li class="box">
<div class="inner-ap">
<div class="ap-icon"><img src="http://www.usadirectautos.com/wp-content/themes/houstondirectauto/assets/images/id-proof.png" alt="id-proof"></div>
<h4>Photo ID</h4>
</div>
</li>
<li class="add-icon">=</li>
<li class="approved-done box">
<div class="inner-ap">
<div class="ap-icon"></div>
<h4>APPROVED</h4>
</div>
</li>
</ul>
</div>
</section>
</div>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-prev-btn"><span> <i class="fa fa-long-arrow-left"></i> Back </span> </button>
<button type="button" class="btn custom-btn cff-next-btn"><span> Next <i class="fa fa-long-arrow-right"></i></span> </button>
</div>
</div> <!-- end step5 -->
<div class="clearfix clear"></div>
<div class="cff-step step6" data-step="6">
<div class="formBlock form-group">
<div>
<h3>Consent and Disclosure</h3>
<p>Please review the consent and disclosure notice and click the required box(es) to continue your application</p>
</div>
</div>
<div class="form-elements show">
<div class="scroll_content_box">
<p>You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to USA Direct Auto under the Fair Credit Reporting Act authorizing USA Direct Auto to obtain information from
your personal credit profile or other information from Experian. You authorize USA Direct Auto to obtain such information solely to conduct a pre-qualification for credit .</p>
</div>
<div>
<label for="consent_checkbox"><span style="color:red;"> * </span> <input type="checkbox" id="consent_checkbox"> By clicking this box, I agree that this credit application is an electronic credit application submitted using electronic means
and such means signifies my intent to submit this credit application to <strong>USA DIRECT AUTO</strong> to the same extent as if I had executed the credit application using my written signature.</label>
</div>
<div class="clearfix clear"></div>
<br><br>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-prev-btn"><span> <i class="fa fa-long-arrow-left"></i> Back </span> </button>
<button type="button" class="btn custom-btn cff-next-btn"><span> I AGREE <i class="fa fa-long-arrow-right"></i></span> </button>
</div>
</div>
</div><!-- end step6 -->
<div class="clearfix clear"></div>
<div class="cff-step step7" data-step="7">
<div class="formBlock form-group">
<div>
<h3>Dealer Privacy Notice</h3>
<p>Please review USA DIRECT AUTO 's privacy notice and click the box at the bottom of the page to acknowledge.</p>
</div>
</div>
<div class="form-elements show">
<div class="scroll_content_box">
<div style="width:98%;margin:20px auto">
<table cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td>
<table cellspacing="0" cellpadding="5px" style="border: 1px solid;">
<tbody>
<tr>
<th style="color: white; background:black; font-size:36px; text-align:center; width:15%; border-bottom:1px solid #000; border-right:1px solid #000;">
<div style="background:black;">FACTS</div>
</th>
<td style="font-size:24px; border-bottom:1px solid; padding:0 10px;"> WHAT DOES<br> DO WITH YOUR PERSONAL INFORMATION? </td>
</tr>
<tr>
<td style=" background:#B2BABB; font-size:36px; text-align:center; width:15%; border-bottom:1px solid; border-right:1px solid; ">Why?</td>
<td style="border-bottom:1px solid; padding:0 10px;">Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to
tell you How we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. </td>
</tr>
<tr>
<td style=" background:#B2BABB; font-size:36px; text-align:center; width:15%; border-bottom:1px solid; border-right:1px solid; ">What?</td>
<td style="border-bottom:1px solid; padding:0 10px;"> The types of personal information we collect and share depend on the product or service you have with us. This information can include:<br>
<label>
<ul style="margin-left: 9px;">
<li>Social Security Number and Income</li>
<label>
<li>Account Balances and Payment History</li>
</label>
<label>
<li>Credit History and Credit Scores</li>
</label>
</ul>
</label>
</td>
</tr>
<tr>
<td style=" background:#B2BABB; font-size:36px; text-align:center; width:15%; border-bottom:1px solid; border-right:1px solid; ">How?</td>
<td style="border-bottom:1px solid; padding:0 10px;"> TAll financial companies need to share customer’s personal information to run their everyday business. In the section below, we list the reasons financial companies can
share their customer’s personal information; the reasons Chooses to share; and whether you can limit this sharing. </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<br>
<table cellspacing="0" cellpadding="0" style="border: 1px solid;">
<tbody>
<tr>
<th style="background: #B2BABB;width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">Reasons we can share your personal information</th>
