assessment.acceleratedbanking.com
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Submission: On February 05 via api from US — Scanned from US
Submission: On February 05 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
Name: form_231996570051156 — POST https://submit.jotform.com/submit/231996570051156
<form class="jotform-form" id="231996570051156" name="form_231996570051156" action="https://submit.jotform.com/submit/231996570051156" method="post" autocomplete="on" novalidate="true"><input type="hidden" name="formID" value="231996570051156">
<ul class="jfForm-all form-section page-section form-all transition-all-03s" id="cardAnimationWrapper" style="transform: translate3d(0px, 0px, 0px) scale3d(1, 1, 1); transform-origin: 800px 50% 0px; width: 17250px;">
<li class="form-line" data-type="control_text" id="id_4">
<div id="cid_4" class="jfCard-wrapper isVisible transition-all-015s" style="width: 940px; margin-left: 330px;">
<div class="jfCard" data-type="control_text" style="max-height: 1043px;">
<div class="jfCard-index">1</div>
<div class="jfCard-question" style="max-height: 984.703px; overflow-y: auto;">
<div class="jfQuestion-fullscreen isHidden" role="button" aria-label="fullscreen mode" tabindex="-1" aria-hidden="true"></div>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField">
<div id="text_4" class="form-html" data-component="text">
<p style="text-align: center;"><span style="font-size: 14pt;"><img src="https://www.jotform.com/uploads/Accelerated/form_files/ab%20calculator%20logo%202021-color-stacked.6362a93f3af2b7.87251203.png" alt="" width="278"
height="188"></span></p>
<p style="text-align: center;"><span style="font-size: 18pt;"><strong>Complete Your Financial Assessment</strong></span></p>
<p style="text-align: center;"> </p>
<p style="text-align: left;"><span style="font-size: 12pt;">Please fill out the below form to the best of your ability. If needed, you may save and come back to this form. by clicking save at the bottom of the page.</span></p>
<p><span style="font-size: 12pt;">The info provided will never be shared and is exclusively for the purpose of helping you determine potential results using our cash flow strategies. Your Information Will be kept PRIVATE and
CONFIDENTIAL</span></p>
<p><span style="font-size: 12pt;"><strong>We do not expect the numbers will be exact, but the more accurate, the more productive your consultation will be.</strong></span></p>
</div>
</div>
</div>
</div>
<div class="jfCard-actions"><button style="display:none" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_0">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_0">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line always-hidden" data-type="control_text" id="id_42">
<div id="cid_42" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_text">
<div class="jfCard-index">2</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField">
<div id="text_42" class="form-html" data-component="text">
<p style="text-align: center;"><span style="font-size: 14pt;"><img src="https://www.jotform.com/uploads/Accelerated/form_files/ab%20calculator%20logo%202021-color-stacked.6362a93f3af2b7.87251203.png" alt="" width="278"
height="188"></span></p>
<p style="text-align: center;"><span style="font-size: 18pt;"><strong>The <span style="white-space: pre-wrap" class="replaceTag 42_name_last" default=""></span> Household's Financial Assessment</strong></span></p>
<p style="text-align: center;"> </p>
<p style="text-align: left;"><span style="font-size: 12pt;"><span style="white-space: pre-wrap" class="replaceTag 42_name_first" default=""></span>, please fill out the below form to the best of your ability. If needed, you may save
and come back to this form. by clicking save at the bottom of the page.</span></p>
<p><span style="font-size: 12pt;">The info provided will never be shared and is exclusively for the purpose of helping you determine potential results using our cash flow strategies. Your Information Will be kept PRIVATE and
CONFIDENTIAL</span></p>
<p><span style="font-size: 12pt;"><strong>We do not expect the numbers will be exact, but the more accurate, the more productive your consultation will be.</strong></span></p>
</div>
</div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_1">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_1">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line always-hidden" data-type="control_textbox" id="id_41">
<div id="cid_41" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">2</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_41" class="jfQuestion-label isCenterAlign" id="label_41"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">open?</span></label><span class="jfQuestion-description" id="id_41_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_41" name="q41_open" data-type="input-textbox" class="form-textbox jfInput-input" size="310" value="" data-component="textbox" aria-required="false"
aria-describedby="id_41_description" aria-labelledby="label_41"><label class="jfField-sublabel " for="input_41" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_2">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_2">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_fullname" id="id_24" data-compound-hint=",">
<div id="cid_24" class="jfCard-wrapper nextQuestion transition-all-015s" style="width: 940px; margin-left: 0px;" aria-hidden="true">
<div class="jfCard" data-type="control_fullname">
<div class="jfCard-index">2</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_24" class="jfQuestion-label isCenterAlign" id="label_24"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">Full Name</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
id="id_24_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields" data-wrapper-react="true" role="group" id="input_group_24">
<div class="jfField" data-type="first"><input type="text" id="first_24" name="q24_name[first]" class="form-textbox validate[required] forFullname jfInput-input hasSublabel" autocomplete="given-name" size="10" value=""
data-component="first" required="" aria-required="true" aria-describedby="id_24_description" aria-labelledby="label_24 sublabel_24_first"><label class="jfField-sublabel " for="first_24" id="sublabel_24_first">First Name</label>
</div>
<div class="jfField" data-type="last"><input type="text" id="last_24" name="q24_name[last]" class="form-textbox validate[required] forFullname jfInput-input hasSublabel" autocomplete="family-name" size="15" value=""
data-component="last" required="" aria-required="true" aria-describedby="id_24_description" aria-labelledby="label_24 sublabel_24_last"><label class="jfField-sublabel " for="last_24" id="sublabel_24_last">Last Name</label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_3">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_3">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_email" id="id_25">
<div id="cid_25" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_email">
<div class="jfCard-index">3</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_25" class="jfQuestion-label isCenterAlign" id="label_25"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">Email Address </span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
id="id_25_description"><span>Same one you used to book your appointment</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields questionMode">
