Skip to main content
Sales
:
360-392-7000
Service
:
360-392-7000
Parts
:
360-392-7000
1820 James Street
Directions
Bellingham
,
WA
98225
Home
New
New Inventory
New Vehicle Inventory
Custom Order Your Ford
New Vehicle Specials
Value Your Trade
Reserve Your 2023 Ford Maverick
Reserve The 2023 All-Electric Ford F-150 Lightning
Manufacturer Offers
Commercial Vehicles
Research
Research Models
Ford Model Lineup
Shop by Model
Used
Used Inventory
All Used Vehicles
Used Vehicles Under $15K
Used Car Specials
Featured Used Vehicles
No Hassle Warranty
CarFinder
Certified
Certified Pre-Owned Vehicles
Why Buy Certified Pre-Owned
Ford Blue Advantage Certified Program
Ford Certified Program
Finance & Specials
Finance Center
Finance Center
Credit Application
Value Your Trade
Credit Estimator
Specials
Bellingham Ford Specials
Used Vehicle Specials
Service Specials
Parts Specials
Ford Custom Order
Contact Us
Service & Parts
Service
Service Center
Schedule Service
Brake Details
Oil Details
Tire Details
Battery Details
General Service Details
Service Coupons
FordPass
Collision Center
Bellingham Body Shop FAQs
Parts
Parts Brands
Parts Center
Parts Specials
Accessories
Tires
Service Hours
Collision
About Us
About The Dealership
About
Meet The Team
Contact
Directions
Join Our Team
Showroom Hours
Contact Us
Finance Application
</div> </div> </div> </div> </div> <div class="bottom"><div class="bl"></div><div class="br"></div></div> </div><!-- end .mod --> </div> <div id='FINANCE_APPLICATION:finance1' class='pref ' portlet='v9.widgets.finance.application.v1'> <script type="application/javascript"> window.DDC = window.DDC || {}; window.DDC.Widgets = window.DDC.Widgets || {}; window.DDC.Widgets.finance = window.DDC.Widgets.finance || {}; window.DDC.Widgets.finance.application = { requiredTimeAtEmployer: false , requiredTimeAtResidence: false , requireEmployerAddress: false }; </script> <div class="hide ddc-content finance-application" data-widget-name="finance-application" data-widget-id="finance1"> <div class="alert-info alert"> <i aria-hidden="true" class="ddc-icon ddc-icon-locked align-left"></i> <p>The form is submitted using an HTTPS form action. All sensitive data is encrypted before transmission and is never sent as clear-text. </p> </div> <form action="https://bellinghamfordfd.financing.dealer.com/form/confirm.htm?ssoid=fe63fdab0a0e0ab4091f7df9bfb94a5a&locale=en_US&formId=fordprofile_finance_application&formEventId=&pageAlias=FINANCE_APPLICATION&formTrackingName=finance-application" method="post" class="ui-accordion validate form-horizontal" id="fordprofile_finance_application" data-editable-form="true" data-customizable-form="false" role="form" data-form-id="2a28tlko" data-form-tracking-id="FINANCE" data-form-tracking-name="finance-application" aria-label="finance-application" > <input type="hidden" name="_action" class="hidden" data-id="" value="SubmitSecureFinanceLead"/> <input type="hidden" name="formId" class="hidden" data-id="" value="fordprofile_finance_application"/> <input type="hidden" name="form.id" class="hidden" data-id="" value="FINANCE"/> <input type="hidden" name="formEventId" class="hidden" data-id="" value=""/> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application1" id="fordprofile_finance_application1">Contact Information<em aria-hidden="true">*</em></a></h2> <div> <input type="hidden" name="accountId" id="da4888da648749bca7594afdd360e84f-accountId" class="hidden" data-id="accountId" value="bellinghamfordfd"/> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.firstName" class="ddc-span4 name applicant-contact-firstName" > <span>First Name<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.firstName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.firstName" class="text form-control required" required="true" data-id="applicant.contact.firstName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.lastName" class="ddc-span4 name applicant-contact-lastName" > <span>Last Name<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.lastName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.lastName" class="text form-control required" required="true" data-id="applicant.contact.lastName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.middleName" class="ddc-span4 text applicant-contact-middleName" > <span>Middle Initial</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.middleName" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.contact.middleName" class="text form-control" data-id="applicant.contact.middleName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.dob" class="ddc-span4 date applicant-dob" > <span>Date of Birth<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.dob" data-date-format="mm/dd/yy" pattern="(^$)|(^[0-9]{4}\-[0-9]{1,2}\-[0-9]{1,2}$)|(^[0-9]{1,2}\/[0-9]{1,2}\/[0-9]{4}$)" aria-required="true" placeholder="mm/dd/yyyy" id="da4888da648749bca7594afdd360e84f-applicant.dob" class="text date form-control required" required="true" data-id="applicant.dob" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.email" class="ddc-span4 email applicant-contact-email" > <span>Email<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="email" name="applicant.contact.email" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.email" class="email form-control required" required="true" data-id="applicant.contact.email" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.phone" class="ddc-span4 phone applicant-contact-phone" > <span>Phone<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.contact.phone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.phone" class="tel form-control required" required="true" data-id="applicant.contact.phone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.phone2" class="ddc-span4 phone applicant-contact-phone2" > <span>Work Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.contact.phone2" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="da4888da648749bca7594afdd360e84f-applicant.contact.phone2" class="tel form-control" data-id="applicant.contact.phone2" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.ssn" class="ddc-span4 ssn applicant-ssn" > <span>Social Security Number<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.ssn" pattern="(^$)|(^\d{3}[\s\-.\/]?\d{2}[\s\-.\/]?\d{4}$)|(^\d{3}[\s\-.\/]?\d{3}[\s\-.\/]?\d{3}$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.ssn" class="text form-control required" required="true" data-id="applicant.ssn" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application2" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application2" id="fordprofile_finance_application2">Address Information<em aria-hidden="true">*</em></a></h2> <div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.address.street" class="ddc-span4 text applicant-contact-address-street" > <span>Street<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.address.street" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.address.street" class="text form-control required" required="true" data-id="applicant.contact.address.street" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.address.apartment" class="ddc-span4 text applicant-contact-address-apartment" > <span>Apartment</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.address.apartment" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.contact.address.apartment" class="text form-control" data-id="applicant.contact.address.apartment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.address.city" class="ddc-span4 text applicant-contact-address-city" > <span>City<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.address.city" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.address.city" class="text form-control required" required="true" data-id="applicant.contact.address.city" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region applicant-contact-address-state" for="da4888da648749bca7594afdd360e84f-applicant.contact.address.state"> <span> State<em aria-hidden="true">*</em> </span> </label> <div class="ddc-span8"> <select class="form-control region required" name="applicant.contact.address.state" required="required" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.address.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.contact.address.postalCode" class="ddc-span4 region applicant-contact-address-state postal-code applicant-contact-address-postalCode" > <span>Zip Code<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.contact.address.postalCode" class="number form-control required" required="true" data-id="applicant.contact.address.postalCode" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.housingType" class="ddc-span4 select applicant-housingType"> <span > Do you rent or own your residence? </span> </label> <div class="ddc-span8"> <select name="applicant.housingType" data-id="applicant.housingType" id="da4888da648749bca7594afdd360e84f-applicant.housingType" class="form-control select" > <option value="">Please Select</option> <option value="rent" >Rent</option> <option value="own" >Own</option> </select> </div> </div><!-- end form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.housingHolderName" class="ddc-span4 text applicant-housingHolderName" > <span>Landlord/Mortgage Holder</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.housingHolderName" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.housingHolderName" class="text form-control" data-id="applicant.housingHolderName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.housingMonthlyPayment" class="ddc-span4 number applicant-housingMonthlyPayment" > <span>Rent/Mortgage Monthly Amount<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.housingMonthlyPayment" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.housingMonthlyPayment" class="number form-control required" required="true" data-id="applicant.housingMonthlyPayment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="da4888da648749bca7594afdd360e84f-applicant.housingDuration"> Time at Current Residence<em aria-hidden="true">*</em> </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.housingDurationYears" aria-required="true" data-id="applicant.housingDuration" id="da4888da648749bca7594afdd360e84f-applicant.housingDuration" class="form-control timeframe required" required="required" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.housingDurationMonths" data-id="applicant.housingDuration" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.house1.type" class="ddc-span4 select applicant-house1-type"> <span > Previous Residence </span> </label> <div class="ddc-span8"> <select name="applicant.house1.type" data-id="applicant.house1.type" id="da4888da648749bca7594afdd360e84f-applicant.house1.type" class="form-control select" > <option value="">Please Select</option> <option value="rent" >Rent</option> <option value="own" >Own</option> </select> </div> </div><!