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eslint-disable es/no-object-getownpropertynames -- safe */\nvar toIndexedObject = require('../internals/to-indexed-object');\nvar $getOwnPropertyNames = require('../internals/object-get-own-property-names').f;\n\nvar toString = {}.toString;\n\nvar windowNames = typeof window == 'object' && window && Object.getOwnPropertyNames\n  ? Object.getOwnPropertyNames(window) : [];\n\nvar getWindowNames = function (it) {\n  try {\n    return $getOwnPropertyNames(it);\n  } catch (error) {\n    return windowNames.slice();\n  }\n};\n\n// fallback for IE11 buggy Object.getOwnPropertyNames with iframe and window\nmodule.exports.f = function getOwnPropertyNames(it) {\n  return windowNames && toString.call(it) == '[object Window]'\n    ? getWindowNames(it)\n    : $getOwnPropertyNames(toIndexedObject(it));\n};\n","var isArray = require('../internals/is-array');\nvar isConstructor = require('../internals/is-constructor');\nvar isObject = require('../internals/is-object');\nvar wellKnownSymbol = require('../internals/well-known-symbol');\n\nvar SPECIES = wellKnownSymbol('species');\n\n// a part of `ArraySpeciesCreate` abstract operation\n// https://tc39.es/ecma262/#sec-arrayspeciescreate\nmodule.exports = function (originalArray) {\n  var C;\n  if (isArray(originalArray)) {\n    C = originalArray.constructor;\n    // cross-realm fallback\n    if (isConstructor(C) && (C === Array || isArray(C.prototype))) C = undefined;\n    else if (isObject(C)) {\n      C = C[SPECIES];\n      if (C === null) C = undefined;\n    }\n  } return C === undefined ? Array : C;\n};\n","var toObject = require('../internals/to-object');\n\nvar floor = Math.floor;\nvar replace = ''.replace;\nvar SUBSTITUTION_SYMBOLS = /\\$([$&'`]|\\d{1,2}|<[^>]*>)/g;\nvar SUBSTITUTION_SYMBOLS_NO_NAMED = /\\$([$&'`]|\\d{1,2})/g;\n\n// `GetSubstitution` abstract operation\n// https://tc39.es/ecma262/#sec-getsubstitution\nmodule.exports = function (matched, str, position, captures, namedCaptures, replacement) {\n  var tailPos = position + matched.length;\n  var m = captures.length;\n  var symbols = SUBSTITUTION_SYMBOLS_NO_NAMED;\n  if (namedCaptures !== undefined) {\n    namedCaptures = toObject(namedCaptures);\n    symbols = SUBSTITUTION_SYMBOLS;\n  }\n  return replace.call(replacement, symbols, function (match, ch) {\n    var capture;\n    switch (ch.charAt(0)) {\n      case '$': return '$';\n      case '&': return matched;\n      case '`': return str.slice(0, position);\n      case \"'\": return str.slice(tailPos);\n      case '<':\n        capture = namedCaptures[ch.slice(1, -1)];\n        break;\n      default: // \\d\\d?\n        var n = +ch;\n        if (n === 0) return match;\n        if (n > m) {\n          var f = floor(n / 10);\n          if (f === 0) return match;\n          if (f <= m) return captures[f - 1] === undefined ? ch.charAt(1) : captures[f - 1] + ch.charAt(1);\n          return match;\n        }\n        capture = captures[n - 1];\n    }\n    return capture === undefined ? '' : capture;\n  });\n};\n","var fails = require('../internals/fails');\nvar global = require('../internals/global');\n\n// babel-minify and Closure Compiler transpiles RegExp('(?<a>b)', 'g') -> /(?<a>b)/g and it causes SyntaxError\nvar $RegExp = global.RegExp;\n\nmodule.exports = fails(function () {\n  var re = $RegExp('(?<a>b)', 'g');\n  return re.exec('b').groups.a !== 'b' ||\n    'b'.replace(re, '$<a>c') !== 'bc';\n});\n","var anObject = require('../internals/an-object');\nvar isCallable = require('../internals/is-callable');\nvar classof = require('../internals/classof-raw');\nvar regexpExec = require('../internals/regexp-exec');\n\n// `RegExpExec` abstract operation\n// https://tc39.es/ecma262/#sec-regexpexec\nmodule.exports = function (R, S) {\n  var exec = R.exec;\n  if (isCallable(exec)) {\n    var result = exec.call(R, S);\n    if (result !== null) anObject(result);\n    return result;\n  }\n  if (classof(R) === 'RegExp') return regexpExec.call(R, S);\n  throw TypeError('RegExp#exec called on incompatible receiver');\n};\n","var global = require('../internals/global');\nvar DOMIterables = require('../internals/dom-iterables');\nvar DOMTokenListPrototype = require('../internals/dom-token-list-prototype');\nvar forEach = require('../internals/array-for-each');\nvar createNonEnumerableProperty = require('../internals/create-non-enumerable-property');\n\nvar handlePrototype = function (CollectionPrototype) {\n  // some Chrome versions have non-configurable methods on DOMTokenList\n  if (CollectionPrototype && CollectionPrototype.forEach !== forEach) try {\n    createNonEnumerableProperty(CollectionPrototype, 'forEach', forEach);\n  } catch (error) {\n    CollectionPrototype.forEach = forEach;\n  }\n};\n\nfor (var COLLECTION_NAME in DOMIterables) {\n  if (DOMIterables[COLLECTION_NAME]) {\n    handlePrototype(global[COLLECTION_NAME] && global[COLLECTION_NAME].prototype);\n  }\n}\n\nhandlePrototype(DOMTokenListPrototype);\n","<template>\r\n  <div class=\"starter-template\">\r\n    <h1>Ayudate Loan Application</h1>\r\n    <p class=\"lead\">${{ loan }} Loan</p>\r\n  </div>\r\n\r\n  <form @submit=\"onSubmit\" id=\"form-application\">\r\n    <section class=\"controls\">\r\n      <h2>Personal Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group required\">\r\n            <label class=\"\"> First Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.firstName\"\r\n              name=\"Customer.firstName\"\r\n              v-model=\"Customer.firstName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.firstName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.middleName\">\r\n            <label class=\"\"> Middle Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.middleName\"\r\n              name=\"Customer.middleName\"\r\n              v-model=\"Customer.middleName\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.lastName required\">\r\n            <label class=\"\"> Last Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.lastName\"\r\n              name=\"Customer.lastName\"\r\n              v-model=\"Customer.lastName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.lastName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.gender required\">\r\n            <label class=\"\"> Gender </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.gender\"\r\n              name=\"Customer.gender\"\r\n              v-model=\"Customer.gender\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.gender && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"female\">Female</option>\r\n              <option value=\"male\">Male</option>\r\n              <option value=\"unknown\">Unknown</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.birthDate required\">\r\n            <label class=\"\"> Date Of Birth </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.birthDate\"\r\n              name=\"Customer.birthDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.birthDate\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.birthDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.20\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Country of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.20\"\r\n              name=\"Customer.CustomField.20\"\r\n              v-model=\"Customer.countryOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.countryOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.48\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> State of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.48\"\r\n              name=\"Customer.CustomField.48\"\r\n              v-model=\"Customer.stateOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.stateOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.49\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> City or Town of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.49\"\r\n              name=\"Customer.CustomField.49\"\r\n              v-model=\"Customer.cityOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.cityOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.driverLicense required\">\r\n            <label class=\"\"> License / Passport / Matricula </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.driverLicense\"\r\n              name=\"Customer.driverLicense\"\r\n              v-model=\"Customer.driverLicense\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.driverLicense && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.ssn\">\r\n            <label class=\"\"> SSN / ITIN </label>\r\n            <input\r\n              type=\"password\"\r\n              class=\"form-control js-ssn\"\r\n              id=\"Customer.ssn\"\r\n              name=\"Customer.ssn\"\r\n              v-model=\"Customer.ssn\"\r\n              @input=\"formatSSN\"\r\n              maxlength=\"11\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.address1 required\">\r\n            <label class=\"\"> Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.address1\"\r\n              name=\"Customer.PrimaryAddress.address1\"\r\n              v-model=\"Customer.PrimaryAddress.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.zipcodeUsa required\">\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              name=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              v-model=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.PrimaryAddress.zipcodeUsa,\r\n                  Customer.PrimaryAddress,\r\n                  Customer.PrimaryAddress\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.city\"\r\n              name=\"Customer.PrimaryAddress.city\"\r\n              v-model=\"Customer.PrimaryAddress.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.stateUsa\"\r\n              name=\"Customer.PrimaryAddress.stateUsa\"\r\n              v-model=\"Customer.PrimaryAddress.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.country\"\r\n              name=\"Customer.PrimaryAddress.country\"\r\n              v-model=\"Customer.PrimaryAddress.country\"\r\n              @change=\"onChangePrimaryAddressCountry\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected>United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.11\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Residence </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.11\"\r\n              name=\"Customer.CustomField.11\"\r\n              v-model=\"Customer.typeOfResidence\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.typeOfResidence && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Rent\">Rent</option>\r\n              <option value=\"Own\">Own</option>\r\n              <option value=\"Live w/ Relatives\">Live w/ Relatives</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.phone required\">\r\n            <label class=\"\"> Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.phone\"\r\n              name=\"Customer.phone\"\r\n              v-model=\"Customer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.16\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\">\r\n              What Month and Year did you start living in the US\r\n            </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.16\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.CustomField.16\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.monthAndYearStartedLivingInUS\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.monthAndYearStartedLivingInUS && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.12\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Best Time to Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.12\"\r\n              name=\"Customer.CustomField.12\"\r\n              v-model=\"Customer.bestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.bestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.email\">\r\n            <label class=\"\"> Email </label>\r\n            <input\r\n              type=\"email\"\r\n              class=\"form-control js-email\"\r\n              id=\"Customer.email\"\r\n              name=\"Customer.email\"\r\n              v-model=\"Customer.email\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.14\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Dependents </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.14\"\r\n              name=\"Customer.CustomField.14\"\r\n              v-model=\"Customer.numberDependents\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.numberDependents && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"No Dependents\">No Dependents</option>\r\n              <option value=\"1\">1</option>\r\n              <option value=\"2\">2</option>\r\n              <option value=\"3\">3</option>\r\n              <option value=\"4\">4</option>\r\n              <option value=\"5\">5</option>\r\n              <option value=\"6\">6</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.6\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Marital Status </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.6\"\r\n              name=\"Customer.CustomField.6\"\r\n              v-model=\"Customer.maritalStatus\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.maritalStatus && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Single\">Single</option>\r\n              <option value=\"Married\">Married</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.15 custom-field\">\r\n            <label class=\"\"> Spouses Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.15\"\r\n              name=\"Customer.CustomField.15\"\r\n              v-model=\"Customer.spouseName\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.23 custom-field\">\r\n            <label class=\"\"> Spouses Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.CustomField.23\"\r\n              name=\"Customer.CustomField.23\"\r\n              v-model=\"Customer.spousePhone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.43 custom-field\">\r\n            <label class=\"\"> Does you spouse currently have a job </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.43\"\r\n              name=\"Customer.CustomField.43\"\r\n              v-model=\"Customer.spouseCurrentlyHasJob\"\r\n            >\r\n              <option value=\"Yes\">Yes</option>\r\n              <option value=\"No\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.44 custom-field\">\r\n            <label class=\"\"> Spouse Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.44\"\r\n              name=\"Customer.CustomField.44\"\r\n              v-model=\"Customer.spouseMonthlyIncome\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.name required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Name of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.name\"\r\n              name=\"Customer.Reference.name\"\r\n              v-model=\"Customer.Reference.name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.relation required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Relation of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.relation\"\r\n              name=\"Customer.Reference.relation\"\r\n              v-model=\"Customer.Reference.relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"brother\" selected=\"\">\r\n                Brother\r\n              </option>\r\n              <option value=\"coWorker\">\r\n                CoWorker\r\n              </option>\r\n              <option value=\"daughter\">\r\n                Daughter\r\n              </option>\r\n              <option value=\"father\">Father</option>\r\n              <option value=\"friend\">Friend</option>\r\n              <option value=\"husband\">\r\n                Husband\r\n              </option>\r\n              <option value=\"mother\">Mother</option>\r\n              <option value=\"sister\">Sister</option>\r\n              <option value=\"son\">Son</option>\r\n              <option value=\"wife\">Wife</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.primaryPhone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Phone of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Reference.primaryPhone\"\r\n              name=\"Customer.Reference.primaryPhone\"\r\n              v-model=\"Customer.Reference.primaryPhone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.primaryPhone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.address1 required\">\r\n            <label class=\"\"> Address of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.address1\"\r\n              name=\"Customer.Reference.Address.address1\"\r\n              v-model=\"Customer.Reference.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> Zip Code of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Reference.Address.zipcodeUsa\"\r\n              name=\"Customer.Reference.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Reference.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Reference.Address.zipcodeUsa,\r\n                  Customer.Reference.Address,\r\n                  Customer.Reference.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.city required\">\r\n            <label class=\"\"> City of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.city\"\r\n              name=\"Customer.Reference.Address.city\"\r\n              v-model=\"Customer.Reference.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Reference.Address.stateUsa required\">\r\n            <label class=\"\"> State of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.stateUsa\"\r\n              name=\"Customer.Reference.Address.stateUsa\"\r\n              v-model=\"Customer.Reference.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.country required\">\r\n            <label class=\"\"> Country of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.country\"\r\n              name=\"Customer.Reference.Address.country\"\r\n              v-model=\"Customer.Reference.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-2\">\r\n      <h2>References</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.17\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.17\"\r\n              name=\"Customer.CustomField.17\"\r\n              v-model=\"Customer.Reference1.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.18\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.18\"\r\n              name=\"Customer.CustomField.18\"\r\n              v-model=\"Customer.Reference1.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.27\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.27\"\r\n              name=\"Customer.CustomField.27\"\r\n              v-model=\"Customer.Reference1.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.26\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.26\"\r\n              name=\"Customer.CustomField.26\"\r\n              v-model=\"Customer.Reference1.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.28 custom-field\">\r\n            <label class=\"\"> Reference 1 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.28\"\r\n              name=\"Customer.CustomField.28\"\r\n              v-model=\"Customer.Reference1.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.29 custom-field\">\r\n            <label class=\"\"> Reference 1 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.29\"\r\n              name=\"Customer.CustomField.29\"\r\n              v-model=\"Customer.Reference1.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.30\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.30\"\r\n              name=\"Customer.CustomField.30\"\r\n              v-model=\"Customer.Reference2.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.31\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.31\"\r\n              name=\"Customer.CustomField.31\"\r\n              v-model=\"Customer.Reference2.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.32\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.32\"\r\n              name=\"Customer.CustomField.32\"\r\n              v-model=\"Customer.Reference2.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.37\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.37\"\r\n              name=\"Customer.CustomField.37\"\r\n              v-model=\"Customer.Reference2.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.33 custom-field\">\r\n            <label class=\"\"> Reference 2 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.33\"\r\n              name=\"Customer.CustomField.33\"\r\n              v-model=\"Customer.Reference2.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.34 custom-field\">\r\n            <label class=\"\"> Reference 2 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.34\"\r\n              name=\"Customer.CustomField.34\"\r\n              v-model=\"Customer.Reference2.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.35\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.35\"\r\n              name=\"Customer.CustomField.35\"\r\n              v-model=\"Customer.Reference3.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.36\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.36\"\r\n              name=\"Customer.CustomField.36\"\r\n              v-model=\"Customer.Reference3.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.38\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.38\"\r\n              name=\"Customer.CustomField.38\"\r\n              v-model=\"Customer.Reference3.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.39\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.39\"\r\n              name=\"Customer.CustomField.39\"\r\n              v-model=\"Customer.Reference3.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.40 custom-field\">\r\n            <label class=\"\"> Reference 3 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.40\"\r\n              name=\"Customer.CustomField.40\"\r\n              v-model=\"Customer.Reference3.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.41 custom-field\">\r\n            <label class=\"\"> Reference 3 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.41\"\r\n              name=\"Customer.CustomField.41\"\r\n              v-model=\"Customer.Reference3.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-3\">\r\n      <h2>Loan Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.3 custom-field required\"\r\n          >\r\n            <label class=\"\"> Reason for Loan </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.3\"\r\n              name=\"LoanSettings.CustomField.3\"\r\n              v-model=\"LoanSettings.reasonForLoan\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.reasonForLoan && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"Personal\">Personal</option>\r\n              <option value=\"Immigration\">Immigration</option>\r\n              <option value=\"Other\">Other</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.19 custom-field required\"\r\n          >\r\n            <label class=\"\"> What will the loan be used for </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.19\"\r\n              name=\"LoanSettings.CustomField.19\"\r\n              v-model=\"LoanSettings.whatWillTheLoanBeUsedFor\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.whatWillTheLoanBeUsedFor && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-LoanSettings.CustomField.7\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Promo Code o Numero de Gafete </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.7\"\r\n              name=\"LoanSettings.CustomField.7\"\r\n              v-model=\"LoanSettings.promoCode\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.promoCode && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.2\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> How did you hear about us </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.2\"\r\n              name=\"Customer.CustomField.2\"\r\n              v-model=\"Customer.howDidYouHearAboutUs\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.howDidYouHearAboutUs && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.5 custom-field required\">\r\n            <label class=\"\"> Name of person who referred you </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.5\"\r\n              name=\"Customer.CustomField.5\"\r\n              v-model=\"Customer.nameOfPersonWhoReferredYou\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfPersonWhoReferredYou && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-4\">\r\n      <h2>Employer Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.companyName required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Company Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.companyName\"\r\n              name=\"Customer.Employer.companyName\"\r\n              v-model=\"Customer.Employer.companyName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.companyName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.46\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Employment </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Employer.CustomField.46\"\r\n              name=\"Employer.CustomField.46\"\r\n              v-model=\"Employer.typeOfEmployment\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.typeOfEmployment && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"FullTime\">Full-time</option>\r\n              <option value=\"PartTime\">Part-time</option>\r\n              <option value=\"Seasonal\">Seasonal</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.title required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Title </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.title\"\r\n              name=\"Customer.Employer.title\"\r\n              v-model=\"Customer.Employer.title\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.title && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.9\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Working Hours </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Employer.CustomField.9\"\r\n              name=\"Employer.CustomField.9\"\r\n              v-model=\"Employer.workingHours\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.workingHours && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.hireDate required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Hire Date </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.hireDate\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.Employer.hireDate\"\r\n              v-model=\"Customer.Employer.hireDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.hireDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.address1 required\">\r\n            <label class=\"\"> Employer's Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.address1\"\r\n              name=\"Customer.Employer.Address.address1\"\r\n              v-model=\"Customer.Employer.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Employer.Address.zipcodeUsa\"\r\n              name=\"Customer.Employer.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Employer.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Employer.Address.zipcodeUsa,\r\n                  Customer.Employer.Address,\r\n                  Customer.Employer.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.city\"\r\n              name=\"Customer.Employer.Address.city\"\r\n              v-model=\"Customer.Employer.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Employer.Address.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.stateUsa\"\r\n              name=\"Customer.Employer.Address.stateUsa\"\r\n              v-model=\"Customer.Employer.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.country\"\r\n              name=\"Customer.Employer.Address.country\"\r\n              v-model=\"Customer.Employer.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected=\"\">\r\n                United States\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.45 custom-field required\">\r\n            <label class=\"\"> Name of Direct Boss </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.45\"\r\n              name=\"Customer.CustomField.45\"\r\n              v-model=\"Customer.nameOfDirectBoss\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfDirectBoss && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.phone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Employers Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Employer.phone\"\r\n              name=\"Customer.Employer.phone\"\r\n              v-model=\"Customer.Employer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.incomeFrequency required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Income Frequency </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.incomeFrequency\"\r\n              name=\"Customer.Employer.incomeFrequency\"\r\n              v-model=\"Customer.Employer.incomeFrequency\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.incomeFrequency && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"annually\">\r\n                Annually\r\n              </option>\r\n              <option\r\n                value=\"biWeekly\"\r\n                selected=\"\"\r\n              >\r\n                Bi-Weekly\r\n              </option>\r\n              <option value=\"monthly\">\r\n                Monthly\r\n              </option>\r\n              <option value=\"semiMonthly\">\r\n                Semi-Monthly\r\n              </option>\r\n              <option value=\"weekly\">\r\n                Weekly\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.income required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.Employer.income\"\r\n              name=\"Customer.Employer.income\"\r\n              v-model=\"Customer.Employer.income\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.income && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.13\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Total Monthly Expenses </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.13\"\r\n              name=\"Customer.CustomField.13\"\r\n              v-model=\"Customer.totalMonthlyExpenses\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.totalMonthlyExpenses && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-5\">\r\n      <h2>Documents</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Documents.1529359983 required\">\r\n            <label class=\"\"> Proof of ID </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359983\"\r\n              name=\"Customer.Documents.1529359984\"\r\n              data-section=\"8\"\r\n              v-on:change=\"onFileChange($event, 'proofOfID')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfID || !Customer.Documents.proofOfID.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359968 required\">\r\n            <label class=\"\"> Proof of Income </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359968\"\r\n              name=\"Customer.Documents.1529359968\"\r\n              data-section=\"9\"\r\n              v-on:change=\"onFileChange($event, 'proofOfIncome')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfIncome || !Customer.Documents.proofOfIncome.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359996 required\">\r\n            <label class=\"\"> Proof of Residence </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359996\"\r\n              name=\"Customer.Documents.1529359996\"\r\n              data-section=\"10\"\r\n              v-on:change=\"onFileChange($event, 'proofOfResidence')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfResidence || !Customer.Documents.proofOfResidence.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.21 custom-field\"\r\n          >\r\n            <label class=\"\"> Payment Check </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.21\"\r\n              name=\"LoanSettings.CustomField.21\"\r\n              v-model=\"LoanSettings.paymentCheck\"\r\n            >\r\n              <option value=\"Yes-1\">Yes</option>\r\n              <option value=\"No-2\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-6\">\r\n      <h2>THIS INFORMATION IS CONFIDENTIAL AND WILL NOT BE SHARED WITH OTHERS. I, hereby authorize verification of all information in my loan application from all sources of employment, financial history and criminal history. I authorize any duly authorized agent of AYUDATE TEXAS INC. to obtain, whether the said records are public or private, and including those which may be deemed to be privileged or confidential and I release all persons from liability on account of such disclosures. Information appearing on this Authorization will be used exclusively by AYUDATE TEXAS INC. for identification purposes and for the release information which will be considered in determining any loan approval. I certify that I have made true, correct, and complete answers and statements on my loan application. I agree to provide additional information that may be requested to process my loan application. And to provide current phone numbers and address at all times.\r\n</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.25 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Information Agreement </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.25\"\r\n              name=\"LoanSettings.CustomField.25\"\r\n              v-model=\"LoanSettings.informationAgreement\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.informationAgreement && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              > I accept the terms and conditions</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <div class=\"form-group\">\r\n      <div\r\n        class=\"alert alert-success\"\r\n        id=\"successAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      >\r\n        Thank you!\r\n      </div>\r\n      <div\r\n        class=\"alert alert-warning\"\r\n        id=\"errorAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      ></div>\r\n      <div class=\"text-center\">\r\n        <button\r\n          id=\"submitBtn\"\r\n          type=\"submit\"\r\n          class=\"btn btn-primary\"\r\n          style=\"width: 250px\"\r\n        >\r\n          Submit\r\n        </button>\r\n      </div>\r\n    </div>\r\n    <input type=\"hidden\" id=\"application_id\" name=\"application_id\" value=\"2\" />\r\n    <input type=\"hidden\" id=\"instance_id\" name=\"instance_id\" value=\"5200861\" />\r\n  </form>\r\n\r\n  <div\r\n    v-if=\"loader\"\r\n    style=\"\r\n      position: fixed;\r\n      top: 0px;\r\n      left: 0px;\r\n      padding: 0px;\r\n      margin: 0px;\r\n      width: 100%;\r\n      height: 100%;\r\n      background-color: rgba(250, 250, 250, 0.5);\r\n    \"\r\n  >\r\n    <div\r\n      class=\"spinner-border\"\r\n      style=\"width: 3rem; height: 3rem; position: absolute; top: 50%; left: 50%\"\r\n      role=\"status\"\r\n    >\r\n      <span class=\"sr-only\"></span>\r\n    </div>\r\n  </div>\r\n</template>\r\n\r\n\r\n\r\n<script>\r\nexport default {\r\n  data() {\r\n    return {\r\n      loader: false,\r\n      loan: \"500\",\r\n      formSend: false,\r\n      LoanSettings: {\r\n        CustomField: {},\r\n      },\r\n      Customer: {\r\n        Documents: {},\r\n        gender: \"female\",\r\n        CustomField: {},\r\n        Reference1: {},\r\n        Reference2: {},\r\n        Reference3: {},\r\n        Reference: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        Employer: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        PrimaryAddress: {\r\n          country: \"usa\",\r\n        },\r\n      },\r\n      Employer: {\r\n        CustomField: {},\r\n      },\r\n    };\r\n  },\r\n  components: {},\r\n  methods: {\r\n    onSubmit(event) {\r\n      event.preventDefault();\r\n      this.formSend = true;\r\n      /*\r\n      console.log(\"this.Customer\");\r\n      console.log(this.Customer);\r\n      console.log(\"this.Employer\");\r\n      console.log(this.Employer);\r\n      console.log(\"this.LoanSettings\");\r\n      console.log(this.LoanSettings);\r\n      */\r\n      let error = false;\r\n\r\n      let inputs = document.getElementsByTagName(\"input\");\r\n      error = this.checkInputs(inputs, error);\r\n      if (!error) {\r\n        let selects = document.getElementsByTagName(\"select\");\r\n        error = this.checkInputs(selects, error);\r\n      }\r\n\r\n      if (error) {\r\n        this.$toast.error(\"You need to fill all the required fields\", {\r\n          position: \"top-right\",\r\n        });\r\n        return;\r\n      }\r\n      this.loader = true;\r\n      this.