www.nytribecagroup.net
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35.212.48.65
Public Scan
Submitted URL: http://nytribecagroup.net/application/
Effective URL: https://www.nytribecagroup.net/application/
Submission: On June 29 via manual from IN — Scanned from DE
Effective URL: https://www.nytribecagroup.net/application/
Submission: On June 29 via manual from IN — Scanned from DE
Form analysis 19 forms found in the DOM
POST /application/
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_16" id="gform_16" action="/application/" data-hs-cf-bound="true"><input id="partial_entry_id_16" class="partial_entry_id" type="hidden" name="partial_entry_id" value="pending"
data-form_id="16">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_heading">
<h3 class="gform_title" data-fontsize="27" data-lineheight="35">Office Application (Unique URL)</h3>
<span class="gform_description"></span>
</div>
<div class="partial_entry_warning" style="margin-bottom: 10px;">Please note that your information is saved on our server as you enter it.</div>
<div class="gform_body">
<div id="gform_page_16_1" class="gform_page">
<div class="gform_page_fields">
<ul id="gform_fields_16" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_16_4" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_4">First Name</label>
<div class="ginput_container ginput_container_text"><input name="input_4" id="input_16_4" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_5" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_5">Last Name</label>
<div class="ginput_container ginput_container_text"><input name="input_5" id="input_16_5" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_6">Company Name</label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_16_6" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_7" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_7">Phone Number</label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_16_7" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_42" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_42">Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_42" id="input_16_42" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_next_button_16_31" class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_16").val("2"); jQuery("#gform_16").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_16").val("2"); jQuery("#gform_16").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_16_2" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_16_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_16_9" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_9">Business Address</label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_16_9" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_10" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_10">City</label>
<div class="ginput_container ginput_container_text"><input name="input_10" id="input_16_10" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_11" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_11">State</label>
<div class="ginput_container ginput_container_text"><input name="input_11" id="input_16_11" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_12" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_12">Zip Code</label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_16_12" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_13" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_13">Business Phone</label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_16_13" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_14" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_14">Business Start Date</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_16_14" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_127" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_127">Desired Loan Amount</label>
<div class="ginput_container ginput_container_text"><input name="input_127" id="input_16_127" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_15" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_15">Select Company Type</label>
<div class="ginput_container ginput_container_text"><input name="input_15" id="input_16_15" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_139" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_139">Nature of Business</label>
<div class="ginput_container ginput_container_text"><input name="input_139" id="input_16_139" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_16" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_16">Monthly Revenue</label>
<div class="ginput_container ginput_container_text"><input name="input_16" id="input_16_16" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_17" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_17">Company Tax ID</label>
<div class="ginput_container ginput_container_text"><input name="input_17" id="input_16_17" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_150" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_150">Have you applied for the ERC grant?</label>
<div class="ginput_container ginput_container_text"><input name="input_150" id="input_16_150" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_151" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_151">Was your business established no later than 2019?</label>
<div class="ginput_container ginput_container_text"><input name="input_151" id="input_16_151" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_152" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_152">Did you have more than 5 W-2 Employees in 2020?</label>
<div class="ginput_container ginput_container_text"><input name="input_152" id="input_16_152" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_43" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Ever filed for bankruptcy?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_16_43">
<li class="gchoice_16_43_0"><input name="input_43" type="radio" value="Yes" id="choice_16_43_0"><label for="choice_16_43_0" id="label_16_43_0">Yes</label></li>
<li class="gchoice_16_43_1"><input name="input_43" type="radio" value="No" checked="checked" id="choice_16_43_1"><label for="choice_16_43_1" id="label_16_43_1">No</label></li>
</ul>
</div>
</li>
<li id="field_16_44" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_44">Please specify bankruptcy year and status</label>
<div class="ginput_container ginput_container_text"><input name="input_44" id="input_16_44" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_72" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Please specify bankruptcy status</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_16_72">
<li class="gchoice_16_72_0"><input name="input_72" type="radio" value="Discharged" id="choice_16_72_0"><label for="choice_16_72_0" id="label_16_72_0">Discharged</label></li>
<li class="gchoice_16_72_1"><input name="input_72" type="radio" value="Dismissed" id="choice_16_72_1"><label for="choice_16_72_1" id="label_16_72_1">Dismissed</label></li>
</ul>
</div>
</li>
<li id="field_16_45" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Do you have any balances with any other lender?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_16_45">
<li class="gchoice_16_45_0"><input name="input_45" type="radio" value="Yes" id="choice_16_45_0"><label for="choice_16_45_0" id="label_16_45_0">Yes</label></li>
<li class="gchoice_16_45_1"><input name="input_45" type="radio" value="No" checked="checked" id="choice_16_45_1"><label for="choice_16_45_1" id="label_16_45_1">No</label></li>
</ul>
</div>
</li>
<li id="field_16_100" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_100" id="input_16_100" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_101" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_101" id="input_16_101" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_102" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_102" id="input_16_102" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_116" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_116" id="input_16_116" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_103" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_103" id="input_16_103" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_104" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_104" id="input_16_104" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_105" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_105" id="input_16_105" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_106" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_106" id="input_16_106" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_117" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_117" id="input_16_117" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_107" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_107" id="input_16_107" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_108" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_108" id="input_16_108" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_109" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_109" id="input_16_109" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_110" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_110" id="input_16_110" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_118" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_118" id="input_16_118" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_111" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_111" id="input_16_111" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_112" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_112" id="input_16_112" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_113" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_113" id="input_16_113" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_114" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_114" id="input_16_114" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_119" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_119" id="input_16_119" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_115" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_115" id="input_16_115" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_142" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_142" id="input_16_142" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_143" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_143" id="input_16_143" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_144" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_144" id="input_16_144" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_145" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_145" id="input_16_145" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_146" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_146" id="input_16_146" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_46" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_46">Please list all remaining balnaces (include lender name, payment and balance)</label>
<div class="ginput_container ginput_container_text"><input name="input_46" id="input_16_46" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_56" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Do you have commercial or residential real estate?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_16_56">
<li class="gchoice_16_56_0"><input name="input_56" type="radio" value="Yes" id="choice_16_56_0"><label for="choice_16_56_0" id="label_16_56_0">Yes</label></li>
<li class="gchoice_16_56_1"><input name="input_56" type="radio" value="No" checked="checked" id="choice_16_56_1"><label for="choice_16_56_1" id="label_16_56_1">No</label></li>
</ul>
</div>
</li>
<li id="field_16_57" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_57">Please list property type, property value and any liens.</label>
<div class="ginput_container ginput_container_text"><input name="input_57" id="input_16_57" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_86" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_86" id="input_16_86" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_87" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_87" id="input_16_87" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_88" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_88" id="input_16_88" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_89" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_89" id="input_16_89" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_90" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_90" id="input_16_90" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_91" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_91" id="input_16_91" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_92" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_92" id="input_16_92" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_93" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_93" id="input_16_93" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_94" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_94" id="input_16_94" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_95" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_95" id="input_16_95" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_96" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_96" id="input_16_96" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_97" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_97" id="input_16_97" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_98" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_98" id="input_16_98" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_99" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_99" id="input_16_99" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_16_34" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_16").val("1"); jQuery("#gform_16").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_16").val("1"); jQuery("#gform_16").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_16_34"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_16").val("3"); jQuery("#gform_16").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_16").val("3"); jQuery("#gform_16").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_16_3" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_16_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_16_20" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_20">Owner Name</label>
<div class="ginput_container ginput_container_text"><input name="input_20" id="input_16_20" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_21" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_21">Owner Email</label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_16_21" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_22" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_22">Ownership %</label>
<div class="ginput_container ginput_container_text"><input name="input_22" id="input_16_22" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_23" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_23">Your Address</label>
<div class="ginput_container ginput_container_text"><input name="input_23" id="input_16_23" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_24" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_24">City</label>
<div class="ginput_container ginput_container_text"><input name="input_24" id="input_16_24" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_25" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_25">State</label>
<div class="ginput_container ginput_container_text"><input name="input_25" id="input_16_25" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_26" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_26">Zip Code</label>
<div class="ginput_container ginput_container_text"><input name="input_26" id="input_16_26" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_27" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_27">Mobile Phone</label>
