<div class="form-group row has-option" ng-class="{error: addressInputInvalid('home_address')}">
<label class="form-label caps">Address</label>
<p class="form-note margin-bottom ">
We need the address where you currently live.
</p>
<div class="form-address row expand ng-scope">
<div class="form-group-street form-item large-12 columns" ng-class="{ error: inputInvalid('address1', addressType) }">
<label class="sr-only ng-scope" for="applicant_home_address_address1">Street Address</label>
<input aria-describedby="applicant_home_address_address1_error" id="applicant_home_address_address1" name="home_address_address1" ng-class="{ error: inputInvalid('address1', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].address1"
ng-required="!applicant.noAddress" placeholder="Street Address" type="text">
<small class="error ng-hide" id="applicant_home_address_address1_error" ng-show="inputInvalid('address1', addressType)">Please enter an address</small>
</div>
<div class="form-group-apt large-12 column">
<label for="applicant_home_address_address2">Apt or Unit #</label>
<input id="applicant_home_address_address2" name="home_address_address2" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].address2" placeholder="Apt or Unit #" type="text">
</div>
<div class="form-group-city form-item small-7 columns" ng-class="{ error: inputInvalid('city', addressType) }">
<label for="applicant_home_address_city">City Name</label>
<input aria-describedby="applicant_home_address_city_error" id="applicant_home_address_city" name="home_address_city" ng-class="{ error: inputInvalid('city', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].city" ng-required="!applicant.noAddress"
placeholder="City Name" type="text">
<small class="error ng-hide" id="applicant_home_address_city_error" ng-show="inputInvalid('city', addressType)">Please enter a city</small>
</div>
<div class="form-group-state form-item small-5 columns" ng-class="{ error: inputInvalid('state', addressType) }">
<label for="applicant_home_address_state">State</label>
<select aria-describedby="applicant_home_address_state_error" data-width="auto" id="applicant_home_address_state" name="home_address_state" ng-class="{ error: inputInvalid('state', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].state"
ng-required="!applicant.noAddress">
<option value="">
Select one
</option>
<option value="alabama">Alabama</option>
<option value="alaska">Alaska</option>
<option value="arizona">Arizona</option>
<option value="arkansas">Arkansas</option>
<option value="california">California</option>
<option value="colorado">Colorado</option>
<option value="connecticut">Connecticut</option>
<option value="delaware">Delaware</option>
<option value="district-of-columbia">District Of Columbia</option>
<option value="florida">Florida</option>
<option value="georgia">Georgia</option>
<option value="hawaii">Hawaii</option>
<option value="idaho">Idaho</option>
<option value="illinois">Illinois</option>
<option value="indiana">Indiana</option>
<option value="iowa">Iowa</option>
<option value="kansas">Kansas</option>
<option value="kentucky">Kentucky</option>
<option value="louisiana">Louisiana</option>
<option value="maine">Maine</option>
<option value="maryland">Maryland</option>
<option value="massachusetts">Massachusetts</option>
<option value="michigan">Michigan</option>
<option value="minnesota">Minnesota</option>
<option value="mississippi">Mississippi</option>
<option value="missouri">Missouri</option>
<option value="montana">Montana</option>
<option value="nebraska">Nebraska</option>
<option value="nevada">Nevada</option>
<option value="new-hampshire">New Hampshire</option>
<option value="new-jersey">New Jersey</option>
<option value="new-mexico">New Mexico</option>
<option value="new-york">New York</option>
<option value="north-carolina">North Carolina</option>
<option value="north-dakota">North Dakota</option>