$toast.info(\"Sending the application\", {\r\n        position: \"top-right\",\r\n      });\r\n\r\n      let sendData = {};\r\n\r\n      Object.keys(this.Customer).forEach((key) => {\r\n        if (typeof this.Customer[key] === \"object\") {\r\n          Object.keys(this.Customer[key]).forEach((key2) => {\r\n            if (typeof this.Customer[key][key2] === \"object\") {\r\n              Object.keys(this.Customer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Customer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"customer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Customer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"customer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Customer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"customer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Customer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.Employer).forEach((key) => {\r\n        if (typeof this.Employer[key] === \"object\") {\r\n          Object.keys(this.Employer[key]).forEach((key2) => {\r\n            if (typeof this.Employer[key][key2] === \"object\") {\r\n              Object.keys(this.Employer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Employer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"employer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Employer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"employer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Employer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"employer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Employer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.LoanSettings).forEach((key) => {\r\n        if (typeof this.LoanSettings[key] === \"object\") {\r\n          Object.keys(this.LoanSettings[key]).forEach((key2) => {\r\n            if (typeof this.LoanSettings[key][key2] === \"object\") {\r\n              Object.keys(this.LoanSettings[key][key2]).forEach((key3) => {\r\n                if (typeof this.LoanSettings[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"loanSettings\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.LoanSettings[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"loanSettings\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.LoanSettings[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\r\n            \"loanSettings\" + key.replace(/^\\w/, (c) => c.toUpperCase())\r\n          ] = this.LoanSettings[key];\r\n        }\r\n      });\r\n\r\n      //console.log(sendData);\r\n      sendData[\"loanType\"] = \"500\";\r\n\r\n      sendData.loanSettingsAgreement2 = \"true\";\r\n      sendData.loanSettingsAgreement3 = \"true\";\r\n      sendData.loanSettingsAgreement4 = \"true\";\r\n      sendData.loanSettingsAgreement5 = \"true\";\r\n      sendData.loanSettingsInformationAgreement = \"true\";\r\n\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/SaveLoanRequest\", {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((response) => {\r\n          console.log(response);\r\n          if (response.status === 200) {\r\n            this.$toast.success(\"Application sent successfully\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n            this.formSend = false;\r\n\r\n            this.LoanSettings = {\r\n              CustomField: {},\r\n            };\r\n            this.Customer = {\r\n              Documents: {},\r\n              gender: \"female\",\r\n              CustomField: {},\r\n              Reference1: {},\r\n              Reference2: {},\r\n              Reference3: {},\r\n              Reference: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              Employer: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              PrimaryAddress: {\r\n                country: \"can\",\r\n              },\r\n            };\r\n            this.Employer = {\r\n              CustomField: {},\r\n            };\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .catch((error) => {\r\n          this.$toast.error(\"Error sending the application\", {\r\n            position: \"top-right\",\r\n          });\r\n          this.loader = false;\r\n        });\r\n    },\r\n\r\n    checkInputs(element, error) {\r\n      for (let index = 0; index < element.length; ++index) {\r\n        element[index].blur();\r\n        if (element[index].getAttribute(\"req\") != null) {\r\n          if (element[index].type == \"checkbox\") {\r\n            if (element[index].checked == false) {\r\n              element[index].focus();\r\n              error = true;\r\n              break;\r\n            }\r\n          } else if (this.noExistEmpty(element[index].value)) {\r\n            element[index].focus();\r\n            error = true;\r\n            break;\r\n          }\r\n        }\r\n      }\r\n      return error;\r\n    },\r\n\r\n    onChangeZipCode(zip, city, state) {\r\n      let sendData = {\r\n        zip: zip,\r\n      };\r\n      fetch(\r\n        \"https://ayudate.teknosgroup.com/BACKEND/Maestro/GetState/\" +\r\n          zip,\r\n        {\r\n          method: \"POST\",\r\n          headers: {\r\n            \"Content-Type\": \"application/json\",\r\n          },\r\n          body: JSON.stringify(sendData),\r\n        }\r\n      )\r\n        .then((res) => {\r\n          city.city = \"\";\r\n          state.stateUsa = \"\";\r\n          if (res.status === 200) {\r\n            return res.text().then(function (text) {\r\n              return { data: text, status: res.status, ok: res.ok };\r\n            });\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .then(\r\n          (result) => {\r\n            let response = result;\r\n            try {\r\n              //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n              response.data = JSON.parse(result.data);\r\n              if (response.data.city) {\r\n                city.city = response.data.city;\r\n                state.stateUsa = response.data.state;\r\n              }\r\n            } catch (er) {\r\n              console.log(er);\r\n            }\r\n          },\r\n          (error) => {\r\n            console.log(error);\r\n          }\r\n        );\r\n    },\r\n\r\n    onFileChange(element, id) {\r\n      let othat = this;\r\n      var reader = new FileReader();\r\n      if (element.target.files[0]) {\r\n        reader.readAsDataURL(element.target.files[0]);\r\n        reader.onload = function () {\r\n          //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n          if (element.target.files[0].size > 2100000) {\r\n            othat.$toast.error(\"Maximum file size 2Mb\", {\r\n              position: \"top-right\",\r\n            });\r\n            othat.Customer.Documents[id] = {};\r\n            element.target.value = \"\";\r\n          } else {\r\n            othat.Customer.Documents[id] = {\r\n              fileName: element.target.files[0].name,\r\n              fileSize: element.target.files[0].size.toString(),\r\n              fileType: element.target.files[0].type,\r\n              data: reader.result,\r\n            };\r\n            //console.log(othat.Customer);\r\n          }\r\n        };\r\n        reader.onerror = function (error) {\r\n          console.log(\"Error: \", error);\r\n          othat.Customer.Documents[id] = {};\r\n          element.target.value = \"\";\r\n        };\r\n      } else {\r\n        othat.Customer.Documents[id] = {};\r\n        element.target.value = \"\";\r\n      }\r\n    },\r\n\r\n    noExistEmpty(value) {\r\n      if (value === undefined) return true;\r\n      if (value === null) return true;\r\n      if (value === \"\") return true;\r\n      if (value.length <= 0) return true;\r\n      return false;\r\n    },\r\n    onChangePrimaryAddressCountry() {\r\n      this.Customer.PrimaryAddress.stateUsa = \"\";\r\n      this.Customer.PrimaryAddress.zipcodeUsa = \"\";\r\n    },\r\n    addToChart({ product, quantity }) {\r\n      console.log(product, quantity);\r\n    },\r\n    formatSSN() {\r\n      //console.log(this.Customer.ssn);\r\n      var x = this.Customer.ssn\r\n        .replace(/\\D/g, \"\")\r\n        .match(/(\\d{0,3})(\\d{0,2})(\\d{0,4})/);\r\n      this.Customer.ssn = !x[2]\r\n        ? x[1]\r\n        : x[1] + \"-\" + x[2] + (x[3] ? \"-\" + x[3] : \"\");\r\n    },\r\n  },\r\n};\r\n</script>\r\n","import { render } from \"./loan500.vue?vue&type=template&id=66dc6d52\"\nimport script from \"./loan500.vue?vue&type=script&lang=js\"\nexport * from \"./loan500.vue?vue&type=script&lang=js\"\n\nimport exportComponent from \"G:\\\\Proyectos\\\\Front\\\\Clt-Alaia-Emp-Ayudate-Pro-Formulario_Loan_Applications\\\\node_modules\\\\vue-loader-v16\\\\dist\\\\exportHelper.js\"\nconst __exports__ = /*#__PURE__*/exportComponent(script, [['render',render]])\n\nexport default __exports__","'use strict';\nvar $forEach = require('../internals/array-iteration').forEach;\nvar arrayMethodIsStrict = require('../internals/array-method-is-strict');\n\nvar STRICT_METHOD = arrayMethodIsStrict('forEach');\n\n// `Array.prototype.forEach` method implementation\n// https://tc39.es/ecma262/#sec-array.prototype.foreach\nmodule.exports = !STRICT_METHOD ? function forEach(callbackfn /* , thisArg */) {\n  return $forEach(this, callbackfn, arguments.length > 1 ? arguments[1] : undefined);\n// eslint-disable-next-line es/no-array-prototype-foreach -- safe\n} : [].forEach;\n","'use strict';\nvar PROPER_FUNCTION_NAME = require('../internals/function-name').PROPER;\nvar redefine = require('../internals/redefine');\nvar anObject = require('../internals/an-object');\nvar $toString = require('../internals/to-string');\nvar fails = require('../internals/fails');\nvar flags = require('../internals/regexp-flags');\n\nvar TO_STRING = 'toString';\nvar RegExpPrototype = RegExp.prototype;\nvar nativeToString = RegExpPrototype[TO_STRING];\n\nvar NOT_GENERIC = fails(function () { return nativeToString.call({ source: 'a', flags: 'b' }) != '/a/b'; });\n// FF44- RegExp#toString has a wrong name\nvar INCORRECT_NAME = PROPER_FUNCTION_NAME && nativeToString.name != TO_STRING;\n\n// `RegExp.prototype.toString` method\n// https://tc39.es/ecma262/#sec-regexp.prototype.tostring\nif (NOT_GENERIC || INCORRECT_NAME) {\n  redefine(RegExp.prototype, TO_STRING, function toString() {\n    var R = anObject(this);\n    var p = $toString(R.source);\n    var rf = R.flags;\n    var f = $toString(rf === undefined && R instanceof RegExp && !('flags' in RegExpPrototype) ? flags.call(R) : rf);\n    return '/' + p + '/' + f;\n  }, { unsafe: true });\n}\n","<template>\r\n  <div class=\"starter-template\">\r\n    <h1>Ayudate Loan Application</h1>\r\n    <p class=\"lead\">${{ loan }} Loan</p>\r\n  </div>\r\n\r\n  <form @submit=\"onSubmit\" id=\"form-application\">\r\n    <section class=\"controls\">\r\n      <h2>Personal Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group required\">\r\n            <label class=\"\"> First Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.firstName\"\r\n              name=\"Customer.firstName\"\r\n              v-model=\"Customer.firstName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.firstName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.middleName\">\r\n            <label class=\"\"> Middle Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.middleName\"\r\n              name=\"Customer.middleName\"\r\n              v-model=\"Customer.middleName\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.lastName required\">\r\n            <label class=\"\"> Last Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.lastName\"\r\n              name=\"Customer.lastName\"\r\n              v-model=\"Customer.lastName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.lastName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.gender required\">\r\n            <label class=\"\"> Gender </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.gender\"\r\n              name=\"Customer.gender\"\r\n              v-model=\"Customer.gender\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.gender && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"female\">Female</option>\r\n              <option value=\"male\">Male</option>\r\n              <option value=\"unknown\">Unknown</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.birthDate\">\r\n            <label class=\"\"> Date Of Birth </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.birthDate\"\r\n              name=\"Customer.birthDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.birthDate\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.20\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Country of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.20\"\r\n              name=\"Customer.CustomField.20\"\r\n              v-model=\"Customer.countryOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.countryOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.48\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> State of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.48\"\r\n              name=\"Customer.CustomField.48\"\r\n              v-model=\"Customer.stateOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.stateOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.49\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> City or Town of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.49\"\r\n              name=\"Customer.CustomField.49\"\r\n              v-model=\"Customer.cityOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.cityOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.driverLicense required\">\r\n            <label class=\"\"> License / Passport / Matricula </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.driverLicense\"\r\n              name=\"Customer.driverLicense\"\r\n              v-model=\"Customer.driverLicense\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.driverLicense && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.ssn\">\r\n            <label class=\"\"> SSN / ITIN </label>\r\n            <input\r\n              type=\"password\"\r\n              class=\"form-control js-ssn\"\r\n              id=\"Customer.ssn\"\r\n              name=\"Customer.ssn\"\r\n              v-model=\"Customer.ssn\"\r\n              @input=\"formatSSN\"\r\n              maxlength=\"11\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.address1\">\r\n            <label class=\"\"> Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.address1\"\r\n              name=\"Customer.PrimaryAddress.address1\"\r\n              v-model=\"Customer.PrimaryAddress.address1\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\" v-if=\"Customer.PrimaryAddress.country == 'usa'\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.zipcodeUsa\">\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              name=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              v-model=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.PrimaryAddress.zipcodeUsa,\r\n                  Customer.PrimaryAddress,\r\n                  Customer.PrimaryAddress\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.city\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.city\"\r\n              name=\"Customer.PrimaryAddress.city\"\r\n              v-model=\"Customer.PrimaryAddress.city\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\" v-if=\"Customer.PrimaryAddress.country == 'usa'\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.stateUsa\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.stateUsa\"\r\n              name=\"Customer.PrimaryAddress.stateUsa\"\r\n              v-model=\"Customer.PrimaryAddress.stateUsa\"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">Federated States of Micronesia</option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.country\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.country\"\r\n              name=\"Customer.PrimaryAddress.country\"\r\n              v-model=\"Customer.PrimaryAddress.country\"\r\n              @change=\"onChangePrimaryAddressCountry\"\r\n            >\r\n              <option value=\"can\" selected>Canada</option>\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.11\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Residence </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.11\"\r\n              name=\"Customer.CustomField.11\"\r\n              v-model=\"Customer.typeOfResidence\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.typeOfResidence && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Rent\">Rent</option>\r\n              <option value=\"Own\">Own</option>\r\n              <option value=\"Live w/ Relatives\">Live w/ Relatives</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.phone\">\r\n            <label class=\"\"> Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.phone\"\r\n              name=\"Customer.phone\"\r\n              v-model=\"Customer.phone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.16\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\">\r\n              What Month and Year did you start living in the US\r\n            </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.16\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.CustomField.16\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.monthAndYearStartedLivingInUS\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.monthAndYearStartedLivingInUS && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.12\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Best Time to Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.12\"\r\n              name=\"Customer.CustomField.12\"\r\n              v-model=\"Customer.bestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.bestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.email\">\r\n            <label class=\"\"> Email </label>\r\n            <input\r\n              type=\"email\"\r\n              class=\"form-control js-email\"\r\n              id=\"Customer.email\"\r\n              name=\"Customer.email\"\r\n              v-model=\"Customer.email\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.14\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Dependents </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.14\"\r\n              name=\"Customer.CustomField.14\"\r\n              v-model=\"Customer.numberDependents\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.numberDependents && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"No Dependents\">No Dependents</option>\r\n              <option value=\"1\">1</option>\r\n              <option value=\"2\">2</option>\r\n              <option value=\"3\">3</option>\r\n              <option value=\"4\">4</option>\r\n              <option value=\"5\">5</option>\r\n              <option value=\"6\">6</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.6\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Marital Status </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.6\"\r\n              name=\"Customer.CustomField.6\"\r\n              v-model=\"Customer.maritalStatus\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.maritalStatus && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Single\">Single</option>\r\n              <option value=\"Married\">Married</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.15 custom-field\">\r\n            <label class=\"\"> Spouses Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.15\"\r\n              name=\"Customer.CustomField.15\"\r\n              v-model=\"Customer.spouseName\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.23 custom-field\">\r\n            <label class=\"\"> Spouses Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.CustomField.23\"\r\n              name=\"Customer.CustomField.23\"\r\n              v-model=\"Customer.spousePhone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.43 custom-field\">\r\n            <label class=\"\"> Does you spouse currently have a job </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.43\"\r\n              name=\"Customer.CustomField.43\"\r\n              v-model=\"Customer.spouseCurrentlyHasJob\"\r\n            >\r\n              <option value=\"Yes\">Yes</option>\r\n              <option value=\"No\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.44 custom-field\">\r\n            <label class=\"\"> Spouse Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.44\"\r\n              name=\"Customer.CustomField.44\"\r\n              v-model=\"Customer.spouseMonthlyIncome\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.name required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Name of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.name\"\r\n              name=\"Customer.Reference.name\"\r\n              v-model=\"Customer.Reference.name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.relation required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Relation of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.relation\"\r\n              name=\"Customer.Reference.relation\"\r\n              v-model=\"Customer.Reference.relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"brother\" selected=\"\">\r\n                Brother\r\n              </option>\r\n              <option value=\"coWorker\">\r\n                CoWorker\r\n              </option>\r\n              <option value=\"daughter\">\r\n                Daughter\r\n              </option>\r\n              <option value=\"father\">Father</option>\r\n              <option value=\"friend\">Friend</option>\r\n              <option value=\"husband\">\r\n                Husband\r\n              </option>\r\n              <option value=\"mother\">Mother</option>\r\n              <option value=\"sister\">Sister</option>\r\n              <option value=\"son\">Son</option>\r\n              <option value=\"wife\">Wife</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.primaryPhone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Phone of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Reference.primaryPhone\"\r\n              name=\"Customer.Reference.primaryPhone\"\r\n              v-model=\"Customer.Reference.primaryPhone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.primaryPhone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.address1 required\">\r\n            <label class=\"\"> Address of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.address1\"\r\n              name=\"Customer.Reference.Address.address1\"\r\n              v-model=\"Customer.Reference.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> Zip Code of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Reference.Address.zipcodeUsa\"\r\n              name=\"Customer.Reference.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Reference.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Reference.Address.zipcodeUsa,\r\n                  Customer.Reference.Address,\r\n                  Customer.Reference.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.city required\">\r\n            <label class=\"\"> City of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.city\"\r\n              name=\"Customer.Reference.Address.city\"\r\n              v-model=\"Customer.Reference.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Reference.Address.stateUsa required\">\r\n            <label class=\"\"> State of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.stateUsa\"\r\n              name=\"Customer.Reference.Address.stateUsa\"\r\n              v-model=\"Customer.Reference.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.country required\">\r\n            <label class=\"\"> Country of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.country\"\r\n              name=\"Customer.Reference.Address.country\"\r\n              v-model=\"Customer.Reference.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-2\">\r\n      <h2>References</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.17\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.17\"\r\n              name=\"Customer.CustomField.17\"\r\n              v-model=\"Customer.Reference1.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.18\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.18\"\r\n              name=\"Customer.CustomField.18\"\r\n              v-model=\"Customer.Reference1.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.27\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.27\"\r\n              name=\"Customer.CustomField.27\"\r\n              v-model=\"Customer.Reference1.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.BestTimeToCall && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.26\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.26\"\r\n              name=\"Customer.CustomField.26\"\r\n              v-model=\"Customer.Reference1.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.28 custom-field\">\r\n            <label class=\"\"> Reference 1 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.28\"\r\n              name=\"Customer.CustomField.28\"\r\n              v-model=\"Customer.Reference1.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.29 custom-field\">\r\n            <label class=\"\"> Reference 1 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.29\"\r\n              name=\"Customer.CustomField.29\"\r\n              v-model=\"Customer.Reference1.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.30\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.30\"\r\n              name=\"Customer.CustomField.30\"\r\n              v-model=\"Customer.Reference2.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.31\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.31\"\r\n              name=\"Customer.CustomField.31\"\r\n              v-model=\"Customer.Reference2.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.32\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.32\"\r\n              name=\"Customer.CustomField.32\"\r\n              v-model=\"Customer.Reference2.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.BestTimeToCall && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.37\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.37\"\r\n              name=\"Customer.CustomField.37\"\r\n              v-model=\"Customer.Reference2.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.33 custom-field\">\r\n            <label class=\"\"> Reference 2 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.33\"\r\n              name=\"Customer.CustomField.33\"\r\n              v-model=\"Customer.Reference2.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.34 custom-field\">\r\n            <label class=\"\"> Reference 2 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.34\"\r\n              name=\"Customer.CustomField.34\"\r\n              v-model=\"Customer.Reference2.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.35\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.35\"\r\n              name=\"Customer.CustomField.35\"\r\n              v-model=\"Customer.Reference3.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.36\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.36\"\r\n              name=\"Customer.CustomField.36\"\r\n              v-model=\"Customer.Reference3.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.38\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.38\"\r\n              name=\"Customer.CustomField.38\"\r\n              v-model=\"Customer.Reference3.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.BestTimeToCall && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.39\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.39\"\r\n              name=\"Customer.CustomField.39\"\r\n              v-model=\"Customer.Reference3.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.40 custom-field\">\r\n            <label class=\"\"> Reference 3 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.40\"\r\n              name=\"Customer.CustomField.40\"\r\n              v-model=\"Customer.Reference3.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.41 custom-field\">\r\n            <label class=\"\"> Reference 3 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.41\"\r\n              name=\"Customer.CustomField.41\"\r\n              v-model=\"Customer.Reference3.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-3\">\r\n      <h2>Loan Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.3 custom-field required\"\r\n          >\r\n            <label class=\"\"> Reason for Loan </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.3\"\r\n              name=\"LoanSettings.CustomField.3\"\r\n              v-model=\"LoanSettings.reasonForLoan\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.reasonForLoan && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"Personal\">Personal</option>\r\n              <option value=\"Immigration\">Immigration</option>\r\n              <option value=\"Other\">Other</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.19 custom-field required\"\r\n          >\r\n            <label class=\"\"> What will the loan be used for </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.19\"\r\n              name=\"LoanSettings.CustomField.19\"\r\n              v-model=\"LoanSettings.whatWillTheLoanBeUsedFor\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.whatWillTheLoanBeUsedFor && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-LoanSettings.CustomField.7\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Promo Code o Numero de Gafete </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.7\"\r\n              name=\"LoanSettings.CustomField.7\"\r\n              v-model=\"LoanSettings.promoCode\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.promoCode && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.2\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> How did you hear about us </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.2\"\r\n              name=\"Customer.CustomField.2\"\r\n              v-model=\"Customer.howDidYouHearAboutUs\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.howDidYouHearAboutUs && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.5 custom-field required\">\r\n            <label class=\"\"> Name of person who referred you </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.5\"\r\n              name=\"Customer.CustomField.5\"\r\n              v-model=\"Customer.nameOfPersonWhoReferredYou\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfPersonWhoReferredYou && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-4\">\r\n      <h2>Employer Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.companyName required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Company Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.companyName\"\r\n              name=\"Customer.Employer.companyName\"\r\n              v-model=\"Customer.Employer.companyName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.companyName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.46\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Employment </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Employer.CustomField.46\"\r\n              name=\"Employer.CustomField.46\"\r\n              v-model=\"Employer.typeOfEmployment\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.typeOfEmployment && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"FullTime\">Full-time</option>\r\n              <option value=\"PartTime\">Part-time</option>\r\n              <option value=\"Seasonal\">Seasonal</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.title required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Title </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.title\"\r\n              name=\"Customer.Employer.title\"\r\n              v-model=\"Customer.Employer.title\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.title && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.9\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Working Hours </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Employer.CustomField.9\"\r\n              name=\"Employer.CustomField.9\"\r\n              v-model=\"Employer.workingHours\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.workingHours && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.hireDate required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Hire Date </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.hireDate\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.Employer.hireDate\"\r\n              v-model=\"Customer.Employer.hireDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.hireDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.address1 required\">\r\n            <label class=\"\"> Employer's Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.address1\"\r\n              name=\"Customer.Employer.Address.address1\"\r\n              v-model=\"Customer.Employer.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Employer.Address.zipcodeUsa\"\r\n              name=\"Customer.Employer.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Employer.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Employer.Address.zipcodeUsa,\r\n                  Customer.Employer.Address,\r\n                  Customer.Employer.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.city\"\r\n              name=\"Customer.Employer.Address.city\"\r\n              v-model=\"Customer.Employer.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Employer.Address.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.stateUsa\"\r\n              name=\"Customer.Employer.Address.stateUsa\"\r\n              v-model=\"Customer.Employer.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.country\"\r\n              name=\"Customer.Employer.Address.country\"\r\n              v-model=\"Customer.Employer.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected=\"\">\r\n                United States\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.45 custom-field required\">\r\n            <label class=\"\"> Name of Direct Boss </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.45\"\r\n              name=\"Customer.CustomField.45\"\r\n              v-model=\"Customer.nameOfDirectBoss\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfDirectBoss && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.phone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Employers Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Employer.phone\"\r\n              name=\"Customer.Employer.phone\"\r\n              v-model=\"Customer.Employer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.incomeFrequency required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Income Frequency </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.incomeFrequency\"\r\n              name=\"Customer.Employer.incomeFrequency\"\r\n              v-model=\"Customer.Employer.incomeFrequency\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.incomeFrequency && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"annually\">\r\n                Annually\r\n              </option>\r\n              <option\r\n                value=\"biWeekly\"\r\n                selected=\"\"\r\n              >\r\n                Bi-Weekly\r\n              </option>\r\n              <option value=\"monthly\">\r\n                Monthly\r\n              </option>\r\n              <option value=\"semiMonthly\">\r\n                Semi-Monthly\r\n              </option>\r\n              <option value=\"weekly\">\r\n                Weekly\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.income required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.Employer.income\"\r\n              name=\"Customer.Employer.income\"\r\n              v-model=\"Customer.Employer.income\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.income && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.13\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Total Monthly Expenses </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.13\"\r\n              name=\"Customer.CustomField.13\"\r\n              v-model=\"Customer.totalMonthlyExpenses\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.totalMonthlyExpenses && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-5\">\r\n      <h2>Documents</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Documents.1529359983 required\"\r\n          >\r\n            <label class=\"\"> Proof of ID </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359983\"\r\n              name=\"Customer.Documents.1529359984\"\r\n              data-section=\"8\"\r\n              v-on:change=\"onFileChange($event, 'proofOfID')\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Documents.proofOfID && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-Customer.Documents.1529359968 required\"\r\n          >\r\n            <label class=\"\"> Proof of Income </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359968\"\r\n              name=\"Customer.Documents.1529359968\"\r\n              data-section=\"9\"\r\n              v-on:change=\"onFileChange($event, 'proofOfIncome')\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Documents.proofOfIncome && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-Customer.Documents.1529359996 required\"\r\n          >\r\n            <label class=\"\"> Proof of Residence </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359996\"\r\n              name=\"Customer.Documents.1529359996\"\r\n              data-section=\"10\"\r\n              v-on:change=\"onFileChange($event, 'proofOfResidence')\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Documents.proofOfResidence && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.21 custom-field\"\r\n          >\r\n            <label class=\"\"> Payment Check </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.21\"\r\n              name=\"LoanSettings.CustomField.21\"\r\n              v-model=\"LoanSettings.paymentCheck\"\r\n            >\r\n              <option value=\"Yes-1\">Yes</option>\r\n              <option value=\"No-2\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-6\">\r\n      <h2>I agree with the terms and conditions</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.25 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Information Agreement </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.25\"\r\n              name=\"LoanSettings.CustomField.25\"\r\n              v-model=\"LoanSettings.informationAgreement\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.informationAgreement && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              >THIS INFORMATION IS CONFIDENTIAL AND WILL NOT BE SHARED WITH\r\n              OTHERS. I, hereby authorize verification of all information in my\r\n              loan application from all sources of employment, financial history\r\n              and criminal history. I authorize any duly authorized age</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.55 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 3 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.55\"\r\n              name=\"LoanSettings.CustomField.55\"\r\n              v-model=\"LoanSettings.agreement3\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement3 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n            <span\r\n              >I release all persons from liability on account of such\r\n              disclosures. Information appearing on this Authorization will be\r\n              used exclusively by AYUDATE TEXAS INC.