-- end form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.street" class="ddc-span4 text applicant-house1-contact-address-street" > <span>Previous Street</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.house1.contact.address.street" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.street" class="text form-control" data-id="applicant.house1.contact.address.street" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.apartment" class="ddc-span4 text applicant-house1-contact-address-apartment" > <span>Previous Apartment</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.house1.contact.address.apartment" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.apartment" class="text form-control" data-id="applicant.house1.contact.address.apartment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.city" class="ddc-span4 text applicant-house1-contact-address-city" > <span>City</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.house1.contact.address.city" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.city" class="text form-control" data-id="applicant.house1.contact.address.city" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region applicant-house1-contact-address-state" for="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.state"> <span> State </span> </label> <div class="ddc-span8"> <select class="form-control region" name="applicant.house1.contact.address.state" id="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.postalCode" class="ddc-span4 region applicant-house1-contact-address-state postal-code applicant-house1-contact-address-postalCode" > <span>Zip Code</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.house1.contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" id="da4888da648749bca7594afdd360e84f-applicant.house1.contact.address.postalCode" class="number form-control" data-id="applicant.house1.contact.address.postalCode" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application1" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application3" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application3" id="fordprofile_finance_application3">Employment Information<em aria-hidden="true">*</em></a></h2> <div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.employerName" class="ddc-span4 text applicant-employerName" > <span>Place of Employment<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.employerName" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.employerName" class="text form-control required" required="true" data-id="applicant.employerName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.occupation" class="ddc-span4 text applicant-occupation" > <span>Occupation<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.occupation" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.occupation" class="text form-control required" required="true" data-id="applicant.occupation" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.employerTelephone" class="ddc-span4 phone applicant-employerTelephone" > <span>Business Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.employerTelephone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="da4888da648749bca7594afdd360e84f-applicant.employerTelephone" class="tel form-control" data-id="applicant.employerTelephone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region applicant-workAddress-state" for="da4888da648749bca7594afdd360e84f-applicant.workAddress.state"> <span> State<em aria-hidden="true">*</em> </span> </label> <div class="ddc-span8"> <select class="form-control region required" name="applicant.workAddress.state" required="required" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.workAddress.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label class="ddc-span4 region applicant-workAddress-state" for="da4888da648749bca7594afdd360e84f-applicant.employed"> Time At Current Employer<em aria-hidden="true">*</em> </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employedYears" aria-required="true" data-id="applicant.employed" id="da4888da648749bca7594afdd360e84f-applicant.employed" class="form-control timeframe required" required="required" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employedMonths" data-id="applicant.employed" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.grossSalary" class="ddc-span4 number applicant-grossSalary" > <span>Gross Salary</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.grossSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="da4888da648749bca7594afdd360e84f-applicant.grossSalary" class="number form-control" data-id="applicant.grossSalary" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.netSalary" class="ddc-span4 number applicant-netSalary" > <span>Net Salary<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.netSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.netSalary" class="number form-control required" required="true" data-id="applicant.netSalary" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.otherSalary" class="ddc-span4 number applicant-otherSalary" > <span>Other Income</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.otherSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="da4888da648749bca7594afdd360e84f-applicant.otherSalary" class="number form-control" data-id="applicant.otherSalary" value=""/> <div class="family-support-disclaimer"><p><small>**Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.</small></p> </div> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.employer1.employerName" class="ddc-span4 text applicant-employer1-employerName" > <span>Previous Employer</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.employer1.employerName" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.employer1.employerName" class="text form-control" data-id="applicant.employer1.employerName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.employer1.occupation" class="ddc-span4 text applicant-employer1-occupation" > <span>Previous Occupation</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.employer1.occupation" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.employer1.occupation" class="text form-control" data-id="applicant.employer1.occupation" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.employer1.employerTelephone" class="ddc-span4 phone applicant-employer1-employerTelephone" > <span>Previous Employer Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.employer1.employerTelephone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="da4888da648749bca7594afdd360e84f-applicant.employer1.employerTelephone" class="tel form-control" data-id="applicant.employer1.employerTelephone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="da4888da648749bca7594afdd360e84f-applicant.employer1.employed"> Time At Previous Employer </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employer1.employedYears" data-id="applicant.employer1.employed" id="da4888da648749bca7594afdd360e84f-applicant.employer1.employed" class="form-control timeframe" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employer1.employedMonths" data-id="applicant.employer1.employed" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application2" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application4" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application4" id="fordprofile_finance_application4">Banking Information<em aria-hidden="true">*</em></a></h2> <div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.bankAccount1.name" class="ddc-span4 name applicant-bankAccount1-name" > <span>Name of Bank</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount1.name" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" id="da4888da648749bca7594afdd360e84f-applicant.bankAccount1.name" class="text form-control" data-id="applicant.bankAccount1.name" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.bankAccount1.accountType" class="ddc-span4 text applicant-bankAccount1-accountType" > <span>Account Types</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount1.accountType" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.bankAccount1.accountType" class="text form-control" data-id="applicant.bankAccount1.accountType" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.bankAccount2.name" class="ddc-span4 name applicant-bankAccount2-name" > <span>Name of Bank</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount2.name" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" id="da4888da648749bca7594afdd360e84f-applicant.bankAccount2.name" class="text form-control" data-id="applicant.bankAccount2.name" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.bankAccount2.accountType" class="ddc-span4 text applicant-bankAccount2-accountType" > <span>Account Types</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount2.accountType" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.bankAccount2.accountType" class="text form-control" data-id="applicant.bankAccount2.accountType" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.loan1.lender" class="ddc-span4 text applicant-loan1-lender" > <span>Lender</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.loan1.lender" pattern="(^$)|(^.*(\S+).*$)" id="da4888da648749bca7594afdd360e84f-applicant.loan1.lender" class="text form-control" data-id="applicant.loan1.lender" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.loan1.monthlyPayment" class="ddc-span4 number applicant-loan1-monthlyPayment" > <span>Monthly Payment<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.loan1.monthlyPayment" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" aria-required="true" id="da4888da648749bca7594afdd360e84f-applicant.loan1.monthlyPayment" class="number form-control required" required="true" data-id="applicant.loan1.monthlyPayment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-applicant.loan1.totalDebt" class="ddc-span4 number applicant-loan1-totalDebt" > <span>Total Debt</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.loan1.totalDebt" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="da4888da648749bca7594afdd360e84f-applicant.loan1.totalDebt" class="number form-control" data-id="applicant.loan1.totalDebt" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="da4888da648749bca7594afdd360e84f-applicant.loan1.duration"> Length of Loan </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.loan1.durationYears" data-id="applicant.loan1.duration" id="da4888da648749bca7594afdd360e84f-applicant.loan1.duration" class="form-control timeframe" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.loan1.durationMonths" data-id="applicant.loan1.duration" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="da4888da648749bca7594afdd360e84f-comments" class="ddc-span4 textarea comments" > <span> Comments </span> </label> <div class="ddc-span8"> <textarea class="form-control textarea" name="comments" id="da4888da648749bca7594afdd360e84f-comments"></center> </div> </div> </div> </div> </div> <div class="bottom"><div class="bl"></div><div class="br"></div></div> </div><!