<div class="jfField" data-type="email"><input type="email" id="input_25" name="q25_email" class="form-textbox validate[required, Email] forEmail jfInput-input hasSublabel" autocomplete="email" size="310" value="" data-component="email"
required="" aria-required="true" aria-describedby="id_25_description" aria-labelledby="label_25 sublabel_input_25"><label class="jfField-sublabel " for="input_25" id="sublabel_input_25">example@example.com</label>
<div class="jfCardTooltip js-tooltipContainer">
<div class="js-tooltipMessageContainer-info"></div>
<div class="js-tooltipMessageContainer-error"></div>
<div class="jfCardTooltip-close js-tooltipCloseButton"><span class="iconSvg "><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 326 326">
<g data-name="Layer 2">
<g data-name="Layer 1">
<path class="fail-outer" d="M163,0C73.12,0,0,73.12,0,163S73.12,326,163,326s163-73.12,163-163S252.88,0,163,0Z"></path>
<path class="fail-inner"
d="M227.6,98.4a14.75,14.75,0,0,0-20.86,0L163,142.14,119.26,98.4A14.75,14.75,0,1,0,98.4,119.26L142.14,163,98.4,206.74a14.75,14.75,0,1,0,20.86,20.86L163,183.86l43.74,43.74a14.75,14.75,0,1,0,20.86-20.86L183.86,163l43.74-43.74A14.75,14.75,0,0,0,227.6,98.4Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
<div class="jfEmailVerify-loading"><span class="loadingDot"></span><span class="loadingDot isD2"></span><span class="loadingDot isD3"></span></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_4">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_4">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_11">
<div id="cid_11" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">4</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_11" class="jfQuestion-label isCenterAlign" id="label_11"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is your approximate ORIGINAL balance on the mortgage?</span></label><span class="jfQuestion-description" id="id_11_description"><span>(If you have more than one, please
have info prepared for other mortgages for the appointment)</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_11" name="q11_whatIs" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00" data-component="textbox"
aria-required="false" aria-describedby="id_11_description" aria-labelledby="label_11"><label class="jfField-sublabel " for="input_11" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_5">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_5">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_12">
<div id="cid_12" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">5</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_12" class="jfQuestion-label isCenterAlign" id="label_12"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is the approximate CURRENT balance on the mortgage?</span></label><span class="jfQuestion-description" id="id_12_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_12" name="q12_currentBal" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_12_description" aria-labelledby="label_12"><label class="jfField-sublabel " for="input_12" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_6">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_6">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_13">
<div id="cid_13" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">6</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_13" class="jfQuestion-label isCenterAlign" id="label_13"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is the total payment? </span></label><span class="jfQuestion-description" id="id_13_description"><span>Payment MUST include principal, interest, taxes and
insurance</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_13" name="q13_totalPayment" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_13_description" aria-labelledby="label_13"><label class="jfField-sublabel " for="input_13" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_7">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_7">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_15">
<div id="cid_15" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">7</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_15" class="jfQuestion-label isCenterAlign" id="label_15"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is the interest rate?</span></label><span class="jfQuestion-description" id="id_15_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_15" name="q15_interestRate" data-type="input-textbox" class="form-textbox validate[Fill Mask] jfInput-input" size="310" value="" data-masked="true"
placeholder="0.00%" data-component="textbox" aria-required="false" aria-describedby="id_15_description" aria-labelledby="label_15" inputmode="text" maskvalue="#.##%"><label class="jfField-sublabel " for="input_15" aria-hidden="true"
tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_8">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_8">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_14">
<div id="cid_14" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">8</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_14" class="jfQuestion-label isCenterAlign" id="label_14"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is the term of the loan?</span></label><span class="jfQuestion-description" id="id_14_description"><span>15, 20, 30 Years</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_14" name="q14_loanTerm" data-type="input-textbox" class="form-textbox validate[Numeric] jfInput-input" size="310" value="" placeholder="30" data-component="textbox"
aria-required="false" aria-describedby="id_14_description" aria-labelledby="label_14"><label class="jfField-sublabel " for="input_14" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_9">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_9">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_30">
<div id="cid_30" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">9</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_30" class="jfQuestion-label isCenterAlign" id="label_30"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What's the estimated value of your home/property?</span></label><span class="jfQuestion-description" id="id_30_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_30" name="q30_estimatedValue" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_30_description" aria-labelledby="label_30"><label class="jfField-sublabel " for="input_30" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_10">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_10">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_matrix" id="id_16">
<div id="cid_16" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_matrix">
<div class="jfCard-index">10</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_16" class="jfQuestion-label isCenterAlign" id="label_16"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">Please list the monthly payment and balance for any other debt including credit cards, car loans, student loans, personal loans, HELOC, etc. ( Do not include the mortgage
)</span></label><span class="jfQuestion-description" id="id_16_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields" data-component="matrix" data-wrapper-react="true">
<div class="jfField" id="matrix_16" data-type="Text Box">
<div role="grid" class="jfMatrix forDesktop forTextInput">