<th style="background: #B2BABB;width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">Does share? </th>
<th style="background: #B2BABB;width: 25%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">Can you limit this sharing?</th>
</tr>
<tr>
<td style="width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">
<strong>For our everyday business purposes-</strong><br> Such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus
</td>
<td style="width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; text-align:center;"> Yes </td>
<td style="width: 25%; border-bottom: 1px solid; padding:5px 10px; text-align:center; "> No </td>
</tr>
<tr>
<td style="width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">
<strong>For our marketing purposes--</strong><br> To offer our products and services to you
</td>
<td style="width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; text-align:center;"> Yes </td>
<td style="width: 25%; border-bottom: 1px solid; padding:5px 10px; text-align:center; "> No </td>
</tr>
<tr>
<td style="width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">
<strong>For joint marketing with other financial companies</strong><br>
</td>
<td style="width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; text-align:center;"> Yes </td>
<td style="width: 25%; border-bottom: 1px solid; padding:5px 10px; text-align:center; "> No </td>
</tr>
<tr>
<td style="width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">
<strong>For our affiliates’ everyday business purposes-</strong><br> Information about your transactions and experiences
</td>
<td style="width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; text-align:center;"> No </td>
<td style="width: 25%; border-bottom: 1px solid; padding:5px 10px; text-align:center; "> No </td>
</tr>
<tr>
<td style="width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">
<strong>For our affiliates' everyday business purposes-</strong><br> Information about your creditworthiness
</td>
<td style="width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; text-align:center;"> No </td>
<td style="width: 25%; border-bottom: 1px solid; padding:5px 10px; text-align:center; "> No </td>
</tr>
<tr>
<td style="width: 45%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; ">
<strong>For our affiliates to market to you</strong><br>
</td>
<td style="width: 30%; border-bottom: 1px solid; border-right: 1px solid; padding:5px 10px; text-align:center;"> No </td>
<td style="width: 25%; border-bottom: 1px solid; padding:5px 10px; text-align:center; "> No </td>
</tr>
<tr>
<td style="width: 45%; border-right: 1px solid; padding:5px 10px; ">
<strong>For nonaffiliates to market to you</strong><br>
</td>
<td style="width: 30%; border-right: 1px solid; padding:5px 10px; text-align:center;"> Yes </td>
<td style="width: 25%; padding:5px 10px; text-align:center; "> Yes </td>
</tr>
</tbody>
</table>
<br>
<table cellspacing="0" cellpadding="0" style="border: 1px solid;">
<tbody>
<tr>
<td style="padding:5px 10px; font-size: 40px; border-right: 1px solid black; width: 17%; background: #B2BABB; border-bottom: 1px solid; vertical-align: top; text-align:center; "> To limit <br> our sharing </td>
<td style="border-bottom: 1px solid; padding:5px 10px;">
<ul style="margin:0;">
<li>Call:</li>
<li>or<br>Mail the form below</li>
</ul>
<strong>Please note:</strong>
<p>If you are a new customer, we can begin sharing your information 30 days from the date we sent/presented this notice. When you are no longer our customer, we continue to share your information as described in this notice.</p>
<p>However, you can contact us at any time to limit our sharing.</p>
</td>
</tr>
<tr>
<td style="padding:5px 10px; font-size: 40px; border-right: 1px solid black; width: 17%; background: #B2BABB; vertical-align: top; ">Questions?</td>
<td style=" padding:5px 10px;">Call:</td>
</tr>
</tbody>
</table><br>
<table cellspacing="0" cellpadding="0" style="border: 1px solid;">
<thead>
<tr>
<th style="width: 17%; padding:5px 10px; background: #B2BABB; border-bottom:1px solid; border-right:1px solid #000">Mail-in Form</th>
<th style="padding:5px 10px;border-bottom: 1px solid #000; background: #B2BABB;">Stock Number:</th>
</tr>
</thead>
<tbody>
<tr>
<td style="padding:5px 10px; border-right:1px solid #000;vertical-align:top;">
<strong>If you have a joint account, your choices will be applied to everyone on your account unless you mark below.</strong>
<div style="margin-top:30px;">
<input type="checkbox">Apply my choices only to me
</div>
</td>
<td>
<table style="width:100%;" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td colspan="2" style="border-bottom:1px solid #000;padding:10px;">
<strong>Mark any/all you want to limit:</strong><br>