-- end .mod --> <script type="application/javascript"> window.DDC = window.DDC || {}; window.DDC.Widgets = window.DDC.Widgets || {}; window.DDC.Widgets.finance = window.DDC.Widgets.finance || {}; window.DDC.Widgets.finance.application = { requiredTimeAtEmployer: false , requiredTimeAtResidence: false , requireEmployerAddress: false }; </script> <div class="hide ddc-content finance-application" data-widget-name="finance-application" data-widget-id="finance1"> <div class="alert-info alert"> <i aria-hidden="true" class="ddc-icon ddc-icon-locked align-left"></i> <p>The form is submitted using an HTTPS form action. All sensitive data is encrypted before transmission and is never sent as clear-text. </p> </div> <form action="/form/confirm.htm?formId=fordprofile_finance_application&formEventId=&pageAlias=FINANCE_APPLICATION&formTrackingName=finance-application" method="post" class="ui-accordion validate form-horizontal" role="form" data-form-id="wx7fqmfs" data-form-tracking-id="FINANCE" data-form-tracking-name="finance-application" aria-label="finance-application" > <input type="hidden" name="_action" class="hidden" data-id="" value="SubmitSecureFinanceLead"/> <input type="hidden" name="formId" class="hidden" data-id="" value="fordprofile_finance_application"/> <input type="hidden" name="form.id" class="hidden" data-id="" value="FINANCE"/> <input type="hidden" name="formEventId" class="hidden" data-id="" value=""/> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application1" id="fordprofile_finance_application1">Contact Information<em aria-hidden="true">*</em></a></h2> <div> <input type="hidden" name="accountId" id="323145068a7f464591acdcee5b0153ad-accountId" class="hidden" data-id="accountId" value="bellinghamfordfd"/> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.firstName" class="ddc-span4 name applicant-contact-firstName" > <span>First Name<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.firstName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.firstName" class="text form-control required" required="true" data-id="applicant.contact.firstName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.lastName" class="ddc-span4 name applicant-contact-lastName" > <span>Last Name<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.lastName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.lastName" class="text form-control required" required="true" data-id="applicant.contact.lastName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.middleName" class="ddc-span4 text applicant-contact-middleName" > <span>Middle Initial</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.middleName" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.contact.middleName" class="text form-control" data-id="applicant.contact.middleName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.dob" class="ddc-span4 date applicant-dob" > <span>Date of Birth<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.dob" data-date-format="mm/dd/yy" pattern="(^$)|(^[0-9]{4}\-[0-9]{1,2}\-[0-9]{1,2}$)|(^[0-9]{1,2}\/[0-9]{1,2}\/[0-9]{4}$)" aria-required="true" placeholder="mm/dd/yyyy" id="323145068a7f464591acdcee5b0153ad-applicant.dob" class="text date form-control required" required="true" data-id="applicant.dob" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.email" class="ddc-span4 email applicant-contact-email" > <span>Email<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="email" name="applicant.contact.email" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.email" class="email form-control required" required="true" data-id="applicant.contact.email" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.phone" class="ddc-span4 phone applicant-contact-phone" > <span>Phone<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.contact.phone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.phone" class="tel form-control required" required="true" data-id="applicant.contact.phone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.phone2" class="ddc-span4 phone applicant-contact-phone2" > <span>Work Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.contact.phone2" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-applicant.contact.phone2" class="tel form-control" data-id="applicant.contact.phone2" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.ssn" class="ddc-span4 ssn applicant-ssn" > <span>Social Security Number<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.ssn" pattern="(^$)|(^\d{3}[\s\-.\/]?\d{2}[\s\-.\/]?\d{4}$)|(^\d{3}[\s\-.\/]?\d{3}[\s\-.\/]?\d{3}$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.ssn" class="text form-control required" required="true" data-id="applicant.ssn" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application2" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application2" id="fordprofile_finance_application2">Address Information<em aria-hidden="true">*</em></a></h2> <div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.address.street" class="ddc-span4 text applicant-contact-address-street" > <span>Street<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.address.street" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.address.street" class="text form-control required" required="true" data-id="applicant.contact.address.street" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.address.apartment" class="ddc-span4 text applicant-contact-address-apartment" > <span>Apartment</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.address.apartment" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.contact.address.apartment" class="text form-control" data-id="applicant.contact.address.apartment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.address.city" class="ddc-span4 text applicant-contact-address-city" > <span>City<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.contact.address.city" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.address.city" class="text form-control required" required="true" data-id="applicant.contact.address.city" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region applicant-contact-address-state" for="323145068a7f464591acdcee5b0153ad-applicant.contact.address.state"> <span> State<em aria-hidden="true">*</em> </span> </label> <div class="ddc-span8"> <select class="form-control region required" name="applicant.contact.address.state" required="required" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.address.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.contact.address.postalCode" class="ddc-span4 region applicant-contact-address-state postal-code applicant-contact-address-postalCode" > <span>Zip Code<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.contact.address.postalCode" class="number form-control required" required="true" data-id="applicant.contact.address.postalCode" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.housingType" class="ddc-span4 select applicant-housingType"> <span > Do you rent or own your residence? </span> </label> <div class="ddc-span8"> <select name="applicant.housingType" data-id="applicant.housingType" id="323145068a7f464591acdcee5b0153ad-applicant.housingType" class="form-control select" > <option value="">Please Select</option> <option value="rent" >Rent</option> <option value="own" >Own</option> </select> </div> </div><!-- end form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.housingHolderName" class="ddc-span4 text applicant-housingHolderName" > <span>Landlord/Mortgage Holder</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.housingHolderName" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.housingHolderName" class="text form-control" data-id="applicant.housingHolderName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.housingMonthlyPayment" class="ddc-span4 number applicant-housingMonthlyPayment" > <span>Rent/Mortgage Monthly Amount<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.housingMonthlyPayment" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.housingMonthlyPayment" class="number form-control required" required="true" data-id="applicant.housingMonthlyPayment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="323145068a7f464591acdcee5b0153ad-applicant.housingDuration"> Time at Current Residence<em aria-hidden="true">*</em> </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.housingDurationYears" aria-required="true" data-id="applicant.housingDuration" id="323145068a7f464591acdcee5b0153ad-applicant.housingDuration" class="form-control timeframe required" required="required" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.housingDurationMonths" data-id="applicant.housingDuration" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.house1.type" class="ddc-span4 select applicant-house1-type"> <span > Previous Residence </span> </label> <div class="ddc-span8"> <select name="applicant.house1.type" data-id="applicant.house1.type" id="323145068a7f464591acdcee5b0153ad-applicant.house1.type" class="form-control select" > <option value="">Please Select</option> <option value="rent" >Rent</option> <option value="own" >Own</option> </select> </div> </div><!