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.57 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 5 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.57\"\r\n              name=\"LoanSettings.CustomField.57\"\r\n              v-model=\"LoanSettings.agreement5\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement5 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n            <span\r\n              >I agree to provide additional information that may be requested\r\n              to process my loan application. And to provide current phone\r\n              numbers and address at all times.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.54 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 2 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.54\"\r\n              name=\"LoanSettings.CustomField.54\"\r\n              v-model=\"LoanSettings.agreement2\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement2 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n            <span\r\n              >I authorize any duly authorized agent of AYUDATE TEXAS INC. to\r\n              obtain, whether the said records are public or private, and\r\n              including those which may be deemed to be privileged or\r\n              confidential.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.56 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 4 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.56\"\r\n              name=\"LoanSettings.CustomField.56\"\r\n              v-model=\"LoanSettings.agreement4\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement4 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n            <span\r\n              >for identification purposes and for the release information which\r\n              will be considered in determining any loan approval. I certify\r\n              that I have made true, correct, and complete answers and\r\n              statements on my loan application.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <div class=\"form-group\">\r\n      <div\r\n        class=\"alert alert-success\"\r\n        id=\"successAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      >\r\n        Thank you!\r\n      </div>\r\n      <div\r\n        class=\"alert alert-warning\"\r\n        id=\"errorAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      ></div>\r\n      <div class=\"text-center\">\r\n        <button\r\n          id=\"submitBtn\"\r\n          type=\"submit\"\r\n          class=\"btn btn-primary\"\r\n          style=\"width: 250px\"\r\n        >\r\n          Submit\r\n        </button>\r\n      </div>\r\n    </div>\r\n    <input type=\"hidden\" id=\"application_id\" name=\"application_id\" value=\"2\" />\r\n    <input type=\"hidden\" id=\"instance_id\" name=\"instance_id\" value=\"5200861\" />\r\n  </form>\r\n\r\n  <div\r\n    v-if=\"loader\"\r\n    style=\"\r\n      position: fixed;\r\n      top: 0px;\r\n      left: 0px;\r\n      padding: 0px;\r\n      margin: 0px;\r\n      width: 100%;\r\n      height: 100%;\r\n      background-color: rgba(250, 250, 250, 0.5);\r\n    \"\r\n  >\r\n    <div\r\n      class=\"spinner-border\"\r\n      style=\"width: 3rem; height: 3rem; position: absolute; top: 50%; left: 50%\"\r\n      role=\"status\"\r\n    >\r\n      <span class=\"sr-only\"></span>\r\n    </div>\r\n  </div>\r\n</template>\r\n\r\n\r\n\r\n<script>\r\nexport default {\r\n  data() {\r\n    return {\r\n      loader: false,\r\n      loan: \"300\",\r\n      formSend: false,\r\n      LoanSettings: {\r\n        CustomField: {},\r\n      },\r\n      Customer: {\r\n        Documents: {},\r\n        gender: \"female\",\r\n        CustomField: {},\r\n        Reference1: {},\r\n        Reference2: {},\r\n        Reference3: {},\r\n        Reference: {\r\n          Address: {\r\n            country: \"can\",\r\n          },\r\n        },\r\n        Employer: {\r\n          Address: {\r\n            country: \"can\",\r\n          },\r\n        },\r\n        PrimaryAddress: {\r\n          country: \"can\",\r\n        },\r\n      },\r\n      Employer: {\r\n        CustomField: {},\r\n      },\r\n    };\r\n  },\r\n  components: {},\r\n  methods: {\r\n    onSubmit(event) {\r\n      event.preventDefault();\r\n      this.formSend = true;\r\n      /*\r\n      console.log(\"this.Customer\");\r\n      console.log(this.Customer);\r\n      console.log(\"this.Employer\");\r\n      console.log(this.Employer);\r\n      console.log(\"this.LoanSettings\");\r\n      console.log(this.LoanSettings);\r\n      */\r\n      let error = false;\r\n\r\n      let inputs = document.getElementsByTagName(\"input\");\r\n      error = this.checkInputs(inputs, error);\r\n      if (!error) {\r\n        let selects = document.getElementsByTagName(\"select\");\r\n        error = this.checkInputs(selects, error);\r\n      }\r\n\r\n      if (error) {\r\n        this.$toast.error(\"You need to fill all the required fields\", {\r\n          position: \"top-right\",\r\n        });\r\n        return;\r\n      }\r\n      this.loader = true;\r\n      this.$toast.info(\"Sending the application\", {\r\n        position: \"top-right\",\r\n      });\r\n\r\n      let sendData = {};\r\n\r\n      Object.keys(this.Customer).forEach((key) => {\r\n        if (typeof this.Customer[key] === \"object\") {\r\n          Object.keys(this.Customer[key]).forEach((key2) => {\r\n            if (typeof this.Customer[key][key2] === \"object\") {\r\n              Object.keys(this.Customer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Customer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"customer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Customer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"customer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Customer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"customer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Customer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.Employer).forEach((key) => {\r\n        if (typeof this.Employer[key] === \"object\") {\r\n          Object.keys(this.Employer[key]).forEach((key2) => {\r\n            if (typeof this.Employer[key][key2] === \"object\") {\r\n              Object.keys(this.Employer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Employer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"employer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Employer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"employer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Employer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"employer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Employer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.LoanSettings).forEach((key) => {\r\n        if (typeof this.LoanSettings[key] === \"object\") {\r\n          Object.keys(this.LoanSettings[key]).forEach((key2) => {\r\n            if (typeof this.LoanSettings[key][key2] === \"object\") {\r\n              Object.keys(this.LoanSettings[key][key2]).forEach((key3) => {\r\n                if (typeof this.LoanSettings[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"loanSettings\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.LoanSettings[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"loanSettings\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.LoanSettings[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\r\n            \"loanSettings\" + key.replace(/^\\w/, (c) => c.toUpperCase())\r\n          ] = this.LoanSettings[key];\r\n        }\r\n      });\r\n\r\n      //console.log(sendData);\r\n      sendData[\"loanType\"] = \"300\";\r\n\r\n      sendData.loanSettingsAgreement2 = \"true\";\r\n      sendData.loanSettingsAgreement3 = \"true\";\r\n      sendData.loanSettingsAgreement4 = \"true\";\r\n      sendData.loanSettingsAgreement5 = \"true\";\r\n      sendData.loanSettingsInformationAgreement = \"true\";\r\n\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/SaveLoanRequest\", {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((response) => {\r\n          console.log(response);\r\n          if (response.status === 200) {\r\n            this.$toast.success(\"Application sent successfully\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n            this.formSend = false;\r\n\r\n            this.LoanSettings = {\r\n              CustomField: {},\r\n            };\r\n            this.Customer = {\r\n              Documents: {},\r\n              gender: \"female\",\r\n              CustomField: {},\r\n              Reference1: {},\r\n              Reference2: {},\r\n              Reference3: {},\r\n              Reference: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              Employer: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              PrimaryAddress: {\r\n                country: \"can\",\r\n              },\r\n            };\r\n            this.Employer = {\r\n              CustomField: {},\r\n            };\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .catch((error) => {\r\n          this.$toast.error(\"Error sending the application\", {\r\n            position: \"top-right\",\r\n          });\r\n          this.loader = false;\r\n        });\r\n    },\r\n\r\n    onChangeZipCode(zip, city, state) {\r\n      let sendData = {\r\n        zip: zip,\r\n      };\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/GetState/\" + zip, {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((res) => {\r\n          city.city = \"\";\r\n          state.stateUsa = \"\";\r\n          if (res.status === 200) {\r\n            return res.text().then(function (text) {\r\n              return { data: text, status: res.status, ok: res.ok };\r\n            });\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .then(\r\n          (result) => {\r\n            let response = result;\r\n            try {\r\n              //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n              response.data = JSON.parse(result.data);\r\n              if (response.data.city) {\r\n                city.city = response.data.city;\r\n                state.stateUsa = response.data.state;\r\n              }\r\n            } catch (er) {\r\n              console.log(er);\r\n            }\r\n          },\r\n          (error) => {\r\n            console.log(error);\r\n          }\r\n        );\r\n    },\r\n\r\n    checkInputs(element, error) {\r\n      for (let index = 0; index < element.length; ++index) {\r\n        element[index].blur();\r\n        if (element[index].getAttribute(\"req\") != null) {\r\n          if (element[index].type == \"checkbox\") {\r\n            if (element[index].checked == false) {\r\n              element[index].focus();\r\n              error = true;\r\n              break;\r\n            }\r\n          } else if (this.noExistEmpty(element[index].value)) {\r\n            element[index].focus();\r\n            error = true;\r\n            break;\r\n          }\r\n        }\r\n      }\r\n      return error;\r\n    },\r\n\r\n    onFileChange(element, id) {\r\n      let othat = this;\r\n      var reader = new FileReader();\r\n      if (element.target.files[0]) {\r\n        reader.readAsDataURL(element.target.files[0]);\r\n        reader.onload = function () {\r\n          //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n          if (element.target.files[0].size > 2100000) {\r\n            othat.$toast.error(\"Maximum file size 2Mb\", {\r\n              position: \"top-right\",\r\n            });\r\n            othat.Customer.Documents[id] = {};\r\n            element.target.value = \"\";\r\n          } else {\r\n            othat.Customer.Documents[id] = {\r\n              fileName: element.target.files[0].name,\r\n              fileSize: element.target.files[0].size.toString(),\r\n              fileType: element.target.files[0].type,\r\n              data: reader.result,\r\n            };\r\n            //console.log(othat.Customer);\r\n          }\r\n        };\r\n        reader.onerror = function (error) {\r\n          console.log(\"Error: \", error);\r\n          othat.Customer.Documents[id] = {};\r\n          element.target.value = \"\";\r\n        };\r\n      } else {\r\n        othat.Customer.Documents[id] = {};\r\n        element.target.value = \"\";\r\n      }\r\n    },\r\n\r\n    noExistEmpty(value) {\r\n      if (value === undefined) return true;\r\n      if (value === null) return true;\r\n      if (value === \"\") return true;\r\n      if (value.length <= 0) return true;\r\n      return false;\r\n    },\r\n    onChangePrimaryAddressCountry() {\r\n      this.Customer.PrimaryAddress.stateUsa = \"\";\r\n      this.Customer.PrimaryAddress.zipcodeUsa = \"\";\r\n    },\r\n    addToChart({ product, quantity }) {\r\n      console.log(product, quantity);\r\n    },\r\n    formatSSN() {\r\n      //console.log(this.Customer.ssn);\r\n      var x = this.Customer.ssn\r\n        .replace(/\\D/g, \"\")\r\n        .match(/(\\d{0,3})(\\d{0,2})(\\d{0,4})/);\r\n      this.Customer.ssn = !x[2]\r\n        ? x[1]\r\n        : x[1] + \"-\" + x[2] + (x[3] ? \"-\" + x[3] : \"\");\r\n    },\r\n  },\r\n};\r\n</script>\r\n","import { render } from \"./loan300.vue?vue&type=template&id=12dc52b1\"\nimport script from \"./loan300.vue?vue&type=script&lang=js\"\nexport * from \"./loan300.vue?vue&type=script&lang=js\"\n\nimport exportComponent from \"G:\\\\Proyectos\\\\Front\\\\Clt-Alaia-Emp-Ayudate-Pro-Formulario_Loan_Applications\\\\node_modules\\\\vue-loader-v16\\\\dist\\\\exportHelper.js\"\nconst __exports__ = /*#__PURE__*/exportComponent(script, [['render',render]])\n\nexport default __exports__","var global = require('../internals/global');\n\nmodule.exports = global;\n","'use strict';\nvar fixRegExpWellKnownSymbolLogic = require('../internals/fix-regexp-well-known-symbol-logic');\nvar anObject = require('../internals/an-object');\nvar toLength = require('../internals/to-length');\nvar toString = require('../internals/to-string');\nvar requireObjectCoercible = require('../internals/require-object-coercible');\nvar getMethod = require('../internals/get-method');\nvar advanceStringIndex = require('../internals/advance-string-index');\nvar regExpExec = require('../internals/regexp-exec-abstract');\n\n// @@match logic\nfixRegExpWellKnownSymbolLogic('match', function (MATCH, nativeMatch, maybeCallNative) {\n  return [\n    // `String.prototype.match` method\n    // https://tc39.es/ecma262/#sec-string.prototype.match\n    function match(regexp) {\n      var O = requireObjectCoercible(this);\n      var matcher = regexp == undefined ? undefined : getMethod(regexp, MATCH);\n      return matcher ? matcher.call(regexp, O) : new RegExp(regexp)[MATCH](toString(O));\n    },\n    // `RegExp.prototype[@@match]` method\n    // https://tc39.es/ecma262/#sec-regexp.prototype-@@match\n    function (string) {\n      var rx = anObject(this);\n      var S = toString(string);\n      var res = maybeCallNative(nativeMatch, rx, S);\n\n      if (res.done) return res.value;\n\n      if (!rx.global) return regExpExec(rx, S);\n\n      var fullUnicode = rx.unicode;\n      rx.lastIndex = 0;\n      var A = [];\n      var n = 0;\n      var result;\n      while ((result = regExpExec(rx, S)) !== null) {\n        var matchStr = toString(result[0]);\n        A[n] = matchStr;\n        if (matchStr === '') rx.lastIndex = advanceStringIndex(S, toLength(rx.lastIndex), fullUnicode);\n        n++;\n      }\n      return n === 0 ? null : A;\n    }\n  ];\n});\n","'use strict';\nvar fixRegExpWellKnownSymbolLogic = require('../internals/fix-regexp-well-known-symbol-logic');\nvar fails = require('../internals/fails');\nvar anObject = require('../internals/an-object');\nvar isCallable = require('../internals/is-callable');\nvar toIntegerOrInfinity = require('../internals/to-integer-or-infinity');\nvar toLength = require('../internals/to-length');\nvar toString = require('../internals/to-string');\nvar requireObjectCoercible = require('../internals/require-object-coercible');\nvar advanceStringIndex = require('../internals/advance-string-index');\nvar getMethod = require('../internals/get-method');\nvar getSubstitution = require('../internals/get-substitution');\nvar regExpExec = require('../internals/regexp-exec-abstract');\nvar wellKnownSymbol = require('../internals/well-known-symbol');\n\nvar REPLACE = wellKnownSymbol('replace');\nvar max = Math.max;\nvar min = Math.min;\n\nvar maybeToString = function (it) {\n  return it === undefined ? it : String(it);\n};\n\n// IE <= 11 replaces $0 with the whole match, as if it was $&\n// https://stackoverflow.com/questions/6024666/getting-ie-to-replace-a-regex-with-the-literal-string-0\nvar REPLACE_KEEPS_$0 = (function () {\n  // eslint-disable-next-line regexp/prefer-escape-replacement-dollar-char -- required for testing\n  return 'a'.replace(/./, '$0') === '$0';\n})();\n\n// Safari <= 13.0.3(?) substitutes nth capture where n>m with an empty string\nvar REGEXP_REPLACE_SUBSTITUTES_UNDEFINED_CAPTURE = (function () {\n  if (/./[REPLACE]) {\n    return /./[REPLACE]('a', '$0') === '';\n  }\n  return false;\n})();\n\nvar REPLACE_SUPPORTS_NAMED_GROUPS = !fails(function () {\n  var re = /./;\n  re.exec = function () {\n    var result = [];\n    result.groups = { a: '7' };\n    return result;\n  };\n  // eslint-disable-next-line regexp/no-useless-dollar-replacements -- false positive\n  return ''.replace(re, '$<a>') !== '7';\n});\n\n// @@replace logic\nfixRegExpWellKnownSymbolLogic('replace', function (_, nativeReplace, maybeCallNative) {\n  var UNSAFE_SUBSTITUTE = REGEXP_REPLACE_SUBSTITUTES_UNDEFINED_CAPTURE ? '$' : '$0';\n\n  return [\n    // `String.prototype.replace` method\n    // https://tc39.es/ecma262/#sec-string.prototype.replace\n    function replace(searchValue, replaceValue) {\n      var O = requireObjectCoercible(this);\n      var replacer = searchValue == undefined ? undefined : getMethod(searchValue, REPLACE);\n      return replacer\n        ? replacer.call(searchValue, O, replaceValue)\n        : nativeReplace.call(toString(O), searchValue, replaceValue);\n    },\n    // `RegExp.prototype[@@replace]` method\n    // https://tc39.es/ecma262/#sec-regexp.prototype-@@replace\n    function (string, replaceValue) {\n      var rx = anObject(this);\n      var S = toString(string);\n\n      if (\n        typeof replaceValue === 'string' &&\n        replaceValue.indexOf(UNSAFE_SUBSTITUTE) === -1 &&\n        replaceValue.indexOf('$<') === -1\n      ) {\n        var res = maybeCallNative(nativeReplace, rx, S, replaceValue);\n        if (res.done) return res.value;\n      }\n\n      var functionalReplace = isCallable(replaceValue);\n      if (!functionalReplace) replaceValue = toString(replaceValue);\n\n      var global = rx.global;\n      if (global) {\n        var fullUnicode = rx.unicode;\n        rx.lastIndex = 0;\n      }\n      var results = [];\n      while (true) {\n        var result = regExpExec(rx, S);\n        if (result === null) break;\n\n        results.push(result);\n        if (!global) break;\n\n        var matchStr = toString(result[0]);\n        if (matchStr === '') rx.lastIndex = advanceStringIndex(S, toLength(rx.lastIndex), fullUnicode);\n      }\n\n      var accumulatedResult = '';\n      var nextSourcePosition = 0;\n      for (var i = 0; i < results.length; i++) {\n        result = results[i];\n\n        var matched = toString(result[0]);\n        var position = max(min(toIntegerOrInfinity(result.index), S.length), 0);\n        var captures = [];\n        // NOTE: This is equivalent to\n        //   captures = result.slice(1).map(maybeToString)\n        // but for some reason `nativeSlice.call(result, 1, result.length)` (called in\n        // the slice polyfill when slicing native arrays) \"doesn't work\" in safari 9 and\n        // causes a crash (https://pastebin.com/N21QzeQA) when trying to debug it.\n        for (var j = 1; j < result.length; j++) captures.push(maybeToString(result[j]));\n        var namedCaptures = result.groups;\n        if (functionalReplace) {\n          var replacerArgs = [matched].concat(captures, position, S);\n          if (namedCaptures !== undefined) replacerArgs.push(namedCaptures);\n          var replacement = toString(replaceValue.apply(undefined, replacerArgs));\n        } else {\n          replacement = getSubstitution(matched, S, position, captures, namedCaptures, replaceValue);\n        }\n        if (position >= nextSourcePosition) {\n          accumulatedResult += S.slice(nextSourcePosition, position) + replacement;\n          nextSourcePosition = position + matched.length;\n        }\n      }\n      return accumulatedResult + S.slice(nextSourcePosition);\n    }\n  ];\n}, !REPLACE_SUPPORTS_NAMED_GROUPS || !REPLACE_KEEPS_$0 || REGEXP_REPLACE_SUBSTITUTES_UNDEFINED_CAPTURE);\n","export default function _typeof(obj) {\n  \"@babel/helpers - typeof\";\n\n  if (typeof Symbol === \"function\" && typeof Symbol.iterator === \"symbol\") {\n    _typeof = function _typeof(obj) {\n      return typeof obj;\n    };\n  } else {\n    _typeof = function _typeof(obj) {\n      return obj && typeof Symbol === \"function\" && obj.constructor === Symbol && obj !== Symbol.prototype ? \"symbol\" : typeof obj;\n    };\n  }\n\n  return _typeof(obj);\n}","<template>\r\n  <div class=\"starter-template\">\r\n    <h1>Ayudate Loan Application</h1>\r\n    <p class=\"lead\">${{ loan }} Loan</p>\r\n  </div>\r\n\r\n  <form @submit=\"onSubmit\" id=\"form-application\">\r\n    <section class=\"controls\">\r\n      <h2>Personal Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group required\">\r\n            <label class=\"\"> First Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.firstName\"\r\n              name=\"Customer.firstName\"\r\n              v-model=\"Customer.firstName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.firstName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.middleName\">\r\n            <label class=\"\"> Middle Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.middleName\"\r\n              name=\"Customer.middleName\"\r\n              v-model=\"Customer.middleName\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.lastName required\">\r\n            <label class=\"\"> Last Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.lastName\"\r\n              name=\"Customer.lastName\"\r\n              v-model=\"Customer.lastName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.lastName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.gender required\">\r\n            <label class=\"\"> Gender </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.gender\"\r\n              name=\"Customer.gender\"\r\n              v-model=\"Customer.gender\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.gender && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"female\">Female</option>\r\n              <option value=\"male\">Male</option>\r\n              <option value=\"unknown\">Unknown</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.birthDate required\">\r\n            <label class=\"\"> Date Of Birth </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.birthDate\"\r\n              name=\"Customer.birthDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.birthDate\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.birthDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.20\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Country of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.20\"\r\n              name=\"Customer.CustomField.20\"\r\n              v-model=\"Customer.countryOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.countryOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.48\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> State of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.48\"\r\n              name=\"Customer.CustomField.48\"\r\n              v-model=\"Customer.stateOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.stateOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.49\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> City or Town of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.49\"\r\n              name=\"Customer.CustomField.49\"\r\n              v-model=\"Customer.cityOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.cityOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.driverLicense required\">\r\n            <label class=\"\"> License / Passport / Matricula </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.driverLicense\"\r\n              name=\"Customer.driverLicense\"\r\n              v-model=\"Customer.driverLicense\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.driverLicense && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.ssn\">\r\n            <label class=\"\"> SSN / ITIN </label>\r\n            <input\r\n              type=\"password\"\r\n              class=\"form-control js-ssn\"\r\n              id=\"Customer.ssn\"\r\n              name=\"Customer.ssn\"\r\n              v-model=\"Customer.ssn\"\r\n              @input=\"formatSSN\"\r\n              maxlength=\"11\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.address1 required\">\r\n            <label class=\"\"> Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.address1\"\r\n              name=\"Customer.PrimaryAddress.address1\"\r\n              v-model=\"Customer.PrimaryAddress.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.zipcodeUsa required\">\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              name=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              v-model=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.PrimaryAddress.zipcodeUsa,\r\n                  Customer.PrimaryAddress,\r\n                  Customer.PrimaryAddress\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.city\"\r\n              name=\"Customer.PrimaryAddress.city\"\r\n              v-model=\"Customer.PrimaryAddress.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.stateUsa\"\r\n              name=\"Customer.PrimaryAddress.stateUsa\"\r\n              v-model=\"Customer.PrimaryAddress.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.country\"\r\n              name=\"Customer.PrimaryAddress.country\"\r\n              v-model=\"Customer.PrimaryAddress.country\"\r\n              @change=\"onChangePrimaryAddressCountry\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected>United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.11\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Residence </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.11\"\r\n              name=\"Customer.CustomField.11\"\r\n              v-model=\"Customer.typeOfResidence\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.typeOfResidence && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Rent\">Rent</option>\r\n              <option value=\"Own\">Own</option>\r\n              <option value=\"Live w/ Relatives\">Live w/ Relatives</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.phone required\">\r\n            <label class=\"\"> Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.phone\"\r\n              name=\"Customer.phone\"\r\n              v-model=\"Customer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.16\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\">\r\n              What Month and Year did you start living in the US\r\n            </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.16\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.CustomField.16\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.monthAndYearStartedLivingInUS\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.monthAndYearStartedLivingInUS && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.12\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Best Time to Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.12\"\r\n              name=\"Customer.CustomField.12\"\r\n              v-model=\"Customer.bestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.bestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.email\">\r\n            <label class=\"\"> Email </label>\r\n            <input\r\n              type=\"email\"\r\n              class=\"form-control js-email\"\r\n              id=\"Customer.email\"\r\n              name=\"Customer.email\"\r\n              v-model=\"Customer.email\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.14\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Dependents </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.14\"\r\n              name=\"Customer.CustomField.14\"\r\n              v-model=\"Customer.numberDependents\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.numberDependents && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"No Dependents\">No Dependents</option>\r\n              <option value=\"1\">1</option>\r\n              <option value=\"2\">2</option>\r\n              <option value=\"3\">3</option>\r\n              <option value=\"4\">4</option>\r\n              <option value=\"5\">5</option>\r\n              <option value=\"6\">6</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.6\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Marital Status </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.6\"\r\n              name=\"Customer.CustomField.6\"\r\n              v-model=\"Customer.maritalStatus\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.maritalStatus && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Single\">Single</option>\r\n              <option value=\"Married\">Married</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.15 custom-field\">\r\n            <label class=\"\"> Spouses Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.15\"\r\n              name=\"Customer.CustomField.15\"\r\n              v-model=\"Customer.spouseName\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.23 custom-field\">\r\n            <label class=\"\"> Spouses Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.CustomField.23\"\r\n              name=\"Customer.CustomField.23\"\r\n              v-model=\"Customer.spousePhone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.43 custom-field\">\r\n            <label class=\"\"> Does you spouse currently have a job </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.43\"\r\n              name=\"Customer.CustomField.43\"\r\n              v-model=\"Customer.spouseCurrentlyHasJob\"\r\n            >\r\n              <option value=\"Yes\">Yes</option>\r\n              <option value=\"No\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.44 custom-field\">\r\n            <label class=\"\"> Spouse Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.44\"\r\n              name=\"Customer.CustomField.44\"\r\n              v-model=\"Customer.spouseMonthlyIncome\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.name required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Name of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.name\"\r\n              name=\"Customer.Reference.name\"\r\n              v-model=\"Customer.Reference.name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.relation required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Relation of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.relation\"\r\n              name=\"Customer.Reference.relation\"\r\n              v-model=\"Customer.Reference.relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"brother\" selected=\"\">\r\n                Brother\r\n              </option>\r\n              <option value=\"coWorker\">\r\n                CoWorker\r\n              </option>\r\n              <option value=\"daughter\">\r\n                Daughter\r\n              </option>\r\n              <option value=\"father\">Father</option>\r\n              <option value=\"friend\">Friend</option>\r\n              <option value=\"husband\">\r\n                Husband\r\n              </option>\r\n              <option value=\"mother\">Mother</option>\r\n              <option value=\"sister\">Sister</option>\r\n              <option value=\"son\">Son</option>\r\n              <option value=\"wife\">Wife</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.primaryPhone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Phone of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Reference.primaryPhone\"\r\n              name=\"Customer.Reference.primaryPhone\"\r\n              v-model=\"Customer.Reference.primaryPhone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.primaryPhone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.address1 required\">\r\n            <label class=\"\"> Address of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.address1\"\r\n              name=\"Customer.Reference.Address.address1\"\r\n              v-model=\"Customer.Reference.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> Zip Code of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Reference.Address.zipcodeUsa\"\r\n              name=\"Customer.Reference.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Reference.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Reference.Address.zipcodeUsa,\r\n                  Customer.Reference.Address,\r\n                  Customer.Reference.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.city required\">\r\n            <label class=\"\"> City of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.city\"\r\n              name=\"Customer.Reference.Address.city\"\r\n              v-model=\"Customer.Reference.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Reference.Address.stateUsa required\">\r\n            <label class=\"\"> State of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.stateUsa\"\r\n              name=\"Customer.Reference.Address.stateUsa\"\r\n              v-model=\"Customer.Reference.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.country required\">\r\n            <label class=\"\"> Country of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.country\"\r\n              name=\"Customer.Reference.Address.country\"\r\n              v-model=\"Customer.Reference.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-2\">\r\n      <h2>References</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.17\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.17\"\r\n              name=\"Customer.CustomField.17\"\r\n              v-model=\"Customer.Reference1.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.18\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.18\"\r\n              name=\"Customer.CustomField.18\"\r\n              v-model=\"Customer.Reference1.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.27\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.27\"\r\n              name=\"Customer.CustomField.27\"\r\n              v-model=\"Customer.Reference1.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.26\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.26\"\r\n              name=\"Customer.CustomField.26\"\r\n              v-model=\"Customer.Reference1.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.28 custom-field\">\r\n            <label class=\"\"> Reference 1 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.28\"\r\n              name=\"Customer.CustomField.28\"\r\n              v-model=\"Customer.Reference1.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.29 custom-field\">\r\n            <label class=\"\"> Reference 1 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.29\"\r\n              name=\"Customer.CustomField.29\"\r\n              v-model=\"Customer.Reference1.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.30\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.30\"\r\n              name=\"Customer.CustomField.30\"\r\n              v-model=\"Customer.Reference2.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.31\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.31\"\r\n              name=\"Customer.CustomField.31\"\r\n              v-model=\"Customer.Reference2.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.32\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.32\"\r\n              name=\"Customer.CustomField.32\"\r\n              v-model=\"Customer.Reference2.