<div class="ginput_container ginput_container_text"><input name="input_27" id="input_16_27" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_28" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_28">Date of Birth</label>
<div class="ginput_container ginput_container_text"><input name="input_28" id="input_16_28" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_29" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_29">Social Security Number</label>
<div class="ginput_container ginput_container_text"><input name="input_29" id="input_16_29" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_19" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_19">Ownership %</label>
<div class="ginput_container ginput_container_text"><input name="input_19" id="input_16_19" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_140" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_140">Credit Score</label>
<div class="ginput_container ginput_container_text"><input name="input_140" id="input_16_140" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_18" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Do you own at least 51% ?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_16_18">
<li class="gchoice_16_18_0"><input name="input_18" type="radio" value="Yes" id="choice_16_18_0"><label for="choice_16_18_0" id="label_16_18_0">Yes</label></li>
<li class="gchoice_16_18_1"><input name="input_18" type="radio" value="No" id="choice_16_18_1"><label for="choice_16_18_1" id="label_16_18_1">No</label></li>
</ul>
</div>
</li>
<li id="field_16_73" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_73">Owner Name 1</label>
<div class="ginput_container ginput_container_text"><input name="input_73" id="input_16_73" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_74" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_74">Your Address 1</label>
<div class="ginput_container ginput_container_text"><input name="input_74" id="input_16_74" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_75" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_75">City 1</label>
<div class="ginput_container ginput_container_text"><input name="input_75" id="input_16_75" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_76" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_76">State 1</label>
<div class="ginput_container ginput_container_text"><input name="input_76" id="input_16_76" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_77" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_77">Zip Code 1</label>
<div class="ginput_container ginput_container_text"><input name="input_77" id="input_16_77" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_78" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_78">Mobile Phone 1</label>
<div class="ginput_container ginput_container_text"><input name="input_78" id="input_16_78" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_79" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_79">Owner Email 1</label>
<div class="ginput_container ginput_container_text"><input name="input_79" id="input_16_79" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_80" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_80">Date Of Birth 1</label>
<div class="ginput_container ginput_container_text"><input name="input_80" id="input_16_80" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_81" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_81">Social Security Number 1</label>
<div class="ginput_container ginput_container_text"><input name="input_81" id="input_16_81" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_82" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_82">Ownership % 2</label>
<div class="ginput_container ginput_container_text"><input name="input_82" id="input_16_82" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_141" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_141">Credit Score</label>
<div class="ginput_container ginput_container_text"><input name="input_141" id="input_16_141" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_83" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Do you own at least 51%?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_16_83">
<li class="gchoice_16_83_0"><input name="input_83" type="radio" value="Yes" id="choice_16_83_0"><label for="choice_16_83_0" id="label_16_83_0">Yes</label></li>
<li class="gchoice_16_83_1"><input name="input_83" type="radio" value="No" id="choice_16_83_1"><label for="choice_16_83_1" id="label_16_83_1">No</label></li>
</ul>
</div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_16_47" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_16").val("2"); jQuery("#gform_16").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_16").val("2"); jQuery("#gform_16").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_16_47"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_16").val("4"); jQuery("#gform_16").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_16").val("4"); jQuery("#gform_16").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_16_4" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_16_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_16_48" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_48" id="input_16_48" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_49" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_49" id="input_16_49" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_50" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_50" id="input_16_50" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_51" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_51" id="input_16_51" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_52" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_52" id="input_16_52" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_53" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_53" id="input_16_53" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_64" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_64" id="input_16_64" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_65" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_65" id="input_16_65" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_66" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_66" id="input_16_66" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_67" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_67" id="input_16_67" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_68" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_68" id="input_16_68" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_69" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_69" id="input_16_69" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_70" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_70" id="input_16_70" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_71" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_71" id="input_16_71" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_35" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden"><label class="gfield_label" for="input_16_35">Date</label>
<div class="ginput_container ginput_container_date">
<input name="input_35" id="input_16_35" type="text" value="" class="datepicker medium mdy datepicker_no_icon" aria-describedby="input_16_35_date_format">
<span id="input_16_35_date_format" class="screen-reader-text">Date Format: MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_16_35" class="gform_hidden" value="https://www.nytribecagroup.net/wp-content/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_16_37" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden"><label class="gfield_label" for="input_16_37">Time</label>
<div class="ginput_container ginput_container_text"><input name="input_37" id="input_16_37" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_38" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_38" id="input_16_38" type="hidden" class="gform_hidden" aria-invalid="false" value="nytgeval.com">
</li>
<li id="field_16_60" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_60" id="input_16_60" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_61" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_61" id="input_16_61" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_84" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_84">Owner Address 2</label>
<div class="ginput_container ginput_container_text"><input name="input_84" id="input_16_84" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_16_39" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_39" id="input_16_39" type="hidden" class="gform_hidden" aria-invalid="false" value="0"></li>
<li id="field_16_62" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_62" id="input_16_62" type="hidden" class="gform_hidden" aria-invalid="false" value="No"></li>
<li id="field_16_121" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_121" id="input_16_121" type="hidden" class="gform_hidden" aria-invalid="false"
value="May, April and March bank statements"></li>
<li id="field_16_63" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_63" id="input_16_63" type="hidden" class="gform_hidden" aria-invalid="false" value="No"></li>
<li id="field_16_122" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_122" id="input_16_122" type="hidden" class="gform_hidden" aria-invalid="false"
value="June month-to-date"></li>
<li id="field_16_123" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_123" id="input_16_123" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_125" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_16_125">Agent Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_125" id="input_16_125" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_16_40" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_40" id="input_16_40" type="hidden" class="gform_hidden" aria-invalid="false" value="Application">
</li>
<li id="field_16_41" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_41" id="input_16_41" type="hidden" class="gform_hidden" aria-invalid="false"
value="https://www.nytribecagroup.net/application/"></li>
<li id="field_16_120" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_120" id="input_16_120" type="hidden" class="gform_hidden" aria-invalid="false" value="Yes"></li>
<li id="field_16_147" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_147" id="input_16_147" type="hidden" class="gform_hidden" aria-invalid="false" value="No"></li>
<li id="field_16_85" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_85" id="input_16_85" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_128" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_128" id="input_16_128" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_129" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_129" id="input_16_129" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_130" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_130" id="input_16_130" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_131" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_131" id="input_16_131" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_149" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_149" id="input_16_149" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_132" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_132" id="input_16_132" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_137" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_137" id="input_16_137" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_16_138" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_138" id="input_16_138" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
</ul>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_16" class="gform_previous_button button" value="Previous"
onclick="if(window["gf_submitting_16"]){return false;} window["gf_submitting_16"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_16"]){return false;} window["gf_submitting_16"]=true; jQuery("#gform_16").trigger("submit",[true]); }"> <input type="submit"
id="gform_submit_button_16" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_16"]){return false;} window["gf_submitting_16"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_16"]){return false;} window["gf_submitting_16"]=true; jQuery("#gform_16").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=16&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_16" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="16">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_16" value="WyJbXSIsIjExMGQ0M2FkYzk1OGI0YjdlOGM0NGM2OTg3NWRiNTM4Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_16" id="gform_target_page_number_16" value="2">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_16" id="gform_source_page_number_16" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</div>
</div>
</form>POST /application/
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_5" id="gform_5" action="/application/" data-hs-cf-bound="true"><input id="partial_entry_id_5" class="partial_entry_id" type="hidden" name="partial_entry_id" value="pending"
data-form_id="5">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_heading">
<h3 class="gform_title" data-fontsize="27" data-lineheight="35">Debt Schedule Form</h3>
<span class="gform_description"></span>
</div>
<div class="partial_entry_warning" style="margin-bottom: 10px;">Please note that your information is saved on our server as you enter it.</div>
<div id="gf_page_steps_5" class="gf_page_steps">
<div id="gf_step_5_1" class="gf_step gf_step_active gf_step_first myblockshow"><span class="gf_step_number">1</span> <span class="gf_step_label">1<sup>st</sup> Position</span></div>
<div id="gf_step_5_2" class="gf_step gf_step_next gf_step_pending"><span class="gf_step_number">2</span> <span class="gf_step_label">2<sup>st</sup> Position</span></div>
<div id="gf_step_5_3" class="gf_step gf_step_pending"><span class="gf_step_number">3</span> <span class="gf_step_label">3<sup>st</sup> Position</span></div>
<div id="gf_step_5_4" class="gf_step gf_step_pending"><span class="gf_step_number">4</span> <span class="gf_step_label">4<sup>st</sup> Position</span></div>
<div id="gf_step_5_5" class="gf_step gf_step_pending"><span class="gf_step_number">5</span> <span class="gf_step_label">5<sup>st</sup> Position</span></div>
<div id="gf_step_5_6" class="gf_step gf_step_pending"><span class="gf_step_number">6</span> <span class="gf_step_label">6<sup>st</sup> Position</span></div>
<div id="gf_step_5_7" class="gf_step gf_step_pending"><span class="gf_step_number">7</span> <span class="gf_step_label">7<sup>st</sup> Position</span></div>
<div id="gf_step_5_8" class="gf_step gf_step_pending"><span class="gf_step_number">8</span> <span class="gf_step_label">8<sup>st</sup> Position</span></div>
<div id="gf_step_5_9" class="gf_step gf_step_pending"><span class="gf_step_number">9</span> <span class="gf_step_label">9<sup>st</sup> Position</span></div>
<div id="gf_step_5_10" class="gf_step gf_step_pending"><span class="gf_step_number">10</span> <span class="gf_step_label">10<sup>st</sup> Position</span></div>
<div id="gf_step_5_11" class="gf_step gf_step_last gf_step_pending"><span class="gf_step_number">11</span> <span class="gf_step_label">Information Verification</span></div>
<div class="gf_step_clear"></div>
</div>
<div class="gform_body">
<div id="gform_page_5_1" class="gform_page step-5-hide">
<div class="gform_page_fields">
<ul id="gform_fields_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_113" class="gfield mycompany gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_113">Your Company's Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_113" id="input_5_113" type="text" value="" class="large" placeholder="Your Company's Name" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_5_115" class="gfield mydebtheader gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<p><strong>1st Position Information:</strong></p>