-- end form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.street" class="ddc-span4 text applicant-house1-contact-address-street" > <span>Previous Street</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.house1.contact.address.street" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.street" class="text form-control" data-id="applicant.house1.contact.address.street" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.apartment" class="ddc-span4 text applicant-house1-contact-address-apartment" > <span>Previous Apartment</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.house1.contact.address.apartment" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.apartment" class="text form-control" data-id="applicant.house1.contact.address.apartment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.city" class="ddc-span4 text applicant-house1-contact-address-city" > <span>City</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.house1.contact.address.city" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.city" class="text form-control" data-id="applicant.house1.contact.address.city" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region applicant-house1-contact-address-state" for="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.state"> <span> State </span> </label> <div class="ddc-span8"> <select class="form-control region" name="applicant.house1.contact.address.state" id="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.postalCode" class="ddc-span4 region applicant-house1-contact-address-state postal-code applicant-house1-contact-address-postalCode" > <span>Zip Code</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.house1.contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" id="323145068a7f464591acdcee5b0153ad-applicant.house1.contact.address.postalCode" class="number form-control" data-id="applicant.house1.contact.address.postalCode" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application1" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application3" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application3" id="fordprofile_finance_application3">Employment Information<em aria-hidden="true">*</em></a></h2> <div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.employerName" class="ddc-span4 text applicant-employerName" > <span>Place of Employment<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.employerName" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.employerName" class="text form-control required" required="true" data-id="applicant.employerName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.occupation" class="ddc-span4 text applicant-occupation" > <span>Occupation<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="applicant.occupation" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.occupation" class="text form-control required" required="true" data-id="applicant.occupation" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.employerTelephone" class="ddc-span4 phone applicant-employerTelephone" > <span>Business Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.employerTelephone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-applicant.employerTelephone" class="tel form-control" data-id="applicant.employerTelephone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region applicant-workAddress-state" for="323145068a7f464591acdcee5b0153ad-applicant.workAddress.state"> <span> State<em aria-hidden="true">*</em> </span> </label> <div class="ddc-span8"> <select class="form-control region required" name="applicant.workAddress.state" required="required" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.workAddress.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label class="ddc-span4 region applicant-workAddress-state" for="323145068a7f464591acdcee5b0153ad-applicant.employed"> Time At Current Employer<em aria-hidden="true">*</em> </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employedYears" aria-required="true" data-id="applicant.employed" id="323145068a7f464591acdcee5b0153ad-applicant.employed" class="form-control timeframe required" required="required" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employedMonths" data-id="applicant.employed" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.grossSalary" class="ddc-span4 number applicant-grossSalary" > <span>Gross Salary</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.grossSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="323145068a7f464591acdcee5b0153ad-applicant.grossSalary" class="number form-control" data-id="applicant.grossSalary" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.netSalary" class="ddc-span4 number applicant-netSalary" > <span>Net Salary<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.netSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.netSalary" class="number form-control required" required="true" data-id="applicant.netSalary" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.otherSalary" class="ddc-span4 number applicant-otherSalary" > <span>Other Income</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.otherSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="323145068a7f464591acdcee5b0153ad-applicant.otherSalary" class="number form-control" data-id="applicant.otherSalary" value=""/> <div class="family-support-disclaimer"><p><small>**Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.</small></p> </div> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.employer1.employerName" class="ddc-span4 text applicant-employer1-employerName" > <span>Previous Employer</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.employer1.employerName" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.employer1.employerName" class="text form-control" data-id="applicant.employer1.employerName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.employer1.occupation" class="ddc-span4 text applicant-employer1-occupation" > <span>Previous Occupation</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.employer1.occupation" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.employer1.occupation" class="text form-control" data-id="applicant.employer1.occupation" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.employer1.employerTelephone" class="ddc-span4 phone applicant-employer1-employerTelephone" > <span>Previous Employer Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="applicant.employer1.employerTelephone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-applicant.employer1.employerTelephone" class="tel form-control" data-id="applicant.employer1.employerTelephone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="323145068a7f464591acdcee5b0153ad-applicant.employer1.employed"> Time At Previous Employer </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employer1.employedYears" data-id="applicant.employer1.employed" id="323145068a7f464591acdcee5b0153ad-applicant.employer1.employed" class="form-control timeframe" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.employer1.employedMonths" data-id="applicant.employer1.employed" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application2" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application4" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application4" id="fordprofile_finance_application4">Banking Information<em aria-hidden="true">*</em></a></h2> <div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.bankAccount1.name" class="ddc-span4 name applicant-bankAccount1-name" > <span>Name of Bank</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount1.name" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" id="323145068a7f464591acdcee5b0153ad-applicant.bankAccount1.name" class="text form-control" data-id="applicant.bankAccount1.name" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.bankAccount1.accountType" class="ddc-span4 text applicant-bankAccount1-accountType" > <span>Account Types</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount1.accountType" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.bankAccount1.accountType" class="text form-control" data-id="applicant.bankAccount1.accountType" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.bankAccount2.name" class="ddc-span4 name applicant-bankAccount2-name" > <span>Name of Bank</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount2.name" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" id="323145068a7f464591acdcee5b0153ad-applicant.bankAccount2.name" class="text form-control" data-id="applicant.bankAccount2.name" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.bankAccount2.accountType" class="ddc-span4 text applicant-bankAccount2-accountType" > <span>Account Types</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.bankAccount2.accountType" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.bankAccount2.accountType" class="text form-control" data-id="applicant.bankAccount2.accountType" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.loan1.lender" class="ddc-span4 text applicant-loan1-lender" > <span>Lender</span> </label> <div class="ddc-span8"> <input type="text" name="applicant.loan1.lender" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-applicant.loan1.lender" class="text form-control" data-id="applicant.loan1.lender" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.loan1.monthlyPayment" class="ddc-span4 number applicant-loan1-monthlyPayment" > <span>Monthly Payment<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="number" name="applicant.loan1.monthlyPayment" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" aria-required="true" id="323145068a7f464591acdcee5b0153ad-applicant.loan1.monthlyPayment" class="number form-control required" required="true" data-id="applicant.loan1.monthlyPayment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-applicant.loan1.totalDebt" class="ddc-span4 number applicant-loan1-totalDebt" > <span>Total Debt</span> </label> <div class="ddc-span8"> <input type="number" name="applicant.loan1.totalDebt" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="323145068a7f464591acdcee5b0153ad-applicant.loan1.totalDebt" class="number form-control" data-id="applicant.loan1.totalDebt" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="323145068a7f464591acdcee5b0153ad-applicant.loan1.duration"> Length of Loan </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.loan1.durationYears" data-id="applicant.loan1.duration" id="323145068a7f464591acdcee5b0153ad-applicant.loan1.duration" class="form-control timeframe" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="applicant.loan1.durationMonths" data-id="applicant.loan1.duration" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-comments" class="ddc-span4 textarea comments" > <span> Comments </span> </label> <div class="ddc-span8"> <textarea class="form-control textarea" name="comments" id="323145068a7f464591acdcee5b0153ad-comments"></textarea> </div> </div><!