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.37\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.37\"\r\n              name=\"Customer.CustomField.37\"\r\n              v-model=\"Customer.Reference2.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.33 custom-field\">\r\n            <label class=\"\"> Reference 2 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.33\"\r\n              name=\"Customer.CustomField.33\"\r\n              v-model=\"Customer.Reference2.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.34 custom-field\">\r\n            <label class=\"\"> Reference 2 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.34\"\r\n              name=\"Customer.CustomField.34\"\r\n              v-model=\"Customer.Reference2.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.35\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.35\"\r\n              name=\"Customer.CustomField.35\"\r\n              v-model=\"Customer.Reference3.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.36\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.36\"\r\n              name=\"Customer.CustomField.36\"\r\n              v-model=\"Customer.Reference3.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.38\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.38\"\r\n              name=\"Customer.CustomField.38\"\r\n              v-model=\"Customer.Reference3.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.39\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.39\"\r\n              name=\"Customer.CustomField.39\"\r\n              v-model=\"Customer.Reference3.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.40 custom-field\">\r\n            <label class=\"\"> Reference 3 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.40\"\r\n              name=\"Customer.CustomField.40\"\r\n              v-model=\"Customer.Reference3.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.41 custom-field\">\r\n            <label class=\"\"> Reference 3 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.41\"\r\n              name=\"Customer.CustomField.41\"\r\n              v-model=\"Customer.Reference3.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-3\">\r\n      <h2>Loan Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.3 custom-field required\"\r\n          >\r\n            <label class=\"\"> Reason for Loan </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.3\"\r\n              name=\"LoanSettings.CustomField.3\"\r\n              v-model=\"LoanSettings.reasonForLoan\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.reasonForLoan && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"Personal\">Personal</option>\r\n              <option value=\"Immigration\">Immigration</option>\r\n              <option value=\"Other\">Other</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.19 custom-field required\"\r\n          >\r\n            <label class=\"\"> What will the loan be used for </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.19\"\r\n              name=\"LoanSettings.CustomField.19\"\r\n              v-model=\"LoanSettings.whatWillTheLoanBeUsedFor\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.whatWillTheLoanBeUsedFor && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-LoanSettings.CustomField.7\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Promo Code o Numero de Gafete </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.7\"\r\n              name=\"LoanSettings.CustomField.7\"\r\n              v-model=\"LoanSettings.promoCode\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.promoCode && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.2\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> How did you hear about us </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.2\"\r\n              name=\"Customer.CustomField.2\"\r\n              v-model=\"Customer.howDidYouHearAboutUs\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.howDidYouHearAboutUs && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.5 custom-field required\">\r\n            <label class=\"\"> Name of person who referred you </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.5\"\r\n              name=\"Customer.CustomField.5\"\r\n              v-model=\"Customer.nameOfPersonWhoReferredYou\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfPersonWhoReferredYou && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-4\">\r\n      <h2>Employer Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.companyName required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Company Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.companyName\"\r\n              name=\"Customer.Employer.companyName\"\r\n              v-model=\"Customer.Employer.companyName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.companyName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.46\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Employment </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Employer.CustomField.46\"\r\n              name=\"Employer.CustomField.46\"\r\n              v-model=\"Employer.typeOfEmployment\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.typeOfEmployment && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"FullTime\">Full-time</option>\r\n              <option value=\"PartTime\">Part-time</option>\r\n              <option value=\"Seasonal\">Seasonal</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.title required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Title </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.title\"\r\n              name=\"Customer.Employer.title\"\r\n              v-model=\"Customer.Employer.title\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.title && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.9\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Working Hours </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Employer.CustomField.9\"\r\n              name=\"Employer.CustomField.9\"\r\n              v-model=\"Employer.workingHours\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.workingHours && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.hireDate required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Hire Date </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.hireDate\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.Employer.hireDate\"\r\n              v-model=\"Customer.Employer.hireDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.hireDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.address1 required\">\r\n            <label class=\"\"> Employer's Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.address1\"\r\n              name=\"Customer.Employer.Address.address1\"\r\n              v-model=\"Customer.Employer.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Employer.Address.zipcodeUsa\"\r\n              name=\"Customer.Employer.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Employer.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Employer.Address.zipcodeUsa,\r\n                  Customer.Employer.Address,\r\n                  Customer.Employer.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.city\"\r\n              name=\"Customer.Employer.Address.city\"\r\n              v-model=\"Customer.Employer.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Employer.Address.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.stateUsa\"\r\n              name=\"Customer.Employer.Address.stateUsa\"\r\n              v-model=\"Customer.Employer.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.country\"\r\n              name=\"Customer.Employer.Address.country\"\r\n              v-model=\"Customer.Employer.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected=\"\">\r\n                United States\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.45 custom-field required\">\r\n            <label class=\"\"> Name of Direct Boss </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.45\"\r\n              name=\"Customer.CustomField.45\"\r\n              v-model=\"Customer.nameOfDirectBoss\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfDirectBoss && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.phone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Employers Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Employer.phone\"\r\n              name=\"Customer.Employer.phone\"\r\n              v-model=\"Customer.Employer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.incomeFrequency required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Income Frequency </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.incomeFrequency\"\r\n              name=\"Customer.Employer.incomeFrequency\"\r\n              v-model=\"Customer.Employer.incomeFrequency\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.incomeFrequency && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"annually\">\r\n                Annually\r\n              </option>\r\n              <option\r\n                value=\"biWeekly\"\r\n                selected=\"\"\r\n              >\r\n                Bi-Weekly\r\n              </option>\r\n              <option value=\"monthly\">\r\n                Monthly\r\n              </option>\r\n              <option value=\"semiMonthly\">\r\n                Semi-Monthly\r\n              </option>\r\n              <option value=\"weekly\">\r\n                Weekly\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.income required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.Employer.income\"\r\n              name=\"Customer.Employer.income\"\r\n              v-model=\"Customer.Employer.income\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.income && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.13\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Total Monthly Expenses </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.13\"\r\n              name=\"Customer.CustomField.13\"\r\n              v-model=\"Customer.totalMonthlyExpenses\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.totalMonthlyExpenses && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-5\">\r\n      <h2>Documents</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Documents.1529359983 required\">\r\n            <label class=\"\"> Proof of ID </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359983\"\r\n              name=\"Customer.Documents.1529359984\"\r\n              data-section=\"8\"\r\n              v-on:change=\"onFileChange($event, 'proofOfID')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfID || !Customer.Documents.proofOfID.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359968 required\">\r\n            <label class=\"\"> Proof of Income </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359968\"\r\n              name=\"Customer.Documents.1529359968\"\r\n              data-section=\"9\"\r\n              v-on:change=\"onFileChange($event, 'proofOfIncome')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfIncome || !Customer.Documents.proofOfIncome.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359996 required\">\r\n            <label class=\"\"> Proof of Residence </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359996\"\r\n              name=\"Customer.Documents.1529359996\"\r\n              data-section=\"10\"\r\n              v-on:change=\"onFileChange($event, 'proofOfResidence')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfResidence || !Customer.Documents.proofOfResidence.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-6\">\r\n      <h2>THIS INFORMATION IS CONFIDENTIAL AND WILL NOT BE SHARED WITH OTHERS. I, hereby authorize verification of all information in my loan application from all sources of employment, financial history and criminal history. I authorize any duly authorized agent of AYUDATE TEXAS INC. to obtain, whether the said records are public or private, and including those which may be deemed to be privileged or confidential and I release all persons from liability on account of such disclosures. Information appearing on this Authorization will be used exclusively by AYUDATE TEXAS INC. for identification purposes and for the release information which will be considered in determining any loan approval. I certify that I have made true, correct, and complete answers and statements on my loan application. I agree to provide additional information that may be requested to process my loan application. And to provide current phone numbers and address at all times.\r\n</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.25 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Information Agreement </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.25\"\r\n              name=\"LoanSettings.CustomField.25\"\r\n              v-model=\"LoanSettings.informationAgreement\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.informationAgreement && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              > I accept the terms and conditions</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <div class=\"form-group\">\r\n      <div\r\n        class=\"alert alert-success\"\r\n        id=\"successAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      >\r\n        Thank you!\r\n      </div>\r\n      <div\r\n        class=\"alert alert-warning\"\r\n        id=\"errorAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      ></div>\r\n      <div class=\"text-center\">\r\n        <button\r\n          id=\"submitBtn\"\r\n          type=\"submit\"\r\n          class=\"btn btn-primary\"\r\n          style=\"width: 250px\"\r\n        >\r\n          Submit\r\n        </button>\r\n      </div>\r\n    </div>\r\n    <input type=\"hidden\" id=\"application_id\" name=\"application_id\" value=\"2\" />\r\n    <input type=\"hidden\" id=\"instance_id\" name=\"instance_id\" value=\"5200861\" />\r\n  </form>\r\n\r\n  <div\r\n    v-if=\"loader\"\r\n    style=\"\r\n      position: fixed;\r\n      top: 0px;\r\n      left: 0px;\r\n      padding: 0px;\r\n      margin: 0px;\r\n      width: 100%;\r\n      height: 100%;\r\n      background-color: rgba(250, 250, 250, 0.5);\r\n    \"\r\n  >\r\n    <div\r\n      class=\"spinner-border\"\r\n      style=\"width: 3rem; height: 3rem; position: absolute; top: 50%; left: 50%\"\r\n      role=\"status\"\r\n    >\r\n      <span class=\"sr-only\"></span>\r\n    </div>\r\n  </div>\r\n</template>\r\n\r\n\r\n\r\n<script>\r\nexport default {\r\n  data() {\r\n    return {\r\n      loader: false,\r\n      loan: \"1000\",\r\n      formSend: false,\r\n      LoanSettings: {\r\n        CustomField: {},\r\n      },\r\n      Customer: {\r\n        Documents: {},\r\n        gender: \"female\",\r\n        CustomField: {},\r\n        Reference1: {},\r\n        Reference2: {},\r\n        Reference3: {},\r\n        Reference: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        Employer: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        PrimaryAddress: {\r\n          country: \"usa\",\r\n        },\r\n      },\r\n      Employer: {\r\n        CustomField: {},\r\n      },\r\n    };\r\n  },\r\n  components: {},\r\n  methods: {\r\n    onSubmit(event) {\r\n      event.preventDefault();\r\n      this.formSend = true;\r\n      /*\r\n      console.log(\"this.Customer\");\r\n      console.log(this.Customer);\r\n      console.log(\"this.Employer\");\r\n      console.log(this.Employer);\r\n      console.log(\"this.LoanSettings\");\r\n      console.log(this.LoanSettings);\r\n      */\r\n      let error = false;\r\n\r\n      let inputs = document.getElementsByTagName(\"input\");\r\n      error = this.checkInputs(inputs, error);\r\n      if (!error) {\r\n        let selects = document.getElementsByTagName(\"select\");\r\n        error = this.checkInputs(selects, error);\r\n      }\r\n\r\n      if (error) {\r\n        this.$toast.error(\"You need to fill all the required fields\", {\r\n          position: \"top-right\",\r\n        });\r\n        return;\r\n      }\r\n      this.loader = true;\r\n      this.$toast.info(\"Sending the application\", {\r\n        position: \"top-right\",\r\n      });\r\n\r\n      let sendData = {};\r\n\r\n      Object.keys(this.Customer).forEach((key) => {\r\n        if (typeof this.Customer[key] === \"object\") {\r\n          Object.keys(this.Customer[key]).forEach((key2) => {\r\n            if (typeof this.Customer[key][key2] === \"object\") {\r\n              Object.keys(this.Customer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Customer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"customer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Customer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"customer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Customer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"customer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Customer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.Employer).forEach((key) => {\r\n        if (typeof this.Employer[key] === \"object\") {\r\n          Object.keys(this.Employer[key]).forEach((key2) => {\r\n            if (typeof this.Employer[key][key2] === \"object\") {\r\n              Object.keys(this.Employer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Employer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"employer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Employer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"employer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Employer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"employer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Employer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.LoanSettings).forEach((key) => {\r\n        if (typeof this.LoanSettings[key] === \"object\") {\r\n          Object.keys(this.LoanSettings[key]).forEach((key2) => {\r\n            if (typeof this.LoanSettings[key][key2] === \"object\") {\r\n              Object.keys(this.LoanSettings[key][key2]).forEach((key3) => {\r\n                if (typeof this.LoanSettings[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"loanSettings\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.LoanSettings[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"loanSettings\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.LoanSettings[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\r\n            \"loanSettings\" + key.replace(/^\\w/, (c) => c.toUpperCase())\r\n          ] = this.LoanSettings[key];\r\n        }\r\n      });\r\n\r\n      //console.log(sendData);\r\n      sendData[\"loanType\"] = \"1000\";\r\n\r\n      sendData.loanSettingsAgreement2 = \"true\";\r\n      sendData.loanSettingsAgreement3 = \"true\";\r\n      sendData.loanSettingsAgreement4 = \"true\";\r\n      sendData.loanSettingsAgreement5 = \"true\";\r\n      sendData.loanSettingsInformationAgreement = \"true\";\r\n\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/SaveLoanRequest\", {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((response) => {\r\n          console.log(response);\r\n          if (response.status === 200) {\r\n            this.$toast.success(\"Application sent successfully\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n            this.formSend = false;\r\n\r\n            this.LoanSettings = {\r\n              CustomField: {},\r\n            };\r\n            this.Customer = {\r\n              Documents: {},\r\n              gender: \"female\",\r\n              CustomField: {},\r\n              Reference1: {},\r\n              Reference2: {},\r\n              Reference3: {},\r\n              Reference: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              Employer: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              PrimaryAddress: {\r\n                country: \"can\",\r\n              },\r\n            };\r\n            this.Employer = {\r\n              CustomField: {},\r\n            };\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .catch((error) => {\r\n          this.$toast.error(\"Error sending the application\", {\r\n            position: \"top-right\",\r\n          });\r\n          this.loader = false;\r\n        });\r\n    },\r\n\r\n    checkInputs(element, error) {\r\n      for (let index = 0; index < element.length; ++index) {\r\n        element[index].blur();\r\n        if (element[index].getAttribute(\"req\") != null) {\r\n          if (element[index].type == \"checkbox\") {\r\n            if (element[index].checked == false) {\r\n              element[index].focus();\r\n              error = true;\r\n              break;\r\n            }\r\n          } else if (this.noExistEmpty(element[index].value)) {\r\n            element[index].focus();\r\n            error = true;\r\n            break;\r\n          }\r\n        }\r\n      }\r\n      return error;\r\n    },\r\n\r\n    onChangeZipCode(zip, city, state) {\r\n      let sendData = {\r\n        zip: zip,\r\n      };\r\n      fetch(\r\n        \"https://ayudate.teknosgroup.com/BACKEND/Maestro/GetState/\" +\r\n          zip,\r\n        {\r\n          method: \"POST\",\r\n          headers: {\r\n            \"Content-Type\": \"application/json\",\r\n          },\r\n          body: JSON.stringify(sendData),\r\n        }\r\n      )\r\n        .then((res) => {\r\n          city.city = \"\";\r\n          state.stateUsa = \"\";\r\n          if (res.status === 200) {\r\n            return res.text().then(function (text) {\r\n              return { data: text, status: res.status, ok: res.ok };\r\n            });\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .then(\r\n          (result) => {\r\n            let response = result;\r\n            try {\r\n              //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n              response.data = JSON.parse(result.data);\r\n              if (response.data.city) {\r\n                city.city = response.data.city;\r\n                state.stateUsa = response.data.state;\r\n              }\r\n            } catch (er) {\r\n              console.log(er);\r\n            }\r\n          },\r\n          (error) => {\r\n            console.log(error);\r\n          }\r\n        );\r\n    },\r\n\r\n    onFileChange(element, id) {\r\n      let othat = this;\r\n      var reader = new FileReader();\r\n      if (element.target.files[0]) {\r\n        reader.readAsDataURL(element.target.files[0]);\r\n        reader.onload = function () {\r\n          //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n          if (element.target.files[0].size > 2100000) {\r\n            othat.$toast.error(\"Maximum file size 2Mb\", {\r\n              position: \"top-right\",\r\n            });\r\n            othat.Customer.Documents[id] = {};\r\n            element.target.value = \"\";\r\n          } else {\r\n            othat.Customer.Documents[id] = {\r\n              fileName: element.target.files[0].name,\r\n              fileSize: element.target.files[0].size.toString(),\r\n              fileType: element.target.files[0].type,\r\n              data: reader.result,\r\n            };\r\n            //console.log(othat.Customer);\r\n          }\r\n        };\r\n        reader.onerror = function (error) {\r\n          console.log(\"Error: \", error);\r\n          othat.Customer.Documents[id] = {};\r\n          element.target.value = \"\";\r\n        };\r\n      } else {\r\n        othat.Customer.Documents[id] = {};\r\n        element.target.value = \"\";\r\n      }\r\n    },\r\n\r\n    noExistEmpty(value) {\r\n      if (value === undefined) return true;\r\n      if (value === null) return true;\r\n      if (value === \"\") return true;\r\n      if (value.length <= 0) return true;\r\n      return false;\r\n    },\r\n    onChangePrimaryAddressCountry() {\r\n      this.Customer.PrimaryAddress.stateUsa = \"\";\r\n      this.Customer.PrimaryAddress.zipcodeUsa = \"\";\r\n    },\r\n    addToChart({ product, quantity }) {\r\n      console.log(product, quantity);\r\n    },\r\n    formatSSN() {\r\n      //console.log(this.Customer.ssn);\r\n      var x = this.Customer.ssn\r\n        .replace(/\\D/g, \"\")\r\n        .match(/(\\d{0,3})(\\d{0,2})(\\d{0,4})/);\r\n      this.Customer.ssn = !x[2]\r\n        ? x[1]\r\n        : x[1] + \"-\" + x[2] + (x[3] ? \"-\" + x[3] : \"\");\r\n    },\r\n  },\r\n};\r\n</script>\r\n","import { render } from \"./loan1000.vue?vue&type=template&id=733c767d\"\nimport script from \"./loan1000.vue?vue&type=script&lang=js\"\nexport * from \"./loan1000.vue?vue&type=script&lang=js\"\n\nimport exportComponent from \"G:\\\\Proyectos\\\\Front\\\\Clt-Alaia-Emp-Ayudate-Pro-Formulario_Loan_Applications\\\\node_modules\\\\vue-loader-v16\\\\dist\\\\exportHelper.js\"\nconst __exports__ = /*#__PURE__*/exportComponent(script, [['render',render]])\n\nexport default __exports__","<template>\r\n  <div class=\"starter-template\">\r\n    <h1>Ayudate Loan Application</h1>\r\n    <p class=\"lead\">${{ loan }} Loan</p>\r\n  </div>\r\n\r\n  <form @submit=\"onSubmit\" id=\"form-application\">\r\n    <section class=\"controls\">\r\n      <h2>Personal Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group required\">\r\n            <label class=\"\"> First Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.firstName\"\r\n              name=\"Customer.firstName\"\r\n              v-model=\"Customer.firstName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.firstName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.middleName\">\r\n            <label class=\"\"> Middle Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.middleName\"\r\n              name=\"Customer.middleName\"\r\n              v-model=\"Customer.middleName\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.lastName required\">\r\n            <label class=\"\"> Last Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.lastName\"\r\n              name=\"Customer.lastName\"\r\n              v-model=\"Customer.lastName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.lastName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.gender required\">\r\n            <label class=\"\"> Gender </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.gender\"\r\n              name=\"Customer.gender\"\r\n              v-model=\"Customer.gender\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.gender && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"female\">Female</option>\r\n              <option value=\"male\">Male</option>\r\n              <option value=\"unknown\">Unknown</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.birthDate required\">\r\n            <label class=\"\"> Date Of Birth </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.birthDate\"\r\n              name=\"Customer.birthDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.birthDate\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.birthDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.20\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Country of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.20\"\r\n              name=\"Customer.CustomField.20\"\r\n              v-model=\"Customer.countryOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.countryOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.48\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> State of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.48\"\r\n              name=\"Customer.CustomField.48\"\r\n              v-model=\"Customer.stateOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.stateOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.49\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> City or Town of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.49\"\r\n              name=\"Customer.CustomField.49\"\r\n              v-model=\"Customer.cityOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.cityOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div></div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.driverLicense required\">\r\n            <label class=\"\"> License / Passport / Matricula </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.driverLicense\"\r\n              name=\"Customer.driverLicense\"\r\n              v-model=\"Customer.driverLicense\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.driverLicense && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.ssn\">\r\n            <label class=\"\"> SSN / ITIN </label>\r\n            <input\r\n              type=\"password\"\r\n              class=\"form-control js-ssn\"\r\n              id=\"Customer.ssn\"\r\n              name=\"Customer.ssn\"\r\n              v-model=\"Customer.ssn\"\r\n              @input=\"formatSSN\"\r\n              maxlength=\"11\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.address1 required\">\r\n            <label class=\"\"> Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.address1\"\r\n              name=\"Customer.PrimaryAddress.address1\"\r\n              v-model=\"Customer.PrimaryAddress.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.zipcodeUsa required\">\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              name=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              v-model=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.PrimaryAddress.zipcodeUsa,\r\n                  Customer.PrimaryAddress,\r\n                  Customer.PrimaryAddress\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.city\"\r\n              name=\"Customer.PrimaryAddress.city\"\r\n              v-model=\"Customer.PrimaryAddress.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.stateUsa\"\r\n              name=\"Customer.PrimaryAddress.stateUsa\"\r\n              v-model=\"Customer.PrimaryAddress.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.country\"\r\n              name=\"Customer.PrimaryAddress.country\"\r\n              v-model=\"Customer.PrimaryAddress.country\"\r\n              @change=\"onChangePrimaryAddressCountry\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected>United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.11\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Residence </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.11\"\r\n              name=\"Customer.CustomField.11\"\r\n              v-model=\"Customer.typeOfResidence\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.typeOfResidence && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Rent\">Rent</option>\r\n              <option value=\"Own\">Own</option>\r\n              <option value=\"Live w/ Relatives\">Live w/ Relatives</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.phone required\">\r\n            <label class=\"\"> Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.phone\"\r\n              name=\"Customer.phone\"\r\n              v-model=\"Customer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.16\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\">\r\n              What Month and Year did you start living in the US\r\n            </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.16\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.CustomField.16\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.monthAndYearStartedLivingInUS\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.monthAndYearStartedLivingInUS && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.12\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Best Time to Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.12\"\r\n              name=\"Customer.CustomField.12\"\r\n              v-model=\"Customer.bestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.bestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.email\">\r\n            <label class=\"\"> Email </label>\r\n            <input\r\n              type=\"email\"\r\n              class=\"form-control js-email\"\r\n              id=\"Customer.email\"\r\n              name=\"Customer.email\"\r\n              v-model=\"Customer.email\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.14\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Dependents </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.14\"\r\n              name=\"Customer.CustomField.14\"\r\n              v-model=\"Customer.numberDependents\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.numberDependents && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"No Dependents\">No Dependents</option>\r\n              <option value=\"1\">1</option>\r\n              <option value=\"2\">2</option>\r\n              <option value=\"3\">3</option>\r\n              <option value=\"4\">4</option>\r\n              <option value=\"5\">5</option>\r\n              <option value=\"6\">6</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.6\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Marital Status </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.6\"\r\n              name=\"Customer.CustomField.6\"\r\n              v-model=\"Customer.maritalStatus\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.maritalStatus && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Single\">Single</option>\r\n              <option value=\"Married\">Married</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.15 custom-field\">\r\n            <label class=\"\"> Spouses Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.15\"\r\n              name=\"Customer.CustomField.15\"\r\n              v-model=\"Customer.spouseName\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.23 custom-field\">\r\n            <label class=\"\"> Spouses Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.CustomField.23\"\r\n              name=\"Customer.CustomField.23\"\r\n              v-model=\"Customer.spousePhone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.43 custom-field\">\r\n            <label class=\"\"> Does you spouse currently have a job </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.43\"\r\n              name=\"Customer.CustomField.43\"\r\n              v-model=\"Customer.spouseCurrentlyHasJob\"\r\n            >\r\n              <option value=\"Yes\">Yes</option>\r\n              <option value=\"No\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.44 custom-field\">\r\n            <label class=\"\"> Spouse Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.44\"\r\n              name=\"Customer.CustomField.44\"\r\n              v-model=\"Customer.spouseMonthlyIncome\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.name required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Name of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.name\"\r\n              name=\"Customer.Reference.name\"\r\n              v-model=\"Customer.Reference.name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.relation required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Relation of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.relation\"\r\n              name=\"Customer.Reference.relation\"\r\n              v-model=\"Customer.Reference.relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"brother\" selected=\"\">\r\n                Brother\r\n              </option>\r\n              <option value=\"coWorker\">\r\n                CoWorker\r\n              </option>\r\n              <option value=\"daughter\">\r\n                Daughter\r\n              </option>\r\n              <option value=\"father\">Father</option>\r\n              <option value=\"friend\">Friend</option>\r\n              <option value=\"husband\">\r\n                Husband\r\n              </option>\r\n              <option value=\"mother\">Mother</option>\r\n              <option value=\"sister\">Sister</option>\r\n              <option value=\"son\">Son</option>\r\n              <option value=\"wife\">Wife</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.primaryPhone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Phone of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Reference.primaryPhone\"\r\n              name=\"Customer.Reference.primaryPhone\"\r\n              v-model=\"Customer.Reference.primaryPhone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.primaryPhone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.address1 required\">\r\n            <label class=\"\"> Address of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.address1\"\r\n              name=\"Customer.Reference.Address.address1\"\r\n              v-model=\"Customer.Reference.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> Zip Code of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Reference.Address.zipcodeUsa\"\r\n              name=\"Customer.Reference.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Reference.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Reference.Address.zipcodeUsa,\r\n                  Customer.Reference.Address,\r\n                  Customer.Reference.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.city required\">\r\n            <label class=\"\"> City of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.city\"\r\n              name=\"Customer.Reference.Address.city\"\r\n              v-model=\"Customer.Reference.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Reference.Address.stateUsa required\">\r\n            <label class=\"\"> State of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.stateUsa\"\r\n              name=\"Customer.Reference.Address.stateUsa\"\r\n              v-model=\"Customer.Reference.