www.refiadvantageexperts.com
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18.188.52.203
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Submitted URL: http://app.bronto.com/t/l?ssid=43791&subscriber_id=bzajjgkniskwsybwwugyzanfzlhbbcc&delivery_id=ajudgrvrcxtefqiiermzlnw...
Effective URL: https://www.refiadvantageexperts.com/?reqid=8763636&affid=3&city=GILBERT&email=debra.grunkemeyer%40usairways.com&firstname=Debra&last...
Submission: On May 31 via api from US — Scanned from DE
Effective URL: https://www.refiadvantageexperts.com/?reqid=8763636&affid=3&city=GILBERT&email=debra.grunkemeyer%40usairways.com&firstname=Debra&last...
Submission: On May 31 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST confirmation.php
<form id="hlform" action="confirmation.php" data-parsley-validate="" method="POST" novalidate="">
<input id="leadid_token" name="universal_leadid" type="hidden" value="988FE435-368E-FC29-5DA8-C12628E04D89">
<input name="ckm_request_id" type="hidden" value="8763636">
<input name="ckm_key" type="hidden" value="3">
<input name="referring_url" type="hidden" value="">
<div class="row">
<h6>Do you own a home or are you looking to buy?</h6>
<label id="home_one_label" for="home_one" class="btn-default radio-btn-label active-btn">i own a home <input type="radio" class="radio-btn" name="type" value="Refinance" id="home_one" data-parsley-multiple="type">
</label>
<label id="home_two_label" for="home_two" class="btn-default radio-btn-label">i’m looking to buy <input type="radio" name="type" value="Home Purchase" class="radio-btn" id="home_two" data-parsley-multiple="type">
</label>
</div>
<div class="row">
<h6>Have you or your spouse served in the military?</h6>
<label for="spouse_one" class="btn-default radio-btn-label">Yes, we’re a<br> Veteran household <input type="radio" class="radio-btn" name="military" value="yes" id="spouse_one" data-parsley-multiple="military">
</label>
<label for="spouse_two" class="btn-default radio-btn-label">No, we’re not a<br> Veteran household <input type="radio" name="military" value="no" class="radio-btn" id="spouse_two" data-parsley-multiple="military">
</label>
</div>
<div class="row refinance">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group ">
<h6>Late payments in past year?</h6>
<select name="latepayments" class="form-control" required="">
<option selected="selected" value="Current">I'm not behind </option>
<option value="One">1 Month Late</option>
<option value="Two">2 Months Late</option>
<option value="Two or more">2+ Months Late</option>
</select>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group ">
<h6>Who is your current Lender?</h6>
<select name="currentlender" class="form-control" required="">
<option value="">Please select an option</option>
<option value="Wells Fargo">Wells Fargo</option>
<option value="Bank of America">Bank of America</option>
<option value="JP Morgan Chase">JP Morgan Chase</option>
<option value="Citigroup">Citigroup</option>
<option value="GMAC Ally Financial">GMAC/Ally Financial</option>
<option value="Credit Union">Credit Union</option>
<option value="HSBC/Beneficial">HSBC/Beneficial</option>
<option value="Indy Mac">Indy Mac</option>
<option value="OCWEN">OCWEN</option>
<option value="PHH Mortgage">PHH Mortgage</option>
<option value="Suntrust">Suntrust</option>
<option value="Washington Mutual">Washington Mutual</option>
<option value="Nationstar">Nationstar</option>
<option value="Countrywide">Countrywide</option>
<option value="Metlife">Metlife</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="row purchase" style="display: none;">
<h6>Any bankruptcies in the last 3 years?</h6>
<label for="bankruptcies_one" class="btn-default radio-btn-label">YES <input type="radio" class="radio-btn" name="bankruptcy" value="Yes" id="bankruptcies_one" data-parsley-multiple="bankruptcy">
</label>
<label for="bankruptcies_two" class="btn-default radio-btn-label active-btn">NO <input type="radio" name="bankruptcy" value="No" class="radio-btn" id="bankruptcies_two" data-parsley-multiple="bankruptcy">
</label>
</div>
<div class="row purchase" style="display: none;">
<h6>First time buyer?</h6>
<label for="buyer_one" class="btn-default radio-btn-label">YES <input type="radio" class="radio-btn" name="firsttimebuyer" value="Yes" id="buyer_one" data-parsley-multiple="firsttimebuyer">
</label>
<label for="buyer_two" class="btn-default radio-btn-label active-btn">NO <input type="radio" name="firsttimebuyer" selected="true" value="No" class="radio-btn" id="buyer_two" data-parsley-multiple="firsttimebuyer">
</label>
</div>
<div class="row purchase" style="display: none;">
<h6>Are you working with a real estate agent?</h6>
<label for="agent_one" class="btn-default radio-btn-label">YES <input type="radio" class="radio-btn" name="realestateagent" value="Yes" id="agent_one" data-parsley-multiple="realestateagent">
</label>
<label for="agent_two" class="btn-default radio-btn-label active-btn">NO <input type="radio" name="realestateagent" value="No" class="radio-btn" id="agent_two" data-parsley-multiple="realestateagent">
</label>
</div>
<div class="row price-row">
<div class="price-slider price-slider-two">
<h6 class="refinance">How much is your estimated property value?</h6>
<h6 class="purchase" style="display: none;">How much is your estimated purchase price?</h6>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div id="slider-range-one" class="noUi-target noUi-ltr noUi-horizontal noUi-background">
<div class="noUi-base">
<div class="noUi-origin noUi-connect" style="left: 11%;">