<strong> <input type="checkbox">Do not share information about my creditworthiness with your affiliates for their everyday business purposes.</strong><br>
<strong><input type="checkbox">Do not allow your affiliates to use my personal information to market me.</strong><br>
<strong><input type="checkbox">Do not share my personal information with nonaffiliates to market their products and services to me.</strong>
</td>
</tr>
<tr>
<td style="border-right: 1px solid; width:50%; padding:10px;">
<table style="width:100%;" cellspacing="0" cellpadding="5px">
<tbody>
<tr>
<td colspan="2">
<strong style="word-spacing:5px">ASHLEI JASMENE COLGATE-EDWARDS<br> 3401 DUNVALE RD #2108 <br> Houston <br> TX <br> 77063 <br>
</strong>
<strong>X</strong> <strong>2019-1-2</strong>
</td>
</tr>
<!--tr>
<td style="width:70%;height:80px;">
</td>
<td style="width:30%;height:80px;">
</td>
</tr>
<tr>
<td style="width:70%; padding:2px 10px;">
<div style="width:100%;border-top: 1px solid #000;text-align:center;"><strong>Customer Signature</strong></div>
</td>
<td style="width:30%;padding:2px 10px;">
<div style="width:100%;border-top: 1px solid #000;text-align:center;"><strong>Date</strong></div>
</td>
</tr-->
</tbody>
</table>
</td>
<td style="width:50%;vertical-align:top;text-align:left;">
<table cellspacing="0" cellpadding="0" style="width:100%;">
<tbody>
<tr>
<th style="background: #B2BABB;padding:2px 10px;border-bottom:1px solid #000;">Mail to:</th>
</tr>
<tr>
<td></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<br>
<table cellspacing="0" cellpadding="0" style="width: 100%;border:1px solid;">
<tbody>
<tr>
<th colspan="2" style="background:#B2BABB; border-bottom:1px solid #000; text-align:left; font-weight:400; padding: 10px;"><strong>Who we are</strong></th>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">Who is providing this notice?</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> </td>
</tr>
<tr>
<th colspan="2" style="background:#B2BABB; border-bottom:1px solid #000; text-align:left; font-weight:400; padding: 10px;"><strong>What we do</strong></th>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">How does protect my personal information?</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;">To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards
and secured files and buildings.</td>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">How does collect my personal information?</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> We collect your personal information, for example, when you:<br>
<ul>
<li>Apply for a loan or open an account</li>
<li>Apply for a loan or open an account</li>
<li>Use your credit or debit card or ach</li>
</ul>
</td>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">Why can’t I limit all sharing?</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> Federal law gives you the right to limit only::<br>
<ul>
<li>Sharing for affiliates’ everyday business purposes— information about your credit worthiness </li>
<li>Affiliates from using your information to market to you</li>
<li>Sharing for nonaffiliates to market to you</li>
</ul>
<br><label>State laws and individual companies may give you additional rights to limit sharing.</label>
</td>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">What happens when I limit sharing for an account I hold jointly with someone else?</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> Your choices will apply to everyone on your account – unless you tell us otherwise. </td>
</tr>
<tr>
<th colspan="2" style="background:#B2BABB; border-bottom:1px solid #000; text-align:left; font-weight:400; padding: 10px;"><strong>Definitions</strong></th>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">Affiliates</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> Companies related by common ownership or control. They can be financial or nonfinancial companies. </td>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">Nonaffiliates</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> Companies not related by common ownership or control. They can be financial or nonfinancial companies. </td>
</tr>
<tr style="border-bottom:1px solid;">
<td style="border-bottom:1px solid; border-right:1px solid; width:50%; padding:10px; ">Joint Marketing</td>
<td style=" border-bottom: 1px solid; padding: 10px; width:50%;"> A formal agreement between nonaffiliated financial companies that together market financial products or services to you. </td>
</tr>
</tbody>
</table>
<br> <table class="cust" width="100%" border="0px" cellspacing="0" cellpadding="1" style="margin:0 auto 25px auto;">
<tbody>
<tr>
<td colspan="2" style="text-align:right;font-size:15px;">
<i>By signing I am acknowledging receipt of a copy of this Privacy Notice.</i>
</td>
</tr>
<tr>