<option value="ohio">Ohio</option>
<option value="oklahoma">Oklahoma</option>
<option value="oregon">Oregon</option>
<option value="pennsylvania">Pennsylvania</option>
<option value="rhode-island">Rhode Island</option>
<option value="south-carolina">South Carolina</option>
<option value="south-dakota">South Dakota</option>
<option value="tennessee">Tennessee</option>
<option value="texas">Texas</option>
<option value="utah">Utah</option>
<option value="vermont">Vermont</option>
<option value="virginia">Virginia</option>
<option value="washington">Washington</option>
<option value="west-virginia">West Virginia</option>
<option value="wisconsin">Wisconsin</option>
<option value="wyoming">Wyoming</option>
</select>
<small class="error ng-hide" id="applicant_home_address_state_error" ng-show="inputInvalid('state', addressType)">Please enter a state</small>
</div>
<div class="form-group-zip form-item small-12 columns" ng-class="{ error: inputInvalid('zip', addressType) }">
<label for="applicant_home_address_zip">Zip</label><input aria-describedby="applicant_home_address_zip_error" id="applicant_home_address_zip" name="home_address_zip" ng-class="{ error: inputInvalid('zip', addressType) }" ng-disabled="applicant.noAddress"
ng-model="applicant[addressType].zip" ng-required="!applicant.noAddress" placeholder="Zipcode" type="text" ui-mask="99999" ui-mask-placeholder="">
<small class="error" id="applicant_home_address_zip_error" ng-show="inputInvalid('zip', addressType)">Please enter a zipcode</small>
</div>
</div>
<div class="form-item padding-bottom">
<div class="checkbox">
<input data-event="gtm-applicant-no-address" id="applicant_no_address" name="no_address" ng-change="applicant.hasAltMailingAddress = false;" ng-disabled="validMailingAddress() && !applicant.noAddress || addressFailedValidation('home_address') || applicant.hasAltMailingAddress"
ng-model="applicant.noAddress" type="checkbox">
<label for="applicant_no_address">I don't have an address</label>
</div>
</div>
</div>
<div class="form-group row has-option" ng-class="{error: addressInputInvalid('home_address')}">
<label class="form-label caps">Address</label>
<p class="form-note margin-bottom ">
We need the address where you currently live.
</p>
<div class="form-address row expand ng-scope">
<div class="form-group-street form-item large-12 columns" ng-class="{ error: inputInvalid('address1', addressType) }">
<label class="sr-only ng-scope" for="applicant_home_address_address1">Street Address</label>
<input aria-describedby="applicant_home_address_address1_error" id="applicant_home_address_address1" name="home_address_address1" ng-class="{ error: inputInvalid('address1', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].address1" ng-required="!applicant.noAddress" placeholder="Street Address" type="text">
<small class="error ng-hide" id="applicant_home_address_address1_error" ng-show="inputInvalid('address1', addressType)">Please enter an address</small>
</div>
<div class="form-group-apt large-12 column">
<label for="applicant_home_address_address2">Apt or Unit #</label>
<input id="applicant_home_address_address2" name="home_address_address2" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].address2" placeholder="Apt or Unit #" type="text">
</div>
<div class="form-group-city form-item small-7 columns" ng-class="{ error: inputInvalid('city', addressType) }">
<label for="applicant_home_address_city">City Name</label>
<input aria-describedby="applicant_home_address_city_error" id="applicant_home_address_city" name="home_address_city" ng-class="{ error: inputInvalid('city', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].city" ng-required="!applicant.noAddress" placeholder="City Name" type="text">
<small class="error ng-hide" id="applicant_home_address_city_error" ng-show="inputInvalid('city', addressType)">Please enter a city</small>
</div>