<div class="noUi-handle noUi-handle-lower"></div>
</div>
<div class="noUi-origin noUi-background" style="left: 100%;">
<div class="noUi-handle noUi-handle-upper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="row slider-labels">
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-left caption">$100,000</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-left text-center caption"><span id="slider-range-value1" class="slider-value">$220000</span><span id="slider-range-value2" class="slider-value hidden">2000000</span></div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-right caption">$2,000,000</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<input type="hidden" id="propertyvalue" class="refinance" name="propertyvalue" value="220000" style="display: inline-block;">
<input type="hidden" id="purchaseprice" class="purchase" name="purchaseprice" value="220000" disabled="disabled" style="display: none;">
</div>
</div>
</div>
</div>
<div class="row price-row">
<div class="price-slider price-slider-two">
<h6 class="refinance">What is your estimated mortgage balance?</h6>
<h6 class="purchase" style="display: none;">What is your estimated down payment?</h6>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div id="slider-range-two" class="noUi-target noUi-ltr noUi-horizontal noUi-background">
<div class="noUi-base">
<div class="noUi-origin noUi-connect" style="left: 6.18557%;">
<div class="noUi-handle noUi-handle-lower"></div>
</div>
<div class="noUi-origin noUi-background" style="left: 100%;">
<div class="noUi-handle noUi-handle-upper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="row slider-labels">
<div id="start_label_2" class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-left caption">$60000</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-left text-center caption"><span id="slider-range-value3" class="slider-value">$180000</span><span id="slider-range-value4" class="slider-value hidden">2000000</span></div>
<div id="end_label_2" class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-right caption">$2000000</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<input class="refinance" type="hidden" id="mortgagebalance" name="mortgagebalance" value="180000" style="display: inline-block;">
<input class="purchase" type="hidden" id="downpayment" name="downpayment" value="11000" disabled="disabled" style="display: none;">
</div>
</div>
</div>
</div>
<div id="reverse" style="display: none;" class="row refinance">
<h6>Are you 62 Years or older and interested in a Reverse Mortgage?</h6>
<h6 style="text-decoration:underline;text-align:center"
onclick="alert('A reverse mortgage allows you to use the equity in your home to eliminate mortgage payments and other expenses, while allowing you to live comfortably. No credit is required and you can live in your house for as long as you wish, with no payments. You are still responsible for paying your taxes and insurance.');">
What is a Reverse Mortgage? </h6>
<label for="age_above_or_equal_62_yes" class="btn-default radio-btn-label">YES <input type="radio" class="radio-btn" name="age_above_or_equal_62" id="age_above_or_equal_62_yes" value="yes" data-parsley-multiple="age_above_or_equal_62">
</label>
<label for="age_above_or_equal_62_no" class="btn-default radio-btn-label">NO <input type="radio" name="age_above_or_equal_62" id="age_above_or_equal_62_no" value="no" class="radio-btn" data-parsley-multiple="age_above_or_equal_62">
</label>
<script>
$(function() {
$('#age_above_or_equal_62_yes').click(function() {
if ($(this).is(':checked')) $('#age_block').show();
});
});
$(function() {
$('#age_above_or_equal_62_no').click(function() {
if ($(this).is(':checked')) $('#age_block').hide();
});
});
</script>
<div id="age_block" style="display:none" class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group ">
<h6>Age</h6>
<select id="age" name="age" class="form-control">
<option value="" selected="selected">AGE</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
<option value="69">69</option>
<option value="70">70</option>
<option value="71">71</option>
<option value="72">72</option>
<option value="73">73</option>
<option value="74">74</option>
<option value="75">75</option>
<option value="76">76</option>
<option value="77">77</option>
<option value="78">78</option>
<option value="79">79</option>
<option value="80">80</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="83">83</option>
<option value="84">84</option>
<option value="85">85</option>
<option value="86">86</option>
<option value="87">87</option>
<option value="88">88</option>
<option value="89">89</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="96">96</option>
<option value="97">97</option>
<option value="98">98</option>
<option value="99">99</option>
<option value="99 +">99 +</option>
</select>
</div>
</div>
<div class="row price-row">
<div class="price-slider price-slider-two">
<h6 class="refinance">What is your interest rate?</h6>
<h6 class="purchase" style="display: none;">What is your annual pre-tax income? <span>Estimations are fine.</span></h6>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div id="slider-range-three" class="noUi-target noUi-ltr noUi-horizontal noUi-background">
<div class="noUi-base">
<div class="noUi-origin noUi-connect" style="left: 44.1176%;">
<div class="noUi-handle noUi-handle-lower"></div>
</div>
<div class="noUi-origin noUi-background" style="left: 100%;">
<div class="noUi-handle noUi-handle-upper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="row slider-labels">