<td style="width:70%;height:110px;text-align:center;">
<div class="sign-pad-wrap">
<a href="javascript:;" class="sign-btns customer_clear-sign"> <i class="fa fa-window-close"></i> </a>
<div id="customer_sign_pad">
<div style="padding:0 !important;margin:0 !important;width: 100% !important; height: 0 !important;margin-top:-1em !important;margin-bottom:1em !important;"><img
style="position:absolute !important; top: auto; min-width:90px !important; max-width:180px !important;width:10% !important;border:none !important;padding: 0 !important;margin:0 !important;box-shadow:0 0 0 !important;"
src="data:image/gif;base64,R0lGODlhtABJAOf/AAABAAACAAEEAAIFAQQHAgUIBAcJBQoJAAgLBwwLAAoMCA0MAA8OAwwPCxMQAA8RDRURABYSARITERMVBBQVExcXABgYAhYYFRkaBBwbABkaGB0cAR4dAhocGRsdGh8fBSIgAB0fHB4gHSAhHyQjBSckACIjISgmASQlIyooBSYnJSwpAC0qAC4rAS8rAikqKCssKjEuBTMvAC0uLDUwAjcyBS8xLzg0Bjs1ATIzMTw3Azk5BDQ2MzY3NTs7Bjw8Bzg5Nz49ADo7OUA/AkJABEJBBTw+O0RCBj5APUVECEdFAUFCQElGAkpIBERGQ0xKBk5LB09MCEdJRlJOAlNPA0pLSVRQBFZSBk1PTFdTB1hUCVtVAE9RTlxXAl5YBFJUUVRVU2BaBmFbCFZXVWJcCVZYVVlbWWZgAmhhBGliBVxeW15gXWxlCW1mC2BiX25nDHBoAXJqA2NlYnRrBmZnZXFuCGhpZ3NwCnRxDHVyAHdzAWxta3l1A3p2BW9xbnx4CX55DIB7AHN1coJ8AYN+A3Z4dXh6d4eBCYiCDImDDnt9eoyFAI2GAo6HA36AfZCJBoCCf4KEgZOLDJWND4WHhJiQAYiKh5qSBZ2UCouNip+VDqGXAI6QjaSaA5CSj6ecB5SWk6ieC6qfDq2hAJeZlq+jAJmbmLCkAqynBJyem66oCZ2fnLCqDaCin7StALKsEKOloriwA7qyCaeppry0DamrqL+2AL21EMG4AKyuq8O6Aq6wrca8CbCyr7O1ssm/EcvBAM3DALa4tc/EAri6t7q8udLHCdPIDr2/vNXKEtjMANrNAMDCvtvPAsLEwd3QB8PFwsXHxN/SDcfJxuHUEuTWAOXXAOfYAMvNyejaBc3PzOrcC9DSz+zdEOjgE+viANPV0uzjAO3kAO7lANfZ1vDnBvLoC9nb2PPpD/brAPTqEtze2/ftAPnuAPrvAN/h3vvwAPzxBeHk4P7yCeXn5Ofp5unr6Ovt6u7w7fHz8PP18vX49Pn7+Pv9+v7//P///yH5BAEKAP8ALAAAAAC0AEkAAAj+AP8JHEhQoL+DCAsqXMiwocOHECNKnEixosWHCDNq9Hexo8ePIEOKhHiwXiQVFy6M+EKJ2L2NHEfKnEmz5sWDoAgE2MmT50pLxfDBtEm0qNGQBzntpGJLnLhqqgAxqdAzgIkxmZDlG3q0q9evBqHt1DSvrFmz1VD1URKhqgozmZht3Qi2rl2QB8EEGHS2r19qo/QcadtThRpO0OZqvMu4cUN/8ggs8Oa3cmVpovAQYVAVxhpP0fZxdUy6rr9ZAaxYXm053rJPdYIsqDrDDahpoumW3m3zoKAAiVgLXx1P2ac5O2bzJGBDDils/Ebznt7x4JIAt4ZrZ93u2KY3OJT+7ySQgw4pbdF1U19P0l+DAOK2yxfezpgmNjUM9DTQw04qbuktxt6ABPlDTgAnzKegdu0Ec0kaNOjEkwFA7NEKOAFmROB6/sASwBYLhrgdO8BUckYMEu5kgBB+XNiPdBvadZAfATQi4o3ysfPLJGK4UJUCRvgBCzkwxRSjVwcZEQAuODY5Hzq8SOIFC1U1gIQgs5xT5JFF+dOPAgGY4+SYCpqDSyNdnFDVA0sUUss6W3I5kj/gBMACmXiGWI4ti2hBQlUSOGFILu/EKedNrQQQBoOjeEHCCTggUk2eeYpDSyJXgFAVBVIosos8hh6KkT97BCDJcMrQUFUABPBV1ij+kuASDqVOhiMLIlRwUNUFVTjSCz2hilqgP0AEwItw3nAmwyeyGCPLGZzNKk5PJMARizq0OulNLINEsUFVHWABiS/1wHioP/wYQAC2rNURwAbs9IXOpGUhEl5PCzShSrZkbuPKIE1YAC4XkQhjj7kE+sNNADIM10UAOmz3RAAuELaAX7h4EYQYyfAb4jVRTVWVCCy5hDBv/qQSwBnDfbITFLzEw1o8beHSjix1kGUWOmhUlUV8HouYVh9JEOYTGEAJpV5pB9kRQCXaLUIYBnrQ61cwARgQr1/WUBkAEYPgsJMMMs8jjhixBB0iYHoQAUFVJpSRlWIaNnYQDwEEs13+OYhQtdOpfjESwA+VlePjAqiUFU8lEBhA2Tx/BBDBNWrjiNkdm7llBidynUwUugYY0M587GiSwk6b+MVEAH/41c7qBhx7VjfSmJXFTnNY1s4zlcvn2nGyVfXCYdDo4/mc2ARQQ4jtTBEAB6Ob1c5ssvilyU6fCFfDTgsA3RcgAYjS+4LtKNMJcuLt5BlouR3UJSkBsMFaNY1E3xc1O1Fz1jE7odOXOBNg3XDeph9EVMZ5YhgfjrrznXstpzbEcF9NDiKHAOjMMnkIQO78soydUM4sowgACfwSuQ+UbTXd+FsALLC1s2hhZasJRgWyp0AG2Qc/+mFVLiQ4k4PkIAD+xmDN9QjQCfvNgx3OO0JfBhEAKvjlT3yJxzV4MYpYKINdZZFFADAQjxhY0C8Tc1Vl4BAAPdSQfMHAA6t2wcM57UMyRnSdFXaygUFIAhF/+BYBZGeWK+ylL1gLQDW8UYJVVYAJ35jHIpo4D1QEIAUnLIuaLugXL7piNaJg0hktw0QC9KKNSJlGAHAwnHZ84garcoHezhKPAFbvLJUIwA7mUY309SSIL2TEPOLho0tKTydpq8y04GMZl4FoHrwAAR4GYUdVdOOMnfQFKD/iD1AEAA7yAUYf0JAFQMTCfq7AwRHmGABVeG8eTCRCWcTRjXCUgx3HKGBZ/qTJUzDMfs/+2EnHKqOKANBgNTsIAA3fsCoCMOET/hsf+AwgjGnexB9uCEAnxjSHVQVAmWXRgyxd9wM7jS6FASiH4nwEuHm8ImtxNIsa72CZcuzkcVF4JBSsEIRv7YQBzxxfH7IWQSN55CAzCIAyxsQOUSxiDle4gXIWMDpXBKACH1zn6rBTln6C4CwhXMAHGxGAG6yGCAFIXGW0iAGz+IiGZflFG2o2D2kwgQiJ2Ce/NGqAYjiUIge5ADFpFY9njOIXZVHHtzbQh1GoQg8YYFXqyrLTKbBSVVooSxoC8IbVtKV2lWHiFcryjZ1g9izt+GAbejKFofLrDllDxl0lkte9Vu4ZNu3+SQReWZYg/PEswNhJ9WyL1r5cg1W8CEYwjrEMb0RvdVBr5LuEY9smyGA8tPCLLS5xjWpYI6XyqagBVOvTihykA0JVoDk2oYQayOCgWJwHOoDpl9GWQB2c4R0/LbqTCaRAP8soCxkXxZpvMWkUbWGAac2iqZ58YA6rVFBFFcCM1Y6KDhrc5Gq0yIAWmkUcVAmD5FZDxgq4gAUpOMEG0rcBswagDso451nMsRNrlOUaqwPB445IX4qNYkEEVQA0HOwQOgVgAQmW8FmWEYHWVcZlO2nCaqgkvr6UQxoa5q8yqrIAEhBBDJOI3kktAFoqya8s0mDVNr6xDWBcAqwB+ED+iNgQAAVEg8cMOYgaJMdHIZvFwn45wk4mYZltvNQyvC2LyxaQ2FVpcrT8NYsjSyxoO/nlGo3Y14LiMdkGTAPOC0HXF3aCg0ocA7t29m0MIpBTv7jsn5Z5G2bPEIA2zKMd1aBiI+Zwh6396cZnwdrFJNtqSsWD1Q3ABqYVgi5H6JV7OoBDJ5QBajujQ6SWYbUZK5NCppaFyazJpwGgXRZ0xPROkgwArvMUDzEE4AHC7i5r0VULN8wgRT/2wRw+oYxIhno1p7OFZXBBsbK0QyefrYwkdlKDJkxBC10IoEBfvJNS56kdXgiABLQx7IJoZB/R8MQaYEDlINThE8+w973+y4IHKoD6elkoizX6x5rbWdQCTZ4HVxFEBC/ooRKqCEaz5wNxiXOj4sTeiD6gwQk1vKAqDCACHkYR8JGvhomAKEtud43vAExBQgsYRDAi+TD6qnNM7diCz4H+mI3kgxmZMIMKqhKBI+hhFPpzul+OsQV6hYNVbfgFnsvCjp08IxheS0Mcv7UIo87BCjhIrGPJ1I4XUgAcZG+PRvCBDEuMwQRsV0IfUGE1uZ+F1eNJgRYG8YnoGQOlR3TXh+wXZteaReRNasccLwB5dcsEJvggBiW+IIKqHBIQqoiq3F+xBaP9rdGoLgsTI9xocFeuHVQIwAWIZPsJbuQewqAEFzz+UBULNAEQr9iG3OszikFsQQmmdVkd+hLxALwyEQFQ8vjaEVMNaKn6XdpIPXwBCSyAtycbAAWDEAsO53m8kFB3ZlslUBYVlUAK1A4T0wH35xgwQQ+94AhVcGw8sQFTQAixkEie5xfhQARpkFEBwAQz1jvs0AQB0AFwgn9gUSTykAuKIAUSUBUgYAWIIAsqFoLzcAsqQgRwoAm/kIL8wg6rEwKFAoN3USTvkAuG4AQ32BMgkAWLcAs9OHKvoCZVwQI7R1RJEAAisIQbUiTrUAuFsATv0RMlsAWMgAvcNnLPIAlioANtEQFiojbqoGcjACpMiDIwcQ6zIAhIACY9kQL+XRAreeh03rCIaoMOYGUCfigs/1Ak5AALfmAEhsgTLOAFknCAPsgv1bAIPhIAKFAuf1iGG9EP4NAKewAEOcQTLoBlv5BeoRgi3TAJAbUTDeAGxBAglBhnG8EP3LAKdtADscgqMXAGlQAMe3eLliEOmqBnKlIGu9A+qRiMlTiM2mAKdJAD8EYANJAGl6Bz0NgX5vAJTyAhBIAFs0A32vhTw4gNpCAHNgBvBlADbKAJxvCFm8QOqqAF4uEEq6A0kRePPbYR+zANoOBuVIYDbbAJn2Zn7RALYsAZO2EEoICKB4mQeKWQGWd0VJZsy+aPYxIPuMAGRpMDmeCHHemR1GS+ds5QdGuHL/JGb7DXJMBQB7H1ApBwfy8Jkz1kdsiQCWWAAh33cSGHI8fwB3+yEyZgCD9XN0LJHrhXDJYABpjXE0m3dE3HGtIwCKXYgn5waVRZlVwCE/ege7zHdm4Hd5UBaduzExJAB8jwIgmBlggJE/YgDJHABf/HExGgeaigDJVgW7yoBsKQIXrZmNuoEfvnCFigARZlAGCQC9jomJppcRshD72gCFXQAVUAC/C4maaZaUWSl6e5mgkZlBYREAA7">
</div><canvas class="jSignature" width="300" style="margin: 0px; padding: 0px; border: none; height: 130px; width: 300px;" height="130"></canvas>
<div style="padding:0 !important;margin:0 !important;width: 100% !important; height: 0 !important;margin-top:-1.5em !important;margin-bottom:1.5em !important;"></div>
</div>
<input type="hidden" class="hide" name="customer_sign" id="customer_sign" value="">
</div>
</td>
<td style="width:30%;height:110px;text-align:center;">
<input type="hidden" id="customer_sign_date" name="customer_sign_date" value="2022-06-21"> 2022-06-21
</td>
</tr>
<tr>
<td style="width:70%; padding:2px 10px;">
<div style="width:100%;text-align:center;"><strong>Customer Signature</strong></div>
</td>
<td style="width:30%; padding:2px 10px;">
<div style="width:100%;text-align:center;"><strong>Date</strong></div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<label for="privacy_checkbox"><span style="color:red;"> * </span> <input type="checkbox" id="privacy_checkbox"> I have read and acknowledged USA DIRECT AUTO 's privacy notice.</label>
</div>
<div class="clearfix clear"></div>
<br><br>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-prev-btn"><span> <i class="fa fa-long-arrow-left"></i> Back </span> </button>
<button type="button" class="btn custom-btn cff-final-submit-btn"><span> Submit </span></button>
</div>
</div>
</div><!-- end step7 -->
<div class="clearfix clear"></div>
<div class="cff-step step8" data-step="8">
<div class="formBlock form-group">
<div style="text-align:center;">
<h3>Congratulations!</h3>
<p>You've completed the online credit application. As a next step, a representative from our dealership will be in touch with you to let you know the results of your credit application. </p>
</div>
</div>
<br><br>
<div class="form-group text-center" style="margin:25px auto;">
<button type="button" class="btn custom-btn cff-close-popup-btn"><span> Close </span></button>
</div>
</div><!-- end step8 -->
<div class="clearfix clear"></div>
<input type="hidden" name="action" value="cffsubmit">
</form>POST #
<form class="login_form" id="login_form" method="post" action="#" novalidate="novalidate">
<h2>Please Login</h2>
<input type="text" class="alert_status" readonly="">
<label for="login_user"> Username</label>
<input type="text" name="login_user" id="login_user">
<label for="pass_user"> Password </label>
<input type="password" name="pass_user" id="pass_user">
<label for="rememberme" id="lb_rememberme"><input name="rememberme" type="checkbox" id="rememberme" value="forever"> Remember Me</label>
<input type="submit" name="login_submit" value="LOGIN" class="login_submit">
</form>POST http://www.usadirectautos.com
<form class="register_form" id="register_form" action="http://www.usadirectautos.com" method="post" novalidate="novalidate">
<h2>Registration</h2>
<input type="text" class="alert_status" readonly="">
<label for="register_user">Username</label>
<input type="text" name="register_user" id="register_user" value="">
<label for="register_email">E-mail</label>
<input type="email" name="register_email" id="register_email" value="">
<div id="allow_pass" style="display: block;">
<label for="register_pass">Password</label>
<input type="password" name="register_pass" id="register_pass" value="">
<label for="confirm_pass">Confirm Password</label>
<input type="password" name="confirm_pass" id="confirm_pass" value="">
</div>
<input type="submit" name="register_submit" id="register_submit" value="REGISTER">
</form>POST http://www.usadirectautos.com
<form class="lost_pwd_form" action="http://www.usadirectautos.com" method="post" novalidate="novalidate">
<h2>Forgotten Password?</h2>
<input type="text" class="alert_status" readonly="">
<label for="lost_pwd_user_email">Username or Email Adress</label>
<input type="text" name="lost_pwd_user_email" id="lost_pwd_user_email">