<div role="rowgroup" class="jfMatrixHeader-wrapper">
<div role="row" class="jfMatrixHeader" style="margin-right:0px">
<div class="jfMatrixHeader-item">
<div style="width: 83px;"></div>
</div>
<div role="columnheader" class="jfMatrixHeader-item">
<div class="form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0">Name of Debt</label></div>
</div>
<div role="columnheader" class="jfMatrixHeader-item">
<div class="form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1">Monthly Payment</label></div>
</div>
<div role="columnheader" class="jfMatrixHeader-item">
<div class="form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2">Balance</label></div>
</div>
</div>
</div>
<div class="jfMatrixTable-wrapper">
<div role="rowgroup" class="jfMatrixTable jfMatrix-innerScrollableArea">
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_0">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_0">Debt #1</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox" style="min-width: 110px;">
<div class="jfField"><input type="text" id="input_16_0_0" name="q16_debtArray[0][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_0"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox" style="min-width: 135px;">
<div class="jfField"><input type="text" id="input_16_0_1" name="q16_debtArray[0][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_0"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox" style="min-width: 90px;">
<div class="jfField"><input type="text" id="input_16_0_2" name="q16_debtArray[0][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_0"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_1">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_1">Debt #2</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_1_0" name="q16_debtArray[1][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_1"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_1_1" name="q16_debtArray[1][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_1"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_1_2" name="q16_debtArray[1][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_1"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_2">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_2">Debt #3</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_2_0" name="q16_debtArray[2][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_2"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_2_1" name="q16_debtArray[2][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_2"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_2_2" name="q16_debtArray[2][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_2"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_3">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_3">Debt #4</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_3_0" name="q16_debtArray[3][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_3"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_3_1" name="q16_debtArray[3][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_3"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_3_2" name="q16_debtArray[3][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_3"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_4">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_4">Debt #5</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_4_0" name="q16_debtArray[4][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_4"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_4_1" name="q16_debtArray[4][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_4"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_4_2" name="q16_debtArray[4][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_4"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_5">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_5">Debt #6</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_5_0" name="q16_debtArray[5][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_5"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_5_1" name="q16_debtArray[5][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_5"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_5_2" name="q16_debtArray[5][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_5"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_6">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_6">Debt #7</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_6_0" name="q16_debtArray[6][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_6"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_6_1" name="q16_debtArray[6][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_6"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_6_2" name="q16_debtArray[6][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_6"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_7">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_7">Debt #8</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_7_0" name="q16_debtArray[7][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_7"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_7_1" name="q16_debtArray[7][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_7"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_7_2" name="q16_debtArray[7][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_7"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_8">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_8">Debt #9</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_8_0" name="q16_debtArray[8][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_8"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_8_1" name="q16_debtArray[8][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_8"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_8_2" name="q16_debtArray[8][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_8"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 2</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_16 label_16_row_9">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_16_row_9">Debt #10</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_9_0" name="q16_debtArray[9][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_9"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 0</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_9_1" name="q16_debtArray[9][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_9"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 1</span>
</label></div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_16_9_2" name="q16_debtArray[9][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_9"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 2</span>
</label></div>
</div>
</div>
</div>
</div>
<div class="jfMatrix forMobile forClassic hidden-matrix">
<div class="jfMobileMatrix-questionList">