</li>
<li id="field_5_83" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_83">Lender Name<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_83" id="input_5_83" type="text" value="" class="large" placeholder="Lender Name" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_5_88" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_88">Current Balance<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_number"><input name="input_88" id="input_5_88" type="text" value="" class="large" placeholder="Current Balance" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_5_89" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_89">Payment Amount<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_number"><input name="input_89" id="input_5_89" type="text" value="" class="large" placeholder="Payment Amount" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_5_87" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_87">Frequency<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select">
<div class="gravity-select-parent"><select name="input_87" id="input_5_87" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select>
<div class="select-arrow" style="left: 528px;"></div>
</div>
</div>
</li>
<li id="field_5_90" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_90">Payment Left<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_number"><input name="input_90" id="input_5_90" type="text" value="" class="large" placeholder="Payment Left" aria-required="true" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_next_button_5_1" class="gform_next_button button" value="Next Lender"
onclick="jQuery("#gform_target_page_number_5").val("2"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("2"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend1" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_2" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_93" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_93">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_93" id="input_5_93" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_94" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_94">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_94" id="input_5_94" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_95" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_95">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_95" id="input_5_95" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_96" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_96">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_96" id="input_5_96" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_97" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_97">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_97" id="input_5_97" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_10" class="gform_previous_button button" value="Previous Lender"
onclick="jQuery("#gform_target_page_number_5").val("1"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("1"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_10"
class="gform_next_button button" value="Next Lender" onclick="jQuery("#gform_target_page_number_5").val("3"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("3"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend2" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_3" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_92" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_92">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_92" id="input_5_92" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_98" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_98">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_98" id="input_5_98" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_99" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_99">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_99" id="input_5_99" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_100" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_100">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_100" id="input_5_100" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_101" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_101">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_101" id="input_5_101" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_20" class="gform_previous_button button" value="Previous Lender"
onclick="jQuery("#gform_target_page_number_5").val("2"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("2"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_20"
class="gform_next_button button" value="Next Lender" onclick="jQuery("#gform_target_page_number_5").val("4"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("4"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend3" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_4" class="gform_page step-5-hide" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_91" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_91">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_91" id="input_5_91" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_103" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_103">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_103" id="input_5_103" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_104" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_104">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_104" id="input_5_104" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_105" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_105">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_105" id="input_5_105" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_106" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_106">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_106" id="input_5_106" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_36" class="gform_previous_button button" value="Previous Lender"
onclick="jQuery("#gform_target_page_number_5").val("3"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("3"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_36"
class="gform_next_button button" value="Next Lender" onclick="jQuery("#gform_target_page_number_5").val("5"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("5"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend4" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_5" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_107" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_107">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_107" id="input_5_107" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_102" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_102">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_102" id="input_5_102" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_108" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_108">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_108" id="input_5_108" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_109" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_109">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_109" id="input_5_109" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_110" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_110">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_110" id="input_5_110" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_116" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_5").val("4"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("4"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_116"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_5").val("6"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("6"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend5" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_6" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_6" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_117" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_117">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_117" id="input_5_117" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_118" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_118">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_118" id="input_5_118" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_119" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_119">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_119" id="input_5_119" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_120" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_120">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_120" id="input_5_120" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_121" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_121">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_121" id="input_5_121" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_122" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_5").val("5"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("5"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_122"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_5").val("7"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("7"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend6" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_7" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_7" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_123" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_123">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_123" id="input_5_123" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_124" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_124">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_124" id="input_5_124" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_125" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_125">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_125" id="input_5_125" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_126" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_126">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_126" id="input_5_126" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_127" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_127">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_127" id="input_5_127" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_128" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_5").val("6"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("6"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_128"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_5").val("8"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("8"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend7" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_8" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_8" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_129" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_129">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_129" id="input_5_129" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_130" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_130">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_130" id="input_5_130" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_131" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_131">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_131" id="input_5_131" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_132" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_132">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_132" id="input_5_132" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_133" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_133">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_133" id="input_5_133" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_134" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_5").val("7"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("7"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_134"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_5").val("9"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("9"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend8" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_9" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_9" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_135" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_135">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_135" id="input_5_135" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_136" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_136">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_136" id="input_5_136" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_137" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_137">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_137" id="input_5_137" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_138" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_138">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_138" id="input_5_138" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_139" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_139">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_139" id="input_5_139" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_140" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_5").val("8"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("8"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_140"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_5").val("10"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("10"); jQuery("#gform_5").trigger("submit",[true]); } ">
<input type="button" id="stepend9" class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_10" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_5_10" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_141" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_141">Lender Name</label>
<div class="ginput_container ginput_container_text"><input name="input_141" id="input_5_141" type="text" value="" class="large" placeholder="Lender Name" aria-invalid="false"></div>
</li>
<li id="field_5_142" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_142">Current Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_142" id="input_5_142" type="text" value="" class="large" placeholder="Current Balance" aria-invalid="false"></div>
</li>
<li id="field_5_143" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_143">Payment Amount</label>
<div class="ginput_container ginput_container_number"><input name="input_143" id="input_5_143" type="text" value="" class="large" placeholder="Payment Amount" aria-invalid="false"></div>
</li>
<li id="field_5_144" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_144">Frequency</label>
<div class="ginput_container ginput_container_select"><select name="input_144" id="input_5_144" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select repayment frequency</option>
<option value="Daily">Daily</option>
<option value="Weekly">Weekly</option>
</select></div>
</li>
<li id="field_5_145" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_145">Payment Left</label>
<div class="ginput_container ginput_container_number"><input name="input_145" id="input_5_145" type="text" value="" class="large" placeholder="Payment Left" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_5_47" class="gform_previous_button button" value="Previous Lender"
onclick="jQuery("#gform_target_page_number_5").val("9"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("9"); jQuery("#gform_5").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_5_47"
class="button newbtn" value="Complete" onclick="jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_5").val("11"); jQuery("#gform_5").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_5_11" class="gform_page mypage5" style="display:none;">