<div class="form-group-state form-item small-5 columns" ng-class="{ error: inputInvalid('state', addressType) }">
<label for="applicant_home_address_state">State</label>
<select aria-describedby="applicant_home_address_state_error" data-width="auto" id="applicant_home_address_state" name="home_address_state" ng-class="{ error: inputInvalid('state', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].state" ng-required="!applicant.noAddress">
<option value="">
{{default placeholder 'Select one'}}
</option>
{{#each inputs.states}}
<option value="{{attr name}}">{{name}}</option>
{{/each}}
</select>
<small class="error ng-hide" id="applicant_home_address_state_error" ng-show="inputInvalid('state', addressType)">Please enter a state</small>
</div>
<div class="form-group-zip form-item small-12 columns" ng-class="{ error: inputInvalid('zip', addressType) }">
<label for="applicant_home_address_zip">Zip</label><input aria-describedby="applicant_home_address_zip_error" id="applicant_home_address_zip" name="home_address_zip" ng-class="{ error: inputInvalid('zip', addressType) }" ng-disabled="applicant.noAddress" ng-model="applicant[addressType].zip" ng-required="!applicant.noAddress" placeholder="Zipcode" type="text" ui-mask="99999" ui-mask-placeholder="">
<small class="error" id="applicant_home_address_zip_error" ng-show="inputInvalid('zip', addressType)">Please enter a zipcode</small>
</div>
</div>
<div class="form-item padding-bottom">
<div class="checkbox">
<input data-event="gtm-applicant-no-address" id="applicant_no_address" name="no_address" ng-change="applicant.hasAltMailingAddress = false;" ng-disabled="validMailingAddress() && !applicant.noAddress || addressFailedValidation('home_address') || applicant.hasAltMailingAddress" ng-model="applicant.noAddress" type="checkbox">
<label for="applicant_no_address">I don't have an address</label>
</div>
</div>
</div>
{
"inputs": {
"states": [
{
"name": "Alabama",
"attr": "AL"
},
{
"name": "Alaska",
"attr": "AK"
},
{
"name": "Arizona",
"attr": "AK"
},
{
"name": "Arkansas",
"attr": "AK"
},
{
"name": "California",
"attr": "CA"
},
{
"name": "Colorado",
"attr": "CO"
},
{
"name": "Connecticut",
"attr": "CT"
},
{
"name": "Delaware",
"attr": "DE"
},
{
"name": "District Of Columbia",
"attr": "DC"
},
{
"name": "Florida",
"attr": "FL"
},
{
"name": "Georgia",
"attr": "GA"
},
{
"name": "Hawaii",
"attr": "HI"
},
{
"name": "Idaho",
"attr": "ID"
},
{
"name": "Illinois",
"attr": "IL"
},
{
"name": "Indiana",
"attr": "IN"
},
{
"name": "Iowa",
"attr": "IA"
},
{
"name": "Kansas",
"attr": "KS"
},
{
"name": "Kentucky",
"attr": "KY"
},
{
"name": "Louisiana",
"attr": "LA"
},
{
"name": "Maine",
"attr": "ME"
},
{
"name": "Maryland",
"attr": "MD"
},
{
"name": "Massachusetts",
"attr": "MA"
},
{
"name": "Michigan",
"attr": "MI"
},
{
"name": "Minnesota",
"attr": "MN"
},
{
"name": "Mississippi",
"attr": "MS"
},
{
"name": "Missouri",
"attr": "MO"
},
{
"name": "Montana",
"attr": "MT"
},
{
"name": "Nebraska",
"attr": "NE"
},
{
"name": "Nevada",
"attr": "NV"
},
{
"name": "New Hampshire",
"attr": "NH"
},
{
"name": "New Jersey",
"attr": "NJ"
},
{
"name": "New Mexico",
"attr": "NM"
},
{
"name": "New York",
"attr": "NY"
},
{
"name": "North Carolina",
"attr": "NC"
},
{
"name": "North Dakota",
"attr": "ND"
},
{
"name": "Ohio",
"attr": "OH"
},
{
"name": "Oklahoma",
"attr": "OK"
},
{
"name": "Oregon",
"attr": "OR"
},
{
"name": "Pennsylvania",
"attr": "PA"
},
{
"name": "Rhode Island",
"attr": "RI"
},
{
"name": "South Carolina",
"attr": "SC"
},
{
"name": "South Dakota",
"attr": "SD"
},
{
"name": "Tennessee",
"attr": "TN"
},
{
"name": "Texas",
"attr": "TX"
},
{
"name": "Utah",
"attr": "UT"
},
{
"name": "Vermont",
"attr": "VT"
},
{
"name": "Virginia",
"attr": "VA"
},
{
"name": "Washington",
"attr": "WA"
},
{
"name": "West Virginia",
"attr": "WV"
},
{
"name": "Wisconsin",
"attr": "WI"
},
{
"name": "Wyoming",
"attr": "WY"
}
]
}
}
There are no notes for this item.