-- form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application3" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application5" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application5" id="fordprofile_finance_application5">Co-Applicant Information</a></h2> <div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.firstName" class="ddc-span4 name coApplicant-contact-firstName" > <span>First Name</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.contact.firstName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.firstName" class="text form-control" data-id="coApplicant.contact.firstName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.lastName" class="ddc-span4 name coApplicant-contact-lastName" > <span>Last Name</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.contact.lastName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.lastName" class="text form-control" data-id="coApplicant.contact.lastName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.middleName" class="ddc-span4 text coApplicant-contact-middleName" > <span>Middle Initial</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.contact.middleName" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.middleName" class="text form-control" data-id="coApplicant.contact.middleName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.email" class="ddc-span4 email coApplicant-contact-email" > <span>Email</span> </label> <div class="ddc-span8"> <input type="email" name="coApplicant.contact.email" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.email" class="email form-control" data-id="coApplicant.contact.email" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.phone" class="ddc-span4 phone coApplicant-contact-phone" > <span>Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="coApplicant.contact.phone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.phone" class="tel form-control" data-id="coApplicant.contact.phone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.phone2" class="ddc-span4 phone coApplicant-contact-phone2" > <span>Work Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="coApplicant.contact.phone2" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.phone2" class="tel form-control" data-id="coApplicant.contact.phone2" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.ssn" class="ddc-span4 ssn coApplicant-ssn" > <span>Social Security Number</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.ssn" pattern="(^$)|(^\d{3}[\s\-.\/]?\d{2}[\s\-.\/]?\d{4}$)|(^\d{3}[\s\-.\/]?\d{3}[\s\-.\/]?\d{3}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.ssn" class="text form-control" data-id="coApplicant.ssn" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.dob" class="ddc-span4 date coApplicant-dob" > <span>Date of Birth</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.dob" data-date-format="mm/dd/yy" pattern="(^$)|(^[0-9]{4}\-[0-9]{1,2}\-[0-9]{1,2}$)|(^[0-9]{1,2}\/[0-9]{1,2}\/[0-9]{4}$)" placeholder="mm/dd/yyyy" id="323145068a7f464591acdcee5b0153ad-coApplicant.dob" class="text date form-control" data-id="coApplicant.dob" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.apartment" class="ddc-span4 text coApplicant-contact-address-apartment" > <span>Apartment</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.contact.address.apartment" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.apartment" class="text form-control" data-id="coApplicant.contact.address.apartment" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.street" class="ddc-span4 text coApplicant-contact-address-street" > <span>Street</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.contact.address.street" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.street" class="text form-control" data-id="coApplicant.contact.address.street" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.city" class="ddc-span4 text coApplicant-contact-address-city" > <span>City</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.contact.address.city" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.city" class="text form-control" data-id="coApplicant.contact.address.city" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4 region coApplicant-contact-address-state" for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.state"> <span> State </span> </label> <div class="ddc-span8"> <select class="form-control region" name="coApplicant.contact.address.state" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.state"> <option value="">Select State</option> <optgroup label="States"> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </optgroup> <optgroup label="Territories"> <option value="GU">Guam</option> <option value="PR">Puerto Rico</option> </optgroup> </select> </div></div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.postalCode" class="ddc-span4 region coApplicant-contact-address-state postal-code coApplicant-contact-address-postalCode" > <span>Zip Code</span> </label> <div class="ddc-span8"> <input type="number" name="coApplicant.contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.contact.address.postalCode" class="number form-control" data-id="coApplicant.contact.address.postalCode" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application4" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application6" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application6" id="fordprofile_finance_application6">Co-Applicant Employment Information</a></h2> <div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.employerName" class="ddc-span4 text coApplicant-employerName" > <span>Place of Employment</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.employerName" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.employerName" class="text form-control" data-id="coApplicant.employerName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.occupation" class="ddc-span4 text coApplicant-occupation" > <span>Occupation</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.occupation" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.occupation" class="text form-control" data-id="coApplicant.occupation" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.employerTelephone" class="ddc-span4 phone coApplicant-employerTelephone" > <span>Business Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="coApplicant.employerTelephone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.employerTelephone" class="tel form-control" data-id="coApplicant.employerTelephone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="323145068a7f464591acdcee5b0153ad-coApplicant.employed"> Time At Current Employer </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="coApplicant.employedYears" data-id="coApplicant.employed" id="323145068a7f464591acdcee5b0153ad-coApplicant.employed" class="form-control timeframe" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="coApplicant.employedMonths" data-id="coApplicant.employed" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.grossSalary" class="ddc-span4 number coApplicant-grossSalary" > <span>Gross Salary</span> </label> <div class="ddc-span8"> <input type="number" name="coApplicant.grossSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="323145068a7f464591acdcee5b0153ad-coApplicant.grossSalary" class="number form-control" data-id="coApplicant.grossSalary" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.netSalary" class="ddc-span4 number coApplicant-netSalary" > <span>Net Salary</span> </label> <div class="ddc-span8"> <input type="number" name="coApplicant.netSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="323145068a7f464591acdcee5b0153ad-coApplicant.netSalary" class="number form-control" data-id="coApplicant.netSalary" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.otherSalary" class="ddc-span4 number coApplicant-otherSalary" > <span>Other Income</span> </label> <div class="ddc-span8"> <input type="number" name="coApplicant.otherSalary" min="0" data-restrict-input-to-pattern="true" max="100000000" pattern="(^$)|^[\d]+$" id="323145068a7f464591acdcee5b0153ad-coApplicant.otherSalary" class="number form-control" data-id="coApplicant.otherSalary" value=""/> <div class="family-support-disclaimer"><p><small>**Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.</small></p> </div> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.employerName" class="ddc-span4 text coApplicant-employer1-employerName" > <span>Previous Employer</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.employer1.employerName" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.employerName" class="text form-control" data-id="coApplicant.employer1.employerName" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.occupation" class="ddc-span4 text coApplicant-employer1-occupation" > <span>Previous Occupation</span> </label> <div class="ddc-span8"> <input type="text" name="coApplicant.employer1.occupation" pattern="(^$)|(^.*(\S+).*$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.occupation" class="text form-control" data-id="coApplicant.employer1.occupation" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.employerTelephone" class="ddc-span4 phone coApplicant-employer1-employerTelephone" > <span>Previous Employer Phone</span> </label> <div class="ddc-span8"> <input type="tel" name="coApplicant.employer1.employerTelephone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.employerTelephone" class="tel form-control" data-id="coApplicant.employer1.employerTelephone" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <label class="ddc-span4" for="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.employed"> Time At Previous Employer </label> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="coApplicant.employer1.employedYears" data-id="coApplicant.employer1.employed" id="323145068a7f464591acdcee5b0153ad-coApplicant.employer1.employed" class="form-control timeframe" > <option value="" >Select Years</option> <option value="0" >0 years</option> <option value="1" >1 year</option> <option value="2" >2 years</option> <option value="3" >3 years</option> <option value="4" >4 years</option> <option value="5" >5 years</option> <option value="6" >6 years</option> <option value="7" >7 years</option> <option value="8" >8 years</option> <option value="9" >9 years</option> <option value="10" >10 years</option> <option value="11" >11 years</option> <option value="12" >12 years</option> <option value="13" >13 years</option> <option value="14" >14 years</option> <option value="15" >15 years</option> <option value="16" >16 years</option> <option value="17" >17 years</option> <option value="18" >18 years</option> <option value="19" >19 years</option> <option value="20" >20 years</option> <option value="21" >21 years</option> <option value="22" >22 years</option> <option value="23" >23 years</option> <option value="24" >24 years</option> <option value="25" >25 years</option> <option value="26" >26 years</option> <option value="27" >27 years</option> <option value="28" >28 years</option> <option value="29" >29 years</option> <option value="30" >30 years</option> <option value="31" >31 years</option> <option value="32" >32 years</option> <option value="33" >33 years</option> <option value="34" >34 years</option> <option value="35" >35 years</option> <option value="36" >36 years</option> <option value="37" >37 years</option> <option value="38" >38 years</option> <option value="39" >39 years</option> <option value="40" >40 years</option> <option value="41" >41 years</option> <option value="42" >42 years</option> <option value="43" >43 years</option> <option value="44" >44 years</option> <option value="45" >45 years</option> <option value="46" >46 years</option> <option value="47" >47 years</option> <option value="48" >48 years</option> <option value="49" >49 years</option> <option value="50" >50 years</option> </select> </div> </div><!