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.country required\">\r\n            <label class=\"\"> Country of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.country\"\r\n              name=\"Customer.Reference.Address.country\"\r\n              v-model=\"Customer.Reference.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-2\">\r\n      <h2>References</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.17\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.17\"\r\n              name=\"Customer.CustomField.17\"\r\n              v-model=\"Customer.Reference1.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.18\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.18\"\r\n              name=\"Customer.CustomField.18\"\r\n              v-model=\"Customer.Reference1.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.27\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.27\"\r\n              name=\"Customer.CustomField.27\"\r\n              v-model=\"Customer.Reference1.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.26\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.26\"\r\n              name=\"Customer.CustomField.26\"\r\n              v-model=\"Customer.Reference1.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.28 custom-field\">\r\n            <label class=\"\"> Reference 1 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.28\"\r\n              name=\"Customer.CustomField.28\"\r\n              v-model=\"Customer.Reference1.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.29 custom-field\">\r\n            <label class=\"\"> Reference 1 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.29\"\r\n              name=\"Customer.CustomField.29\"\r\n              v-model=\"Customer.Reference1.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.30\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.30\"\r\n              name=\"Customer.CustomField.30\"\r\n              v-model=\"Customer.Reference2.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.31\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.31\"\r\n              name=\"Customer.CustomField.31\"\r\n              v-model=\"Customer.Reference2.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.32\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.32\"\r\n              name=\"Customer.CustomField.32\"\r\n              v-model=\"Customer.Reference2.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.37\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.37\"\r\n              name=\"Customer.CustomField.37\"\r\n              v-model=\"Customer.Reference2.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.33 custom-field\">\r\n            <label class=\"\"> Reference 2 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.33\"\r\n              name=\"Customer.CustomField.33\"\r\n              v-model=\"Customer.Reference2.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.34 custom-field\">\r\n            <label class=\"\"> Reference 2 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.34\"\r\n              name=\"Customer.CustomField.34\"\r\n              v-model=\"Customer.Reference2.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.35\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.35\"\r\n              name=\"Customer.CustomField.35\"\r\n              v-model=\"Customer.Reference3.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.36\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.36\"\r\n              name=\"Customer.CustomField.36\"\r\n              v-model=\"Customer.Reference3.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.38\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.38\"\r\n              name=\"Customer.CustomField.38\"\r\n              v-model=\"Customer.Reference3.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.39\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.39\"\r\n              name=\"Customer.CustomField.39\"\r\n              v-model=\"Customer.Reference3.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.40 custom-field\">\r\n            <label class=\"\"> Reference 3 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.40\"\r\n              name=\"Customer.CustomField.40\"\r\n              v-model=\"Customer.Reference3.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.41 custom-field\">\r\n            <label class=\"\"> Reference 3 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.41\"\r\n              name=\"Customer.CustomField.41\"\r\n              v-model=\"Customer.Reference3.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-3\">\r\n      <h2>Loan Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.3 custom-field required\"\r\n          >\r\n            <label class=\"\"> Reason for Loan </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.3\"\r\n              name=\"LoanSettings.CustomField.3\"\r\n              v-model=\"LoanSettings.reasonForLoan\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.reasonForLoan && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"Personal\">Personal</option>\r\n              <option value=\"Immigration\">Immigration</option>\r\n              <option value=\"Other\">Other</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.19 custom-field required\"\r\n          >\r\n            <label class=\"\"> What will the loan be used for </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.19\"\r\n              name=\"LoanSettings.CustomField.19\"\r\n              v-model=\"LoanSettings.whatWillTheLoanBeUsedFor\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.whatWillTheLoanBeUsedFor && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-LoanSettings.CustomField.7\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Promo Code o Numero de Gafete </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.7\"\r\n              name=\"LoanSettings.CustomField.7\"\r\n              v-model=\"LoanSettings.promoCode\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.promoCode && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.2\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> How did you hear about us </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.2\"\r\n              name=\"Customer.CustomField.2\"\r\n              v-model=\"Customer.howDidYouHearAboutUs\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.howDidYouHearAboutUs && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.5 custom-field required\">\r\n            <label class=\"\"> Name of person who referred you </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.5\"\r\n              name=\"Customer.CustomField.5\"\r\n              v-model=\"Customer.nameOfPersonWhoReferredYou\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfPersonWhoReferredYou && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-4\">\r\n      <h2>Employer Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.companyName required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Company Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.companyName\"\r\n              name=\"Customer.Employer.companyName\"\r\n              v-model=\"Customer.Employer.companyName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.companyName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.46\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Employment </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Employer.CustomField.46\"\r\n              name=\"Employer.CustomField.46\"\r\n              v-model=\"Employer.typeOfEmployment\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.typeOfEmployment && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"FullTime\">Full-time</option>\r\n              <option value=\"PartTime\">Part-time</option>\r\n              <option value=\"Seasonal\">Seasonal</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.title required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Title </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.title\"\r\n              name=\"Customer.Employer.title\"\r\n              v-model=\"Customer.Employer.title\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.title && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.9\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Working Hours </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Employer.CustomField.9\"\r\n              name=\"Employer.CustomField.9\"\r\n              v-model=\"Employer.workingHours\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.workingHours && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.hireDate required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Hire Date </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.hireDate\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.Employer.hireDate\"\r\n              v-model=\"Customer.Employer.hireDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.hireDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.address1 required\">\r\n            <label class=\"\"> Employer's Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.address1\"\r\n              name=\"Customer.Employer.Address.address1\"\r\n              v-model=\"Customer.Employer.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Employer.Address.zipcodeUsa\"\r\n              name=\"Customer.Employer.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Employer.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Employer.Address.zipcodeUsa,\r\n                  Customer.Employer.Address,\r\n                  Customer.Employer.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.city\"\r\n              name=\"Customer.Employer.Address.city\"\r\n              v-model=\"Customer.Employer.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Employer.Address.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.stateUsa\"\r\n              name=\"Customer.Employer.Address.stateUsa\"\r\n              v-model=\"Customer.Employer.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.country\"\r\n              name=\"Customer.Employer.Address.country\"\r\n              v-model=\"Customer.Employer.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected=\"\">\r\n                United States\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.45 custom-field required\">\r\n            <label class=\"\"> Name of Direct Boss </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.45\"\r\n              name=\"Customer.CustomField.45\"\r\n              v-model=\"Customer.nameOfDirectBoss\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfDirectBoss && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.phone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Employers Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Employer.phone\"\r\n              name=\"Customer.Employer.phone\"\r\n              v-model=\"Customer.Employer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.incomeFrequency required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Income Frequency </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.incomeFrequency\"\r\n              name=\"Customer.Employer.incomeFrequency\"\r\n              v-model=\"Customer.Employer.incomeFrequency\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.incomeFrequency && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"annually\">\r\n                Annually\r\n              </option>\r\n              <option\r\n                value=\"biWeekly\"\r\n                selected=\"\"\r\n              >\r\n                Bi-Weekly\r\n              </option>\r\n              <option value=\"monthly\">\r\n                Monthly\r\n              </option>\r\n              <option value=\"semiMonthly\">\r\n                Semi-Monthly\r\n              </option>\r\n              <option value=\"weekly\">\r\n                Weekly\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.income required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.Employer.income\"\r\n              name=\"Customer.Employer.income\"\r\n              v-model=\"Customer.Employer.income\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.income && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.13\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Total Monthly Expenses </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.13\"\r\n              name=\"Customer.CustomField.13\"\r\n              v-model=\"Customer.totalMonthlyExpenses\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.totalMonthlyExpenses && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-5\">\r\n      <h2>Documents</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Documents.1529359983 required\">\r\n            <label class=\"\"> Proof of ID </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359983\"\r\n              name=\"Customer.Documents.1529359984\"\r\n              data-section=\"8\"\r\n              v-on:change=\"onFileChange($event, 'proofOfID')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfID || !Customer.Documents.proofOfID.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359968 required\">\r\n            <label class=\"\"> Proof of Income </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359968\"\r\n              name=\"Customer.Documents.1529359968\"\r\n              data-section=\"9\"\r\n              v-on:change=\"onFileChange($event, 'proofOfIncome')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfIncome || !Customer.Documents.proofOfIncome.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359996 required\">\r\n            <label class=\"\"> Proof of Residence </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359996\"\r\n              name=\"Customer.Documents.1529359996\"\r\n              data-section=\"10\"\r\n              v-on:change=\"onFileChange($event, 'proofOfResidence')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfResidence || !Customer.Documents.proofOfResidence.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-6\">\r\n      <h2>THIS INFORMATION IS CONFIDENTIAL AND WILL NOT BE SHARED WITH OTHERS. I, hereby authorize verification of all information in my loan application from all sources of employment, financial history and criminal history. I authorize any duly authorized agent of AYUDATE TEXAS INC. to obtain, whether the said records are public or private, and including those which may be deemed to be privileged or confidential and I release all persons from liability on account of such disclosures. Information appearing on this Authorization will be used exclusively by AYUDATE TEXAS INC. for identification purposes and for the release information which will be considered in determining any loan approval. I certify that I have made true, correct, and complete answers and statements on my loan application. I agree to provide additional information that may be requested to process my loan application. And to provide current phone numbers and address at all times.\r\n</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.25 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Information Agreement </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.25\"\r\n              name=\"LoanSettings.CustomField.25\"\r\n              v-model=\"LoanSettings.informationAgreement\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.informationAgreement && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              > I accept the terms and conditions</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <div class=\"form-group\">\r\n      <div\r\n        class=\"alert alert-success\"\r\n        id=\"successAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      >\r\n        Thank you!\r\n      </div>\r\n      <div\r\n        class=\"alert alert-warning\"\r\n        id=\"errorAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      ></div>\r\n      <div class=\"text-center\">\r\n        <button\r\n          id=\"submitBtn\"\r\n          type=\"submit\"\r\n          class=\"btn btn-primary\"\r\n          style=\"width: 250px\"\r\n        >\r\n          Submit\r\n        </button>\r\n      </div>\r\n    </div>\r\n    <input type=\"hidden\" id=\"application_id\" name=\"application_id\" value=\"2\" />\r\n    <input type=\"hidden\" id=\"instance_id\" name=\"instance_id\" value=\"5200861\" />\r\n  </form>\r\n\r\n  <div\r\n    v-if=\"loader\"\r\n    style=\"\r\n      position: fixed;\r\n      top: 0px;\r\n      left: 0px;\r\n      padding: 0px;\r\n      margin: 0px;\r\n      width: 100%;\r\n      height: 100%;\r\n      background-color: rgba(250, 250, 250, 0.5);\r\n    \"\r\n  >\r\n    <div\r\n      class=\"spinner-border\"\r\n      style=\"width: 3rem; height: 3rem; position: absolute; top: 50%; left: 50%\"\r\n      role=\"status\"\r\n    >\r\n      <span class=\"sr-only\"></span>\r\n    </div>\r\n  </div>\r\n</template>\r\n\r\n\r\n\r\n<script>\r\nexport default {\r\n  data() {\r\n    return {\r\n      loader: false,\r\n      loan: \"1400\",\r\n      formSend: false,\r\n      LoanSettings: {\r\n        CustomField: {},\r\n      },\r\n      Customer: {\r\n        Documents: {},\r\n        gender: \"female\",\r\n        CustomField: {},\r\n        Reference1: {},\r\n        Reference2: {},\r\n        Reference3: {},\r\n        Reference: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        Employer: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        PrimaryAddress: {\r\n          country: \"usa\",\r\n        },\r\n      },\r\n      Employer: {\r\n        CustomField: {},\r\n      },\r\n    };\r\n  },\r\n  components: {},\r\n  methods: {\r\n    onSubmit(event) {\r\n      event.preventDefault();\r\n      this.formSend = true;\r\n      /*\r\n      console.log(\"this.Customer\");\r\n      console.log(this.Customer);\r\n      console.log(\"this.Employer\");\r\n      console.log(this.Employer);\r\n      console.log(\"this.LoanSettings\");\r\n      console.log(this.LoanSettings);\r\n      */\r\n      let error = false;\r\n\r\n      let inputs = document.getElementsByTagName(\"input\");\r\n      error = this.checkInputs(inputs, error);\r\n      if (!error) {\r\n        let selects = document.getElementsByTagName(\"select\");\r\n        error = this.checkInputs(selects, error);\r\n      }\r\n\r\n      if (error) {\r\n        this.$toast.error(\"You need to fill all the required fields\", {\r\n          position: \"top-right\",\r\n        });\r\n        return;\r\n      }\r\n      this.loader = true;\r\n      this.$toast.info(\"Sending the application\", {\r\n        position: \"top-right\",\r\n      });\r\n\r\n      let sendData = {};\r\n\r\n      Object.keys(this.Customer).forEach((key) => {\r\n        if (typeof this.Customer[key] === \"object\") {\r\n          Object.keys(this.Customer[key]).forEach((key2) => {\r\n            if (typeof this.Customer[key][key2] === \"object\") {\r\n              Object.keys(this.Customer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Customer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"customer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Customer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"customer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Customer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"customer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Customer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.Employer).forEach((key) => {\r\n        if (typeof this.Employer[key] === \"object\") {\r\n          Object.keys(this.Employer[key]).forEach((key2) => {\r\n            if (typeof this.Employer[key][key2] === \"object\") {\r\n              Object.keys(this.Employer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Employer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"employer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Employer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"employer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Employer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"employer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Employer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.LoanSettings).forEach((key) => {\r\n        if (typeof this.LoanSettings[key] === \"object\") {\r\n          Object.keys(this.LoanSettings[key]).forEach((key2) => {\r\n            if (typeof this.LoanSettings[key][key2] === \"object\") {\r\n              Object.keys(this.LoanSettings[key][key2]).forEach((key3) => {\r\n                if (typeof this.LoanSettings[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"loanSettings\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.LoanSettings[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"loanSettings\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.LoanSettings[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\r\n            \"loanSettings\" + key.replace(/^\\w/, (c) => c.toUpperCase())\r\n          ] = this.LoanSettings[key];\r\n        }\r\n      });\r\n\r\n      //console.log(sendData);\r\n      sendData[\"loanType\"] = \"1400\";\r\n\r\n      sendData.loanSettingsAgreement2 = \"true\";\r\n      sendData.loanSettingsAgreement3 = \"true\";\r\n      sendData.loanSettingsAgreement4 = \"true\";\r\n      sendData.loanSettingsAgreement5 = \"true\";\r\n      sendData.loanSettingsInformationAgreement = \"true\";\r\n\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/SaveLoanRequest\", {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((response) => {\r\n          console.log(response);\r\n          if (response.status === 200) {\r\n            this.$toast.success(\"Application sent successfully\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n            this.formSend = false;\r\n\r\n            this.LoanSettings = {\r\n              CustomField: {},\r\n            };\r\n            this.Customer = {\r\n              Documents: {},\r\n              gender: \"female\",\r\n              CustomField: {},\r\n              Reference1: {},\r\n              Reference2: {},\r\n              Reference3: {},\r\n              Reference: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              Employer: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              PrimaryAddress: {\r\n                country: \"can\",\r\n              },\r\n            };\r\n            this.Employer = {\r\n              CustomField: {},\r\n            };\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .catch((error) => {\r\n          this.$toast.error(\"Error sending the application\", {\r\n            position: \"top-right\",\r\n          });\r\n          this.loader = false;\r\n        });\r\n    },\r\n\r\n    checkInputs(element, error) {\r\n      for (let index = 0; index < element.length; ++index) {\r\n        element[index].blur();\r\n        if (element[index].getAttribute(\"req\") != null) {\r\n          if (element[index].type == \"checkbox\") {\r\n            if (element[index].checked == false) {\r\n              element[index].focus();\r\n              error = true;\r\n              break;\r\n            }\r\n          } else if (this.noExistEmpty(element[index].value)) {\r\n            element[index].focus();\r\n            error = true;\r\n            break;\r\n          }\r\n        }\r\n      }\r\n      return error;\r\n    },\r\n\r\n    onChangeZipCode(zip, city, state) {\r\n      let sendData = {\r\n        zip: zip,\r\n      };\r\n      fetch(\r\n        \"https://ayudate.teknosgroup.com/BACKEND/Maestro/GetState/\" +\r\n          zip,\r\n        {\r\n          method: \"POST\",\r\n          headers: {\r\n            \"Content-Type\": \"application/json\",\r\n          },\r\n          body: JSON.stringify(sendData),\r\n        }\r\n      )\r\n        .then((res) => {\r\n          city.city = \"\";\r\n          state.stateUsa = \"\";\r\n          if (res.status === 200) {\r\n            return res.text().then(function (text) {\r\n              return { data: text, status: res.status, ok: res.ok };\r\n            });\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .then(\r\n          (result) => {\r\n            let response = result;\r\n            try {\r\n              //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n              response.data = JSON.parse(result.data);\r\n              if (response.data.city) {\r\n                city.city = response.data.city;\r\n                state.stateUsa = response.data.state;\r\n              }\r\n            } catch (er) {\r\n              console.log(er);\r\n            }\r\n          },\r\n          (error) => {\r\n            console.log(error);\r\n          }\r\n        );\r\n    },\r\n\r\n    onFileChange(element, id) {\r\n      let othat = this;\r\n      var reader = new FileReader();\r\n      if (element.target.files[0]) {\r\n        reader.readAsDataURL(element.target.files[0]);\r\n        reader.onload = function () {\r\n          //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n          if (element.target.files[0].size > 2100000) {\r\n            othat.$toast.error(\"Maximum file size 2Mb\", {\r\n              position: \"top-right\",\r\n            });\r\n            othat.Customer.Documents[id] = {};\r\n            element.target.value = \"\";\r\n          } else {\r\n            othat.Customer.Documents[id] = {\r\n              fileName: element.target.files[0].name,\r\n              fileSize: element.target.files[0].size.toString(),\r\n              fileType: element.target.files[0].type,\r\n              data: reader.result,\r\n            };\r\n            //console.log(othat.Customer);\r\n          }\r\n        };\r\n        reader.onerror = function (error) {\r\n          console.log(\"Error: \", error);\r\n          othat.Customer.Documents[id] = {};\r\n          element.target.value = \"\";\r\n        };\r\n      } else {\r\n        othat.Customer.Documents[id] = {};\r\n        element.target.value = \"\";\r\n      }\r\n    },\r\n\r\n    noExistEmpty(value) {\r\n      if (value === undefined) return true;\r\n      if (value === null) return true;\r\n      if (value === \"\") return true;\r\n      if (value.length <= 0) return true;\r\n      return false;\r\n    },\r\n    onChangePrimaryAddressCountry() {\r\n      this.Customer.PrimaryAddress.stateUsa = \"\";\r\n      this.Customer.PrimaryAddress.zipcodeUsa = \"\";\r\n    },\r\n    addToChart({ product, quantity }) {\r\n      console.log(product, quantity);\r\n    },\r\n    formatSSN() {\r\n      //console.log(this.Customer.ssn);\r\n      var x = this.Customer.ssn\r\n        .replace(/\\D/g, \"\")\r\n        .match(/(\\d{0,3})(\\d{0,2})(\\d{0,4})/);\r\n      this.Customer.ssn = !x[2]\r\n        ? x[1]\r\n        : x[1] + \"-\" + x[2] + (x[3] ? \"-\" + x[3] : \"\");\r\n    },\r\n  },\r\n};\r\n</script>\r\n","import { render } from \"./loan1400.vue?vue&type=template&id=19d6d1b3\"\nimport script from \"./loan1400.vue?vue&type=script&lang=js\"\nexport * from \"./loan1400.vue?vue&type=script&lang=js\"\n\nimport exportComponent from \"G:\\\\Proyectos\\\\Front\\\\Clt-Alaia-Emp-Ayudate-Pro-Formulario_Loan_Applications\\\\node_modules\\\\vue-loader-v16\\\\dist\\\\exportHelper.js\"\nconst __exports__ = /*#__PURE__*/exportComponent(script, [['render',render]])\n\nexport default __exports__","var arraySpeciesConstructor = require('../internals/array-species-constructor');\n\n// `ArraySpeciesCreate` abstract operation\n// https://tc39.es/ecma262/#sec-arrayspeciescreate\nmodule.exports = function (originalArray, length) {\n  return new (arraySpeciesConstructor(originalArray))(length === 0 ? 0 : length);\n};\n","var path = require('../internals/path');\nvar hasOwn = require('../internals/has-own-property');\nvar wrappedWellKnownSymbolModule = require('../internals/well-known-symbol-wrapped');\nvar defineProperty = require('../internals/object-define-property').f;\n\nmodule.exports = function (NAME) {\n  var Symbol = path.Symbol || (path.Symbol = {});\n  if (!hasOwn(Symbol, NAME)) defineProperty(Symbol, NAME, {\n    value: wrappedWellKnownSymbolModule.f(NAME)\n  });\n};\n","'use strict';\nvar charAt = require('../internals/string-multibyte').charAt;\n\n// `AdvanceStringIndex` abstract operation\n// https://tc39.es/ecma262/#sec-advancestringindex\nmodule.exports = function (S, index, unicode) {\n  return index + (unicode ? charAt(S, index).length : 1);\n};\n","'use strict';\n/* eslint-disable regexp/no-empty-capturing-group, regexp/no-empty-group, regexp/no-lazy-ends -- testing */\n/* eslint-disable regexp/no-useless-quantifier -- testing */\nvar toString = require('../internals/to-string');\nvar regexpFlags = require('../internals/regexp-flags');\nvar stickyHelpers = require('../internals/regexp-sticky-helpers');\nvar shared = require('../internals/shared');\nvar create = require('../internals/object-create');\nvar getInternalState = require('../internals/internal-state').get;\nvar UNSUPPORTED_DOT_ALL = require('../internals/regexp-unsupported-dot-all');\nvar UNSUPPORTED_NCG = require('../internals/regexp-unsupported-ncg');\n\nvar nativeExec = RegExp.prototype.exec;\nvar nativeReplace = shared('native-string-replace', String.prototype.replace);\n\nvar patchedExec = nativeExec;\n\nvar UPDATES_LAST_INDEX_WRONG = (function () {\n  var re1 = /a/;\n  var re2 = /b*/g;\n  nativeExec.call(re1, 'a');\n  nativeExec.call(re2, 'a');\n  return re1.lastIndex !== 0 || re2.lastIndex !== 0;\n})();\n\nvar UNSUPPORTED_Y = stickyHelpers.UNSUPPORTED_Y || stickyHelpers.BROKEN_CARET;\n\n// nonparticipating capturing group, copied from es5-shim's String#split patch.\nvar NPCG_INCLUDED = /()??/.exec('')[1] !== undefined;\n\nvar PATCH = UPDATES_LAST_INDEX_WRONG || NPCG_INCLUDED || UNSUPPORTED_Y || UNSUPPORTED_DOT_ALL || UNSUPPORTED_NCG;\n\nif (PATCH) {\n  // eslint-disable-next-line max-statements -- TODO\n  patchedExec = function exec(string) {\n    var re = this;\n    var state = getInternalState(re);\n    var str = toString(string);\n    var raw = state.raw;\n    var result, reCopy, lastIndex, match, i, object, group;\n\n    if (raw) {\n      raw.lastIndex = re.lastIndex;\n      result = patchedExec.call(raw, str);\n      re.lastIndex = raw.lastIndex;\n      return result;\n    }\n\n    var groups = state.groups;\n    var sticky = UNSUPPORTED_Y && re.sticky;\n    var flags = regexpFlags.call(re);\n    var source = re.source;\n    var charsAdded = 0;\n    var strCopy = str;\n\n    if (sticky) {\n      flags = flags.replace('y', '');\n      if (flags.indexOf('g') === -1) {\n        flags += 'g';\n      }\n\n      strCopy = str.slice(re.lastIndex);\n      // Support anchored sticky behavior.\n      if (re.lastIndex > 0 && (!re.multiline || re.multiline && str.charAt(re.lastIndex - 1) !== '\\n')) {\n        source = '(?: ' + source + ')';\n        strCopy = ' ' + strCopy;\n        charsAdded++;\n      }\n      // ^(? + rx + ) is needed, in combination with some str slicing, to\n      // simulate the 'y' flag.\n      reCopy = new RegExp('^(?:' + source + ')', flags);\n    }\n\n    if (NPCG_INCLUDED) {\n      reCopy = new RegExp('^' + source + '$(?!\\\\s)', flags);\n    }\n    if (UPDATES_LAST_INDEX_WRONG) lastIndex = re.lastIndex;\n\n    match = nativeExec.call(sticky ? reCopy : re, strCopy);\n\n    if (sticky) {\n      if (match) {\n        match.input = match.input.slice(charsAdded);\n        match[0] = match[0].slice(charsAdded);\n        match.index = re.lastIndex;\n        re.lastIndex += match[0].length;\n      } else re.lastIndex = 0;\n    } else if (UPDATES_LAST_INDEX_WRONG && match) {\n      re.lastIndex = re.global ? match.index + match[0].length : lastIndex;\n    }\n    if (NPCG_INCLUDED && match && match.length > 1) {\n      // Fix browsers whose `exec` methods don't consistently return `undefined`\n      // for NPCG, like IE8. NOTE: This doesn' work for /(.?)?/\n      nativeReplace.call(match[0], reCopy, function () {\n        for (i = 1; i < arguments.length - 2; i++) {\n          if (arguments[i] === undefined) match[i] = undefined;\n        }\n      });\n    }\n\n    if (match && groups) {\n      match.groups = object = create(null);\n      for (i = 0; i < groups.length; i++) {\n        group = groups[i];\n        object[group[0]] = match[group[1]];\n      }\n    }\n\n    return match;\n  };\n}\n\nmodule.exports = patchedExec;\n","var fails = require('../internals/fails');\nvar global = require('../internals/global');\n\n// babel-minify and Closure Compiler transpiles RegExp('a', 'y') -> /a/y and it causes SyntaxError\nvar $RegExp = global.RegExp;\n\nexports.UNSUPPORTED_Y = fails(function () {\n  var re = $RegExp('a', 'y');\n  re.lastIndex = 2;\n  return re.exec('abcd') != null;\n});\n\nexports.BROKEN_CARET = fails(function () {\n  // https://bugzilla.mozilla.org/show_bug.cgi?id=773687\n  var re = $RegExp('^r', 'gy');\n  re.lastIndex = 2;\n  return re.exec('str') != null;\n});\n","'use strict';\nvar $ = require('../internals/export');\nvar global = require('../internals/global');\nvar getBuiltIn = require('../internals/get-built-in');\nvar IS_PURE = require('../internals/is-pure');\nvar DESCRIPTORS = require('../internals/descriptors');\nvar NATIVE_SYMBOL = require('../internals/native-symbol');\nvar fails = require('../internals/fails');\nvar hasOwn = require('../internals/has-own-property');\nvar isArray = require('../internals/is-array');\nvar isCallable = require('../internals/is-callable');\nvar isObject = require('../internals/is-object');\nvar isSymbol = require('../internals/is-symbol');\nvar anObject = require('../internals/an-object');\nvar toObject = require('../internals/to-object');\nvar toIndexedObject = require('../internals/to-indexed-object');\nvar toPropertyKey = require('../internals/to-property-key');\nvar $toString = require('../internals/to-string');\nvar createPropertyDescriptor = require('../internals/create-property-descriptor');\nvar nativeObjectCreate = require('../internals/object-create');\nvar objectKeys = require('../internals/object-keys');\nvar getOwnPropertyNamesModule = require('../internals/object-get-own-property-names');\nvar getOwnPropertyNamesExternal = require('../internals/object-get-own-property-names-external');\nvar getOwnPropertySymbolsModule = require('../internals/object-get-own-property-symbols');\nvar getOwnPropertyDescriptorModule = require('../internals/object-get-own-property-descriptor');\nvar definePropertyModule = require('../internals/object-define-property');\nvar propertyIsEnumerableModule = require('../internals/object-property-is-enumerable');\nvar redefine = require('../internals/redefine');\nvar shared = require('../internals/shared');\nvar sharedKey = require('../internals/shared-key');\nvar hiddenKeys = require('../internals/hidden-keys');\nvar uid = require('../internals/uid');\nvar wellKnownSymbol = require('../internals/well-known-symbol');\nvar wrappedWellKnownSymbolModule = require('../internals/well-known-symbol-wrapped');\nvar defineWellKnownSymbol = require('../internals/define-well-known-symbol');\nvar setToStringTag = require('../internals/set-to-string-tag');\nvar InternalStateModule = require('../internals/internal-state');\nvar $forEach = require('../internals/array-iteration').forEach;\n\nvar HIDDEN = sharedKey('hidden');\nvar SYMBOL = 'Symbol';\nvar PROTOTYPE = 'prototype';\nvar TO_PRIMITIVE = wellKnownSymbol('toPrimitive');\nvar setInternalState = InternalStateModule.set;\nvar getInternalState = InternalStateModule.getterFor(SYMBOL);\nvar ObjectPrototype = Object[PROTOTYPE];\nvar $Symbol = global.Symbol;\nvar $stringify = getBuiltIn('JSON', 'stringify');\nvar nativeGetOwnPropertyDescriptor = getOwnPropertyDescriptorModule.f;\nvar nativeDefineProperty = definePropertyModule.f;\nvar nativeGetOwnPropertyNames = getOwnPropertyNamesExternal.f;\nvar nativePropertyIsEnumerable = propertyIsEnumerableModule.f;\nvar AllSymbols = shared('symbols');\nvar ObjectPrototypeSymbols = shared('op-symbols');\nvar StringToSymbolRegistry = shared('string-to-symbol-registry');\nvar SymbolToStringRegistry = shared('symbol-to-string-registry');\nvar WellKnownSymbolsStore = shared('wks');\nvar QObject = global.QObject;\n// Don't use setters in Qt Script, https://github.com/zloirock/core-js/issues/173\nvar USE_SETTER = !QObject || !QObject[PROTOTYPE] || !QObject[PROTOTYPE].findChild;\n\n// fallback for old Android, https://code.google.com/p/v8/issues/detail?id=687\nvar setSymbolDescriptor = DESCRIPTORS && fails(function () {\n  return nativeObjectCreate(nativeDefineProperty({}, 'a', {\n    get: function () { return nativeDefineProperty(this, 'a', { value: 7 }).a; }\n  })).a != 7;\n}) ? function (O, P, Attributes) {\n  var ObjectPrototypeDescriptor = nativeGetOwnPropertyDescriptor(ObjectPrototype, P);\n  if (ObjectPrototypeDescriptor) delete ObjectPrototype[P];\n  nativeDefineProperty(O, P, Attributes);\n  if (ObjectPrototypeDescriptor && O !