<div class="jfMobileMatrix-question jfMatrix-question isActive form-matrix-row-headers" data-order="0"><label id="label_16_row_0_mobile">Debt #1</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="1"><label id="label_16_row_1_mobile">Debt #2</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="2"><label id="label_16_row_2_mobile">Debt #3</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="3"><label id="label_16_row_3_mobile">Debt #4</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="4"><label id="label_16_row_4_mobile">Debt #5</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="5"><label id="label_16_row_5_mobile">Debt #6</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="6"><label id="label_16_row_6_mobile">Debt #7</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="7"><label id="label_16_row_7_mobile">Debt #8</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="8"><label id="label_16_row_8_mobile">Debt #9</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="9"><label id="label_16_row_9_mobile">Debt #10</label></div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow isActive" data-order="0">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_0">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_0_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_0" data-name="q16_debtArray[0][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_0">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_0_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_0" data-name="q16_debtArray[0][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_0">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_0_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_0" data-name="q16_debtArray[0][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="1">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_1">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_1_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_1" data-name="q16_debtArray[1][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_1">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_1_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_1" data-name="q16_debtArray[1][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_1">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_1_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_1" data-name="q16_debtArray[1][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="2">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_2">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_2_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_2" data-name="q16_debtArray[2][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_2">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_2_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_2" data-name="q16_debtArray[2][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_2">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_2_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_2" data-name="q16_debtArray[2][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="3">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_3">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_3_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_3" data-name="q16_debtArray[3][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_3">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_3_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_3" data-name="q16_debtArray[3][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_3">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_3_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_3" data-name="q16_debtArray[3][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="4">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_4">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_4_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_4" data-name="q16_debtArray[4][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_4">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_4_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_4" data-name="q16_debtArray[4][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_4">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_4_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_4" data-name="q16_debtArray[4][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="5">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_5">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_5_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_5" data-name="q16_debtArray[5][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_5">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_5_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_5" data-name="q16_debtArray[5][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_5">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_5_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_5" data-name="q16_debtArray[5][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="6">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_6">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_6_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_6" data-name="q16_debtArray[6][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_6">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_6_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_6" data-name="q16_debtArray[6][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_6">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_6_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_6" data-name="q16_debtArray[6][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="7">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_7">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_7_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_7" data-name="q16_debtArray[7][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_7">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_7_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_7" data-name="q16_debtArray[7][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_7">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_7_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_7" data-name="q16_debtArray[7][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="8">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_8">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_8_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_8" data-name="q16_debtArray[8][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_8">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_8_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_8" data-name="q16_debtArray[8][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_8">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_8_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_8" data-name="q16_debtArray[8][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="9">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_16_column_0_9">Name of Debt</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_9_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_0 label_16_row_9" data-name="q16_debtArray[9][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 0</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_1"><label id="label_16_column_1_9">Monthly Payment</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_9_1_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_1 label_16_row_9" data-name="q16_debtArray[9][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 1</span>
</label></div>
</div>
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_2"><label id="label_16_column_2_9">Balance</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_16_9_2_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_16_description"