-- end form-group --> <div class="ddc-span4 ddc-input-inline"> <div class="ddc-timeframe"> <select name="coApplicant.employer1.employedMonths" data-id="coApplicant.employer1.employed" class="form-control timeframe" > <option value="0" >0 months</option> <option value="1" >1 month</option> <option value="2" >2 months</option> <option value="3" >3 months</option> <option value="4" >4 months</option> <option value="5" >5 months</option> <option value="6" >6 months</option> <option value="7" >7 months</option> <option value="8" >8 months</option> <option value="9" >9 months</option> <option value="10" >10 months</option> <option value="11" >11 months</option> </select> </div> </div><!-- end form-group --> </div> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application5" > Back </a> <a class="btn btn-primary ui-accordion-next" href="#fordprofile_finance_application7" > Continue </a> </div> </div> </div> </fieldset> <fieldset> <h2 class="ui-accordion-header"><a href="#fordprofile_finance_application7" id="fordprofile_finance_application7">Important Privacy Information<em aria-hidden="true">*</em></a></h2> <div> <div class="alert-info alert"> <i aria-hidden="true" class="ddc-icon ddc-icon-circle-check align-left"></i> <h1>Privacy Statement</h1><div><strong>Introduction</strong><br />As a valued customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do, and if we do reserve a right to share information with non-affiliated third parties, lets you "opt-out" of our reservation to do so. Please take a moment to read this entire policy.<br /><br /><strong>Collection of Information</strong><br />The purchase of a motor vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell or lease you a vehicle - extending you credit at your request - we will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency. We may also obtain information from third parties such as employers, references and insurance companies.<br /><br />Some of the information we obtain from you may be required by state of federal agencies, such as the Department of Motor Vehicles or the Internal Revenue Service. This information may be required even if you were to pay cash for your vehicle. Examples would be a driver's license or social security number.<br /><br /><strong>Protecting Your Information</strong><br />We safeguard nonpublic personal information according to established industry standards and procedures. We maintain physical and electronic safeguards that comply with state and federal law. We restrict access to nonpublic personal information about you to those employees and outside contractors who need to know the information to provide product or service to you. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy.<br /><br /><strong>Information Sharing</strong><br />Unless we have indicated our desire to share your nonpublic personal information with non-affiliated third parties (by checking the box in the section below), we share information:<br /><br /><strong>A)</strong> For everyday business purposes, such as to process transactions, maintain account(s), respond to court orders and legal investigations, or report to credit bureaus.<br /><br /><strong>B)</strong> For purposes of processing a sale or lease transaction as your request or authorize, such as submitting information to third party financial institutions that may be requested to take an assignment of the contract or verifying insurance coverage information.<br /><br /><strong>C)</strong> When using outside service providers to help us provide you with products and services. Before providing information to our service providers we enter into contractual agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed.<br /><br /><strong>D)</strong> With "Affiliated" companies. Companies that are affiliated with us include any company that controls us, any company we control, or any company under common control with us. </div> </div> <div class="alert-info alert"> <i aria-hidden="true" class="ddc-icon ddc-icon-circle-check align-left"></i> <h1>(enter your initials)</h1>I am interested in purchasing or leasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me, in order to help determine the types and extent of financing which may be available to me. </div> <div class="form-group"> <span class="ddc-span12"> <strong> SHARE PUBLIC INFO </strong> <div class="ddc-offset4 ddc-span8"> <div class="radio"> <label for="323145068a7f464591acdcee5b0153ad-sharePublicInfo" > <input type="radio" name="sharePublicInfo" data-if-the-item-to-the-left-is-checked-i-direct-you-not-to-share-nonpublic-personal-information-about-me-to-non-affiliated-third-parties-except-as-provided-in-this-privacy-policy-="PROTECT_PERSONAL_INFORMATION" data-if-the-item-to-the-left-is-checked-this-dealership-reserves-the-right-to-disclose-nonpublic-personal-information-to-third-parties-such-as-market-research-firms-direct-marketing-companies-finance-service-providers-and-others-who-may-from-time-to-time-seek-to-provide-you-information-on-valuable-products-or-services-="SHARE_PERSONAL_INFORMATION" id="323145068a7f464591acdcee5b0153ad-sharePublicInfo" class="radio" data-id="sharePublicInfo" value="If the item to the left is checked, this dealership reserves the right to disclose nonpublic personal information to third parties, such as market research firms, direct marketing companies, finance service providers and others who may from time to time seek to provide you information on valuable products or services."/> <span>If the item to the left is checked, this dealership reserves the right to disclose nonpublic personal information to third parties, such as market research firms, direct marketing companies, finance service providers and others who may from time to time seek to provide you information on valuable products or services.</span> </label> </div><!-- end .form-group --> </div> <div class="ddc-offset4 ddc-span8"> <div class="radio"> <label > <input type="radio" name="sharePublicInfo" data-if-the-item-to-the-left-is-checked-i-direct-you-not-to-share-nonpublic-personal-information-about-me-to-non-affiliated-third-parties-except-as-provided-in-this-privacy-policy-="PROTECT_PERSONAL_INFORMATION" data-if-the-item-to-the-left-is-checked-this-dealership-reserves-the-right-to-disclose-nonpublic-personal-information-to-third-parties-such-as-market-research-firms-direct-marketing-companies-finance-service-providers-and-others-who-may-from-time-to-time-seek-to-provide-you-information-on-valuable-products-or-services-="SHARE_PERSONAL_INFORMATION" class="radio" data-id="sharePublicInfo" value="If the item to the left is checked, I direct you not to share nonpublic personal information about me to non-affiliated third parties, except as provided in this Privacy Policy."/> <span>If the item to the left is checked, I direct you not to share nonpublic personal information about me to non-affiliated third parties, except as provided in this Privacy Policy.</span> </label> </div><!-- end .form-group --> </div> </span> </div> <div class="form-group"> <label for="323145068a7f464591acdcee5b0153ad-authorize" class="ddc-span4 text authorize" > <span>I Authorize<em aria-hidden=true>*</em></span> </label> <div class="ddc-span8"> <input type="text" name="authorize" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="323145068a7f464591acdcee5b0153ad-authorize" class="text form-control required" required="true" data-id="authorize" value=""/> </div> </div><!-- end .form-group --> <div class="form-group"> <div class="ddc-offset4 ddc-span8"> <a class="btn btn-default ui-accordion-previous" href="#fordprofile_finance_application6" > Back </a> </div> </div> </div> </fieldset> <input type="hidden" name="selectedVehicleId" id="323145068a7f464591acdcee5b0153ad-selectedVehicleId" class="hidden" data-id="selectedVehicleId" value=""/> <input type="hidden" name="itemId" id="323145068a7f464591acdcee5b0153ad-itemId" class="hidden" data-id="itemId" value=""/> <input type="hidden" name="applicant.numOfHouses" id="323145068a7f464591acdcee5b0153ad-applicant.numOfHouses" class="hidden" data-id="applicant.numOfHouses" value="1"/> <input type="hidden" name="applicant.numOfEmployers" id="323145068a7f464591acdcee5b0153ad-applicant.numOfEmployers" class="hidden" data-id="applicant.numOfEmployers" value="1"/> <input type="hidden" name="applicant.numOfBankAccounts" id="323145068a7f464591acdcee5b0153ad-applicant.numOfBankAccounts" class="hidden" data-id="applicant.numOfBankAccounts" value="2"/> <input type="hidden" name="applicant.bankAccount1.sequence" id="323145068a7f464591acdcee5b0153ad-applicant.bankAccount1.sequence" class="hidden" data-id="applicant.bankAccount1.sequence" value="0"/> <input type="hidden" name="applicant.bankAccount2.sequence" id="323145068a7f464591acdcee5b0153ad-applicant.bankAccount2.sequence" class="hidden" data-id="applicant.bankAccount2.sequence" value="1"/> <input type="hidden" name="applicant.numOfLoans" id="323145068a7f464591acdcee5b0153ad-applicant.numOfLoans" class="hidden" data-id="applicant.numOfLoans" value="1"/> <input type="hidden" name="hasCoapplicant" id="323145068a7f464591acdcee5b0153ad-hasCoapplicant" class="hidden" data-id="hasCoapplicant" value="true"/> <input type="hidden" name="formStyle" id="323145068a7f464591acdcee5b0153ad-formStyle" class="hidden" data-id="formStyle" value=""/> <input type="hidden" name="portalId" id="323145068a7f464591acdcee5b0153ad-portalId" class="hidden" data-id="portalId" value=""/> <input type="hidden" name="source" id="323145068a7f464591acdcee5b0153ad-source" class="hidden" data-id="source" value="Finance