<table>
<tbody>
<tr>
<th>Company</th>
<th>Balance</th>
<th>Payment</th>
<th>Frequency</th>
<th>Payments Left</th>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
<tr>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
<td>undefined</td>
</tr>
</tbody>
</table>
<div class="gform_page_fields">
<ul id="gform_fields_5_11" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_5_111" class="gfield resulthtml gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible"></li>
<li id="field_5_114" class="gfield myconsolidationmail field_sublabel_below field_description_below gfield_visibility_hidden"><label class="gfield_label" for="input_5_114">Agent Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_114" id="input_5_114" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_5_147" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_5_147">Customer Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_147" id="input_5_147" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
</ul>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_5" class="gform_previous_button button" value="Previous Lender"
onclick="if(window["gf_submitting_5"]){return false;} window["gf_submitting_5"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_5"]){return false;} window["gf_submitting_5"]=true; jQuery("#gform_5").trigger("submit",[true]); }"> <input type="submit"
id="gform_submit_button_5" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_5"]){return false;} window["gf_submitting_5"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_5"]){return false;} window["gf_submitting_5"]=true; jQuery("#gform_5").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=5&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_5" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="5">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_5" value="WyJbXSIsIjExMGQ0M2FkYzk1OGI0YjdlOGM0NGM2OTg3NWRiNTM4Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_5" id="gform_target_page_number_5" value="2">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_5" id="gform_source_page_number_5" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</div>
</div>
</form>POST /application/
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_6" id="gform_6" action="/application/" data-hs-cf-bound="true"><input id="partial_entry_id_6" class="partial_entry_id" type="hidden" name="partial_entry_id" value="pending"
data-form_id="6">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_heading">
<h3 class="gform_title" data-fontsize="27" data-lineheight="35">Schedule of Assets</h3>
<span class="gform_description"></span>
</div>
<div class="partial_entry_warning" style="margin-bottom: 10px;">Please note that your information is saved on our server as you enter it.</div>
<div id="gf_page_steps_6" class="gf_page_steps">
<div id="gf_step_6_1" class="gf_step gf_step_active gf_step_first myblockshow"><span class="gf_step_number">1</span> <span class="gf_step_label">1<sup>st</sup> Property</span></div>
<div id="gf_step_6_2" class="gf_step gf_step_next gf_step_pending"><span class="gf_step_number">2</span> <span class="gf_step_label">2<sup>st</sup> Property</span></div>
<div id="gf_step_6_3" class="gf_step gf_step_pending"><span class="gf_step_number">3</span> <span class="gf_step_label">3<sup>st</sup> Property</span></div>
<div id="gf_step_6_4" class="gf_step gf_step_pending"><span class="gf_step_number">4</span> <span class="gf_step_label">4<sup>st</sup> Property</span></div>
<div id="gf_step_6_5" class="gf_step gf_step_pending"><span class="gf_step_number">5</span> <span class="gf_step_label">5<sup>st</sup> Property</span></div>
<div id="gf_step_6_6" class="gf_step gf_step_pending"><span class="gf_step_number">6</span> <span class="gf_step_label">Information Verification</span></div>
<div id="gf_step_6_7" class="gf_step gf_step_pending"><span class="gf_step_number">7</span> <span class="gf_step_label"></span></div>
<div id="gf_step_6_8" class="gf_step gf_step_pending"><span class="gf_step_number">8</span> <span class="gf_step_label"></span></div>
<div id="gf_step_6_9" class="gf_step gf_step_pending"><span class="gf_step_number">9</span> <span class="gf_step_label"></span></div>
<div id="gf_step_6_10" class="gf_step gf_step_pending"><span class="gf_step_number">10</span> <span class="gf_step_label"></span></div>
<div id="gf_step_6_11" class="gf_step gf_step_last gf_step_pending"><span class="gf_step_number">11</span> <span class="gf_step_label"></span></div>
<div class="gf_step_clear"></div>
</div>
<div class="gform_body">
<div id="gform_page_6_1" class="gform_page step-5-hide">
<div class="gform_page_fields">
<ul id="gform_fields_6" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_135" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_135">Business Name</label>
<div class="ginput_container ginput_container_text"><input name="input_135" id="input_6_135" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_113" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_113">
<span class="ginput_full address_line_1" id="input_6_113_1_container">
<input type="text" name="input_113.1" id="input_6_113_1" value="">
<label for="input_6_113_1" id="input_6_113_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_113_2_container">
<input type="text" name="input_113.2" id="input_6_113_2" value="">
<label for="input_6_113_2" id="input_6_113_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_113_3_container">
<input type="text" name="input_113.3" id="input_6_113_3" value="">
<label for="input_6_113_3" id="input_6_113_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_113_4_container">
<div class="gravity-select-parent"><select name="input_113.4" id="input_6_113_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<div class="select-arrow" style="left: 238px;"></div>
</div>
<label for="input_6_113_4" id="input_6_113_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_113_5_container">
<input type="text" name="input_113.5" id="input_6_113_5" value="">
<label for="input_6_113_5" id="input_6_113_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_113.6" id="input_6_113_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_115" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_115">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_115" id="input_6_115" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_180" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_180">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_180" id="input_6_180" type="text" value="" class="large" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_128" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_128">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_128" id="input_6_128" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_129" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_129">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_129" id="input_6_129" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_130" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_130">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_130" id="input_6_130" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>0</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_131" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_131">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_131" id="input_6_131" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_132" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_132">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_132" id="input_6_132" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_133" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_133">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_133" id="input_6_133" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_134" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_134">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_134" id="input_6_134" type="text" value="" class="large" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_next_button_6_114" class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("2"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("2"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend1" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_2" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_116" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_116">
<span class="ginput_full address_line_1" id="input_6_116_1_container">
<input type="text" name="input_116.1" id="input_6_116_1" value="">
<label for="input_6_116_1" id="input_6_116_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_116_2_container">
<input type="text" name="input_116.2" id="input_6_116_2" value="">
<label for="input_6_116_2" id="input_6_116_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_116_3_container">
<input type="text" name="input_116.3" id="input_6_116_3" value="">
<label for="input_6_116_3" id="input_6_116_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_116_4_container">
<select name="input_116.4" id="input_6_116_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_116_4" id="input_6_116_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_116_5_container">
<input type="text" name="input_116.5" id="input_6_116_5" value="">
<label for="input_6_116_5" id="input_6_116_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_116.6" id="input_6_116_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_117" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_117">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_117" id="input_6_117" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_181" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_181">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_181" id="input_6_181" type="text" value="" class="large" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_137" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_137">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_137" id="input_6_137" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_138" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_138">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_138" id="input_6_138" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_139" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_139">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_139" id="input_6_139" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_140" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_140">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_140" id="input_6_140" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_141" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_141">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_141" id="input_6_141" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_142" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_142">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_142" id="input_6_142" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_143" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_143">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_143" id="input_6_143" type="text" value="" class="large" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_1" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("1"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("1"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_1"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("3"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("3"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend2" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_3" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_118" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_118">
<span class="ginput_full address_line_1" id="input_6_118_1_container">
<input type="text" name="input_118.1" id="input_6_118_1" value="">
<label for="input_6_118_1" id="input_6_118_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_118_2_container">
<input type="text" name="input_118.2" id="input_6_118_2" value="">
<label for="input_6_118_2" id="input_6_118_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_118_3_container">
<input type="text" name="input_118.3" id="input_6_118_3" value="">
<label for="input_6_118_3" id="input_6_118_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_118_4_container">
<select name="input_118.4" id="input_6_118_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_118_4" id="input_6_118_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_118_5_container">
<input type="text" name="input_118.5" id="input_6_118_5" value="">
<label for="input_6_118_5" id="input_6_118_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_118.6" id="input_6_118_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_119" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_119">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_119" id="input_6_119" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_182" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_182">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_182" id="input_6_182" type="text" value="" class="large" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_145" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_145">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_145" id="input_6_145" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_146" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_146">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_146" id="input_6_146" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_147" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_147">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_147" id="input_6_147" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_148" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_148">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_148" id="input_6_148" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_149" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_149">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_149" id="input_6_149" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_150" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_150">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_150" id="input_6_150" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_151" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_151">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_151" id="input_6_151" type="text" value="" class="large" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_10" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("2"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("2"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_10"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("4"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("4"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend3" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_4" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_120" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_120">
<span class="ginput_full address_line_1" id="input_6_120_1_container">
<input type="text" name="input_120.1" id="input_6_120_1" value="">
<label for="input_6_120_1" id="input_6_120_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_120_2_container">
<input type="text" name="input_120.2" id="input_6_120_2" value="">
<label for="input_6_120_2" id="input_6_120_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_120_3_container">
<input type="text" name="input_120.3" id="input_6_120_3" value="">
<label for="input_6_120_3" id="input_6_120_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_120_4_container">
<select name="input_120.4" id="input_6_120_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_120_4" id="input_6_120_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_120_5_container">
<input type="text" name="input_120.5" id="input_6_120_5" value="">