== ObjectPrototype) {\n    nativeDefineProperty(ObjectPrototype, P, ObjectPrototypeDescriptor);\n  }\n} : nativeDefineProperty;\n\nvar wrap = function (tag, description) {\n  var symbol = AllSymbols[tag] = nativeObjectCreate($Symbol[PROTOTYPE]);\n  setInternalState(symbol, {\n    type: SYMBOL,\n    tag: tag,\n    description: description\n  });\n  if (!DESCRIPTORS) symbol.description = description;\n  return symbol;\n};\n\nvar $defineProperty = function defineProperty(O, P, Attributes) {\n  if (O === ObjectPrototype) $defineProperty(ObjectPrototypeSymbols, P, Attributes);\n  anObject(O);\n  var key = toPropertyKey(P);\n  anObject(Attributes);\n  if (hasOwn(AllSymbols, key)) {\n    if (!Attributes.enumerable) {\n      if (!hasOwn(O, HIDDEN)) nativeDefineProperty(O, HIDDEN, createPropertyDescriptor(1, {}));\n      O[HIDDEN][key] = true;\n    } else {\n      if (hasOwn(O, HIDDEN) && O[HIDDEN][key]) O[HIDDEN][key] = false;\n      Attributes = nativeObjectCreate(Attributes, { enumerable: createPropertyDescriptor(0, false) });\n    } return setSymbolDescriptor(O, key, Attributes);\n  } return nativeDefineProperty(O, key, Attributes);\n};\n\nvar $defineProperties = function defineProperties(O, Properties) {\n  anObject(O);\n  var properties = toIndexedObject(Properties);\n  var keys = objectKeys(properties).concat($getOwnPropertySymbols(properties));\n  $forEach(keys, function (key) {\n    if (!DESCRIPTORS || $propertyIsEnumerable.call(properties, key)) $defineProperty(O, key, properties[key]);\n  });\n  return O;\n};\n\nvar $create = function create(O, Properties) {\n  return Properties === undefined ? nativeObjectCreate(O) : $defineProperties(nativeObjectCreate(O), Properties);\n};\n\nvar $propertyIsEnumerable = function propertyIsEnumerable(V) {\n  var P = toPropertyKey(V);\n  var enumerable = nativePropertyIsEnumerable.call(this, P);\n  if (this === ObjectPrototype && hasOwn(AllSymbols, P) && !hasOwn(ObjectPrototypeSymbols, P)) return false;\n  return enumerable || !hasOwn(this, P) || !hasOwn(AllSymbols, P) || hasOwn(this, HIDDEN) && this[HIDDEN][P]\n    ? enumerable : true;\n};\n\nvar $getOwnPropertyDescriptor = function getOwnPropertyDescriptor(O, P) {\n  var it = toIndexedObject(O);\n  var key = toPropertyKey(P);\n  if (it === ObjectPrototype && hasOwn(AllSymbols, key) && !hasOwn(ObjectPrototypeSymbols, key)) return;\n  var descriptor = nativeGetOwnPropertyDescriptor(it, key);\n  if (descriptor && hasOwn(AllSymbols, key) && !(hasOwn(it, HIDDEN) && it[HIDDEN][key])) {\n    descriptor.enumerable = true;\n  }\n  return descriptor;\n};\n\nvar $getOwnPropertyNames = function getOwnPropertyNames(O) {\n  var names = nativeGetOwnPropertyNames(toIndexedObject(O));\n  var result = [];\n  $forEach(names, function (key) {\n    if (!hasOwn(AllSymbols, key) && !hasOwn(hiddenKeys, key)) result.push(key);\n  });\n  return result;\n};\n\nvar $getOwnPropertySymbols = function getOwnPropertySymbols(O) {\n  var IS_OBJECT_PROTOTYPE = O === ObjectPrototype;\n  var names = nativeGetOwnPropertyNames(IS_OBJECT_PROTOTYPE ? ObjectPrototypeSymbols : toIndexedObject(O));\n  var result = [];\n  $forEach(names, function (key) {\n    if (hasOwn(AllSymbols, key) && (!IS_OBJECT_PROTOTYPE || hasOwn(ObjectPrototype, key))) {\n      result.push(AllSymbols[key]);\n    }\n  });\n  return result;\n};\n\n// `Symbol` constructor\n// https://tc39.es/ecma262/#sec-symbol-constructor\nif (!NATIVE_SYMBOL) {\n  $Symbol = function Symbol() {\n    if (this instanceof $Symbol) throw TypeError('Symbol is not a constructor');\n    var description = !arguments.length || arguments[0] === undefined ? undefined : $toString(arguments[0]);\n    var tag = uid(description);\n    var setter = function (value) {\n      if (this === ObjectPrototype) setter.call(ObjectPrototypeSymbols, value);\n      if (hasOwn(this, HIDDEN) && hasOwn(this[HIDDEN], tag)) this[HIDDEN][tag] = false;\n      setSymbolDescriptor(this, tag, createPropertyDescriptor(1, value));\n    };\n    if (DESCRIPTORS && USE_SETTER) setSymbolDescriptor(ObjectPrototype, tag, { configurable: true, set: setter });\n    return wrap(tag, description);\n  };\n\n  redefine($Symbol[PROTOTYPE], 'toString', function toString() {\n    return getInternalState(this).tag;\n  });\n\n  redefine($Symbol, 'withoutSetter', function (description) {\n    return wrap(uid(description), description);\n  });\n\n  propertyIsEnumerableModule.f = $propertyIsEnumerable;\n  definePropertyModule.f = $defineProperty;\n  getOwnPropertyDescriptorModule.f = $getOwnPropertyDescriptor;\n  getOwnPropertyNamesModule.f = getOwnPropertyNamesExternal.f = $getOwnPropertyNames;\n  getOwnPropertySymbolsModule.f = $getOwnPropertySymbols;\n\n  wrappedWellKnownSymbolModule.f = function (name) {\n    return wrap(wellKnownSymbol(name), name);\n  };\n\n  if (DESCRIPTORS) {\n    // https://github.com/tc39/proposal-Symbol-description\n    nativeDefineProperty($Symbol[PROTOTYPE], 'description', {\n      configurable: true,\n      get: function description() {\n        return getInternalState(this).description;\n      }\n    });\n    if (!IS_PURE) {\n      redefine(ObjectPrototype, 'propertyIsEnumerable', $propertyIsEnumerable, { unsafe: true });\n    }\n  }\n}\n\n$({ global: true, wrap: true, forced: !NATIVE_SYMBOL, sham: !NATIVE_SYMBOL }, {\n  Symbol: $Symbol\n});\n\n$forEach(objectKeys(WellKnownSymbolsStore), function (name) {\n  defineWellKnownSymbol(name);\n});\n\n$({ target: SYMBOL, stat: true, forced: !NATIVE_SYMBOL }, {\n  // `Symbol.for` method\n  // https://tc39.es/ecma262/#sec-symbol.for\n  'for': function (key) {\n    var string = $toString(key);\n    if (hasOwn(StringToSymbolRegistry, string)) return StringToSymbolRegistry[string];\n    var symbol = $Symbol(string);\n    StringToSymbolRegistry[string] = symbol;\n    SymbolToStringRegistry[symbol] = string;\n    return symbol;\n  },\n  // `Symbol.keyFor` method\n  // https://tc39.es/ecma262/#sec-symbol.keyfor\n  keyFor: function keyFor(sym) {\n    if (!isSymbol(sym)) throw TypeError(sym + ' is not a symbol');\n    if (hasOwn(SymbolToStringRegistry, sym)) return SymbolToStringRegistry[sym];\n  },\n  useSetter: function () { USE_SETTER = true; },\n  useSimple: function () { USE_SETTER = false; }\n});\n\n$({ target: 'Object', stat: true, forced: !NATIVE_SYMBOL, sham: !DESCRIPTORS }, {\n  // `Object.create` method\n  // https://tc39.es/ecma262/#sec-object.create\n  create: $create,\n  // `Object.defineProperty` method\n  // https://tc39.es/ecma262/#sec-object.defineproperty\n  defineProperty: $defineProperty,\n  // `Object.defineProperties` method\n  // https://tc39.es/ecma262/#sec-object.defineproperties\n  defineProperties: $defineProperties,\n  // `Object.getOwnPropertyDescriptor` method\n  // https://tc39.es/ecma262/#sec-object.getownpropertydescriptors\n  getOwnPropertyDescriptor: $getOwnPropertyDescriptor\n});\n\n$({ target: 'Object', stat: true, forced: !NATIVE_SYMBOL }, {\n  // `Object.getOwnPropertyNames` method\n  // https://tc39.es/ecma262/#sec-object.getownpropertynames\n  getOwnPropertyNames: $getOwnPropertyNames,\n  // `Object.getOwnPropertySymbols` method\n  // https://tc39.es/ecma262/#sec-object.getownpropertysymbols\n  getOwnPropertySymbols: $getOwnPropertySymbols\n});\n\n// Chrome 38 and 39 `Object.getOwnPropertySymbols` fails on primitives\n// https://bugs.chromium.org/p/v8/issues/detail?id=3443\n$({ target: 'Object', stat: true, forced: fails(function () { getOwnPropertySymbolsModule.f(1); }) }, {\n  getOwnPropertySymbols: function getOwnPropertySymbols(it) {\n    return getOwnPropertySymbolsModule.f(toObject(it));\n  }\n});\n\n// `JSON.stringify` method behavior with symbols\n// https://tc39.es/ecma262/#sec-json.stringify\nif ($stringify) {\n  var FORCED_JSON_STRINGIFY = !NATIVE_SYMBOL || fails(function () {\n    var symbol = $Symbol();\n    // MS Edge converts symbol values to JSON as {}\n    return $stringify([symbol]) != '[null]'\n      // WebKit converts symbol values to JSON as null\n      || $stringify({ a: symbol }) != '{}'\n      // V8 throws on boxed symbols\n      || $stringify(Object(symbol)) != '{}';\n  });\n\n  $({ target: 'JSON', stat: true, forced: FORCED_JSON_STRINGIFY }, {\n    // eslint-disable-next-line no-unused-vars -- required for `.length`\n    stringify: function stringify(it, replacer, space) {\n      var args = [it];\n      var index = 1;\n      var $replacer;\n      while (arguments.length > index) args.push(arguments[index++]);\n      $replacer = replacer;\n      if (!isObject(replacer) && it === undefined || isSymbol(it)) return; // IE8 returns string on undefined\n      if (!isArray(replacer)) replacer = function (key, value) {\n        if (isCallable($replacer)) value = $replacer.call(this, key, value);\n        if (!isSymbol(value)) return value;\n      };\n      args[1] = replacer;\n      return $stringify.apply(null, args);\n    }\n  });\n}\n\n// `Symbol.prototype[@@toPrimitive]` method\n// https://tc39.es/ecma262/#sec-symbol.prototype-@@toprimitive\nif (!$Symbol[PROTOTYPE][TO_PRIMITIVE]) {\n  var valueOf = $Symbol[PROTOTYPE].valueOf;\n  redefine($Symbol[PROTOTYPE], TO_PRIMITIVE, function () {\n    return valueOf.apply(this, arguments);\n  });\n}\n// `Symbol.prototype[@@toStringTag]` property\n// https://tc39.es/ecma262/#sec-symbol.prototype-@@tostringtag\nsetToStringTag($Symbol, SYMBOL);\n\nhiddenKeys[HIDDEN] = true;\n","'use strict';\nvar fails = require('../internals/fails');\n\nmodule.exports = function (METHOD_NAME, argument) {\n  var method = [][METHOD_NAME];\n  return !!method && fails(function () {\n    // eslint-disable-next-line no-useless-call,no-throw-literal -- required for testing\n    method.call(null, argument || function () { throw 1; }, 1);\n  });\n};\n","'use strict';\nvar $ = require('../internals/export');\nvar exec = require('../internals/regexp-exec');\n\n// `RegExp.prototype.exec` method\n// https://tc39.es/ecma262/#sec-regexp.prototype.exec\n$({ target: 'RegExp', proto: true, forced: /./.exec !== exec }, {\n  exec: exec\n});\n","'use strict';\nvar anObject = require('../internals/an-object');\n\n// `RegExp.prototype.flags` getter implementation\n// https://tc39.es/ecma262/#sec-get-regexp.prototype.flags\nmodule.exports = function () {\n  var that = anObject(this);\n  var result = '';\n  if (that.global) result += 'g';\n  if (that.ignoreCase) result += 'i';\n  if (that.multiline) result += 'm';\n  if (that.dotAll) result += 's';\n  if (that.unicode) result += 'u';\n  if (that.sticky) result += 'y';\n  return result;\n};\n","var DESCRIPTORS = require('../internals/descriptors');\nvar FUNCTION_NAME_EXISTS = require('../internals/function-name').EXISTS;\nvar defineProperty = require('../internals/object-define-property').f;\n\nvar FunctionPrototype = Function.prototype;\nvar FunctionPrototypeToString = FunctionPrototype.toString;\nvar nameRE = /^\\s*function ([^ (]*)/;\nvar NAME = 'name';\n\n// Function instances `.name` property\n// https://tc39.es/ecma262/#sec-function-instances-name\nif (DESCRIPTORS && !FUNCTION_NAME_EXISTS) {\n  defineProperty(FunctionPrototype, NAME, {\n    configurable: true,\n    get: function () {\n      try {\n        return FunctionPrototypeToString.call(this).match(nameRE)[1];\n      } catch (error) {\n        return '';\n      }\n    }\n  });\n}\n","<template>\r\n  <div class=\"starter-template\">\r\n    <h1>Ayudate Loan Application</h1>\r\n    <p class=\"lead\">${{ loan }} Loan</p>\r\n  </div>\r\n\r\n  <form @submit=\"onSubmit\" id=\"form-application\">\r\n    <section class=\"controls\">\r\n      <h2>Personal Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group required\">\r\n            <label class=\"\"> First Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.firstName\"\r\n              name=\"Customer.firstName\"\r\n              v-model=\"Customer.firstName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.firstName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.middleName\">\r\n            <label class=\"\"> Middle Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.middleName\"\r\n              name=\"Customer.middleName\"\r\n              v-model=\"Customer.middleName\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.lastName required\">\r\n            <label class=\"\"> Last Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.lastName\"\r\n              name=\"Customer.lastName\"\r\n              v-model=\"Customer.lastName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.lastName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.gender required\">\r\n            <label class=\"\"> Gender </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.gender\"\r\n              name=\"Customer.gender\"\r\n              v-model=\"Customer.gender\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.gender && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"female\">Female</option>\r\n              <option value=\"male\">Male</option>\r\n              <option value=\"unknown\">Unknown</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.birthDate required\">\r\n            <label class=\"\"> Date Of Birth </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.birthDate\"\r\n              name=\"Customer.birthDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.birthDate\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.birthDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.20\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Country of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.20\"\r\n              name=\"Customer.CustomField.20\"\r\n              v-model=\"Customer.countryOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.countryOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.48\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> State of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.48\"\r\n              name=\"Customer.CustomField.48\"\r\n              v-model=\"Customer.stateOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.stateOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.49\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> City or Town of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.49\"\r\n              name=\"Customer.CustomField.49\"\r\n              v-model=\"Customer.cityOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.cityOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.driverLicense required\">\r\n            <label class=\"\"> License / Passport / Matricula </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.driverLicense\"\r\n              name=\"Customer.driverLicense\"\r\n              v-model=\"Customer.driverLicense\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.driverLicense && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.ssn\">\r\n            <label class=\"\"> SSN / ITIN </label>\r\n            <input\r\n              type=\"password\"\r\n              class=\"form-control js-ssn\"\r\n              id=\"Customer.ssn\"\r\n              name=\"Customer.ssn\"\r\n              v-model=\"Customer.ssn\"\r\n              @input=\"formatSSN\"\r\n              maxlength=\"11\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.address1 required\">\r\n            <label class=\"\"> Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.address1\"\r\n              name=\"Customer.PrimaryAddress.address1\"\r\n              v-model=\"Customer.PrimaryAddress.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.zipcodeUsa required\">\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              name=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              v-model=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.PrimaryAddress.zipcodeUsa,\r\n                  Customer.PrimaryAddress,\r\n                  Customer.PrimaryAddress\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.city\"\r\n              name=\"Customer.PrimaryAddress.city\"\r\n              v-model=\"Customer.PrimaryAddress.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.stateUsa\"\r\n              name=\"Customer.PrimaryAddress.stateUsa\"\r\n              v-model=\"Customer.PrimaryAddress.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.country\"\r\n              name=\"Customer.PrimaryAddress.country\"\r\n              v-model=\"Customer.PrimaryAddress.country\"\r\n              @change=\"onChangePrimaryAddressCountry\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.PrimaryAddress.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected>United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.11\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Residence </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.11\"\r\n              name=\"Customer.CustomField.11\"\r\n              v-model=\"Customer.typeOfResidence\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.typeOfResidence && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Rent\">Rent</option>\r\n              <option value=\"Own\">Own</option>\r\n              <option value=\"Live w/ Relatives\">Live w/ Relatives</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.phone required\">\r\n            <label class=\"\"> Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.phone\"\r\n              name=\"Customer.phone\"\r\n              v-model=\"Customer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.16\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\">\r\n              What Month and Year did you start living in the US\r\n            </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.16\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.CustomField.16\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.monthAndYearStartedLivingInUS\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.monthAndYearStartedLivingInUS && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.12\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Best Time to Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.12\"\r\n              name=\"Customer.CustomField.12\"\r\n              v-model=\"Customer.bestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.bestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.email\">\r\n            <label class=\"\"> Email </label>\r\n            <input\r\n              type=\"email\"\r\n              class=\"form-control js-email\"\r\n              id=\"Customer.email\"\r\n              name=\"Customer.email\"\r\n              v-model=\"Customer.email\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.14\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Dependents </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.14\"\r\n              name=\"Customer.CustomField.14\"\r\n              v-model=\"Customer.numberDependents\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.numberDependents && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"No Dependents\">No Dependents</option>\r\n              <option value=\"1\">1</option>\r\n              <option value=\"2\">2</option>\r\n              <option value=\"3\">3</option>\r\n              <option value=\"4\">4</option>\r\n              <option value=\"5\">5</option>\r\n              <option value=\"6\">6</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.6\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Marital Status </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.6\"\r\n              name=\"Customer.CustomField.6\"\r\n              v-model=\"Customer.maritalStatus\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.maritalStatus && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Single\">Single</option>\r\n              <option value=\"Married\">Married</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.15 custom-field\">\r\n            <label class=\"\"> Spouses Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.15\"\r\n              name=\"Customer.CustomField.15\"\r\n              v-model=\"Customer.spouseName\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.23 custom-field\">\r\n            <label class=\"\"> Spouses Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.CustomField.23\"\r\n              name=\"Customer.CustomField.23\"\r\n              v-model=\"Customer.spousePhone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.43 custom-field\">\r\n            <label class=\"\"> Does you spouse currently have a job </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.43\"\r\n              name=\"Customer.CustomField.43\"\r\n              v-model=\"Customer.spouseCurrentlyHasJob\"\r\n            >\r\n              <option value=\"Yes\">Yes</option>\r\n              <option value=\"No\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.44 custom-field\">\r\n            <label class=\"\"> Spouse Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.44\"\r\n              name=\"Customer.CustomField.44\"\r\n              v-model=\"Customer.spouseMonthlyIncome\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.name required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Name of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.name\"\r\n              name=\"Customer.Reference.name\"\r\n              v-model=\"Customer.Reference.name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.relation required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Relation of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.relation\"\r\n              name=\"Customer.Reference.relation\"\r\n              v-model=\"Customer.Reference.relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"brother\" selected=\"\">\r\n                Brother\r\n              </option>\r\n              <option value=\"coWorker\">\r\n                CoWorker\r\n              </option>\r\n              <option value=\"daughter\">\r\n                Daughter\r\n              </option>\r\n              <option value=\"father\">Father</option>\r\n              <option value=\"friend\">Friend</option>\r\n              <option value=\"husband\">\r\n                Husband\r\n              </option>\r\n              <option value=\"mother\">Mother</option>\r\n              <option value=\"sister\">Sister</option>\r\n              <option value=\"son\">Son</option>\r\n              <option value=\"wife\">Wife</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.primaryPhone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Phone of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Reference.primaryPhone\"\r\n              name=\"Customer.Reference.primaryPhone\"\r\n              v-model=\"Customer.Reference.primaryPhone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.primaryPhone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.address1 required\">\r\n            <label class=\"\"> Address of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.address1\"\r\n              name=\"Customer.Reference.Address.address1\"\r\n              v-model=\"Customer.Reference.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> Zip Code of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Reference.Address.zipcodeUsa\"\r\n              name=\"Customer.Reference.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Reference.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Reference.Address.zipcodeUsa,\r\n                  Customer.Reference.Address,\r\n                  Customer.Reference.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.city required\">\r\n            <label class=\"\"> City of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.city\"\r\n              name=\"Customer.Reference.Address.city\"\r\n              v-model=\"Customer.Reference.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Reference.Address.stateUsa required\">\r\n            <label class=\"\"> State of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.stateUsa\"\r\n              name=\"Customer.Reference.Address.stateUsa\"\r\n              v-model=\"Customer.Reference.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.country required\">\r\n            <label class=\"\"> Country of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.country\"\r\n              name=\"Customer.Reference.Address.country\"\r\n              v-model=\"Customer.Reference.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-2\">\r\n      <h2>References</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.17\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.17\"\r\n              name=\"Customer.CustomField.17\"\r\n              v-model=\"Customer.Reference1.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.18\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.18\"\r\n              name=\"Customer.CustomField.18\"\r\n              v-model=\"Customer.Reference1.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.27\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.27\"\r\n              name=\"Customer.CustomField.27\"\r\n              v-model=\"Customer.Reference1.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.26\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.26\"\r\n              name=\"Customer.CustomField.26\"\r\n              v-model=\"Customer.Reference1.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.28 custom-field\">\r\n            <label class=\"\"> Reference 1 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.28\"\r\n              name=\"Customer.CustomField.28\"\r\n              v-model=\"Customer.Reference1.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.29 custom-field\">\r\n            <label class=\"\"> Reference 1 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.29\"\r\n              name=\"Customer.CustomField.29\"\r\n              v-model=\"Customer.Reference1.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.30\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.30\"\r\n              name=\"Customer.CustomField.30\"\r\n              v-model=\"Customer.Reference2.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.31\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.31\"\r\n              name=\"Customer.CustomField.31\"\r\n              v-model=\"Customer.Reference2.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.32\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.32\"\r\n              name=\"Customer.CustomField.32\"\r\n              v-model=\"Customer.Reference2.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.37\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.37\"\r\n              name=\"Customer.CustomField.37\"\r\n              v-model=\"Customer.Reference2.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.33 custom-field\">\r\n            <label class=\"\"> Reference 2 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.33\"\r\n              name=\"Customer.CustomField.33\"\r\n              v-model=\"Customer.Reference2.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.34 custom-field\">\r\n            <label class=\"\"> Reference 2 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.34\"\r\n              name=\"Customer.CustomField.34\"\r\n              v-model=\"Customer.Reference2.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.35\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.35\"\r\n              name=\"Customer.CustomField.35\"\r\n              v-model=\"Customer.Reference3.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.36\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.36\"\r\n              name=\"Customer.CustomField.36\"\r\n              v-model=\"Customer.Reference3.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.38\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.38\"\r\n              name=\"Customer.CustomField.38\"\r\n              v-model=\"Customer.Reference3.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.39\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.39\"\r\n              name=\"Customer.CustomField.39\"\r\n              v-model=\"Customer.Reference3.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.40 custom-field\">\r\n            <label class=\"\"> Reference 3 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.40\"\r\n              name=\"Customer.CustomField.40\"\r\n              v-model=\"Customer.Reference3.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.41 custom-field\">\r\n            <label class=\"\"> Reference 3 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.41\"\r\n              name=\"Customer.CustomField.41\"\r\n              v-model=\"Customer.Reference3.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-3\">\r\n      <h2>Loan Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.3 custom-field required\"\r\n          >\r\n            <label class=\"\"> Reason for Loan </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.3\"\r\n              name=\"LoanSettings.CustomField.3\"\r\n              v-model=\"LoanSettings.reasonForLoan\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.reasonForLoan && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"Personal\">Personal</option>\r\n              <option value=\"Immigration\">Immigration</option>\r\n              <option value=\"Other\">Other</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.19 custom-field required\"\r\n          >\r\n            <label class=\"\"> What will the loan be used for </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.19\"\r\n              name=\"LoanSettings.CustomField.19\"\r\n              v-model=\"LoanSettings.whatWillTheLoanBeUsedFor\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.whatWillTheLoanBeUsedFor && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-LoanSettings.CustomField.7\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Promo Code o Numero de Gafete </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.7\"\r\n              name=\"LoanSettings.CustomField.7\"\r\n              v-model=\"LoanSettings.promoCode\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.promoCode && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.2\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> How did you hear about us </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.2\"\r\n              name=\"Customer.CustomField.2\"\r\n              v-model=\"Customer.howDidYouHearAboutUs\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.howDidYouHearAboutUs && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.5 custom-field required\">\r\n            <label class=\"\"> Name of person who referred you </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.5\"\r\n              name=\"Customer.CustomField.5\"\r\n              v-model=\"Customer.nameOfPersonWhoReferredYou\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfPersonWhoReferredYou && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-4\">\r\n      <h2>Employer Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.companyName required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Company Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.companyName\"\r\n              name=\"Customer.Employer.companyName\"\r\n              v-model=\"Customer.Employer.companyName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.companyName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.46\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Employment </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Employer.CustomField.46\"\r\n              name=\"Employer.CustomField.46\"\r\n              v-model=\"Employer.typeOfEmployment\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.typeOfEmployment && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"FullTime\">Full-time</option>\r\n              <option value=\"PartTime\">Part-time</option>\r\n              <option value=\"Seasonal\">Seasonal</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.title required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Title </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.title\"\r\n              name=\"Customer.Employer.title\"\r\n              v-model=\"Customer.Employer.title\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.title && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.9\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Working Hours </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Employer.CustomField.9\"\r\n              name=\"Employer.CustomField.9\"\r\n              v-model=\"Employer.workingHours\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.workingHours && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.hireDate required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Hire Date </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.hireDate\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.Employer.hireDate\"\r\n              v-model=\"Customer.Employer.hireDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.hireDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.address1 required\">\r\n            <label class=\"\"> Employer's Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.address1\"\r\n              name=\"Customer.Employer.Address.address1\"\r\n              v-model=\"Customer.Employer.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Employer.Address.zipcodeUsa\"\r\n              name=\"Customer.Employer.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Employer.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Employer.Address.zipcodeUsa,\r\n                  Customer.Employer.Address,\r\n                  Customer.Employer.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.city\"\r\n              name=\"Customer.Employer.Address.city\"\r\n              v-model=\"Customer.Employer.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Employer.Address.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.stateUsa\"\r\n              name=\"Customer.Employer.Address.stateUsa\"\r\n              v-model=\"Customer.Employer.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.country\"\r\n              name=\"Customer.Employer.Address.country\"\r\n              v-model=\"Customer.Employer.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected=\"\">\r\n                United States\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.45 custom-field required\">\r\n            <label class=\"\"> Name of Direct Boss </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.45\"\r\n              name=\"Customer.CustomField.45\"\r\n              v-model=\"Customer.nameOfDirectBoss\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfDirectBoss && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.phone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Employers Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Employer.phone\"\r\n              name=\"Customer.Employer.phone\"\r\n              v-model=\"Customer.Employer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.incomeFrequency required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Income Frequency </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.incomeFrequency\"\r\n              name=\"Customer.Employer.incomeFrequency\"\r\n              v-model=\"Customer.Employer.incomeFrequency\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.incomeFrequency && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"annually\">\r\n                Annually\r\n              </option>\r\n              <option\r\n                value=\"biWeekly\"\r\n                selected=\"\"\r\n              >\r\n                Bi-Weekly\r\n              </option>\r\n              <option value=\"monthly\">\r\n                Monthly\r\n              </option>\r\n              <option value=\"semiMonthly\">\r\n                Semi-Monthly\r\n              </option>\r\n              <option value=\"weekly\">\r\n                Weekly\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.income required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.Employer.income\"\r\n              name=\"Customer.Employer.income\"\r\n              v-model=\"Customer.Employer.income\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.income && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.13\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Total Monthly Expenses </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.13\"\r\n              name=\"Customer.CustomField.13\"\r\n              v-model=\"Customer.totalMonthlyExpenses\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.totalMonthlyExpenses && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-5\">\r\n      <h2>Documents</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Documents.1529359983 required\">\r\n            <label class=\"\"> Proof of ID </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359983\"\r\n              name=\"Customer.Documents.1529359984\"\r\n              data-section=\"8\"\r\n              v-on:change=\"onFileChange($event, 'proofOfID')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfID || !Customer.Documents.proofOfID.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359968 required\">\r\n            <label class=\"\"> Proof of Income </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359968\"\r\n              name=\"Customer.Documents.1529359968\"\r\n              data-section=\"9\"\r\n              v-on:change=\"onFileChange($event, 'proofOfIncome')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfIncome || !Customer.Documents.proofOfIncome.