Application - Dealer.com Website"/> <div class="form-group clearfix"> <div class="ddc-offset4 ddc-span8"> <button class="btn btn-primary ui-button-submit" type="submit" > Submit </button> </div> </div> <input type="hidden" name="formTrackingName" id="323145068a7f464591acdcee5b0153ad-submit" class="hidden" data-id="" value="finance-application"/> <input type="hidden" name="custom.form.id" class="hidden" data-id="" value="fordprofile_finance_application"/> <input type="hidden" name="pageAlias" class="hidden" data-id="" value="FINANCE_APPLICATION"/> <input type="hidden" name="dl.widgetName" class="hidden" data-id="" value=""/> <input type="hidden" name="vk" class="hidden" data-id="" value="wx7fqmfs"/> <div class="hide templates"> <small class="alert-danger alert"> <i aria-hidden="true" class="ddc-icon ddc-icon-alert align-left"></i> </small> </div> </form> <div class="provider-label">Powered by Dealer.com</div> </div> <div class=" ddc-content content-disclaimer" data-widget-name="content-disclaimer" data-widget-id="disclaimer1"> <div class="text-content-container ddc-font-size-small line-height-condensed text-muted" > Although every reasonable effort has been made to ensure the accuracy of the information contained on this site, absolute accuracy cannot be guaranteed. This site, and all information and materials appearing on it, are presented to the user "as is" without warranty of any kind, either express or implied. All vehicles are subject to prior sale. Price does not include applicable tax, title, license, and a $200 documentation fee. ‡Vehicles shown at different locations are not currently in our inventory (Not in Stock) but can be made available to you at our location within a reasonable date from the time of your request, not to exceed one week. </div> </div> </div><!-- end .ddc-span12 --> </div> </div><!-- end .page-bd --> </div><!-- end .container.main --> <div class="ddc-content text-muted container my-0 py-0 content-disclaimer" data-widget-name="content-disclaimer" data-widget-id="template-disclaimer1"> <script> var DDC = DDC || {}; DDC.WidgetData = DDC.WidgetData || {}; DDC.WidgetData["content_disclaimer"] = DDC.WidgetData["content_disclaimer"] || {}; DDC.WidgetData["content_disclaimer"].widgetId = "template-disclaimer1"; DDC.WidgetData["content_disclaimer"].props = DDC.WidgetData["content_disclaimer"].props || {}; DDC.WidgetData["content_disclaimer"].props["labels"] = {}; DDC.WidgetData["content_disclaimer"].props.labels["disclaimerLabel"] = ""; DDC.WidgetData["content_disclaimer"].showDealershipName = false; DDC.WidgetData["content_disclaimer"].useItemOnListing = false; </script> </div> </div><!-- end .ddc-wrapper --> <div class="push"> </div><!-- end .push --> <div class="ddc-footer"> <div class="ddc-content container content-disclaimer" data-widget-name="content-disclaimer" data-widget-id="template-oem-disclaimer1"> <div class="text-content-container ddc-font-size-small line-height-condensed text-muted" > Although every reasonable effort has been made to ensure the accuracy of the information contained on this site, absolute accuracy cannot be guaranteed. This site, and all information and materials appearing on it, are presented to the user "as is" without warranty of any kind, either express or implied. All vehicles are subject to prior sale. Price does not include applicable tax, title, license, and a $200 documentation fee. ‡Vehicles shown at different locations are not currently in our inventory (Not in Stock) but can be made available to you at our location within a reasonable date from the time of your request, not to exceed one week. </div> </div> <div class="ddc-content container hide content-disclaimer" data-widget-name="content-disclaimer" data-widget-id="template-oem-disclaimer2"> <div class="text-content-container ddc-font-size-small line-height-condensed text-muted" > </div> </div> <div class="container third-party-service-footer"> <div class="pull-left credit ddc-content content-default" data-widget-name="content-default" data-widget-id="template-content2"> <div class="text-content-container content" > <span class="credit">Copyright © 2022 FordDirect</span> </div> </div> <div class=" navigation-default ddc-content" data-widget-name="navigation-default" data-widget-id="template-navigation2"> <nav class="non-mega-menu" data-show-footer-links-icons > <ul class="nav nav pull-right parent-nav-count-5 navbar-nav nav-list" > <li class="nav-first dropdown dropdown nav-no-children"> <a data-navigation-id="default" href="/sitemap.htm" > Sitemap </a> </li> <li class="dropdown dropdown nav-no-children"> <a data-navigation-id="default" href="/privacy.htm" > Privacy </a> </li> <li class="dropdown dropdown nav-no-children"> <a data-navigation-id="default" href="http://www.forddirectprivacy.com/" target="_new" > FordDirect Privacy </a> </li> <li class="dropdown dropdown nav-no-children"> <a data-navigation-id="default" href="/definitions/index.htm" > View Additional Disclosures </a> </li> <li class="nav-last dropdown dropdown nav-no-children"> <a data-navigation-id="default" href="https://www.forddirect.com/dealerconnection-terms" target="_blank" > Terms and Conditions </a> </li> </ul> </nav> </div> <div class="mod inventory-search-forward " data-widget-name="inventory-search-forward" data-widget-id="template-inventory-forward1"> <div class="top"><div class="tl"></div><div class="tr"></div></div> <div class="inner"> <div class="inner2"> <div class="bd"> <div class="bd2"> </div> </div> </div> </div> <div class="bottom"><div class="bl"></div><div class="br"></div></div> </div><!-- end .mod --> </div><!-- end .container.third-party-service-footer --> <div class="fd-scripts hide"> <div class=" forddirect-script-manager ddc-content" data-widget-name="forddirect-script-manager" data-widget-id="forddirect-scripts1"> </div> </div><!-- end .fd-scripts.hide --> </div><!-- end .ddc-footer --> <div class="oem-includes hide"> </div><!-- end .oem-includes.hide --> <div class="ddc-tracking hide"> <div class=" ddc-content tracking-ddc-data-layer" data-widget-name="tracking-ddc-data-layer" data-widget-id="template-tracking13"> <script type="text/javascript"> (function(DDC){ DDC = DDC || {}; DDC.dataLayer = DDC.dataLayer || {}; DDC.dataLayer['client'] = {}; DDC.dataLayer['user'] = { ...DDC.userLocation, "sessionId": "mockSessionId" }; DDC.dataLayer['date'] = {}; DDC.dataLayer.site = DDC.dataLayer.site || {}; DDC.dataLayer.site.design = DDC.dataLayer.site.design || {}; DDC.dataLayer.site.design['variationId'] = "v9_OEM_FORD_0002_V1"; DDC.dataLayer.site.design['themekit'] = "BLUE_WHITE"; DDC.dataLayer.site['features'] = { templateHeaderLayoutOverride: "V9_HEADER_RESPONSIVE_CENTERED_NAV_V1", templateFooterOverride: "footer-default", variationFontFace: "font-face-cabin", enableSEOURLs: false, digitalRetailing: { "enabled": false }, promotions: { "enabled": true } }; DDC.dataLayer.site['franchises'] = [ "ford" ]; DDC.dataLayer.site['profiles'] = [ "fordprofile" ]; DDC.dataLayer.site['siteInfo'] = { "dealerId": "bellinghamfordfd", "domain": "bellinghamfordlincoln.com", "siteProvider": "Dealertrack", "tier": "tier3", "proximityAccount": DDC.siteSettings.proximityAccount }; DDC.dataLayer.page = DDC.dataLayer.page || {} DDC.dataLayer.page.pageInfo = { "pageId": "bellinghamfordfd_SITEBUILDER_FINANCE_APPLICATION_V2_1", "pageName": "FINANCE_APPLICATION", "pagePath": "\x2Ffinancing\x2Fapplication.htm", "pageUrl": "https\x3A\x2F\x2Fwww.bellinghamfordlincoln.com\x2Ffinancing\x2Fapplication.htm", "params": "", "pageWidgets": ["v9.widgets.content.page-title.v1","v9.widgets.include.velocity.v1","ws-tracking","v9.viewmodel.oem_toyota.digital_garage","v9.viewmodel.widgets.tracking.conversant","v9.widgets.content.alert-banner.v1","v9.viewmodel.widgets.tracking.form_tracking","v9.widgets.header.default.v1","v9.widgets.tracking.ddc-advertising.v1","v9.viewmodel.widgets.tracking.trilogy","v9.viewmodel.internal-tools.design-option-viewer","v9.widgets.tracking.ddc.v1","v9.viewmodel.widgets.forddirect.mongoose","v9.widgets.content.raw.v1","v9.viewmodel.widgets.tracking.adobe_dtm","v9.viewmodel.internal-tools.cox-digital-retailing-option-viewer","v9.widgets.finance.application.v1","v9.viewmodel.content.disclaimer","v9.widgets.content.disclaimer.v1","v9.widgets.inventory-search.forward.v1","ws-site-text-search","v9.widgets.mycars.default.v1","v9.viewmodel.widgets.forddirect.script_manager","v9.viewmodel.widgets.tracking.oem_lexus","TemplateContent","v9.widgets.tracking.ddc-clickmap.v1","ws-event-viewer","v9.widgets.tracking.tealium.v1","ws-tagging","v9.widgets.tracking.google.v2","v9.widgets.tracking.ddc-generic-widget-user-events.v1","v9.widgets.tracking.url-parameter-tracking.v1","v9.widgets.links.locale.v1","v9.widgets.navigation.default.v1","v9.widgets.tracking.ddc-data-layer.v1","v9.widgets.dialog.popups.v1","v9.widgets.content.default.v1"], "isHomepage": false, "isVlp": false, "isVdp": false, "isShowroomOverview": false, "hasLeadForm": true, "isConfirm": false }; //put any tracking properties into one datalayer object DDC.dataLayer.page.trackingTags = { }; DDC.dataLayer.page.attributes = { "layoutType": (false) ? "mobile" : "desktop", "locale": "en_US", // getting vehicle page results "incentivesCountPerDetailsPage": "", "incentivesDetailCategory": "", "vehicleCountPerPage": "", "vehicleCurrentPage": "", "vehicleResultCount": "", "vehicleListingPageSort": "", "vehicleListingPageViews": "", "vehicleDetailsPageViews": "", "vehicleDetailsNewPageViews": "", "vehicleDetailsUsedPageViews": "", "specialsCategory": "", }; DDC.dataLayer['dealership'] = { "address1": "1820\x20James\x20Street", "address2": "", "city": "Bellingham", "country": "US", "dealerCode":[{"autocheck":"5199105"}, {"dtid":"75824"}, {"fd":"00014\x2DF"} ], "dealershipName": "Bellingham\x20Ford", "dealerContactFirstName": "", "dealerContactLastName": "", "postalCode": "98225", "stateProvince": "WA", "phone1": "\x3Cspan\x20data\x2Dphone\x2Dref\x3D\x27SALES\x27\x20data\x2Daccount\x2Dref\x3D\x27bellinghamfordfd\x27\x3E360\x2D392\x2D7000\x3C\x2Fspan\x3E", "email": "bellinghamford\x40bellinghamford.forddirectcrmpro.com", "website": "https\x3A\x2F\x2Fwww.bellinghamfordlincoln.com" }; DDC.dataLayer['vehicles'] = [ ]; // This is populated in the widget.js DDC.dataLayer.myCars = { savedVehicles: [], viewedVehicles: [], priceChangeVehicles: [] }; DDC.dataLayer['confirmation'] = { "apptTime": "", "cemConsent": "", "customFormId": "", "elapsedTime": "", "element": "", "email": "", "firstName": "", "formEventId": "", "formTitle": "", "isModal": "", "lastName": "", "modalContainer": "", "phone": "", "pageName": "", "preferredContact": "", "street": "", "submissionTimestamp": "", "trackingId": "", "trackingTags": "", "tradeinMake": "", "tradeinModel": "", "tradeinVin": "", "tradeinYear": "", "uuid": "", "validate": "", "zip": "" || "" }; // this takes in the object and returns all string null as object null var stripNullStrings = function(obj){ for (var property in obj) { if (obj.hasOwnProperty(property)) { var val = obj[property]; if (typeof val === "object") { stripNullStrings(val); } else { var checkdVal = ((val === "null")||(val === "" ) ? null : val); obj[property] = checkdVal; } } } } stripNullStrings(DDC.dataLayer); })(window.DDC); </script> </div> <div class=" tracking-ddc-generic-widget-user-events ddc-content" data-widget-name="tracking-ddc-generic-widget-user-events" data-widget-id="template-tracking16"> </div> <script type="text/javascript"> (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','https://www.google-analytics.com/analytics.js','ga'); </script> <div class="googleAnalytics" data-account-ids="" data-set-domain-name="auto" data-set-allow-linker="" data-tracking-uri="/US/WA/en_US/PR/null/FINANCE_APPLICATION" data-tracking-enabled="true"></div> <script> DDC = DDC || {}; DDC.WidgetData = DDC.WidgetData || {}; DDC.WidgetData["tracking-ddc"] = DDC.WidgetData["tracking-ddc"] || {}; DDC.WidgetData["tracking-ddc"].showPrivacyBanner = "false"; </script> <img class="hide" id="ddc-clickmap-img-click" src=""/> <div class=" ddc-content tracking-tealium" data-widget-name="tracking-tealium" data-widget-id="template-tracking12"> </div> <div class=" ddc-content tracking-url-parameter-tracking" data-widget-name="tracking-url-parameter-tracking" data-widget-id="template-tracking14"> </div> <div class=" ddc-content tracking-form-tracking" data-widget-name="tracking-form-tracking" data-widget-id="form-tracking1"> </div> <div id="ws-tagging1-app-root" class="ddc-content ws-tagging" data-widget-name="ws-tagging" data-widget-id="ws-tagging1" data-reactroot=""><span data-testid="LegacyTracking"></span></div> <div id="ws-tracking1-app-root" class="ddc-content ws-tracking" data-widget-name="ws-tracking" data-widget-id="ws-tracking1" data-reactroot=""></div> </div><!-- end .ddc-tracking.hide --> <div class="ddc-internal-tools"> <div class=" internal-tools-design-option-viewer" data-widget-name="internal-tools-design-option-viewer" data-widget-id="template-design-option-viewer1"> </div> </div><!-- end .ddc-internal-tools --> <div class="hide"> <div class="dialog-popups ddc-content" data-widget-name="dialog-popups" data-widget-id="template-dialog1"> </div> <div class=" ddc-content include-velocity" data-widget-name="include-velocity" data-widget-id="template-include1"> <style> .navbar-default.responsive .container .navbar-nav:is(.small, .smaller) .dropdown:is(.home,.search,.ws-site-text-search-navigation-target) { width: 5%; } .navbar-default.responsive .container .navbar-nav.smaller .dropdown { width: 12.5%; } </style> </div> <div class=" ddc-content include-velocity" data-widget-name="include-velocity" data-widget-id="template-include2"> </div> <div class=" ddc-content include-velocity" data-widget-name="include-velocity" data-widget-id="template-include3"> </div> <div class=" ddc-content include-velocity" data-widget-name="include-velocity" data-widget-id="template-include4"> <script> !function() { var t = function() { var t = document.createElement("script"); t.src = "https://ws.audioeye.com/ae.js", t.type = "text/javascript", t.setAttribute("async", ""), document.getElementsByTagName("body")[0].appendChild(t) }; "complete" !== document.readyState ? window.addEventListener ? window.addEventListener("load", t) : window.attachEvent && window.attachEvent("onload", t) : t() }() </script> <style type="text/css"> .social-header-buttons.ddc-integrations a.disable-bgImage { background-image: none } .social-header-buttons a {float:left;} .social-header-buttons a svg { border-radius: 50% } .social-header-buttons.socialsm a {width:20px;height:20px; } .social-header-buttons.socialmed a {width:30px;height:30px;margin-left:5px;} .social-header-buttons.sociallrg a {width:44px;height:44px;} .social-header-buttons a span {display:none;} .social-header-buttons.sociallrg a { margin: 0 2px; } .social-header-buttons.socialmed a { margin: 0 2px; } .social-header-buttons.socialsm a { margin: 0 1px; } .social-header-buttons.socialsm a svg {width:20px;height:20px; } .social-header-buttons.socialmed a svg {width:30px;height:30px;} .social-header-buttons.sociallrg a svg {width:44px;height:44px;} .social-header-buttons a svg g {transition: transform 0.25s; transition-timing-function: ease-in; transform-origin: 50% 50%} .social-header-buttons a:hover svg g {transition: transform 0.2s; transition-timing-function: cubic-bezier(0, 1.25, 1, 1.8); transform: scale(1.3)} </style> true) true) true) <div class="social-header-buttons ddc-integrations socialheader-header-container socialmed tablet social-header-button-override hide hidden" style="position:absolute;left:100px;top:0px;"> <a title="Facebook" class="disable-bgImage" target="_blank" href="https://www.facebook.com/bellinghamfordlincoln/" data-social-header-button-id="facebook" role="img" aria-label="Facebook"> <svg id="sh-facebook" version="1.1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 64 64"><title>Facebook</title><style>#sh-facebook rect{fill:#2c73ba;}#sh-facebook g{fill:#fff;}</style><rect width="64" height="64"/><g><path d="M50.03005,32A18.03005,18.03005,0,1,0,29.1828,49.81093V37.21181H24.60486V32H29.1828V28.02775c0-4.51878,2.69178-7.01481,6.81019-7.01481a27.72627,27.72627,0,0,1,4.036.35215v4.43708H37.75543a2.60585,2.60585,0,0,0-2.93823,2.81569V32h5.00052l-.79938,5.21181H34.8172V49.81093A18.03436,18.03436,0,0,0,50.03005,32Z"/></g></svg> </a> <a title="Youtube" class="disable-bgImage" target="_blank" href="https://www.youtube.com/channel/UCDbH2isniYSWuIeXzH5HLjQ/videos" data-social-header-button-id="youtube" role="img" aria-label="Youtube"> <svg id="sh-youtube" version="1.1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 64 64"><title>Youtube</title><style>#sh-youtube rect{fill:#ee3124}#sh-youtube g{fill:#fff}</style><rect width="64" height="64"/><g><path d="M32,19.3c0,0-11.4,0-14.2,0.7c-1.5,0.4-2.8,1.7-3.2,3.2c-0.7,2.8-0.7,8.7-0.7,8.7s0,5.9,0.7,8.7c0.4,1.5,1.7,2.8,3.2,3.2c2.9,0.8,14.2,0.8,14.2,0.8s11.4,0,14.2-0.7c1.5-0.4,2.8-1.6,3.2-3.2c0.8-2.8,0.8-8.7,0.8-8.7s0-5.9-0.8-8.8c-0.4-1.5-1.6-2.8-3.2-3.2C43.4,19.3,32,19.3,32,19.3z M28.4,26.6l9.4,5.5l-9.4,5.4V26.6L28.4,26.6z"/></g></svg> </a> <a title="Twitter" class="disable-bgImage" target="_blank" href="https://twitter.com/bellinghamford" data-social-header-button-id="twitter" role="img" aria-label="Twitter"> <svg id="sh-twitter" version="1.1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 64 64"><title>Twitter</title><style>#sh-twitter rect{fill:#1d9bf0}#sh-twitter g{fill:#fff}</style><rect width="64" height="64"/><g><path d="M46.34682,24.66894c.02049.3125.02049.6318.02049.9404a21.7731,21.7731,0,0,1-5.4209,14.18751,19.91264,19.91264,0,0,1-6.5977,4.9439,21.30686,21.30686,0,0,1-9.0273,1.9135.02742.02742,0,0,1-.0176-.0058h-.0107a20.897,20.897,0,0,1-11.30961-3.3164.03022.03022,0,0,1-.01169-.0357.03061.03061,0,0,1,.02829-.0195h.0039a15.14913,15.14913,0,0,0,1.7549.1069h.0127a14.85811,14.85811,0,0,0,9.07521-3.1108,7.42176,7.42176,0,0,1-6.84381-5.1475.02922.02922,0,0,1,.0059-.0293.02846.02846,0,0,1,.0283-.0092,7.41572,7.41572,0,0,0,3.1992-.0943A7.44274,7.44274,0,0,1,15.4103,27.749v-.0938a.03018.03018,0,0,1,.0449-.0264,7.33737,7.33737,0,0,0,3.2344.9175,7.43673,7.43673,0,0,1-2.21-9.84129.0326.0326,0,0,1,.0244-.01464h.002a.03131.03131,0,0,1,.0234.01074,20.9655,20.9655,0,0,0,15.16111,7.70359,7.42313,7.42313,0,0,1,12.6358-6.7368,14.72773,14.72773,0,0,0,4.6631-1.78564.02966.02966,0,0,1,.0341.00244.03.03,0,0,1,.0098.03272,7.43255,7.43255,0,0,1-3.1416,4.02878,14.67667,14.67667,0,0,0,4.0967-1.1426.02841.02841,0,0,1,.0351.0079.03234.03234,0,0,1,.002.0361A15.00052,15.00052,0,0,1,46.34682,24.66894Z"/></g></svg> </a> </div> <script async src="https://www.googletagmanager.com/gtag/js?id=UA-151164028-1&l=dataLayer"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'UA-151164028-1' ); </script> </div> <div class=" ddc-content include-velocity" data-widget-name="include-velocity" data-widget-id="template-specific-include1"> ; ; </div> </div><!-- end .hide --> <script type="text/javascript"> window.DDC = window.DDC || {}; window.DDC.Flags = window.DDC.Flags || {}; window.DDC.Flags.usePhoneSwappingService = true || false; var generateCallTrackingSessionId = function() { var uuid = Math.random().toString(36).substring(2) + (new Date()).getTime().toString(36); return uuid; }, setCallTrackingSessionCookie = function(uuid) { // Set cookie to expire in 2 hours var expirationTime = new Date(); expirationTime.setTime(expirationTime.getTime() + 120 * 60 * 1000); document.cookie = 'callTrackingSessionId=' + uuid + ';expires=' + expirationTime.toGMTString() + ';path=/'; }, cookieRxResults = new RegExp("callTrackingSessionId=\(\.\*\?\)\(;\|\$\)").exec(document.cookie), callTrackingSessionId ; if (cookieRxResults) { callTrackingSessionId = cookieRxResults[1]; } else { callTrackingSessionId = generateCallTrackingSessionId(); setCallTrackingSessionCookie(callTrackingSessionId); } window.DDC.callTrackingSettings = { callTrackingArtifactBaseUrl: 'https://phones.ddcplatform.dealer.com', callTrackingSessionId: callTrackingSessionId, callTrackingAccountIdsOverride: null }; window.DDC.phonesUrl = 'https://phone-swapping-service-prod.us-east-1.web.dealer.com:443/phones'; </script> <script type="text/javascript" src="/static/dist/v9/media/js/ddc-phone-swapping/v1/dist/phone-swapping.min.js?r=1660231010000" async></script> <!-- Google Tag Manager --> <script type="text/javascript"> var gtmContainerIds = ['GTM-4H673', 'GTM-WLKCSVL']; DDC.dataLayer = DDC.dataLayer || {}; if(dataLayer) { dataLayer.splice(0,0,DDC.dataLayer); } else { var dataLayer=[DDC.dataLayer]; } (function(w,d,s,l,i,j,f,dl,k,q){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});f=d.getElementsByTagName(s)[0], k=i.length;q='https://www.googletagmanager.com/gtm.js?id=@&l='+(l||'dataLayer'); while(k--){j=d.createElement(s);j.async=!0;j.src=q.replace('@',i[k]);f.parentNode.insertBefore(j,f);}}(window,document,'script','dataLayer',gtmContainerIds)); </script> <!-- End Google Tag Manager --> <noscript> <iframe src="//www.googletagmanager.com/ns.html?id=GTM-4H673" height="0" width="0" style="display:none;visibility:hidden">