<label for="input_6_120_5" id="input_6_120_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_120.6" id="input_6_120_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_121" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_121">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_121" id="input_6_121" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_183" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_183">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_183" id="input_6_183" type="text" value="" class="large" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_153" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_153">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_153" id="input_6_153" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_154" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_154">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_154" id="input_6_154" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_155" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_155">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_155" id="input_6_155" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_156" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_156">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_156" id="input_6_156" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_157" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_157">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_157" id="input_6_157" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_158" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_158">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_158" id="input_6_158" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_159" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_159">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_159" id="input_6_159" type="text" value="" class="large" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_20" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("3"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("3"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_20"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("5"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("5"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend4" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_5" class="gform_page step-5-hide" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_5" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_122" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_122">
<span class="ginput_full address_line_1" id="input_6_122_1_container">
<input type="text" name="input_122.1" id="input_6_122_1" value="">
<label for="input_6_122_1" id="input_6_122_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_122_2_container">
<input type="text" name="input_122.2" id="input_6_122_2" value="">
<label for="input_6_122_2" id="input_6_122_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_122_3_container">
<input type="text" name="input_122.3" id="input_6_122_3" value="">
<label for="input_6_122_3" id="input_6_122_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_122_4_container">
<select name="input_122.4" id="input_6_122_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_122_4" id="input_6_122_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_122_5_container">
<input type="text" name="input_122.5" id="input_6_122_5" value="">
<label for="input_6_122_5" id="input_6_122_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_122.6" id="input_6_122_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_124" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_124">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_124" id="input_6_124" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_184" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_184">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_184" id="input_6_184" type="text" value="" class="large" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_161" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_161">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_161" id="input_6_161" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_162" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_162">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_162" id="input_6_162" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_163" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_163">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_163" id="input_6_163" type="text" value="" class="large" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_164" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_164">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_164" id="input_6_164" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_165" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_165">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_165" id="input_6_165" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_166" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_166">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_166" id="input_6_166" type="text" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_6_167" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_167">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_167" id="input_6_167" type="text" value="" class="large" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_36" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("4"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("4"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_36"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("6"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("6"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend5" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_6" class="gform_page mypage5" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_6" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_187" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_187">
<span class="ginput_full address_line_1" id="input_6_187_1_container">
<input type="text" name="input_187.1" id="input_6_187_1" value="">
<label for="input_6_187_1" id="input_6_187_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_187_2_container">
<input type="text" name="input_187.2" id="input_6_187_2" value="">
<label for="input_6_187_2" id="input_6_187_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_187_3_container">
<input type="text" name="input_187.3" id="input_6_187_3" value="">
<label for="input_6_187_3" id="input_6_187_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_187_4_container">
<select name="input_187.4" id="input_6_187_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_187_4" id="input_6_187_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_187_5_container">
<input type="text" name="input_187.5" id="input_6_187_5" value="">
<label for="input_6_187_5" id="input_6_187_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_187.6" id="input_6_187_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_189" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_189">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_189" id="input_6_189" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_190" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_190">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_190" id="input_6_190" type="text" value="" class="medium" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_191" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_191">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_191" id="input_6_191" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_192" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_192">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_192" id="input_6_192" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_193" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_193">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_193" id="input_6_193" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_194" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_194">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_194" id="input_6_194" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_195" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_195">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_195" id="input_6_195" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_196" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_196">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_196" id="input_6_196" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_197" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_197">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_197" id="input_6_197" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_198" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("5"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("5"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_198"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("7"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("7"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend6" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_7" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_7" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_199" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_199">
<span class="ginput_full address_line_1" id="input_6_199_1_container">
<input type="text" name="input_199.1" id="input_6_199_1" value="">
<label for="input_6_199_1" id="input_6_199_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_199_2_container">
<input type="text" name="input_199.2" id="input_6_199_2" value="">
<label for="input_6_199_2" id="input_6_199_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_199_3_container">
<input type="text" name="input_199.3" id="input_6_199_3" value="">
<label for="input_6_199_3" id="input_6_199_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_199_4_container">
<select name="input_199.4" id="input_6_199_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_199_4" id="input_6_199_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_199_5_container">
<input type="text" name="input_199.5" id="input_6_199_5" value="">
<label for="input_6_199_5" id="input_6_199_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_199.6" id="input_6_199_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_200" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_200">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_200" id="input_6_200" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_201" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_201">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_201" id="input_6_201" type="text" value="" class="medium" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_203" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_203">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_203" id="input_6_203" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_204" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_204">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_204" id="input_6_204" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_205" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_205">Current Loan Balance</label>
<div class="ginput_container ginput_container_number"><input name="input_205" id="input_6_205" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_202" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_202">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_202" id="input_6_202" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_206" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_206">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_206" id="input_6_206" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_207" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_207">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_207" id="input_6_207" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_208" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_208">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_208" id="input_6_208" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_209" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("6"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("6"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_209"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("8"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("8"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend7" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_8" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_8" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_210" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_210">
<span class="ginput_full address_line_1" id="input_6_210_1_container">
<input type="text" name="input_210.1" id="input_6_210_1" value="">
<label for="input_6_210_1" id="input_6_210_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_210_2_container">
<input type="text" name="input_210.2" id="input_6_210_2" value="">
<label for="input_6_210_2" id="input_6_210_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_210_3_container">
<input type="text" name="input_210.3" id="input_6_210_3" value="">
<label for="input_6_210_3" id="input_6_210_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_210_4_container">
<select name="input_210.4" id="input_6_210_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_210_4" id="input_6_210_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_210_5_container">
<input type="text" name="input_210.5" id="input_6_210_5" value="">
<label for="input_6_210_5" id="input_6_210_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_210.6" id="input_6_210_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_211" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_211">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_211" id="input_6_211" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_212" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_212">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_212" id="input_6_212" type="text" value="" class="medium" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_213" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_213">Purchase Price</label>
<div class="ginput_container ginput_container_number"><input name="input_213" id="input_6_213" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_215" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_215">Current Value</label>
<div class="ginput_container ginput_container_number"><input name="input_215" id="input_6_215" type="text" value="" class="medium" aria-invalid="false">
<div class="instruction ">Please enter a number from <strong>1000</strong> to <strong>50000000</strong>.</div>
</div>
</li>
<li id="field_6_214" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_214">Current Loan Balance</label>
<div class="ginput_container ginput_container_text"><input name="input_214" id="input_6_214" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_216" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_216">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_216" id="input_6_216" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_217" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_217">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_217" id="input_6_217" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_218" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_218">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_218" id="input_6_218" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_219" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_219">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_219" id="input_6_219" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_220" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("7"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("7"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_220"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("9"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("9"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend8" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_9" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_9" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_221" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_221">