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359996 required\">\r\n            <label class=\"\"> Proof of Residence </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359996\"\r\n              name=\"Customer.Documents.1529359996\"\r\n              data-section=\"10\"\r\n              v-on:change=\"onFileChange($event, 'proofOfResidence')\"\r\n              req\r\n              v-bind:class=\"\r\n                (!Customer.Documents.proofOfResidence || !Customer.Documents.proofOfResidence.fileName) && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.21 custom-field\"\r\n          >\r\n            <label class=\"\"> Payment Check </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.21\"\r\n              name=\"LoanSettings.CustomField.21\"\r\n              v-model=\"LoanSettings.paymentCheck\"\r\n            >\r\n              <option value=\"Yes-1\">Yes</option>\r\n              <option value=\"No-2\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-6\">\r\n      <h2>THIS INFORMATION IS CONFIDENTIAL AND WILL NOT BE SHARED WITH OTHERS. I, hereby authorize verification of all information in my loan application from all sources of employment, financial history and criminal history. I authorize any duly authorized agent of AYUDATE TEXAS INC. to obtain, whether the said records are public or private, and including those which may be deemed to be privileged or confidential and I release all persons from liability on account of such disclosures. Information appearing on this Authorization will be used exclusively by AYUDATE TEXAS INC. for identification purposes and for the release information which will be considered in determining any loan approval. I certify that I have made true, correct, and complete answers and statements on my loan application. I agree to provide additional information that may be requested to process my loan application. And to provide current phone numbers and address at all times.\r\n</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.25 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Information Agreement </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.25\"\r\n              name=\"LoanSettings.CustomField.25\"\r\n              v-model=\"LoanSettings.informationAgreement\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.informationAgreement && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              > I accept the terms and conditions</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <div class=\"form-group\">\r\n      <div\r\n        class=\"alert alert-success\"\r\n        id=\"successAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      >\r\n        Thank you!\r\n      </div>\r\n      <div\r\n        class=\"alert alert-warning\"\r\n        id=\"errorAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      ></div>\r\n      <div class=\"text-center\">\r\n        <button\r\n          id=\"submitBtn\"\r\n          type=\"submit\"\r\n          class=\"btn btn-primary\"\r\n          style=\"width: 250px\"\r\n        >\r\n          Submit\r\n        </button>\r\n      </div>\r\n    </div>\r\n    <input type=\"hidden\" id=\"application_id\" name=\"application_id\" value=\"2\" />\r\n    <input type=\"hidden\" id=\"instance_id\" name=\"instance_id\" value=\"5200861\" />\r\n  </form>\r\n\r\n  <div\r\n    v-if=\"loader\"\r\n    style=\"\r\n      position: fixed;\r\n      top: 0px;\r\n      left: 0px;\r\n      padding: 0px;\r\n      margin: 0px;\r\n      width: 100%;\r\n      height: 100%;\r\n      background-color: rgba(250, 250, 250, 0.5);\r\n    \"\r\n  >\r\n    <div\r\n      class=\"spinner-border\"\r\n      style=\"width: 3rem; height: 3rem; position: absolute; top: 50%; left: 50%\"\r\n      role=\"status\"\r\n    >\r\n      <span class=\"sr-only\"></span>\r\n    </div>\r\n  </div>\r\n</template>\r\n\r\n\r\n\r\n<script>\r\nexport default {\r\n  data() {\r\n    return {\r\n      loader: false,\r\n      loan: \"750\",\r\n      formSend: false,\r\n      LoanSettings: {\r\n        CustomField: {},\r\n      },\r\n      Customer: {\r\n        Documents: {},\r\n        gender: \"female\",\r\n        CustomField: {},\r\n        Reference1: {},\r\n        Reference2: {},\r\n        Reference3: {},\r\n        Reference: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        Employer: {\r\n          Address: {\r\n            country: \"usa\",\r\n          },\r\n        },\r\n        PrimaryAddress: {\r\n          country: \"usa\",\r\n        },\r\n      },\r\n      Employer: {\r\n        CustomField: {},\r\n      },\r\n    };\r\n  },\r\n  components: {},\r\n  methods: {\r\n    onSubmit(event) {\r\n      event.preventDefault();\r\n      this.formSend = true;\r\n      /*\r\n      console.log(\"this.Customer\");\r\n      console.log(this.Customer);\r\n      console.log(\"this.Employer\");\r\n      console.log(this.Employer);\r\n      console.log(\"this.LoanSettings\");\r\n      console.log(this.LoanSettings);\r\n      */\r\n      let error = false;\r\n\r\n      let inputs = document.getElementsByTagName(\"input\");\r\n      error = this.checkInputs(inputs, error);\r\n      if (!error) {\r\n        let selects = document.getElementsByTagName(\"select\");\r\n        error = this.checkInputs(selects, error);\r\n      }\r\n\r\n      if (error) {\r\n        this.$toast.error(\"You need to fill all the required fields\", {\r\n          position: \"top-right\",\r\n        });\r\n        return;\r\n      }\r\n      this.loader = true;\r\n      this.$toast.info(\"Sending the application\", {\r\n        position: \"top-right\",\r\n      });\r\n\r\n      let sendData = {};\r\n\r\n      Object.keys(this.Customer).forEach((key) => {\r\n        if (typeof this.Customer[key] === \"object\") {\r\n          Object.keys(this.Customer[key]).forEach((key2) => {\r\n            if (typeof this.Customer[key][key2] === \"object\") {\r\n              Object.keys(this.Customer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Customer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"customer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Customer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"customer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Customer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"customer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Customer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.Employer).forEach((key) => {\r\n        if (typeof this.Employer[key] === \"object\") {\r\n          Object.keys(this.Employer[key]).forEach((key2) => {\r\n            if (typeof this.Employer[key][key2] === \"object\") {\r\n              Object.keys(this.Employer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Employer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"employer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Employer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"employer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Employer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"employer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Employer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.LoanSettings).forEach((key) => {\r\n        if (typeof this.LoanSettings[key] === \"object\") {\r\n          Object.keys(this.LoanSettings[key]).forEach((key2) => {\r\n            if (typeof this.LoanSettings[key][key2] === \"object\") {\r\n              Object.keys(this.LoanSettings[key][key2]).forEach((key3) => {\r\n                if (typeof this.LoanSettings[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"loanSettings\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.LoanSettings[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"loanSettings\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.LoanSettings[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\r\n            \"loanSettings\" + key.replace(/^\\w/, (c) => c.toUpperCase())\r\n          ] = this.LoanSettings[key];\r\n        }\r\n      });\r\n\r\n      //console.log(sendData);\r\n      sendData[\"loanType\"] = \"750\";\r\n\r\n      sendData.loanSettingsAgreement2 = \"true\";\r\n      sendData.loanSettingsAgreement3 = \"true\";\r\n      sendData.loanSettingsAgreement4 = \"true\";\r\n      sendData.loanSettingsAgreement5 = \"true\";\r\n      sendData.loanSettingsInformationAgreement = \"true\";\r\n\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/SaveLoanRequest\", {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((response) => {\r\n          console.log(response);\r\n          if (response.status === 200) {\r\n            this.$toast.success(\"Application sent successfully\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n            this.formSend = false;\r\n\r\n            this.LoanSettings = {\r\n              CustomField: {},\r\n            };\r\n            this.Customer = {\r\n              Documents: {},\r\n              gender: \"female\",\r\n              CustomField: {},\r\n              Reference1: {},\r\n              Reference2: {},\r\n              Reference3: {},\r\n              Reference: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              Employer: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              PrimaryAddress: {\r\n                country: \"can\",\r\n              },\r\n            };\r\n            this.Employer = {\r\n              CustomField: {},\r\n            };\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .catch((error) => {\r\n          this.$toast.error(\"Error sending the application\", {\r\n            position: \"top-right\",\r\n          });\r\n          this.loader = false;\r\n        });\r\n    },\r\n\r\n    checkInputs(element, error) {\r\n      for (let index = 0; index < element.length; ++index) {\r\n        element[index].blur();\r\n        if (element[index].getAttribute(\"req\") != null) {\r\n          if (element[index].type == \"checkbox\") {\r\n            if (element[index].checked == false) {\r\n              element[index].focus();\r\n              error = true;\r\n              break;\r\n            }\r\n          } else if (this.noExistEmpty(element[index].value)) {\r\n            element[index].focus();\r\n            error = true;\r\n            break;\r\n          }\r\n        }\r\n      }\r\n      return error;\r\n    },\r\n\r\n    onChangeZipCode(zip, city, state) {\r\n      let sendData = {\r\n        zip: zip,\r\n      };\r\n      fetch(\r\n        \"https://ayudate.teknosgroup.com/BACKEND/Maestro/GetState/\" +\r\n          zip,\r\n        {\r\n          method: \"POST\",\r\n          headers: {\r\n            \"Content-Type\": \"application/json\",\r\n          },\r\n          body: JSON.stringify(sendData),\r\n        }\r\n      )\r\n        .then((res) => {\r\n          city.city = \"\";\r\n          state.stateUsa = \"\";\r\n          if (res.status === 200) {\r\n            return res.text().then(function (text) {\r\n              return { data: text, status: res.status, ok: res.ok };\r\n            });\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .then(\r\n          (result) => {\r\n            let response = result;\r\n            try {\r\n              //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n              response.data = JSON.parse(result.data);\r\n              if (response.data.city) {\r\n                city.city = response.data.city;\r\n                state.stateUsa = response.data.state;\r\n              }\r\n            } catch (er) {\r\n              console.log(er);\r\n            }\r\n          },\r\n          (error) => {\r\n            console.log(error);\r\n          }\r\n        );\r\n    },\r\n\r\n    onFileChange(element, id) {\r\n      let othat = this;\r\n      var reader = new FileReader();\r\n      if (element.target.files[0]) {\r\n        reader.readAsDataURL(element.target.files[0]);\r\n        reader.onload = function () {\r\n          //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n          if (element.target.files[0].size > 2100000) {\r\n            othat.$toast.error(\"Maximum file size 2Mb\", {\r\n              position: \"top-right\",\r\n            });\r\n            othat.Customer.Documents[id] = {};\r\n            element.target.value = \"\";\r\n          } else {\r\n            othat.Customer.Documents[id] = {\r\n              fileName: element.target.files[0].name,\r\n              fileSize: element.target.files[0].size.toString(),\r\n              fileType: element.target.files[0].type,\r\n              data: reader.result,\r\n            };\r\n            //console.log(othat.Customer);\r\n          }\r\n        };\r\n        reader.onerror = function (error) {\r\n          console.log(\"Error: \", error);\r\n          othat.Customer.Documents[id] = {};\r\n          element.target.value = \"\";\r\n        };\r\n      } else {\r\n        othat.Customer.Documents[id] = {};\r\n        element.target.value = \"\";\r\n      }\r\n    },\r\n\r\n    noExistEmpty(value) {\r\n      if (value === undefined) return true;\r\n      if (value === null) return true;\r\n      if (value === \"\") return true;\r\n      if (value.length <= 0) return true;\r\n      return false;\r\n    },\r\n    onChangePrimaryAddressCountry() {\r\n      this.Customer.PrimaryAddress.stateUsa = \"\";\r\n      this.Customer.PrimaryAddress.zipcodeUsa = \"\";\r\n    },\r\n    addToChart({ product, quantity }) {\r\n      console.log(product, quantity);\r\n    },\r\n    formatSSN() {\r\n      //console.log(this.Customer.ssn);\r\n      var x = this.Customer.ssn\r\n        .replace(/\\D/g, \"\")\r\n        .match(/(\\d{0,3})(\\d{0,2})(\\d{0,4})/);\r\n      this.Customer.ssn = !x[2]\r\n        ? x[1]\r\n        : x[1] + \"-\" + x[2] + (x[3] ? \"-\" + x[3] : \"\");\r\n    },\r\n  },\r\n};\r\n</script>\r\n","import { render } from \"./loan750.vue?vue&type=template&id=0bf95ece\"\nimport script from \"./loan750.vue?vue&type=script&lang=js\"\nexport * from \"./loan750.vue?vue&type=script&lang=js\"\n\nimport exportComponent from \"G:\\\\Proyectos\\\\Front\\\\Clt-Alaia-Emp-Ayudate-Pro-Formulario_Loan_Applications\\\\node_modules\\\\vue-loader-v16\\\\dist\\\\exportHelper.js\"\nconst __exports__ = /*#__PURE__*/exportComponent(script, [['render',render]])\n\nexport default __exports__","var $ = require('../internals/export');\nvar toObject = require('../internals/to-object');\nvar nativeKeys = require('../internals/object-keys');\nvar fails = require('../internals/fails');\n\nvar FAILS_ON_PRIMITIVES = fails(function () { nativeKeys(1); });\n\n// `Object.keys` method\n// https://tc39.es/ecma262/#sec-object.keys\n$({ target: 'Object', stat: true, forced: FAILS_ON_PRIMITIVES }, {\n  keys: function keys(it) {\n    return nativeKeys(toObject(it));\n  }\n});\n","var bind = require('../internals/function-bind-context');\nvar IndexedObject = require('../internals/indexed-object');\nvar toObject = require('../internals/to-object');\nvar lengthOfArrayLike = require('../internals/length-of-array-like');\nvar arraySpeciesCreate = require('../internals/array-species-create');\n\nvar push = [].push;\n\n// `Array.prototype.{ forEach, map, filter, some, every, find, findIndex, filterReject }` methods implementation\nvar createMethod = function (TYPE) {\n  var IS_MAP = TYPE == 1;\n  var IS_FILTER = TYPE == 2;\n  var IS_SOME = TYPE == 3;\n  var IS_EVERY = TYPE == 4;\n  var IS_FIND_INDEX = TYPE == 6;\n  var IS_FILTER_REJECT = TYPE == 7;\n  var NO_HOLES = TYPE == 5 || IS_FIND_INDEX;\n  return function ($this, callbackfn, that, specificCreate) {\n    var O = toObject($this);\n    var self = IndexedObject(O);\n    var boundFunction = bind(callbackfn, that, 3);\n    var length = lengthOfArrayLike(self);\n    var index = 0;\n    var create = specificCreate || arraySpeciesCreate;\n    var target = IS_MAP ? create($this, length) : IS_FILTER || IS_FILTER_REJECT ? create($this, 0) : undefined;\n    var value, result;\n    for (;length > index; index++) if (NO_HOLES || index in self) {\n      value = self[index];\n      result = boundFunction(value, index, O);\n      if (TYPE) {\n        if (IS_MAP) target[index] = result; // map\n        else if (result) switch (TYPE) {\n          case 3: return true;              // some\n          case 5: return value;             // find\n          case 6: return index;             // findIndex\n          case 2: push.call(target, value); // filter\n        } else switch (TYPE) {\n          case 4: return false;             // every\n          case 7: push.call(target, value); // filterReject\n        }\n      }\n    }\n    return IS_FIND_INDEX ? -1 : IS_SOME || IS_EVERY ? IS_EVERY : target;\n  };\n};\n\nmodule.exports = {\n  // `Array.prototype.forEach` method\n  // https://tc39.es/ecma262/#sec-array.prototype.foreach\n  forEach: createMethod(0),\n  // `Array.prototype.map` method\n  // https://tc39.es/ecma262/#sec-array.prototype.map\n  map: createMethod(1),\n  // `Array.prototype.filter` method\n  // https://tc39.es/ecma262/#sec-array.prototype.filter\n  filter: createMethod(2),\n  // `Array.prototype.some` method\n  // https://tc39.es/ecma262/#sec-array.prototype.some\n  some: createMethod(3),\n  // `Array.prototype.every` method\n  // https://tc39.es/ecma262/#sec-array.prototype.every\n  every: createMethod(4),\n  // `Array.prototype.find` method\n  // https://tc39.es/ecma262/#sec-array.prototype.find\n  find: createMethod(5),\n  // `Array.prototype.findIndex` method\n  // https://tc39.es/ecma262/#sec-array.prototype.findIndex\n  findIndex: createMethod(6),\n  // `Array.prototype.filterReject` method\n  // https://github.com/tc39/proposal-array-filtering\n  filterReject: createMethod(7)\n};\n","var defineWellKnownSymbol = require('../internals/define-well-known-symbol');\n\n// `Symbol.iterator` well-known symbol\n// https://tc39.es/ecma262/#sec-symbol.iterator\ndefineWellKnownSymbol('iterator');\n","'use strict';\n// TODO: Remove from `core-js@4` since it's moved to entry points\nrequire('../modules/es.regexp.exec');\nvar redefine = require('../internals/redefine');\nvar regexpExec = require('../internals/regexp-exec');\nvar fails = require('../internals/fails');\nvar wellKnownSymbol = require('../internals/well-known-symbol');\nvar createNonEnumerableProperty = require('../internals/create-non-enumerable-property');\n\nvar SPECIES = wellKnownSymbol('species');\nvar RegExpPrototype = RegExp.prototype;\n\nmodule.exports = function (KEY, exec, FORCED, SHAM) {\n  var SYMBOL = wellKnownSymbol(KEY);\n\n  var DELEGATES_TO_SYMBOL = !fails(function () {\n    // String methods call symbol-named RegEp methods\n    var O = {};\n    O[SYMBOL] = function () { return 7; };\n    return ''[KEY](O) != 7;\n  });\n\n  var DELEGATES_TO_EXEC = DELEGATES_TO_SYMBOL && !fails(function () {\n    // Symbol-named RegExp methods call .exec\n    var execCalled = false;\n    var re = /a/;\n\n    if (KEY === 'split') {\n      // We can't use real regex here since it causes deoptimization\n      // and serious performance degradation in V8\n      // https://github.com/zloirock/core-js/issues/306\n      re = {};\n      // RegExp[@@split] doesn't call the regex's exec method, but first creates\n      // a new one. We need to return the patched regex when creating the new one.\n      re.constructor = {};\n      re.constructor[SPECIES] = function () { return re; };\n      re.flags = '';\n      re[SYMBOL] = /./[SYMBOL];\n    }\n\n    re.exec = function () { execCalled = true; return null; };\n\n    re[SYMBOL]('');\n    return !execCalled;\n  });\n\n  if (\n    !DELEGATES_TO_SYMBOL ||\n    !DELEGATES_TO_EXEC ||\n    FORCED\n  ) {\n    var nativeRegExpMethod = /./[SYMBOL];\n    var methods = exec(SYMBOL, ''[KEY], function (nativeMethod, regexp, str, arg2, forceStringMethod) {\n      var $exec = regexp.exec;\n      if ($exec === regexpExec || $exec === RegExpPrototype.exec) {\n        if (DELEGATES_TO_SYMBOL && !forceStringMethod) {\n          // The native String method already delegates to @@method (this\n          // polyfilled function), leasing to infinite recursion.\n          // We avoid it by directly calling the native @@method method.\n          return { done: true, value: nativeRegExpMethod.call(regexp, str, arg2) };\n        }\n        return { done: true, value: nativeMethod.call(str, regexp, arg2) };\n      }\n      return { done: false };\n    });\n\n    redefine(String.prototype, KEY, methods[0]);\n    redefine(RegExpPrototype, SYMBOL, methods[1]);\n  }\n\n  if (SHAM) createNonEnumerableProperty(RegExpPrototype[SYMBOL], 'sham', true);\n};\n","// `Symbol.prototype.description` getter\n// https://tc39.es/ecma262/#sec-symbol.prototype.description\n'use strict';\nvar $ = require('../internals/export');\nvar DESCRIPTORS = require('../internals/descriptors');\nvar global = require('../internals/global');\nvar hasOwn = require('../internals/has-own-property');\nvar isCallable = require('../internals/is-callable');\nvar isObject = require('../internals/is-object');\nvar defineProperty = require('../internals/object-define-property').f;\nvar copyConstructorProperties = require('../internals/copy-constructor-properties');\n\nvar NativeSymbol = global.Symbol;\n\nif (DESCRIPTORS && isCallable(NativeSymbol) && (!('description' in NativeSymbol.prototype) ||\n  // Safari 12 bug\n  NativeSymbol().description !== undefined\n)) {\n  var EmptyStringDescriptionStore = {};\n  // wrap Symbol constructor for correct work with undefined description\n  var SymbolWrapper = function Symbol() {\n    var description = arguments.length < 1 || arguments[0] === undefined ? undefined : String(arguments[0]);\n    var result = this instanceof SymbolWrapper\n      ? new NativeSymbol(description)\n      // in Edge 13, String(Symbol(undefined)) === 'Symbol(undefined)'\n      : description === undefined ? NativeSymbol() : NativeSymbol(description);\n    if (description === '') EmptyStringDescriptionStore[result] = true;\n    return result;\n  };\n  copyConstructorProperties(SymbolWrapper, NativeSymbol);\n  var symbolPrototype = SymbolWrapper.prototype = NativeSymbol.prototype;\n  symbolPrototype.constructor = SymbolWrapper;\n\n  var symbolToString = symbolPrototype.toString;\n  var nativeSymbol = String(NativeSymbol('test')) == 'Symbol(test)';\n  var regexp = /^Symbol\\((.*)\\)[^)]+$/;\n  defineProperty(symbolPrototype, 'description', {\n    configurable: true,\n    get: function description() {\n      var symbol = isObject(this) ? this.valueOf() : this;\n      var string = symbolToString.call(symbol);\n      if (hasOwn(EmptyStringDescriptionStore, symbol)) return '';\n      var desc = nativeSymbol ? string.slice(7, -1) : string.replace(regexp, '$1');\n      return desc === '' ? undefined : desc;\n    }\n  });\n\n  $({ global: true, forced: true }, {\n    Symbol: SymbolWrapper\n  });\n}\n","var wellKnownSymbol = require('../internals/well-known-symbol');\n\nexports.f = wellKnownSymbol;\n","var classof = require('../internals/classof-raw');\n\n// `IsArray` abstract operation\n// https://tc39.es/ecma262/#sec-isarray\n// eslint-disable-next-line es/no-array-isarray -- safe\nmodule.exports = Array.isArray || function isArray(argument) {\n  return classof(argument) == 'Array';\n};\n","<template>\r\n  <div class=\"starter-template\">\r\n    <h1>Ayudate Loan Application</h1>\r\n    <p class=\"lead\">${{ loan }} Loan</p>\r\n  </div>\r\n\r\n  <form @submit=\"onSubmit\" id=\"form-application\">\r\n    <section class=\"controls\">\r\n      <h2>Personal Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group required\">\r\n            <label class=\"\"> First Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.firstName\"\r\n              name=\"Customer.firstName\"\r\n              v-model=\"Customer.firstName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.firstName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.middleName\">\r\n            <label class=\"\"> Middle Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.middleName\"\r\n              name=\"Customer.middleName\"\r\n              v-model=\"Customer.middleName\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.lastName required\">\r\n            <label class=\"\"> Last Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.lastName\"\r\n              name=\"Customer.lastName\"\r\n              v-model=\"Customer.lastName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.lastName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.gender required\">\r\n            <label class=\"\"> Gender </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.gender\"\r\n              name=\"Customer.gender\"\r\n              v-model=\"Customer.gender\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.gender && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"female\">Female</option>\r\n              <option value=\"male\">Male</option>\r\n              <option value=\"unknown\">Unknown</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.birthDate\">\r\n            <label class=\"\"> Date Of Birth </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.birthDate\"\r\n              name=\"Customer.birthDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.birthDate\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.20\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Country of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.20\"\r\n              name=\"Customer.CustomField.20\"\r\n              v-model=\"Customer.countryOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.countryOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.48\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> State of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.48\"\r\n              name=\"Customer.CustomField.48\"\r\n              v-model=\"Customer.stateOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.stateOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.49\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> City or Town of Birth </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.49\"\r\n              name=\"Customer.CustomField.49\"\r\n              v-model=\"Customer.cityOfBirth\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.cityOfBirth && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.driverLicense required\">\r\n            <label class=\"\"> License / Passport / Matricula </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.driverLicense\"\r\n              name=\"Customer.driverLicense\"\r\n              v-model=\"Customer.driverLicense\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.driverLicense && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.ssn\">\r\n            <label class=\"\"> SSN / ITIN </label>\r\n            <input\r\n              type=\"password\"\r\n              class=\"form-control js-ssn\"\r\n              id=\"Customer.ssn\"\r\n              name=\"Customer.ssn\"\r\n              v-model=\"Customer.ssn\"\r\n              @input=\"formatSSN\"\r\n              maxlength=\"11\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.address1\">\r\n            <label class=\"\"> Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.address1\"\r\n              name=\"Customer.PrimaryAddress.address1\"\r\n              v-model=\"Customer.PrimaryAddress.address1\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.zipcodeUsa\">\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              name=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              v-model=\"Customer.PrimaryAddress.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.PrimaryAddress.zipcodeUsa,\r\n                  Customer.PrimaryAddress,\r\n                  Customer.PrimaryAddress\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.city\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.city\"\r\n              name=\"Customer.PrimaryAddress.city\"\r\n              v-model=\"Customer.PrimaryAddress.city\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.PrimaryAddress.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.stateUsa\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.stateUsa\"\r\n              name=\"Customer.PrimaryAddress.stateUsa\"\r\n              v-model=\"Customer.PrimaryAddress.stateUsa\"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.PrimaryAddress.country\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.PrimaryAddress.country\"\r\n              name=\"Customer.PrimaryAddress.country\"\r\n              v-model=\"Customer.PrimaryAddress.country\"\r\n              @change=\"onChangePrimaryAddressCountry\"\r\n            >\r\n              <option value=\"can\" selected>Canada</option>\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.11\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Residence </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.11\"\r\n              name=\"Customer.CustomField.11\"\r\n              v-model=\"Customer.typeOfResidence\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.typeOfResidence && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Rent\">Rent</option>\r\n              <option value=\"Own\">Own</option>\r\n              <option value=\"Live w/ Relatives\">Live w/ Relatives</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.phone\">\r\n            <label class=\"\"> Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.phone\"\r\n              name=\"Customer.phone\"\r\n              v-model=\"Customer.phone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.16\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\">\r\n              What Month and Year did you start living in the US\r\n            </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.16\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.CustomField.16\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              v-model=\"Customer.monthAndYearStartedLivingInUS\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.monthAndYearStartedLivingInUS && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.12\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Best Time to Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.12\"\r\n              name=\"Customer.CustomField.12\"\r\n              v-model=\"Customer.bestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.bestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.email\">\r\n            <label class=\"\"> Email </label>\r\n            <input\r\n              type=\"email\"\r\n              class=\"form-control js-email\"\r\n              id=\"Customer.email\"\r\n              name=\"Customer.email\"\r\n              v-model=\"Customer.email\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.14\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Dependents </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.14\"\r\n              name=\"Customer.CustomField.14\"\r\n              v-model=\"Customer.numberDependents\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.numberDependents && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"No Dependents\">No Dependents</option>\r\n              <option value=\"1\">1</option>\r\n              <option value=\"2\">2</option>\r\n              <option value=\"3\">3</option>\r\n              <option value=\"4\">4</option>\r\n              <option value=\"5\">5</option>\r\n              <option value=\"6\">6</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.6\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Marital Status </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.6\"\r\n              name=\"Customer.CustomField.6\"\r\n              v-model=\"Customer.maritalStatus\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.maritalStatus && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"Single\">Single</option>\r\n              <option value=\"Married\">Married</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.15 custom-field\">\r\n            <label class=\"\"> Spouses Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.15\"\r\n              name=\"Customer.CustomField.15\"\r\n              v-model=\"Customer.spouseName\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.23 custom-field\">\r\n            <label class=\"\"> Spouses Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.CustomField.23\"\r\n              name=\"Customer.CustomField.23\"\r\n              v-model=\"Customer.spousePhone\"\r\n              maxlength=\"10\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.43 custom-field\">\r\n            <label class=\"\"> Does you spouse currently have a job </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Customer.CustomField.43\"\r\n              name=\"Customer.CustomField.43\"\r\n              v-model=\"Customer.spouseCurrentlyHasJob\"\r\n            >\r\n              <option value=\"Yes\">Yes</option>\r\n              <option value=\"No\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.44 custom-field\">\r\n            <label class=\"\"> Spouse Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.44\"\r\n              name=\"Customer.CustomField.44\"\r\n              v-model=\"Customer.spouseMonthlyIncome\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.name required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Name of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.name\"\r\n              name=\"Customer.Reference.name\"\r\n              v-model=\"Customer.Reference.name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.relation required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Relation of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.relation\"\r\n              name=\"Customer.Reference.relation\"\r\n              v-model=\"Customer.Reference.relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.relation && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"brother\" selected=\"\">\r\n                Brother\r\n              </option>\r\n              <option value=\"coWorker\">\r\n                CoWorker\r\n              </option>\r\n              <option value=\"daughter\">\r\n                Daughter\r\n              </option>\r\n              <option value=\"father\">Father</option>\r\n              <option value=\"friend\">Friend</option>\r\n              <option value=\"husband\">\r\n                Husband\r\n              </option>\r\n              <option value=\"mother\">Mother</option>\r\n              <option value=\"sister\">Sister</option>\r\n              <option value=\"son\">Son</option>\r\n              <option value=\"wife\">Wife</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.primaryPhone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Phone of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Reference.primaryPhone\"\r\n              name=\"Customer.Reference.primaryPhone\"\r\n              v-model=\"Customer.Reference.primaryPhone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.primaryPhone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.address1 required\">\r\n            <label class=\"\"> Address of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.address1\"\r\n              name=\"Customer.Reference.Address.address1\"\r\n              v-model=\"Customer.Reference.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Reference.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> Zip Code of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Reference.Address.zipcodeUsa\"\r\n              name=\"Customer.Reference.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Reference.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Reference.Address.zipcodeUsa,\r\n                  Customer.Reference.Address,\r\n                  Customer.Reference.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.city required\">\r\n            <label class=\"\"> City of the closest relative who does not live with you  </label>\r\n            <input\r\n              type=\"text\"\r\n              autocomplete=\"off\"\r\n              class=\"form-control js-text\"\r\n              id=\"Customer.Reference.Address.city\"\r\n              name=\"Customer.Reference.Address.city\"\r\n              v-model=\"Customer.Reference.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Reference.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Reference.Address.stateUsa required\">\r\n            <label class=\"\"> State of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.stateUsa\"\r\n              name=\"Customer.Reference.Address.stateUsa\"\r\n              v-model=\"Customer.Reference.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Reference.Address.country required\">\r\n            <label class=\"\"> Country of the closest relative who does not live with you  </label>\r\n            <select\r\n              class=\"form-control js-collection\"\r\n              id=\"Customer.Reference.Address.country\"\r\n              name=\"Customer.Reference.Address.country\"\r\n              v-model=\"Customer.Reference.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\">United States</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n    <section class=\"controls js-section-2\">\r\n      <h2>References</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.17\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.17\"\r\n              name=\"Customer.CustomField.17\"\r\n              v-model=\"Customer.Reference1.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.18\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.18\"\r\n              name=\"Customer.CustomField.18\"\r\n              v-model=\"Customer.Reference1.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.27\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.27\"\r\n              name=\"Customer.CustomField.27\"\r\n              v-model=\"Customer.Reference1.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.26\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 1 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.26\"\r\n              name=\"Customer.CustomField.26\"\r\n              v-model=\"Customer.Reference1.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference1.