aria-labelledby="label_16_column_2 label_16_row_9" data-name="q16_debtArray[9][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 2</span>
</label></div>
</div>
</div>
</div>
<div class="jfMobileMatrix-columnDotlist">
<div class="jfMatrixProgress-text" style="display:none"><span>1</span> of 10</div><button type="button" class="jfMatrixProgress-button forMatrixPrev js-mobileMatrixPrevButton noTranslate" disabled="" aria-label="Previous"><span
class="iconSvg "><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 30.2 52.6" style="enable-background:new 0 0 30.2 52.6" xml:space="preserve">
<g>
<g>
<path class="st0"
d="M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z"></path>
</g>
</g>
</svg></span></button><span class="jfMobileMatrix-columnDotWrapper">
<div class="jfMobileMatrix-columnDot isActive" data-order="0"></div>
<div class="jfMobileMatrix-columnDot " data-order="1"></div>
<div class="jfMobileMatrix-columnDot " data-order="2"></div>
<div class="jfMobileMatrix-columnDot " data-order="3"></div>
<div class="jfMobileMatrix-columnDot " data-order="4"></div>
<div class="jfMobileMatrix-columnDot " data-order="5"></div>
<div class="jfMobileMatrix-columnDot " data-order="6"></div>
<div class="jfMobileMatrix-columnDot " data-order="7"></div>
<div class="jfMobileMatrix-columnDot " data-order="8"></div>
<div class="jfMobileMatrix-columnDot " data-order="9"></div>
</span><button type="button" class="jfMatrixProgress-button forMatrixNext js-mobileMatrixNextButton noTranslate" aria-label="Next"><span class="iconSvg "><svg xmlns="http://www.w3.org/2000/svg"
xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 30.2 52.6" style="enable-background:new 0 0 30.2 52.6" xml:space="preserve">
<g>
<g>
<path class="st0"
d="M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z"></path>
</g>
</g>
</svg></span></button>
</div>
</div>
</div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_11">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_11">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_matrix" id="id_44">
<div id="cid_44" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_matrix">
<div class="jfCard-index">11</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_44" class="jfQuestion-label isCenterAlign" id="label_44"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What are your total household monthly expenses?</span></label><span class="jfQuestion-description" id="id_44_description"><span>If you do not know the exact, try your best to
provide estimates</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields" data-component="matrix" data-wrapper-react="true">
<div class="jfField" id="matrix_44" data-type="Text Box">
<div role="grid" class="jfMatrix forDesktop forTextInput">
<div role="rowgroup" class="jfMatrixHeader-wrapper">
<div role="row" class="jfMatrixHeader" style="margin-right:0px">
<div class="jfMatrixHeader-item">
<div style="width: 140px;"></div>
</div>
<div role="columnheader" class="jfMatrixHeader-item">
<div class="form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0">Amount Below</label></div>
</div>
</div>
</div>
<div class="jfMatrixTable-wrapper">
<div role="rowgroup" class="jfMatrixTable jfMatrix-innerScrollableArea">
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_0">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_0">Food/Groceries:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox" style="min-width: 116px;">
<div class="jfField"><input type="text" id="input_44_0_0" name="q44_monthlyExpenses[0][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_0"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_1">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_1">Auto Fuel:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_1_0" name="q44_monthlyExpenses[1][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_1"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_2">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_2">Combined Utilities:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_2_0" name="q44_monthlyExpenses[2][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_2"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_3">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_3">Cable / Internet:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_3_0" name="q44_monthlyExpenses[3][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_3"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_4">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_4">Cell Phone Bill:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_4_0" name="q44_monthlyExpenses[4][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_4"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_5">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_5">Car Insurance:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_5_0" name="q44_monthlyExpenses[5][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_5"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_6">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_6">Life Insurance:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_6_0" name="q44_monthlyExpenses[6][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_6"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_7">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_7">Medical:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_7_0" name="q44_monthlyExpenses[7][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_7"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_8">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_8">School Tuition:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_8_0" name="q44_monthlyExpenses[8][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_8"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_9">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_9">Tithing:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_9_0" name="q44_monthlyExpenses[9][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_9"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_10">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_10">Entertainment:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_10_0" name="q44_monthlyExpenses[10][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_10"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 10, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_11">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_11">Subscriptions:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_11_0" name="q44_monthlyExpenses[11][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_11"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 11, Column 0</span>
</label></div>
</div>
<div role="row" class="jfMatrixTable-row" aria-labelledby="label_44 label_44_row_12">
<div role="rowheader" class="jfMatrixTable-cell">
<div class="form-matrix-row-headers"><label id="label_44_row_12">Miscellaneous:</label></div>
</div>
<div role="gridcell" class="jfMatrixTable-cell"><label class="form-matrix-values jfMatrix-inputWrapper forTextbox">
<div class="jfField"><input type="text" id="input_44_12_0" name="q44_monthlyExpenses[12][]" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false"
aria-describedby="id_44_description" aria-labelledby="label_44_column_0 label_44_row_12"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 12, Column 0</span>
</label></div>
</div>
</div>
</div>
</div>