<span class="ginput_full address_line_1" id="input_6_221_1_container">
<input type="text" name="input_221.1" id="input_6_221_1" value="">
<label for="input_6_221_1" id="input_6_221_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_221_2_container">
<input type="text" name="input_221.2" id="input_6_221_2" value="">
<label for="input_6_221_2" id="input_6_221_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_221_3_container">
<input type="text" name="input_221.3" id="input_6_221_3" value="">
<label for="input_6_221_3" id="input_6_221_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_221_4_container">
<select name="input_221.4" id="input_6_221_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="input_6_221_4" id="input_6_221_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_221_5_container">
<input type="text" name="input_221.5" id="input_6_221_5" value="">
<label for="input_6_221_5" id="input_6_221_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_221.6" id="input_6_221_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_222" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_222">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_222" id="input_6_222" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_223" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_223">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_223" id="input_6_223" type="text" value="" class="medium" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
</div>
</li>
<li id="field_6_224" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_224">Purchase Price</label>
<div class="ginput_container ginput_container_text"><input name="input_224" id="input_6_224" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_225" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_225">Current Value</label>
<div class="ginput_container ginput_container_text"><input name="input_225" id="input_6_225" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_226" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_226">Current Loan Balance</label>
<div class="ginput_container ginput_container_text"><input name="input_226" id="input_6_226" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_227" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_227">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_227" id="input_6_227" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_228" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_228">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_228" id="input_6_228" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_229" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_229">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_229" id="input_6_229" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_230" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_230">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_230" id="input_6_230" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
</ul>
</div>
<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_231" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("8"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("8"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_231"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("10"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("10"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend9" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_6_10" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_10" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_232" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Property Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_6_232">
<span class="ginput_full address_line_1" id="input_6_232_1_container">
<input type="text" name="input_232.1" id="input_6_232_1" value="">
<label for="input_6_232_1" id="input_6_232_1_label">Street Address</label>
</span><span class="ginput_full address_line_2" id="input_6_232_2_container">
<input type="text" name="input_232.2" id="input_6_232_2" value="">
<label for="input_6_232_2" id="input_6_232_2_label">Address Line 2</label>
</span><span class="ginput_left address_city" id="input_6_232_3_container">
<input type="text" name="input_232.3" id="input_6_232_3" value="">
<label for="input_6_232_3" id="input_6_232_3_label">City</label>
</span><span class="ginput_right address_state" id="input_6_232_4_container">
<select name="input_232.4" id="input_6_232_4">
<option value="" selected="selected"></option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
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<label for="input_6_232_4" id="input_6_232_4_label">State</label>
</span><span class="ginput_left address_zip" id="input_6_232_5_container">
<input type="text" name="input_232.5" id="input_6_232_5" value="">
<label for="input_6_232_5" id="input_6_232_5_label">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_232.6" id="input_6_232_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_6_233" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_233">Asset Type</label>
<div class="ginput_container ginput_container_text"><input name="input_233" id="input_6_233" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_234" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_234">Year Acquired</label>
<div class="ginput_container ginput_container_text"><input name="input_234" id="input_6_234" type="text" value="" class="medium" maxlength="4" aria-invalid="false">
<div class="charleft ginput_counter warningTextareaInfo">0 of 4 max characters</div>
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<li id="field_6_235" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_235">Purchase Price</label>
<div class="ginput_container ginput_container_text"><input name="input_235" id="input_6_235" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_236" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_236">Current Value</label>
<div class="ginput_container ginput_container_text"><input name="input_236" id="input_6_236" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_237" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_237">Current Loan Balance</label>
<div class="ginput_container ginput_container_text"><input name="input_237" id="input_6_237" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_238" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_238">Lender(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_238" id="input_6_238" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_239" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_239">Lien(s)</label>
<div class="ginput_container ginput_container_text"><input name="input_239" id="input_6_239" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_240" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_240">Creditors</label>
<div class="ginput_container ginput_container_text"><input name="input_240" id="input_6_240" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
<li id="field_6_241" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_241">Title Holders (owners)</label>
<div class="ginput_container ginput_container_text"><input name="input_241" id="input_6_241" type="text" value="" class="medium" aria-invalid="false"></div>
</li>
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<div class="gform_page_footer">
<input type="button" id="gform_previous_button_6_253" class="gform_previous_button button" value="Previous"
onclick="jQuery("#gform_target_page_number_6").val("9"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("9"); jQuery("#gform_6").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_6_253"
class="gform_next_button button" value="Next" onclick="jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_6").val("11"); jQuery("#gform_6").trigger("submit",[true]); } ">
<input type="button" id="stepend10" class="button newbtn2" value="Complete" onclick="jQuery("#gform_target_page_number_6").val("6"); jQuery("#gform_6").trigger("submit",[true]); "
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<div id="gform_page_6_11" class="gform_page" style="display:none;">
<div class="gform_page_fields">
<ul id="gform_fields_6_11" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_6_176" class="gfield myschedule gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<table>
<tbody>
<tr>
<th>Property Address</th>
<th>Asset Type</th>
<th>Year Acquired</th>
<th>Purchase Price</th>
<th>Current Value</th>
<th>Current Loan Balance</th>
<th>Lender(s)</th>
<th>Lien(s)</th>
<th>Creditors</th>
<th>Title Holders (owners)</th>
</tr>
<tr>
<td>,,,,</td>
<td></td>
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</tr>
<tr>
<td></td>
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<td></td>
</tr>
<tr>
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<td></td>
<td></td>
<td></td>
<td></td>
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<td></td>
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<td></td>
</tr>
<tr>
<td></td>
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<td></td>
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</tr>
<tr>
<td></td>
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<td></td>
<td></td>
<td></td>
<td></td>
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<td></td>
<td></td>
</tr>
</tbody>
</table>
</li>
<li id="field_6_179" class="gfield myschedulemail field_sublabel_below field_description_below gfield_visibility_hidden"><label class="gfield_label" for="input_6_179">Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_179" id="input_6_179" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_6_186" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_6_186">Customer Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_186" id="input_6_186" type="text" value="" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_6_254" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_254" id="input_6_254" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
</ul>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_6" class="gform_previous_button button" value="Previous"
onclick="if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; jQuery("#gform_6").trigger("submit",[true]); }"> <input type="submit"
id="gform_submit_button_6" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; jQuery("#gform_6").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=6&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_6" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="6">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_6" value="WyJbXSIsIjExMGQ0M2FkYzk1OGI0YjdlOGM0NGM2OTg3NWRiNTM4Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_6" id="gform_target_page_number_6" value="2">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_6" id="gform_source_page_number_6" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</div>
</div>
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form0" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer0" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard0" style="text-align:center !important;">May 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles0"> <label for="labelfiles0" id="label0" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles0" type="file" name="November 2020" accept="image/*,.pdf" style="display:none;"></label></div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form1" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
role="progressbar" style="width: 0%" id="progressBar1" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100"></span></span>
<div id="dropContainer1" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard1" style="text-align:center !important;">April 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles1"> <label for="labelfiles1" id="label1" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles1" type="file" name="October 2020" accept="image/*,.pdf" style="display:none;"></label></div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form2" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
role="progressbar" style="width: 0%" id="progressBar2" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100"></span></span>
<div id="dropContainer2" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard2" style="text-align:center !important;">March 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles2"> <label for="labelfiles2" id="label2" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles2" type="file" name="September 2020" accept="image/*,.pdf" style="display:none;"></label>
</div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form3" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer3" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard3" style="text-align:center !important;"><span class="mycurmonth">June</span> Month-to-date</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles3"> <label for="labelfiles3" id="label3" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles3" type="file" name="September 2020" accept="image/*,.pdf" style="display:none;"></label>
</div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form0-1" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer0-1" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard0-1" style="text-align:center !important;">May 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles0-1"> <label for="labelfiles0-1" id="label0-1" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles0-1" type="file" name="November 2020" accept="image/*,.pdf" style="display:none;"></label></div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form1-1" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard1-1" style="text-align:center !important;">April 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles1-1"> <label for="labelfiles1-1" id="label1-1" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles1-1" type="file" name="October 2020" accept="image/*,.pdf" style="display:none;"></label></div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form2-1" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer2-1" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard2-1" style="text-align:center !important;">March 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles2-1"> <label for="labelfiles2-1" id="label2-1" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles2-1" type="file" name="September 2020" accept="image/*,.pdf" style="display:none;"></label>
</div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form3-1" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
role="progressbar" style="width: 0%" id="progressBar3-1" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100"></span></span>
<div id="dropContainer3-1" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard3-1" style="text-align:center !important;"><span class="mycurmonth">June</span> Month-to-date</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles3-1"> <label for="labelfiles3-1" id="label3-1" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles3-1" type="file" name="September 2020" accept="image/*,.pdf" style="display:none;"></label>