<input type="submit" name="lost_pwd_submit" id="lost_pwd_submit" value="GET NEW PASSWORD">
</form>Text Content
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USED CARS FOR SALE IN HOUSTON TX
WHY TRADING IN YOUR VEHICLES MAKES MORE SENSE
When it comes to getting rid of an old vehicle in a fast and convenient manner,
trade-ins at Best Used Car Dealerships can be your best option. It’s a fairly
streamlined and efficient way to part with your vehicle while obtaining a new
vehicle the same day.
Learn how this process works and find out if it’s the right choice for you -
WHY SHOULD YOU TRADE IN YOUR CAR OR TRUCK?
Buying a new vehicle is an exciting occasion, but it also comes with decisions
regarding how to get rid of your old car or truck. Oftentimes, these choices are
governed by your sentimental attachment to the vehicle, and you want to make
sure it’s going to the right place such as Reputable Used Car Dealerships Near
Me.
The main reason why you should trade-in your car or truck is because it’s
essentially a one-stop shop. You bring your vehicle to the dealership and handle
both transactions in one place. This makes the process safer and more
efficient.
But it’s also very important that you find the right used car dealership to
facilitate this process. One that will give you the best trade-in value for your
vehicle and give you the lowest price for your new car or truck.
THE BEST USED VEHICLES DEALERSHIP IN HOUSTON, TEXAS
USA Direct Auto has acknowledged itself as the fairest used car dealership in
Greater Houston. Thanks to an excellent track record of providing quality
customer service, USA Direct Auto makes the entire trade-in and purchase process
a breeze.
Selling a car or truck yourself can be intimidating, but the team at USA Direct
Auto helps you to find the best auto deal without any hassles.
Get in touch with a skilled member of our team today and learn your best
trade-in options no matter your vehicle type. Also, get Best Used Cars Finance
Deals no matter whether you have bad credit or no credit issues. Learn more by
calling (832) 271-3468 or visiting our Houston used vehicle dealership today.
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INFO
3804 Arc St Houston, Tx 77093 Pending Move To New Location
Sales: (832) 377-2734
SALES HOURS
Mon - Fri: 10:00 AM - 7:00 PM
Saturday: 10:00 AM - 5:00 PM
Sunday: Closed
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FINANCE
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Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia
Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize
Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island
Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso
Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African
Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia
Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Cote
D"Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican
Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia
Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana
French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana
Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea
Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican
City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic
Republic Of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People"S Republic of Korea, Republic
of Kuwait Kyrgyzstan Lao People"S Democratic Republic Latvia Lebanon Lesotho
Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao
Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives
Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico
Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro
Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue
Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian
Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn
Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation RWANDA
Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint
Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia
Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon
Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain
Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland
Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United
Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia
Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates United Kingdom United States United States Minor Outlying Islands
Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin
Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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Next we need to know your current address and the length of time that you have
lived at that address.