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.28 custom-field\">\r\n            <label class=\"\"> Reference 1 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.28\"\r\n              name=\"Customer.CustomField.28\"\r\n              v-model=\"Customer.Reference1.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.29 custom-field\">\r\n            <label class=\"\"> Reference 1 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.29\"\r\n              name=\"Customer.CustomField.29\"\r\n              v-model=\"Customer.Reference1.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.30\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.30\"\r\n              name=\"Customer.CustomField.30\"\r\n              v-model=\"Customer.Reference2.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.31\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.31\"\r\n              name=\"Customer.CustomField.31\"\r\n              v-model=\"Customer.Reference2.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.32\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.32\"\r\n              name=\"Customer.CustomField.32\"\r\n              v-model=\"Customer.Reference2.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.37\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 2 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.37\"\r\n              name=\"Customer.CustomField.37\"\r\n              v-model=\"Customer.Reference2.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference2.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.33 custom-field\">\r\n            <label class=\"\"> Reference 2 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.33\"\r\n              name=\"Customer.CustomField.33\"\r\n              v-model=\"Customer.Reference2.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.34 custom-field\">\r\n            <label class=\"\"> Reference 2 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.34\"\r\n              name=\"Customer.CustomField.34\"\r\n              v-model=\"Customer.Reference2.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.35\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.35\"\r\n              name=\"Customer.CustomField.35\"\r\n              v-model=\"Customer.Reference3.Name\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Name && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.36\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.36\"\r\n              name=\"Customer.CustomField.36\"\r\n              v-model=\"Customer.Reference3.Phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.38\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Best Time To Call </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.38\"\r\n              name=\"Customer.CustomField.38\"\r\n              v-model=\"Customer.Reference3.BestTimeToCall\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.BestTimeToCall && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.39\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Reference 3 Relation </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.39\"\r\n              name=\"Customer.CustomField.39\"\r\n              v-model=\"Customer.Reference3.Relation\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Reference3.Relation && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.40 custom-field\">\r\n            <label class=\"\"> Reference 3 Email </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.40\"\r\n              name=\"Customer.CustomField.40\"\r\n              v-model=\"Customer.Reference3.Email\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.41 custom-field\">\r\n            <label class=\"\"> Reference 3 Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.41\"\r\n              name=\"Customer.CustomField.41\"\r\n              v-model=\"Customer.Reference3.Address\"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-3\">\r\n      <h2>Loan Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.3 custom-field required\"\r\n          >\r\n            <label class=\"\"> Reason for Loan </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.3\"\r\n              name=\"LoanSettings.CustomField.3\"\r\n              v-model=\"LoanSettings.reasonForLoan\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.reasonForLoan && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            >\r\n              <option value=\"Personal\">Personal</option>\r\n              <option value=\"Immigration\">Immigration</option>\r\n              <option value=\"Other\">Other</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.19 custom-field required\"\r\n          >\r\n            <label class=\"\"> What will the loan be used for </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.19\"\r\n              name=\"LoanSettings.CustomField.19\"\r\n              v-model=\"LoanSettings.whatWillTheLoanBeUsedFor\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.whatWillTheLoanBeUsedFor && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-LoanSettings.CustomField.7\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Promo Code o Numero de Gafete </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"LoanSettings.CustomField.7\"\r\n              name=\"LoanSettings.CustomField.7\"\r\n              v-model=\"LoanSettings.promoCode\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.promoCode && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.2\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> How did you hear about us </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.2\"\r\n              name=\"Customer.CustomField.2\"\r\n              v-model=\"Customer.howDidYouHearAboutUs\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.howDidYouHearAboutUs && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.5 custom-field required\">\r\n            <label class=\"\"> Name of person who referred you </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.5\"\r\n              name=\"Customer.CustomField.5\"\r\n              v-model=\"Customer.nameOfPersonWhoReferredYou\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfPersonWhoReferredYou && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-4\">\r\n      <h2>Employer Information</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.companyName required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Company Name </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.companyName\"\r\n              name=\"Customer.Employer.companyName\"\r\n              v-model=\"Customer.Employer.companyName\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.companyName && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.46\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Type of Employment </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"Employer.CustomField.46\"\r\n              name=\"Employer.CustomField.46\"\r\n              v-model=\"Employer.typeOfEmployment\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.typeOfEmployment && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"FullTime\">Full-time</option>\r\n              <option value=\"PartTime\">Part-time</option>\r\n              <option value=\"Seasonal\">Seasonal</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.title required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Title </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.title\"\r\n              name=\"Customer.Employer.title\"\r\n              v-model=\"Customer.Employer.title\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.title && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Employer.CustomField.9\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Working Hours </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Employer.CustomField.9\"\r\n              name=\"Employer.CustomField.9\"\r\n              v-model=\"Employer.workingHours\"\r\n              req\r\n              v-bind:class=\"\r\n                !Employer.workingHours && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.hireDate required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Hire Date </label>\r\n            <input\r\n              type=\"date\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.hireDate\"\r\n              data-initial-value=\"\"\r\n              name=\"Customer.Employer.hireDate\"\r\n              v-model=\"Customer.Employer.hireDate\"\r\n              placeholder=\"MM/DD/YYYY\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.hireDate && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.address1 required\">\r\n            <label class=\"\"> Employer's Address </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.address1\"\r\n              name=\"Customer.Employer.Address.address1\"\r\n              v-model=\"Customer.Employer.Address.address1\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.address1 && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.Address.zipcodeUsa required\"\r\n          >\r\n            <label class=\"\"> ZIP Code </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-zip\"\r\n              id=\"Customer.Employer.Address.zipcodeUsa\"\r\n              name=\"Customer.Employer.Address.zipcodeUsa\"\r\n              v-model=\"Customer.Employer.Address.zipcodeUsa\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.zipcodeUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n              @change=\"\r\n                onChangeZipCode(\r\n                  Customer.Employer.Address.zipcodeUsa,\r\n                  Customer.Employer.Address,\r\n                  Customer.Employer.Address\r\n                )\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.city required\">\r\n            <label class=\"\"> City </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.city\"\r\n              name=\"Customer.Employer.Address.city\"\r\n              v-model=\"Customer.Employer.Address.city\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.city && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div\r\n          class=\"col-md-6\"\r\n          v-if=\"Customer.Employer.Address.country == 'usa'\"\r\n        >\r\n          <div class=\"form-group js-group-Customer.Employer.Address.stateUsa required\">\r\n            <label class=\"\"> State </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.stateUsa\"\r\n              name=\"Customer.Employer.Address.stateUsa\"\r\n              v-model=\"Customer.Employer.Address.stateUsa\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.stateUsa && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"AA\">U.S. Armed Forces – Americas</option>\r\n              <option value=\"AE\">U.S. Armed Forces – Europe</option>\r\n              <option value=\"AK\">Alaska</option>\r\n              <option value=\"AL\">Alabama</option>\r\n              <option value=\"AP\">U.S. Armed Forces – Pacific</option>\r\n              <option value=\"AR\">Arkansas</option>\r\n              <option value=\"AS\">American Samoa</option>\r\n              <option value=\"AZ\">Arizona</option>\r\n              <option value=\"CA\">California</option>\r\n              <option value=\"CO\">Colorado</option>\r\n              <option value=\"CT\">Connecticut</option>\r\n              <option value=\"DC\">District of Columbia</option>\r\n              <option value=\"DE\">Delaware</option>\r\n              <option value=\"FL\">Florida</option>\r\n              <option value=\"FM\">\r\n                Federated States of Micronesia\r\n              </option>\r\n              <option value=\"GA\">Georgia</option>\r\n              <option value=\"GU\">Guam</option>\r\n              <option value=\"HI\">Hawaii</option>\r\n              <option value=\"IA\">Iowa</option>\r\n              <option value=\"ID\">Idaho</option>\r\n              <option value=\"IL\">Illinois</option>\r\n              <option value=\"IN\">Indiana</option>\r\n              <option value=\"KS\">Kansas</option>\r\n              <option value=\"KY\">Kentucky</option>\r\n              <option value=\"LA\">Louisiana</option>\r\n              <option value=\"MA\">Massachusetts</option>\r\n              <option value=\"MD\">Maryland</option>\r\n              <option value=\"ME\">Maine</option>\r\n              <option value=\"MH\">Marshall Islands</option>\r\n              <option value=\"MI\">Michigan</option>\r\n              <option value=\"MN\">Minnesota</option>\r\n              <option value=\"MO\">Missouri</option>\r\n              <option value=\"MP\">Northern Mariana Islands</option>\r\n              <option value=\"MS\">Mississippi</option>\r\n              <option value=\"MT\">Montana</option>\r\n              <option value=\"NC\">North Carolina</option>\r\n              <option value=\"ND\">North Dakota</option>\r\n              <option value=\"NE\">Nebraska</option>\r\n              <option value=\"NH\">New Hampshire</option>\r\n              <option value=\"NJ\">New Jersey</option>\r\n              <option value=\"NM\">New Mexico</option>\r\n              <option value=\"NV\">Nevada</option>\r\n              <option value=\"NY\">New York</option>\r\n              <option value=\"OH\">Ohio</option>\r\n              <option value=\"OK\">Oklahoma</option>\r\n              <option value=\"OR\">Oregon</option>\r\n              <option value=\"PA\">Pennsylvania</option>\r\n              <option value=\"PR\">Puerto Rico</option>\r\n              <option value=\"PW\">Palau</option>\r\n              <option value=\"RI\">Rhode Island</option>\r\n              <option value=\"SC\">South Carolina</option>\r\n              <option value=\"SD\">South Dakota</option>\r\n              <option value=\"TN\">Tennessee</option>\r\n              <option value=\"TX\">Texas</option>\r\n              <option value=\"UT\">Utah</option>\r\n              <option value=\"VA\">Virginia</option>\r\n              <option value=\"VI\">Virgin Islands</option>\r\n              <option value=\"VT\">Vermont</option>\r\n              <option value=\"WA\">Washington</option>\r\n              <option value=\"WI\">Wisconsin</option>\r\n              <option value=\"WV\">West Virginia</option>\r\n              <option value=\"WY\">Wyoming</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Employer.Address.country required\">\r\n            <label class=\"\"> Country </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.Address.country\"\r\n              name=\"Customer.Employer.Address.country\"\r\n              v-model=\"Customer.Employer.Address.country\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.Address.country && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"can\">Canada</option>\r\n              <option value=\"usa\" selected=\"\">\r\n                United States\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.CustomField.45 custom-field required\">\r\n            <label class=\"\"> Name of Direct Boss </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control\"\r\n              id=\"Customer.CustomField.45\"\r\n              name=\"Customer.CustomField.45\"\r\n              v-model=\"Customer.nameOfDirectBoss\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.nameOfDirectBoss && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.phone required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Employers Phone </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-phone\"\r\n              id=\"Customer.Employer.phone\"\r\n              name=\"Customer.Employer.phone\"\r\n              v-model=\"Customer.Employer.phone\"\r\n              maxlength=\"10\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.phone && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.incomeFrequency required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Income Frequency </label>\r\n            <select\r\n              class=\"form-control\"\r\n              id=\"Customer.Employer.incomeFrequency\"\r\n              name=\"Customer.Employer.incomeFrequency\"\r\n              v-model=\"Customer.Employer.incomeFrequency\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.incomeFrequency && formSend ? 'error-input-req' : ''\r\n              \"\r\n            >\r\n              <option value=\"annually\">\r\n                Annually\r\n              </option>\r\n              <option\r\n                value=\"biWeekly\"\r\n                selected=\"\"\r\n              >\r\n                Bi-Weekly\r\n              </option>\r\n              <option value=\"monthly\">\r\n                Monthly\r\n              </option>\r\n              <option value=\"semiMonthly\">\r\n                Semi-Monthly\r\n              </option>\r\n              <option value=\"weekly\">\r\n                Weekly\r\n              </option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-Customer.Employer.income required\"\r\n            data-strict=\"\"\r\n          >\r\n            <label class=\"\"> Monthly Income </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.Employer.income\"\r\n              name=\"Customer.Employer.income\"\r\n              v-model=\"Customer.Employer.income\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Employer.income && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n      </div>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"\r\n              form-group\r\n              js-group-Customer.CustomField.13\r\n              required\r\n              custom-field\r\n            \"\r\n          >\r\n            <label class=\"\"> Total Monthly Expenses </label>\r\n            <input\r\n              type=\"text\"\r\n              class=\"form-control js-currency\"\r\n              id=\"Customer.CustomField.13\"\r\n              name=\"Customer.CustomField.13\"\r\n              v-model=\"Customer.totalMonthlyExpenses\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.totalMonthlyExpenses && formSend ? 'error-input-req' : ''\r\n              \"\r\n            />\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-5\">\r\n      <h2>Documents</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div class=\"form-group js-group-Customer.Documents.1529359983 required\">\r\n            <label class=\"\"> Proof of ID </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359983\"\r\n              name=\"Customer.Documents.1529359984\"\r\n              data-section=\"8\"\r\n              v-on:change=\"onFileChange($event, 'proofOfID')\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Documents.proofOfID && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359968 required\">\r\n            <label class=\"\"> Proof of Income </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359968\"\r\n              name=\"Customer.Documents.1529359968\"\r\n              data-section=\"9\"\r\n              v-on:change=\"onFileChange($event, 'proofOfIncome')\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Documents.proofOfIncome && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div class=\"form-group js-group-Customer.Documents.1529359996 required\">\r\n            <label class=\"\"> Proof of Residence </label>\r\n            <input\r\n              type=\"file\"\r\n              class=\"form-control js-customer-file\"\r\n              id=\"Customer.Documents.1529359996\"\r\n              name=\"Customer.Documents.1529359996\"\r\n              data-section=\"10\"\r\n              v-on:change=\"onFileChange($event, 'proofOfResidence')\"\r\n              req\r\n              v-bind:class=\"\r\n                !Customer.Documents.proofOfResidence && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.21 custom-field\"\r\n          >\r\n            <label class=\"\"> Payment Check </label>\r\n            <select\r\n              class=\"form-control js-select\"\r\n              id=\"LoanSettings.CustomField.21\"\r\n              name=\"LoanSettings.CustomField.21\"\r\n              v-model=\"LoanSettings.paymentCheck\"\r\n            >\r\n              <option value=\"Yes-1\">Yes</option>\r\n              <option value=\"No-2\">No</option>\r\n            </select>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\"></div>\r\n      </div>\r\n    </section>\r\n\r\n    <section class=\"controls js-section-6\">\r\n      <h2>I agree with the terms and conditions</h2>\r\n      <div class=\"row\">\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.25 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Information Agreement </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.25\"\r\n              name=\"LoanSettings.CustomField.25\"\r\n              v-model=\"LoanSettings.informationAgreement\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.informationAgreement && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              >THIS INFORMATION IS CONFIDENTIAL AND WILL NOT BE SHARED WITH\r\n              OTHERS. I, hereby authorize verification of all information in my\r\n              loan application from all sources of employment, financial history\r\n              and criminal history. I authorize any duly authorized age</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.55 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 3 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.55\"\r\n              name=\"LoanSettings.CustomField.55\"\r\n              v-model=\"LoanSettings.agreement3\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement3 && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              >I release all persons from liability on account of such\r\n              disclosures. Information appearing on this Authorization will be\r\n              used exclusively by AYUDATE TEXAS INC.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.57 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 5 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.57\"\r\n              name=\"LoanSettings.CustomField.57\"\r\n              v-model=\"LoanSettings.agreement5\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement5 && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              >I agree to provide additional information that may be requested\r\n              to process my loan application. And to provide current phone\r\n              numbers and address at all times.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n        <div class=\"col-md-6\">\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.54 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 2 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.54\"\r\n              name=\"LoanSettings.CustomField.54\"\r\n              v-model=\"LoanSettings.agreement2\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement2 && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              >I authorize any duly authorized agent of AYUDATE TEXAS INC. to\r\n              obtain, whether the said records are public or private, and\r\n              including those which may be deemed to be privileged or\r\n              confidential.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n          <div\r\n            class=\"form-group js-group-LoanSettings.CustomField.56 custom-field\"\r\n          >\r\n            <label class=\"invisible-field\"> Agreement 4 </label>\r\n            <input\r\n              type=\"checkbox\"\r\n              class=\"form-check-input js-checkbox\"\r\n              id=\"LoanSettings.CustomField.56\"\r\n              name=\"LoanSettings.CustomField.56\"\r\n              v-model=\"LoanSettings.agreement4\"\r\n              req\r\n              v-bind:class=\"\r\n                !LoanSettings.agreement4 && formSend\r\n                  ? 'error-input-req'\r\n                  : ''\r\n              \"\r\n            />\r\n            <span\r\n              >for identification purposes and for the release information which\r\n              will be considered in determining any loan approval. I certify\r\n              that I have made true, correct, and complete answers and\r\n              statements on my loan application.</span\r\n            >\r\n            <div class=\"help-block with-errors\" style=\"display: none\">\r\n              <ul class=\"list-unstyled\">\r\n                <li></li>\r\n              </ul>\r\n            </div>\r\n          </div>\r\n        </div>\r\n      </div>\r\n    </section>\r\n\r\n    <div class=\"form-group\">\r\n      <div\r\n        class=\"alert alert-success\"\r\n        id=\"successAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      >\r\n        Thank you!\r\n      </div>\r\n      <div\r\n        class=\"alert alert-warning\"\r\n        id=\"errorAlertBox\"\r\n        role=\"alert\"\r\n        style=\"display: none\"\r\n      ></div>\r\n      <div class=\"text-center\">\r\n        <button\r\n          id=\"submitBtn\"\r\n          type=\"submit\"\r\n          class=\"btn btn-primary\"\r\n          style=\"width: 250px\"\r\n        >\r\n          Submit\r\n        </button>\r\n      </div>\r\n    </div>\r\n    <input type=\"hidden\" id=\"application_id\" name=\"application_id\" value=\"2\" />\r\n    <input type=\"hidden\" id=\"instance_id\" name=\"instance_id\" value=\"5200861\" />\r\n  </form>\r\n\r\n  <div\r\n    v-if=\"loader\"\r\n    style=\"\r\n      position: fixed;\r\n      top: 0px;\r\n      left: 0px;\r\n      padding: 0px;\r\n      margin: 0px;\r\n      width: 100%;\r\n      height: 100%;\r\n      background-color: rgba(250, 250, 250, 0.5);\r\n    \"\r\n  >\r\n    <div\r\n      class=\"spinner-border\"\r\n      style=\"width: 3rem; height: 3rem; position: absolute; top: 50%; left: 50%\"\r\n      role=\"status\"\r\n    >\r\n      <span class=\"sr-only\"></span>\r\n    </div>\r\n  </div>\r\n</template>\r\n\r\n\r\n\r\n<script>\r\nexport default {\r\n  data() {\r\n    return {\r\n      loader: false,\r\n      loan: \"400\",\r\n      formSend: false,\r\n      LoanSettings: {\r\n        CustomField: {},\r\n      },\r\n      Customer: {\r\n        Documents: {},\r\n        gender: \"female\",\r\n        CustomField: {},\r\n        Reference1: {},\r\n        Reference2: {},\r\n        Reference3: {},\r\n        Reference: {\r\n          Address: {\r\n            country: \"can\",\r\n          },\r\n        },\r\n        Employer: {\r\n          Address: {\r\n            country: \"can\",\r\n          },\r\n        },\r\n        PrimaryAddress: {\r\n          country: \"can\",\r\n        },\r\n      },\r\n      Employer: {\r\n        CustomField: {},\r\n      },\r\n    };\r\n  },\r\n  components: {},\r\n  methods: {\r\n    onSubmit(event) {\r\n      event.preventDefault();\r\n      this.formSend = true;\r\n      /*\r\n      console.log(\"this.Customer\");\r\n      console.log(this.Customer);\r\n      console.log(\"this.Employer\");\r\n      console.log(this.Employer);\r\n      console.log(\"this.LoanSettings\");\r\n      console.log(this.LoanSettings);\r\n      */\r\n      let error = false;\r\n\r\n      let inputs = document.getElementsByTagName(\"input\");\r\n      error = this.checkInputs(inputs, error);\r\n      if (!error) {\r\n        let selects = document.getElementsByTagName(\"select\");\r\n        error = this.checkInputs(selects, error);\r\n      }\r\n\r\n      if (error) {\r\n        this.$toast.error(\"You need to fill all the required fields\", {\r\n          position: \"top-right\",\r\n        });\r\n        return;\r\n      }\r\n      this.loader = true;\r\n      this.$toast.info(\"Sending the application\", {\r\n        position: \"top-right\",\r\n      });\r\n\r\n      let sendData = {};\r\n\r\n      Object.keys(this.Customer).forEach((key) => {\r\n        if (typeof this.Customer[key] === \"object\") {\r\n          Object.keys(this.Customer[key]).forEach((key2) => {\r\n            if (typeof this.Customer[key][key2] === \"object\") {\r\n              Object.keys(this.Customer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Customer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"customer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Customer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"customer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Customer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"customer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Customer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.Employer).forEach((key) => {\r\n        if (typeof this.Employer[key] === \"object\") {\r\n          Object.keys(this.Employer[key]).forEach((key2) => {\r\n            if (typeof this.Employer[key][key2] === \"object\") {\r\n              Object.keys(this.Employer[key][key2]).forEach((key3) => {\r\n                if (typeof this.Employer[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"employer\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.Employer[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"employer\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.Employer[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\"employer\" + key.replace(/^\\w/, (c) => c.toUpperCase())] =\r\n            this.Employer[key];\r\n        }\r\n      });\r\n\r\n      Object.keys(this.LoanSettings).forEach((key) => {\r\n        if (typeof this.LoanSettings[key] === \"object\") {\r\n          Object.keys(this.LoanSettings[key]).forEach((key2) => {\r\n            if (typeof this.LoanSettings[key][key2] === \"object\") {\r\n              Object.keys(this.LoanSettings[key][key2]).forEach((key3) => {\r\n                if (typeof this.LoanSettings[key][key2][key3] === \"object\") {\r\n                } else {\r\n                  sendData[\r\n                    \"loanSettings\" +\r\n                      key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key2.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                      \"\" +\r\n                      key3.replace(/^\\w/, (c) => c.toUpperCase())\r\n                  ] = this.LoanSettings[key][key2][key3];\r\n                }\r\n              });\r\n            } else {\r\n              sendData[\r\n                \"loanSettings\" +\r\n                  key.replace(/^\\w/, (c) => c.toUpperCase()) +\r\n                  \"\" +\r\n                  key2.replace(/^\\w/, (c) => c.toUpperCase())\r\n              ] = this.LoanSettings[key][key2];\r\n            }\r\n          });\r\n        } else {\r\n          sendData[\r\n            \"loanSettings\" + key.replace(/^\\w/, (c) => c.toUpperCase())\r\n          ] = this.LoanSettings[key];\r\n        }\r\n      });\r\n\r\n      //console.log(sendData);\r\n      sendData[\"loanType\"] = \"400\";\r\n\r\n      sendData.loanSettingsAgreement2 = \"true\";\r\n      sendData.loanSettingsAgreement3 = \"true\";\r\n      sendData.loanSettingsAgreement4 = \"true\";\r\n      sendData.loanSettingsAgreement5 = \"true\";\r\n      sendData.loanSettingsInformationAgreement = \"true\";\r\n\r\n      fetch(\"https://ayudate.teknosgroup.com/BACKEND/Maestro/SaveLoanRequest\", {\r\n        method: \"POST\",\r\n        headers: {\r\n          \"Content-Type\": \"application/json\",\r\n        },\r\n        body: JSON.stringify(sendData),\r\n      })\r\n        .then((response) => {\r\n          console.log(response);\r\n          if (response.status === 200) {\r\n            this.$toast.success(\"Application sent successfully\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n            this.formSend = false;\r\n\r\n            this.LoanSettings = {\r\n              CustomField: {},\r\n            };\r\n            this.Customer = {\r\n              Documents: {},\r\n              gender: \"female\",\r\n              CustomField: {},\r\n              Reference1: {},\r\n              Reference2: {},\r\n              Reference3: {},\r\n              Reference: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              Employer: {\r\n                Address: {\r\n                  country: \"can\",\r\n                },\r\n              },\r\n              PrimaryAddress: {\r\n                country: \"can\",\r\n              },\r\n            };\r\n            this.Employer = {\r\n              CustomField: {},\r\n            };\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .catch((error) => {\r\n          this.$toast.error(\"Error sending the application\", {\r\n            position: \"top-right\",\r\n          });\r\n          this.loader = false;\r\n        });\r\n    },\r\n\r\n    checkInputs(element, error) {\r\n      for (let index = 0; index < element.length; ++index) {\r\n        element[index].blur();\r\n        if (element[index].getAttribute(\"req\") != null) {\r\n          if (element[index].type == \"checkbox\") {\r\n            if (element[index].checked == false) {\r\n              element[index].focus();\r\n              error = true;\r\n              break;\r\n            }\r\n          } else if (this.noExistEmpty(element[index].value)) {\r\n            element[index].focus();\r\n            error = true;\r\n            break;\r\n          }\r\n        }\r\n      }\r\n      return error;\r\n    },\r\n\r\n    onFileChange(element, id) {\r\n      let othat = this;\r\n      var reader = new FileReader();\r\n      if (element.target.files[0]) {\r\n        reader.readAsDataURL(element.target.files[0]);\r\n        reader.onload = function () {\r\n          //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n          if (element.target.files[0].size > 2100000) {\r\n            othat.$toast.error(\"Maximum file size 2Mb\", {\r\n              position: \"top-right\",\r\n            });\r\n            othat.Customer.Documents[id] = {};\r\n            element.target.value = \"\";\r\n          } else {\r\n            othat.Customer.Documents[id] = {\r\n              fileName: element.target.files[0].name,\r\n              fileSize: element.target.files[0].size.toString(),\r\n              fileType: element.target.files[0].type,\r\n              data: reader.result,\r\n            };\r\n            //console.log(othat.Customer);\r\n          }\r\n        };\r\n        reader.onerror = function (error) {\r\n          console.log(\"Error: \", error);\r\n          othat.Customer.Documents[id] = {};\r\n          element.target.value = \"\";\r\n        };\r\n      } else {\r\n        othat.Customer.Documents[id] = {};\r\n        element.target.value = \"\";\r\n      }\r\n    },\r\n\r\n    onChangeZipCode(zip, city, state) {\r\n      let sendData = {\r\n        zip: zip,\r\n      };\r\n      fetch(\r\n        \"https://ayudate.teknosgroup.com/BACKEND/Maestro/GetState/\" +\r\n          zip,\r\n        {\r\n          method: \"POST\",\r\n          headers: {\r\n            \"Content-Type\": \"application/json\",\r\n          },\r\n          body: JSON.stringify(sendData),\r\n        }\r\n      )\r\n        .then((res) => {\r\n          city.city = \"\";\r\n          state.stateUsa = \"\";\r\n          if (res.status === 200) {\r\n            return res.text().then(function (text) {\r\n              return { data: text, status: res.status, ok: res.ok };\r\n            });\r\n          } else {\r\n            this.$toast.error(\"Error sending the application\", {\r\n              position: \"top-right\",\r\n            });\r\n            this.loader = false;\r\n          }\r\n        })\r\n        .then(\r\n          (result) => {\r\n            let response = result;\r\n            try {\r\n              //-!-  Comm-cbs-doc : pasar  [Besmit-03022022]\r\n              response.data = JSON.parse(result.data);\r\n              if (response.data.city) {\r\n                city.city = response.data.city;\r\n                state.stateUsa = response.data.state;\r\n              }\r\n            } catch (er) {\r\n              console.log(er);\r\n            }\r\n          },\r\n          (error) => {\r\n            console.log(error);\r\n          }\r\n        );\r\n    },\r\n\r\n    noExistEmpty(value) {\r\n      if (value === undefined) return true;\r\n      if (value === null) return true;\r\n      if (value === \"\") return true;\r\n      if (value.length <= 0) return true;\r\n      return false;\r\n    },\r\n    onChangePrimaryAddressCountry() {\r\n      this.Customer.PrimaryAddress.stateUsa = \"\";\r\n      this.Customer.PrimaryAddress.zipcodeUsa = \"\";\r\n    },\r\n    addToChart({ product, quantity }) {\r\n      console.log(product, quantity);\r\n    },\r\n    formatSSN() {\r\n      //console.log(this.Customer.ssn);\r\n      var x = this.Customer.ssn\r\n        .replace(/\\D/g, \"\")\r\n        .match(/(\\d{0,3})(\\d{0,2})(\\d{0,4})/);\r\n      this.Customer.ssn = !x[2]\r\n        ? x[1]\r\n        : x[1] + \"-\" + x[2] + (x[3] ? \"-\" + x[3] : \"\");\r\n    },\r\n  },\r\n};\r\n</script>\r\n","import { render } from \"./loan400.vue?vue&type=template&id=c98a4b08\"\nimport script from \"./loan400.vue?vue&type=script&lang=js\"\nexport * from \"./loan400.vue?vue&type=script&lang=js\"\n\nimport exportComponent from \"G:\\\\Proyectos\\\\Front\\\\Clt-Alaia-Emp-Ayudate-Pro-Formulario_Loan_Applications\\\\node_modules\\\\vue-loader-v16\\\\dist\\\\exportHelper.js\"\nconst __exports__ = /*#__PURE__*/exportComponent(script, [['render',render]])\n\nexport default __exports__","var fails = require('../internals/fails');\nvar global = require('../internals/global');\n\n// babel-minify and Closure Compiler transpiles RegExp('.', 's') -> /./s and it causes SyntaxError\nvar $RegExp = global.RegExp;\n\nmodule.exports = fails(function () {\n  var re = $RegExp('.', 's');\n  return !(re.dotAll && re.exec('\\n') && re.flags === 's');\n});\n"],"sourceRoot":""}