<div class="jfMatrix forMobile forClassic hidden-matrix">
<div class="jfMobileMatrix-questionList">
<div class="jfMobileMatrix-question jfMatrix-question isActive form-matrix-row-headers" data-order="0"><label id="label_44_row_0_mobile">Food/Groceries:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="1"><label id="label_44_row_1_mobile">Auto Fuel:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="2"><label id="label_44_row_2_mobile">Combined Utilities:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="3"><label id="label_44_row_3_mobile">Cable / Internet:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="4"><label id="label_44_row_4_mobile">Cell Phone Bill:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="5"><label id="label_44_row_5_mobile">Car Insurance:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="6"><label id="label_44_row_6_mobile">Life Insurance:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="7"><label id="label_44_row_7_mobile">Medical:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="8"><label id="label_44_row_8_mobile">School Tuition:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="9"><label id="label_44_row_9_mobile">Tithing:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="10"><label id="label_44_row_10_mobile">Entertainment:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="11"><label id="label_44_row_11_mobile">Subscriptions:</label></div>
<div class="jfMobileMatrix-question jfMatrix-question form-matrix-row-headers" data-order="12"><label id="label_44_row_12_mobile">Miscellaneous:</label></div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow isActive" data-order="0">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_0">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_0_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_0" data-name="q44_monthlyExpenses[0][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 0, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="1">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_1">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_1_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_1" data-name="q44_monthlyExpenses[1][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 1, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="2">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_2">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_2_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_2" data-name="q44_monthlyExpenses[2][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 2, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="3">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_3">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_3_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_3" data-name="q44_monthlyExpenses[3][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 3, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="4">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_4">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_4_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_4" data-name="q44_monthlyExpenses[4][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 4, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="5">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_5">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_5_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_5" data-name="q44_monthlyExpenses[5][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 5, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="6">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_6">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_6_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_6" data-name="q44_monthlyExpenses[6][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 6, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="7">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_7">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_7_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_7" data-name="q44_monthlyExpenses[7][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 7, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="8">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_8">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_8_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_8" data-name="q44_monthlyExpenses[8][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 8, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="9">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_9">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_9_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_9" data-name="q44_monthlyExpenses[9][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 9, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="10">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_10">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_10_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_10" data-name="q44_monthlyExpenses[10][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 10, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="11">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_11">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_11_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_11" data-name="q44_monthlyExpenses[11][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 11, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMatrix-choiceWrapper js-matrixRow " data-order="12">
<div class="jfMatrixChoice-table">
<div class="jfMatrixChoice-row">
<div class="jfMatrixChoice-name form-matrix-column-headers form-matrix-column_0"><label id="label_44_column_0_12">Amount Below</label></div>
<div class="jfMatrixChoice-inputCell"><label class="jfMatrix-inputWrapper forTextbox form-matrix-values-disabled">
<div class="jfField"><input type="text" id="input_44_12_0_disabled" class="form-textbox hasNoSublabel jfInput-input hasSublabel" size="5" value="" aria-required="false" aria-describedby="id_44_description"
aria-labelledby="label_44_column_0 label_44_row_12" data-name="q44_monthlyExpenses[12][]"></div><span style="width:1px;height:1px;overflow:hidden;opacity:0;pointer-events:none;display:none">Row 12, Column 0</span>
</label></div>
</div>
</div>
</div>
<div class="jfMobileMatrix-columnDotlist">
<div class="jfMatrixProgress-text" style="display:none"><span>1</span> of 13</div><button type="button" class="jfMatrixProgress-button forMatrixPrev js-mobileMatrixPrevButton noTranslate" disabled="" aria-label="Previous"><span
class="iconSvg "><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 30.2 52.6" style="enable-background:new 0 0 30.2 52.6" xml:space="preserve">
<g>
<g>
<path class="st0"
d="M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z"></path>
</g>
</g>
</svg></span></button><span class="jfMobileMatrix-columnDotWrapper">
<div class="jfMobileMatrix-columnDot isActive" data-order="0"></div>
<div class="jfMobileMatrix-columnDot " data-order="1"></div>
<div class="jfMobileMatrix-columnDot " data-order="2"></div>
<div class="jfMobileMatrix-columnDot " data-order="3"></div>
<div class="jfMobileMatrix-columnDot " data-order="4"></div>
<div class="jfMobileMatrix-columnDot " data-order="5"></div>
<div class="jfMobileMatrix-columnDot " data-order="6"></div>
<div class="jfMobileMatrix-columnDot " data-order="7"></div>
