{% extends 'wfrs/dashboard/form_base.html' %} {% load currency_filters %} {% load i18n %} {% block form_fields %}

{% trans "Region information" %}

{% include 'dashboard/partials/form_field.html' with field=form.region %} {% include 'dashboard/partials/form_field.html' with field=form.language %} {% include 'dashboard/partials/form_field.html' with field=form.app_type %}

{% trans "Applicant #1" %}

{% include 'dashboard/partials/form_field.html' with field=form.main_first_name %} {% include 'dashboard/partials/form_field.html' with field=form.main_last_name %} {% include 'dashboard/partials/form_field.html' with field=form.main_middle_initial %} {% include 'dashboard/partials/form_field.html' with field=form.main_date_of_birth %} {% block main_personal_fields %}{% endblock %}

{% trans "Applicant #1: Address" %}

{% include 'dashboard/partials/form_field.html' with field=form.main_address_line1 %} {% include 'dashboard/partials/form_field.html' with field=form.main_address_line2 %} {% include 'dashboard/partials/form_field.html' with field=form.main_address_city %} {% block main_addr_fields %}{% endblock %}

{% trans "Applicant #1: Assets" %}

{% include 'dashboard/partials/form_field.html' with field=form.main_home_value %} {% include 'dashboard/partials/form_field.html' with field=form.main_mortgage_balance %} {% block main_asset_fields %}{% endblock %}

{% trans "Applicant #1: Employment" %}

{% include 'dashboard/partials/form_field.html' with field=form.main_annual_income %} {% block main_employment_fields %}{% endblock %}
{% if form.joint_first_name %}

{% trans "Applicant #2" %}

{% include 'dashboard/partials/form_field.html' with field=form.joint_first_name %} {% include 'dashboard/partials/form_field.html' with field=form.joint_last_name %} {% include 'dashboard/partials/form_field.html' with field=form.joint_middle_initial %} {% include 'dashboard/partials/form_field.html' with field=form.joint_date_of_birth %} {% block joint_personal_fields %}{% endblock %}

{% trans "Applicant #2: Address" %}

{% include 'dashboard/partials/form_field.html' with field=form.joint_address_line1 %} {% include 'dashboard/partials/form_field.html' with field=form.joint_address_line2 %} {% include 'dashboard/partials/form_field.html' with field=form.joint_address_city %} {% block joint_addr_fields %}{% endblock %}

{% trans "Applicant #2: Employment" %}

{% include 'dashboard/partials/form_field.html' with field=form.joint_annual_income %} {% block joint_employment_fields %}{% endblock %}
{% endif %}

{% trans "Other Information" %}

{% include 'dashboard/partials/form_field.html' with field=form.purchase_price %} {% include 'dashboard/partials/form_field.html' with field=form.insurance %} {% include 'dashboard/partials/form_field.html' with field=form.sales_person_id %} {% include 'dashboard/partials/form_field.html' with field=form.new_sales_person %} {% include 'dashboard/partials/form_field.html' with field=form.email %} {% include 'dashboard/partials/form_field.html' with field=form.application_source %}

{% trans "Review & Submit" %}

{% trans "Please verify all of the above information is accurate before submitting." %}

{% trans "Back" %}
{% endblock %}