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Address 2
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Zip Code *
Residence Type *
Select Residence Type Owns home Outright Buying Home Living with Relatives
Renting/Leasing Owns/Buying Mobile Home Unknown
Rent/Mortgage *
$
Landlord Name *
Landlord Phone # *
How long have you lived there? *
Years
Months
Previous Residence
Address *
Address 2
City *
State *
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Driver's License Info
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Identification & Proof of Residence
--------------------------------------------------------------------------------
CO-APPLICANT CURRENT RESIDENCE USE SAME ADDRESS AS OF APPLICANT
Address *
Address 2
City *
State *
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Africa/Canada/Europe/Middle East Armed Forces Americas Armed Forces Pacific
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Zip Code *
Residence Type *
Select Residence Type Owns home outright Buying home Living with relatives
Renting/Leasing Owns/buying mobile home Unknown
Rent/Mortgage *
$
How long have co-applicant lived there? *
Years
Months
Co-Applicant Previous Residence
Address *
Address 2
City *
State *
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Africa/Canada/Europe/Middle East Armed Forces Americas Armed Forces Pacific
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Zip Code *
How long have co-applicant lived there? *
Years
Months
Co-Applicant Driver's License Info
License Number *
License State *
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Here you will be asked for information about your income and employment
Current Employer
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Last Employer Name *
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Job Title *
Job Type *
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Emergency/Police Entertainer/DJ Field/Farm Labor General Labor Hair Stylist
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Months
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Previous Employer
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Years
Months
Employer State
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Employer Zip
Employer Address
Employer City
Gross income *
Weekly Monthly Yearly
Your income ( before tax) including salary, wages, overtime and bonuses.
Income Type *
W2 1099 Job Letter/Passive Income
ADD SECONDARY SOURCE OF INCOME
Source of income *
Other gross income *
Weekly Monthly Yearly
Alimony, child support or separate maintenance does not need to be revealed if
you do not want it considered when repaying this obligation
Proof of Income
--------------------------------------------------------------------------------
CO-APPLICANT INCOME INFO
Current Employer
Employment Status *
Select One Active Military Contract Full Time Not Applicable Part Time Retired
Seasonal Self-Employed Temporary
Last Employer Name *
Employer Phone *
Job Title *
How long have co-applicant worked there? *
Years
Months
Employer Address
Employer City
Employer State
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Africa/Canada/Europe/Middle East Armed Forces Americas Armed Forces Pacific
California Colorado Connecticut Delaware District of Columbia Florida Georgia
Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland
Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada
New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio
Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South
Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West
Virginia Wisconsin Wyoming
Employer Zip
Previous Employer
Employer Name *
Employer Phone *
Job Title *
How long have co-applicant worked there? *
Years
Months
Employer Address
Employer City
Employer State
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Africa/Canada/Europe/Middle East Armed Forces Americas Armed Forces Pacific
California Colorado Connecticut Delaware District of Columbia Florida Georgia
Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland
Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada
New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio
Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South
Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West
Virginia Wisconsin Wyoming
Employer Zip
Employer Zip *
Weekly Monthly Yearly
Your income (before tax) including salary, wages, overtime and bonuses.
Income Type *
W2 1099 Job Letter/Passive Income
ADD SECONDARY SOURCE OF INCOME
Source of income *
Other Gross income *
Weekly Monthly Yearly
Alimony, child support or separate maintenance does not need to be revealed if
you do not want it considered when repaying this obligation.
Proof of Income
Back Next
The last information that we need from you is about the vehicle you are
interested in purchasing or leasing, and whether you are trading in a vehicle
Finance Info
Down Payment *
Term(Months) *
12 24 36 42 48 54 60 72 84
Vehicle Info *
Do you have a car to trade-in ? *
Select One No Yes
Trade-in Year *
Trade-in Make *
Trade-in Model *
Sales Representative
Select One Abel Avila Alan Sanchez Alfonso Leal Ana Torres Brandon garcia Brenda
Carpinteyro Brenda garcia Dereck Patman Diana Sanchez Emilio Ortiz Emmanuel
Ponce Fernando Rodas Gladys Asturias Glenn Miller Isaac Miranda James Urrego
John Derder Jorge Romero Jose Arris Kamila Roman Keven chumbiray Lorena Torres
Luis Alfaro Luis Garcia Mika Monte Pricila Cardenas Yobani Romero
Finance Representative
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Back Next
Please scroll down and review all entered information. Press Apply at the bottom
of the page to continue the application process.
PERSONAL INFO
Edit
Name
E-mail Address
Phone Number
Date of Birth
--------------------------------------------------------------------------------
Co-Applicant Name
Relationship Type
E-mail Address
Phone Number
Date of Birth
ADDRESS INFO
Edit
Address
Residence Type
Rent/Mortgage
landloard Name
landloard Phone #
Time At Address
years months
Previous Address
Time At Address
years months
Driver's License Number
Driver's License State
--------------------------------------------------------------------------------
Co-Applicant Address
Co-Applicant Residence Type
Rent/Mortgage
Co-Applicant Time At Address
years months
Co-Applicant Previous Address
Co-Applicant Time At Address
years months
Co-Applicant Driver's License Number
Co-Applicant Driver's License State
EMPLOYMENT INFO
Edit
Employment Status
Job Title
Employer Name
Employer Phone
Employer Address
Time at Job
Years Months
Previous Employment Status
Previous Job Title
Previous Employer Name
Previous Employer Phone
Previous Employer Address
Time at Previous Job
Years Months
Gross Income
Social Security Number
OTHER SOURCE OF INCOME
Other Gross Income
Source of Other Income
--------------------------------------------------------------------------------
Co-Applicant Employment Status
Co-Applicant Job Title
Co-Applicant Employer Name
Co-Applicant Employer Phone
Co-Applicant Employer Address
Co-Applicant Time at Job
Years Months
Co-Applicant Previous Employment Status
Co-Applicant Previous Job Title
Co-Applicant Previous Employer Name
Co-Applicant Previous Employer Phone
Previous Employer Address
Co-Applicant Time at Previous Job
Years Months
Co-Applicant Gross Income
Co-Applicant Social Security Number
CO-APPLICANT OTHER SOURCE OF INCOME
Other Gross Income
Source of Other Income
FINANCE & VEHICLE INFO
Edit
Down Payment
Term(Months)
Vehicle
Do you have a car to trade-in ?