</div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form0-2" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer0-2" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard0-2" style="text-align:center !important;">May 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles0-2"> <label for="labelfiles0-2" id="label0-2" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles0-2" type="file" name="November 2020" accept="image/*,.pdf" style="display:none;"></label></div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form1-2" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer1-2" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard1-2" style="text-align:center !important;">April 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles1-2"> <label for="labelfiles1-2" id="label1-2" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles1-2" type="file" name="October 2020" accept="image/*,.pdf" style="display:none;"></label></div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form2-2" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
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<div id="dropContainer2-2" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard2-2" style="text-align:center !important;">March 2024</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles2-2"> <label for="labelfiles2-2" id="label2-2" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles2-2" type="file" name="September 2020" accept="image/*,.pdf" style="display:none;"></label>
</div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form>POST https://www.nytribecagroup.net/upload.php
<form id="upload_form3-2" enctype="multipart/form-data" method="post" action="https://www.nytribecagroup.net/upload.php" data-hs-cf-bound="true"><span class="progress" style="height: 7px;"> <span class="progress-bar progress-bar-striped"
role="progressbar" style="width: 0%" id="progressBar3-2" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100"></span></span>
<div id="dropContainer3-2" class="cardFiles rectangle form-row row" style="margin-bottom:0px !important;margin-left:0px !important; cursor: pointer;">
<div class="card-body col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 august-2019" id="docCard3-2" style="text-align:center !important;"><span class="mycurmonth">June</span> Month-to-date</div>
<div class="card-body justify-content-start col-xl-6 col-lg-6 col-md-6 col-sm-3 col-1 " id="successlabelfiles3-2"> <label for="labelfiles3-2" id="label3-2" class="upload-statement" style="text-align:left !important;font-size:1rem;">Upload
Statements<input id="labelfiles3-2" type="file" name="September 2020" accept="image/*,.pdf" style="display:none;"></label>
</div>
</div>
<input type="hidden" name="foldername" class="foldername" value="">
</form><form action="" id="mynewjqueryform" data-hs-cf-bound="true">
<div class="contact100-form validate-form customform2">
<h2 data-fontsize="26" data-lineheight="46">Ready To Move <br>Your Business Forward?</h2>
<p class="myjquery2p">Enter your phone number below to be connected to a business funding consultant in seconds!</p>
<div class="wrap-input100 validate-input marginphone" data-validate="Phone Number is required"><span class="label-input100">Phone</span>
<div>
<input id="newphone2" class="input100 " name="your-tel" type="tel" placeholder="Phone Number" maxlength="10"><span class="focus-input100"></span>
</div>
</div>
<p class="sub-error"></p>
<p class="mytime2">available during business days</p>
<p style="width: 100%;"></p>
<p id="customsubmit2" class="" name="customsubmit"><span>Schedule</span></p>
<p></p>
<p class="mysaletext2" style="width: 100%; text-align: center; margin-bottom: 0px; margin-top: 10px;"><label id="estimated"
class="estimated"><a href="#" class="calendar-sidebar"></a><a href="mailto:aleksey@nytribecagroup.net">or click here to email our customer representatives</a></label></p>
</div>
<input type="hidden" id="myphone" name="phone" value="">
</form>POST
<form method="post" id="gform_0" data-hs-cf-bound="true"><input type="hidden" name="login_redirect" value="http://new.sohimarketing.com/nationalmerchantcapital/dashboard/">
<div class="gform_heading">
<h3 class="gform_title" data-fontsize="27" data-lineheight="35">Login Form</h3>
</div>
<div class="gform_body">
<ul id="gform_fields_login" class="gform_fields top_label">
<li id="field_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1">Username</label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1" type="text" value="" class="" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2">Password</label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_2" type="password" value="" class="" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_3" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible"><label class="gfield_label"></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_3">
<li class="gchoice_3_1">
<input name="input_3.1" type="checkbox" value="1" id="choice_3_1">
<label for="choice_3_1" id="label_3_1">Remember Me</label>
</li>
</ul>
</div>
</li>
</ul>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_0" class="gform_button button" value="Login" onclick="if(window["gf_submitting_0"]){return false;} window["gf_submitting_0"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_0"]){return false;} window["gf_submitting_0"]=true; jQuery("#gform_0").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_0" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="0">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="6680942764db7">
<input type="hidden" class="gform_hidden" name="state_0" value="WyJbXSIsIjExMGQ0M2FkYzk1OGI0YjdlOGM0NGM2OTg3NWRiNTM4Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_0" id="gform_target_page_number_0" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_0" id="gform_source_page_number_0" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</div>
</form>POST /application/
<form method="post" enctype="multipart/form-data" id="gform_2" action="/application/" data-hs-cf-bound="true">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_heading">
<span class="gform_description"></span>
</div>
<div class="gform_body">
<ul id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_2_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_5">Username<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_5" id="input_2_5" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_2_2" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">First Name & Last Name</label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_2_2">
<span id="input_2_2_3_container" class="name_first">
<input type="text" name="input_2.3" id="input_2_2_3" value="" aria-label="First name" aria-invalid="false">
<label for="input_2_2_3">First</label>
</span>
<span id="input_2_2_6_container" class="name_last">
<input type="text" name="input_2.6" id="input_2_2_6" value="" aria-label="Last name" aria-invalid="false">
<label for="input_2_2_6">Last</label>
</span>
</div>
</li>
<li id="field_2_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_3">Email<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_2_3" type="text" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_2_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Password</label>
<div class="ginput_complex ginput_container ginput_container_password" id="input_2_6_container">
<span id="input_2_6_1_container" class="ginput_left">
<input type="password" name="input_6" id="input_2_6" value="" aria-invalid="false">
<label for="input_2_6">Enter Password</label>
</span>
<span id="input_2_6_2_container" class="ginput_right">
<input type="password" name="input_6_2" id="input_2_6_2" value="" aria-invalid="false">
<label for="input_2_6_2">Confirm Password</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_2"]){return false;} window["gf_submitting_2"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} window["gf_submitting_2"]=true; jQuery("#gform_2").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsIjExMGQ0M2FkYzk1OGI0YjdlOGM0NGM2OTg3NWRiNTM4Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form><form action="" id="mycalendarform" data-hs-cf-bound="true">
<div class="contact100-form validate-form customform2">
<h2 style="font-size: 21px;" class="formheader2" data-inline-fontsize="21px" data-fontsize="23" data-lineheight="41">You are scheduling a phone call to:<span id="phoneval"></span></h2>
<p class="myjquery2p">Select a Date & Time</p>
</div>
<div class="calendarbody">
<div class="calendar">
<div class="pignose-calendar pignose-calendar-light pignose-calendar-default">
<div class="pignose-calendar-top">
<a href="#" class="pignose-calendar-top-nav pignose-calendar-top-prev"> <span class="icon-arrow-left pignose-calendar-top-icon"></span> </a>
<div class="pignose-calendar-top-date"> <span class="pignose-calendar-top-month">Jun</span> <span class="pignose-calendar-top-year">2024</span> </div>
<a href="#" class="pignose-calendar-top-nav pignose-calendar-top-next"> <span class="icon-arrow-right pignose-calendar-top-icon"></span> </a>
</div>
<div class="pignose-calendar-header">
<div class="pignose-calendar-week pignose-calendar-week-sun">SUN</div>
<div class="pignose-calendar-week pignose-calendar-week-mon">MON</div>
<div class="pignose-calendar-week pignose-calendar-week-tue">TUE</div>
<div class="pignose-calendar-week pignose-calendar-week-wed">WED</div>
<div class="pignose-calendar-week pignose-calendar-week-thu">THU</div>
<div class="pignose-calendar-week pignose-calendar-week-fri">FRI</div>
<div class="pignose-calendar-week pignose-calendar-week-sat">SAT</div>
</div>
<div class="pignose-calendar-body">
<div class="pignose-calendar-row">
<div class="pignose-calendar-unit pignose-calendar-unit-sun"></div>
<div class="pignose-calendar-unit pignose-calendar-unit-mon"></div>
<div class="pignose-calendar-unit pignose-calendar-unit-tue"></div>
<div class="pignose-calendar-unit pignose-calendar-unit-wed"></div>
<div class="pignose-calendar-unit pignose-calendar-unit-thu"></div>
<div class="pignose-calendar-unit pignose-calendar-unit-fri"></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sat pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-01"><a href="#">1</a></div>
</div>
<div class="pignose-calendar-row">
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sun pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-02"><a href="#">2</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-mon pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-03">
<a href="#">3</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-tue pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-04">
<a href="#">4</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-wed pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-05">
<a href="#">5</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-thu pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-06">
<a href="#">6</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-fri pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-07">
<a href="#">7</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sat pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-08"><a href="#">8</a></div>
</div>
<div class="pignose-calendar-row">
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sun pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-09"><a href="#">9</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-mon pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-10">
<a href="#">10</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-tue pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-11">
<a href="#">11</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-wed pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-12">
<a href="#">12</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-thu pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-13">
<a href="#">13</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-fri pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-14">
<a href="#">14</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sat pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-15"><a href="#">15</a></div>
</div>
<div class="pignose-calendar-row">
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sun pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-16"><a href="#">16</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-mon pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-17">
<a href="#">17</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-tue pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-18">
<a href="#">18</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-wed pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-19">
<a href="#">19</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-thu pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-20">
<a href="#">20</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-fri pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-21">
<a href="#">21</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sat pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-22"><a href="#">22</a></div>
</div>
<div class="pignose-calendar-row">
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sun pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-23"><a href="#">23</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-mon pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-24">
<a href="#">24</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-tue pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-25">
<a href="#">25</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-wed pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-26">
<a href="#">26</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-thu pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-27">
<a href="#">27</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-fri pignose-calendar-unit-disabled pignose-calendar-unit-disabled-range pignose-calendar-unit-disabled-multiple-range" data-date="2024-06-28">
<a href="#">28</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sat pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-29"><a href="#">29</a></div>
<div class="pignose-calendar-unit pignose-calendar-unit-date pignose-calendar-unit-sun pignose-calendar-unit-disabled pignose-calendar-unit-disabled-weekdays" data-date="2024-06-30"><a href="#">30</a></div>
</div>
</div>
</div>
</div>
<div class="box"><span class="timezone-toggle-label">Eastern Time - US & Canada</span></div>
</div>
<div class="spot-list">
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>10:00 AM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>10:30 AM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>11:00 AM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>11:30 AM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>12:00 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>12:30 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>01:00 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>01:30 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available" style="display:none !important;">
<button type="button" class="time-button">
<div class="eachtime">
<div>02:00 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available" style="display:none !important;">
<button type="button" class="time-button">
<div class="eachtime">
<div>02:30 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>03:00 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>03:30 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>04:00 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>04:30 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>05:00 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
<div class="spot is-available">
<button type="button" class="time-button">
<div class="eachtime">
<div>05:30 PM</div>
</div>
</button>
<button type="button" class="confirm-button">Confirm</button>
</div>
</div>
</form>Text Content
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New York Tribeca Group New Office Applicationnytg2024-03-07T08:46:28-05:00
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* Have you applied for the ERC grant?
* Was your business established no later than 2019?
* Did you have more than 5 W-2 Employees in 2020?