<div class="jfMobileMatrix-columnDot " data-order="8"></div>
<div class="jfMobileMatrix-columnDot " data-order="9"></div>
<div class="jfMobileMatrix-columnDot " data-order="10"></div>
<div class="jfMobileMatrix-columnDot " data-order="11"></div>
<div class="jfMobileMatrix-columnDot " data-order="12"></div>
</span><button type="button" class="jfMatrixProgress-button forMatrixNext js-mobileMatrixNextButton noTranslate" aria-label="Next"><span class="iconSvg "><svg xmlns="http://www.w3.org/2000/svg"
xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 30.2 52.6" style="enable-background:new 0 0 30.2 52.6" xml:space="preserve">
<g>
<g>
<path class="st0"
d="M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z"></path>
</g>
</g>
</svg></span></button>
</div>
</div>
</div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_12">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_12">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_radio" id="id_31">
<div id="cid_31" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard canMoveAuto" data-type="control_radio">
<div class="jfCard-index">12</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_31" class="jfQuestion-label isCenterAlign" id="label_31"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">Are you Self-Employed?</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span
class="jfQuestion-description" id="id_31_description"><span></span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div role="group" id="input_group_31" aria-describedby="id_31_description" class="jfQuestion-fields form-single-column" data-component="radio">
<div class="jfField form-radio-item"><label data-id="label_input_31_0" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q31_selfEmployed" value="Yes" id="input_31_0" required=""
aria-describedby="label_31">
<div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Yes</span></div>
</label></div>
<div class="jfField form-radio-item"><label data-id="label_input_31_1" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q31_selfEmployed" value="No" id="input_31_1" required=""
aria-describedby="label_31">
<div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">No</span></div>
</label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_13">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_13">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line form-field-hidden" data-type="control_text" id="id_32" style="display: none !important;">
<div id="cid_32" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_text">
<div class="jfCard-index">13</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField">
<div id="text_32" class="form-html" data-component="text">
<p><strong><span style="color: #ea3223;">If you are SELF-EMPLOYED, we recommend you have your last two years' tax returns available at the appointment time. Having this information will allow us to better prepare for our upcoming
appointment.</span></strong></p>
</div>
</div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_14">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_14">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_18">
<div id="cid_18" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">13</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_18" class="jfQuestion-label isCenterAlign" id="label_18"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is the <strong>YEARLY GROSS</strong> household income?</span></label><span class="jfQuestion-description" id="id_18_description"><span> Adjusted Gross Income if Self
Employed</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_18" name="q18_grossIncome" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_18_description" aria-labelledby="label_18"><label class="jfField-sublabel " for="input_18" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_15">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_15">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_19">
<div id="cid_19" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">14</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_19" class="jfQuestion-label isCenterAlign" id="label_19"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">What is the <strong>NET MONTHLY</strong> household income?</span></label><span class="jfQuestion-description" id="id_19_description"><span>Take home after taxes</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_19" name="q19_netIncome" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_19_description" aria-labelledby="label_19"><label class="jfField-sublabel " for="input_19" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_16">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_16">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_20">
<div id="cid_20" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">15</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_20" class="jfQuestion-label isCenterAlign" id="label_20"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">How much do you currently have in cash reserves?</span></label><span class="jfQuestion-description" id="id_20_description"><span>Combined balances in Checking, Savings, and
Cash on hand, etc..</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_20" name="q20_reserves" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_20_description" aria-labelledby="label_20"><label class="jfField-sublabel " for="input_20" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_17">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_17">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_21">
<div id="cid_21" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
<div class="jfCard" data-type="control_textbox">
<div class="jfCard-index">16</div>
<div class="jfCard-question">
<div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_21" class="jfQuestion-label isCenterAlign" id="label_21"><span
class="jsQuestionLabelContainer jfQuestionLabelContainer">How much do you currently have in retirement accounts?</span></label><span class="jfQuestion-description" id="id_21_description"><span>Combined balances in 401k, IRA,
investment accounts, etc...</span></span>
<div class="jfCard-mobileError jsMobileErrorWrapper"></div>
<div class="jfQuestion-fields">
<div class="jfField" data-type="textbox"><input type="text" id="input_21" name="q21_retirements" data-type="input-textbox" class="form-textbox validate[Currency] jfInput-input" size="310" value="" placeholder="$0.00"
data-component="textbox" aria-required="false" aria-describedby="id_21_description" aria-labelledby="label_21"><label class="jfField-sublabel " for="input_21" aria-hidden="true" tabindex="-1"></label></div>
</div>
</div>
<div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_18">Previous</button><button style="display:block"
type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_18">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit u-right"
data-component="button" aria-label="Submit" data-testid="submitButton" aria-live="polite">Submit</button>
<div class="cf">
<div class="jfCard-actionsNotification" aria-live="polite">
<div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
</div>
</div>
<div class="jfCard-disableSubmitError"></div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_textarea" id="id_33">
<div id="cid_33" class="jfCard-wrapper transition-all-015s" style="width: 940px; margin-left: 0px;">