-
Sales Representative
Finance Representative
Identification
Attachments
SEARCH. APPLY. DRIVE!
* PROOF OF ADDRESS
* +
* PROOF OF INCOME
* +
* PHOTO ID
* =
* APPROVED
Back Next
CONSENT AND DISCLOSURE
Please review the consent and disclosure notice and click the required box(es)
to continue your application
You understand that by clicking on the I AGREE button immediately following this
notice, you are providing 'written instructions' to USA Direct Auto under the
Fair Credit Reporting Act authorizing USA Direct Auto to obtain information from
your personal credit profile or other information from Experian. You authorize
USA Direct Auto to obtain such information solely to conduct a pre-qualification
for credit .
* By clicking this box, I agree that this credit application is an electronic
credit application submitted using electronic means and such means signifies my
intent to submit this credit application to USA DIRECT AUTO to the same extent
as if I had executed the credit application using my written signature.
Back I AGREE
DEALER PRIVACY NOTICE
Please review USA DIRECT AUTO 's privacy notice and click the box at the bottom
of the page to acknowledge.
FACTS
WHAT DOES
DO WITH YOUR PERSONAL INFORMATION? Why? Financial companies choose how they
share your personal information. Federal law gives consumers the right to limit
some but not all sharing. Federal law also requires us to tell you How we
collect, share, and protect your personal information. Please read this notice
carefully to understand what we do. What? The types of personal information we
collect and share depend on the product or service you have with us. This
information can include:
* Social Security Number and Income
Account Balances and Payment History
Credit History and Credit Scores
How? TAll financial companies need to share customer’s personal information to
run their everyday business. In the section below, we list the reasons financial
companies can share their customer’s personal information; the reasons Chooses
to share; and whether you can limit this sharing.
Reasons we can share your personal information Does share? Can you limit this
sharing? For our everyday business purposes-
Such as to process your transactions, maintain your account(s), respond to court
orders and legal investigations, or report to credit bureaus Yes No For our
marketing purposes--
To offer our products and services to you Yes No For joint marketing with other
financial companies
Yes No For our affiliates’ everyday business purposes-
Information about your transactions and experiences No No For our affiliates'
everyday business purposes-
Information about your creditworthiness No No For our affiliates to market to
you
No No For nonaffiliates to market to you
Yes Yes
To limit
our sharing
* Call:
* or
Mail the form below
Please note:
If you are a new customer, we can begin sharing your information 30 days from
the date we sent/presented this notice. When you are no longer our customer, we
continue to share your information as described in this notice.
However, you can contact us at any time to limit our sharing.
Questions? Call:
Mail-in Form Stock Number: If you have a joint account, your choices will be
applied to everyone on your account unless you mark below.
Apply my choices only to me
Mark any/all you want to limit:
Do not share information about my creditworthiness with your affiliates for
their everyday business purposes.
Do not allow your affiliates to use my personal information to market me.
Do not share my personal information with nonaffiliates to market their products
and services to me.
ASHLEI JASMENE COLGATE-EDWARDS
3401 DUNVALE RD #2108
Houston
TX
77063
X 2019-1-2
Mail to:
Who we are Who is providing this notice? What we do How does protect my personal
information? To protect your personal information from unauthorized access and
use, we use security measures that comply with federal law. These measures
include computer safeguards and secured files and buildings. How does collect my
personal information? We collect your personal information, for example, when
you:
* Apply for a loan or open an account
* Apply for a loan or open an account
* Use your credit or debit card or ach
Why can’t I limit all sharing? Federal law gives you the right to limit only::
* Sharing for affiliates’ everyday business purposes— information about your
credit worthiness
* Affiliates from using your information to market to you
* Sharing for nonaffiliates to market to you
State laws and individual companies may give you additional rights to limit
sharing. What happens when I limit sharing for an account I hold jointly with
someone else? Your choices will apply to everyone on your account – unless you
tell us otherwise. Definitions Affiliates Companies related by common ownership
or control. They can be financial or nonfinancial companies. Nonaffiliates
Companies not related by common ownership or control. They can be financial or
nonfinancial companies. Joint Marketing A formal agreement between nonaffiliated
financial companies that together market financial products or services to you.
By signing I am acknowledging receipt of a copy of this Privacy Notice.
2022-06-21
Customer Signature
Date
* I have read and acknowledged USA DIRECT AUTO 's privacy notice.
Back Submit
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from our dealership will be in touch with you to let you know the results of
your credit application.
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