* Ever filed for bankruptcy?
* Yes
* No
* Please specify bankruptcy year and status
* Please specify bankruptcy status
* Discharged
* Dismissed
* Do you have any balances with any other lender?
* Yes
* No
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
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*
*
* Please list all remaining balnaces (include lender name, payment and balance)
* Do you have commercial or residential real estate?
* Yes
* No
* Please list property type, property value and any liens.
*
*
*
*
*
*
*
*
*
*
*
*
*
*
* Owner Name
* Owner Email
* Ownership %
* Your Address
* City
* State
* Zip Code
* Mobile Phone
* Date of Birth
* Social Security Number
* Ownership %
* Credit Score
* Do you own at least 51% ?
* Yes
* No
* Owner Name 1
* Your Address 1
* City 1
* State 1
* Zip Code 1
* Mobile Phone 1
* Owner Email 1
* Date Of Birth 1
* Social Security Number 1
* Ownership % 2
* Credit Score
* Do you own at least 51%?
* Yes
* No
*
*
*
*
*
*
*
*
*
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*
*
*
*
* Date
Date Format: MM slash DD slash YYYY
* Time
*
*
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* Owner Address 2
*
*
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*
* Agent Email
*
*
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*
DEBT SCHEDULE FORM
Please note that your information is saved on our server as you enter it.
1 1st Position
2 2st Position
3 3st Position
4 4st Position
5 5st Position
6 6st Position
7 7st Position
8 8st Position
9 9st Position
10 10st Position
11 Information Verification
* Your Company's Name*
* 1st Position Information:
* Lender Name*
* Current Balance*
* Payment Amount*
* Frequency*
Select repayment frequencyDailyWeekly
* Payment Left*
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
* Lender Name
* Current Balance
* Payment Amount
* Frequency
Select repayment frequencyDailyWeekly
* Payment Left
CompanyBalancePaymentFrequencyPayments
Leftundefinedundefinedundefinedundefinedundefinedundefinedundefinedu
ndefinedundefinedundefinedundefinedundefinedundefinedundefinedundefinedu
ndefinedundefinedundefinedundefinedundefinedundefinedundefinedundefinedu
ndefinedundefinedundefinedundefinedundefinedundefinedundefinedundefinedu
ndefinedundefinedundefinedundefinedundefinedundefinedundefinedundefinedu
ndefinedundefinedundefinedundefinedundefinedundefinedundefinedundefinedu
ndefinedundefinedundefined
*
* Agent Email
* Customer Email
SCHEDULE OF ASSETS
Please note that your information is saved on our server as you enter it.
1 1st Property
2 2st Property
3 3st Property
4 4st Property
5 5st Property
6 Information Verification
7
8
9
10
11
* Business Name
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific
State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 0 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 1000 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 1000 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 1000 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 1000 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 1000 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
Please enter a number from 1000 to 50000000.
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
Please enter a number from 1000 to 50000000.
* Current Value
Please enter a number from 1000 to 50000000.
* Current Loan Balance
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
* Current Value
* Current Loan Balance
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property Address
Street Address Address Line 2 City
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State ZIP Code
* Asset Type
* Year Acquired
0 of 4 max characters
* Purchase Price
* Current Value
* Current Loan Balance
* Lender(s)
* Lien(s)
* Creditors
* Title Holders (owners)
* Property AddressAsset TypeYear AcquiredPurchase PriceCurrent ValueCurrent
Loan BalanceLender(s)Lien(s)CreditorsTitle Holders (owners),,,,
* Email
* Customer Email
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BUSINESS DETAILS
Please answer the following questions about your business to help us match you
with the best funding options.
United StatesCanadian Address Type
Business Address
City
NoneAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
State
Zip Code
Business Address
City
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest
TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Province
Postal Code
Business Phone
Business Start Date
Desired Loan Amount
Entity Type & Ownership
NoneCorporationLimited Liability Company (LLC)PartnershipLimited Partnership
(LP)Limited Liability Partnership (LLP)Sole Proprietorship Select Company Type
Nature of Business
Monthly Revenue
Company Tax ID
Company Tax ID
Select... Yes No Have you applied for the ERC grant?
Select... Yes No Was your business established no later than 2019?
Select... Yes No Did you have more than 5 W-2 Employees in 2020?
Select... Yes No Ever filed for bankruptcy?
Please specify bankruptcy year
Select... Discharged Dismissed Please specify bankruptcy status
Select... Yes No Do you have any balances with any other lender?
POSITION #1
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #2
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #3
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #4
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #5
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #6
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #7
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
label>Add another position
POSITION #8
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #9
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
POSITION #10
Lender Name
Current Balance
Payment Amount
Select... Daily Weekly Frequency
Payment(s) Left
Add another position
Select... Yes No Do you have commercial or residential real estate?
PROPERTY #1
Your Address
City
Select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN
MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
State
Zip Code
Asset Type
Year Acquired
Purchase Price
Current Value
Loan Balance
Lender(s)
Lien(s)
Creditors
Title Holders
Add another property
PROPERTY #2
Your Address
City
Select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN
MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
State
Zip Code
Asset Type
Year Acquired
Purchase Price
Current Value
Loan Balance
Lender(s)
Lien(s)
Creditors
Title Holders
Add another property
PROPERTY #3
Your Address
City
Select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN
MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
State
Zip Code
Asset Type
Year Acquired
Purchase Price
Current Value
Loan Balance
Lender(s)
Lien(s)
Creditors
Title Holders
Add another property
PROPERTY #4
Your Address
City
Select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN
MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
State
Zip Code
Asset Type
Year Acquired
Purchase Price
Current Value
Loan Balance
Lender(s)
Lien(s)
Creditors
Title Holders
Add another property
PROPERTY #5
Your Address
City
Select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN
MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
State
Zip Code
Asset Type
Year Acquired
Purchase Price
Current Value
Loan Balance
Lender(s)
Lien(s)
Creditors
Title Holders
Add another property
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ABOUT YOU
We’re almost there. Now we just need a few more details about you as the owner
to wrap things up.
First Name
Last Name
Your Address
City
NoneAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
State
Zip Code
Your Address
City
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest
TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Province
Postal Code
Mobile Phone
Owner Email
Date of Birth
Social Security Number
Social Security Number
Select... < 550 551 - 630 631 - 670 670 + What's your personal credit score?
Do you own at least 51% of the business?
Do you own at least 51% ?
Yes
No
Ownership %
OWNER #2
First Name
Last Name
Your Address
City
NoneAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
State
Zip Code
Your Address
City
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest
TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Province
Postal Code
Mobile Phone
Owner Email
Date of Birth
Social Security Number
Social Security Number
Select... > 550 551 - 630 631 - 670 670 + What's your personal credit score?
Do you own at least 51% of the business?
Do you own at least 51% ?
Yes
No
Ownership %
Please add second owner details
SIGNATURE OWNER 1
SIGNATURE OWNER 2
Each of the undersigned, who is either a Principal, Sole Proprietor or Personal
Guarantor of the above-named business, recognizes that his or her individual
credit history may be a factor in the evaluation of this application of the
above named business for funding. [. . .] Each of the undersigned hereby
authorizes NYTG and its assigns and/or affiliate partners of NYTG to obtain his
or her credit report (and any updates to his or her credit report) in connection
with NYTG consideration of this application and any affiliate partners of NYTG
in connection with any subsequent review of the account of the abovenamed
business. Each of the undersigned hereby authorizes NYTG to utilize information
including but not limited to calls, emails, texts and direct mail for marketing
efforts from NYTG.
I do not have a second business owner
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UPLOAD STATEMENTS
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June Month-to-date
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DO YOU HAVE ADDITIONAL BANK ACCOUNTS? ADD ANOTHER BANK ACCOUNT
SECOND BANK ACCOUNT
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May 2024
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April 2024
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March 2024
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Please select or drop your month to date report here:
June Month-to-date
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May 2024
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April 2024
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March 2024
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Please select or drop your month to date report here:
June Month-to-date
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DO YOU HAVE ADDITIONAL BANK ACCOUNTS? ADD MORE STATEMENTS
We’ve received your application successfully. Your dedicated Account Executive
is now reviewing and confirming your best offers. We look forward to speaking
with you the following business day.
Thank you for taking the time to apply for financing through Fast Capital 360.
At this time, your revenue disqualifies you for financing. These are uncertain
times, and lenders have tightened qualifying guidelines. But it’s important to
note that the situation remains fluid. We will reach out as restrictions lift
and new funding opportunities open. We wish you continued success.
Get expert advice to grow your business.
Check out our blog, guides, and calculators
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