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You can always press Enter⏎ to continue ACCELERATED BANKING FINANCIAL ASSESSMENT - CARD LAYOUT * 1 Complete Your Financial Assessment Please fill out the below form to the best of your ability. If needed, you may save and come back to this form. by clicking save at the bottom of the page. The info provided will never be shared and is exclusively for the purpose of helping you determine potential results using our cash flow strategies. Your Information Will be kept PRIVATE and CONFIDENTIAL We do not expect the numbers will be exact, but the more accurate, the more productive your consultation will be. PreviousNextSubmit Press Enter * 2 The Household's Financial Assessment , please fill out the below form to the best of your ability. If needed, you may save and come back to this form. by clicking save at the bottom of the page. The info provided will never be shared and is exclusively for the purpose of helping you determine potential results using our cash flow strategies. Your Information Will be kept PRIVATE and CONFIDENTIAL We do not expect the numbers will be exact, but the more accurate, the more productive your consultation will be. PreviousNextSubmit Press Enter * 2 open? PreviousNextSubmit Press Enter * 2 Full Name* This field is required. First Name Last Name PreviousNextSubmit Press Enter * 3 Email Address * This field is required.Same one you used to book your appointment example@example.com PreviousNextSubmit Press Enter * 4 What is your approximate ORIGINAL balance on the mortgage?(If you have more than one, please have info prepared for other mortgages for the appointment) PreviousNextSubmit Press Enter * 5 What is the approximate CURRENT balance on the mortgage? PreviousNextSubmit Press Enter * 6 What is the total payment? Payment MUST include principal, interest, taxes and insurance PreviousNextSubmit Press Enter * 7 What is the interest rate? PreviousNextSubmit Press Enter * 8 What is the term of the loan?15, 20, 30 Years PreviousNextSubmit Press Enter * 9 What's the estimated value of your home/property? PreviousNextSubmit Press Enter * 10 Please list the monthly payment and balance for any other debt including credit cards, car loans, student loans, personal loans, HELOC, etc. ( Do not include the mortgage ) Name of Debt Monthly Payment Balance Debt #1 Row 0, Column 0 Row 0, Column 1 Row 0, Column 2 Debt #2 Row 1, Column 0 Row 1, Column 1 Row 1, Column 2 Debt #3 Row 2, Column 0 Row 2, Column 1 Row 2, Column 2 Debt #4 Row 3, Column 0 Row 3, Column 1 Row 3, Column 2 Debt #5 Row 4, Column 0 Row 4, Column 1 Row 4, Column 2 Debt #6 Row 5, Column 0 Row 5, Column 1 Row 5, Column 2 Debt #7 Row 6, Column 0 Row 6, Column 1 Row 6, Column 2 Debt #8 Row 7, Column 0 Row 7, Column 1 Row 7, Column 2 Debt #9 Row 8, Column 0 Row 8, Column 1 Row 8, Column 2 Debt #10 Row 9, Column 0 Row 9, Column 1 Row 9, Column 2 Debt #1 Debt #2 Debt #3 Debt #4 Debt #5 Debt #6 Debt #7 Debt #8 Debt #9 Debt #10 Name of Debt Row 0, Column 0 Monthly Payment Row 0, Column 1 Balance Row 0, Column 2 Name of Debt Row 1, Column 0 Monthly Payment Row 1, Column 1 Balance Row 1, Column 2 Name of Debt Row 2, Column 0 Monthly Payment Row 2, Column 1 Balance Row 2, Column 2 Name of Debt Row 3, Column 0 Monthly Payment Row 3, Column 1 Balance Row 3, Column 2 Name of Debt Row 4, Column 0 Monthly Payment Row 4, Column 1 Balance Row 4, Column 2 Name of Debt Row 5, Column 0 Monthly Payment Row 5, Column 1 Balance Row 5, Column 2 Name of Debt Row 6, Column 0 Monthly Payment Row 6, Column 1 Balance Row 6, Column 2 Name of Debt Row 7, Column 0 Monthly Payment Row 7, Column 1 Balance Row 7, Column 2 Name of Debt Row 8, Column 0 Monthly Payment Row 8, Column 1 Balance Row 8, Column 2 Name of Debt Row 9, Column 0 Monthly Payment Row 9, Column 1 Balance Row 9, Column 2 1 of 10 PreviousNextSubmit Press Enter * 11 What are your total household monthly expenses?If you do not know the exact, try your best to provide estimates Amount Below Food/Groceries: Row 0, Column 0 Auto Fuel: Row 1, Column 0 Combined Utilities: Row 2, Column 0 Cable / Internet: Row 3, Column 0 Cell Phone Bill: Row 4, Column 0 Car Insurance: Row 5, Column 0 Life Insurance: Row 6, Column 0 Medical: Row 7, Column 0 School Tuition: Row 8, Column 0 Tithing: Row 9, Column 0 Entertainment: Row 10, Column 0 Subscriptions: Row 11, Column 0 Miscellaneous: Row 12, Column 0 Food/Groceries: Auto Fuel: Combined Utilities: Cable / Internet: Cell Phone Bill: Car Insurance: Life Insurance: Medical: School Tuition: Tithing: Entertainment: Subscriptions: Miscellaneous: Amount Below Row 0, Column 0 Amount Below Row 1, Column 0 Amount Below Row 2, Column 0 Amount Below Row 3, Column 0 Amount Below Row 4, Column 0 Amount Below Row 5, Column 0 Amount Below Row 6, Column 0 Amount Below Row 7, Column 0 Amount Below Row 8, Column 0 Amount Below Row 9, Column 0 Amount Below Row 10, Column 0 Amount Below Row 11, Column 0 Amount Below Row 12, Column 0 1 of 13 PreviousNextSubmit Press Enter * 12 Are you Self-Employed?* This field is required. Yes No PreviousNextSubmit Press Enter * 13 If you are SELF-EMPLOYED, we recommend you have your last two years' tax returns available at the appointment time. Having this information will allow us to better prepare for our upcoming appointment. PreviousNextSubmit Press Enter * 13 What is the YEARLY GROSS household income? Adjusted Gross Income if Self Employed PreviousNextSubmit Press Enter * 14 What is the NET MONTHLY household income?Take home after taxes PreviousNextSubmit Press Enter * 15 How much do you currently have in cash reserves?Combined balances in Checking, Savings, and Cash on hand, etc.. PreviousNextSubmit Press Enter * 16 How much do you currently have in retirement accounts?Combined balances in 401k, IRA, investment accounts, etc... PreviousNextSubmit Press Enter * 17 What is your main motivation for booking this call?You may also share any other relevant information you want your qualification specialist to know during the call. PreviousNextSubmit Press Enter * 18 Thank you, ! If there is a spouse or partner involved in your financial journey, we invite them to join us during the appointment. It's a great way for everyone to stay on the same page. We look forward to meeting you to learn about your financial goals so we can determine if the Accelerated Banking strategy makes sense for you! PreviousNextSubmit Press Enter * Should be Empty: 1. Question 1 undefined undefined 2. Full Name 3. Email Address 4. What is your approximate ORIGINAL balance on the mortgage? 5. What is the approximate CURRENT balance on the mortgage? 6. What is the total payment? 7. What is the interest rate? 8. What is the term of the loan? 9. What's the estimated value of your home/property? 10. Please list the monthly payment and balance for any other debt including credit cards, car loans, student loans, personal loans, HELOC, etc. ( Do not include the mortgage ) 11. What are your total household monthly expenses? 12. Are you Self-Employed? 13. Question 13 13. What is the YEARLY GROSS household income? 14. What is the NET MONTHLY household income? 15. How much do you currently have in cash reserves? 16. How much do you currently have in retirement accounts? 17. What is your main motivation for booking this call? 18. Question 18 1 of 18See AllGo Back Submit