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-3 text-left caption refinance">1.5 %</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-3 text-left caption purchase" style="display: none;">$0</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-5 text-left text-center caption"><span id="slider-range-value5" class="slider-value">5.250%</span><span id="slider-range-value6" class="slider-value hidden">10.000</span></div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-right caption refinance">10% or more</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4 text-right caption purchase" style="display: none;">$200000 or more</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<input type="hidden" id="annualincome" name="annualincome" value="">
<input type="hidden" id="interestrate" name="interestrate" value="5.250">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group">
<h6>What is your credit score?</h6>
<select name="creditrating" class="form-control" required="">
<option value="Excellent">Excellent</option>
<option selected="selected" value="Good">Good</option>
<option value="Fair">Fair</option>
<option value="Poor">Poor</option>
</select>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group">
<h6>What type of home are you looking for?</h6>
<select name="propertytype" class="form-control" required="">
<option selected="selected" value="Single Family Home">Single Family</option>
<option value="Multi-Family">Multi Family</option>
<option value="Condominium/Townhome">Townhouse</option>
<option value="Mobile/Manufactured">Mobile/Manufactured</option>
</select>
</div>
</div>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group purchase" style="display: none;">
<h6>What is your purchase status?</h6>
<select name="homepurchasestatus" class="form-control" required_hidden="true">
<option value="">Please select an option</option>
<option value="Signed a Purchase Agreement">Signed a Purchase Agreement</option>
<option value="Found House/Offer Pending">Found House/Offer Pending</option>
<option value="Buying in 2-3 Months">Buying in 2-3 Months</option>
<option value="Researching Options">Researching Options</option>
</select>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group purchase" style="display: none;">
<h6>What is the use of this property?</h6>
<select name="propertyuse" class="form-control" required_hidden="true">
<option value="">Please select an option</option>
<option value="Primary Residence">Primary Residence</option>
<option value="Second Home/Vacation Property">Second Home/Vacation Property</option>
<option value="Investment Property">Investment Property</option>
</select>
</div>
</div>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group purchase" style="display: none;">
<h6>What is your desired rate type?</h6>
<select name="ratetype" class="form-control" required_hidden="true">
<option value="">Please select an option</option>
<option value="Fixed">Fixed</option>
<option value="Adjustable">Adjustable</option>
<option value="Unknown">Don't know</option>
</select>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group purchase" style="display: none;">
<h6>What is your employment status?</h6>
<select name="employmentstatus" class="form-control" required_hidden="true">
<option value="">Please select an option</option>
<option value="Employed">Employed</option>
<option value="Self Employed">Self-Employed</option>
<option value="Retired">Retired</option>
<option value="Not Employed">Not Employed</option>
</select>
</div>
</div>
<div class="row ">
<h6>Where do you currently live?</h6>
<span style="padding-left:15px">Property values vary per area - this helps calculate the most accurate offers.</span>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 form-group">
<h6>Address</h6>
<input name="address" type="text" value="" class="form-control" placeholder="Type your street address" required="">
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 form-group">
<h6>Zip Code</h6>
<input id="zip" name="zipcode" type="text" maxlength="5" class="form-control" placeholder="Type your zipcode here" required="" value="85297">
<input id="city" name="city" type="hidden" value="Gilbert">
<!--<input id="state" name="state" type="hidden" value="">-->
<h6>State</h6>
<select class="form-control" id="state" name="state" required="">
<option value="" selected="selected">Select a State</option>
<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>
</select>
</div>
</div>
<div class="row">
<h6 class="text-left">Enter your information for personalized results.</h6>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group">
<h6>First name</h6>
<input type="text" name="firstname" value="Debra" class="form-control inputTextBox" placeholder="First name" required="">
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group">
<h6>Last name</h6>
<input type="text" name="lastname" value="Grunkemeyer" class="form-control inputTextBox" placeholder="Last name" required="">
</div>
</div>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group">
<h6>Email address</h6>
<input id="email" type="email" name="email" value="debra.grunkemeyer@usairways.com" class="form-control" placeholder="Email address" required="">
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 form-group">
<h6>Phone number</h6>
<input id="phone" type="text" name="phone" value="" class="form-control cf7-phone" placeholder="Phone number" required="">
</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
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<div class="button-outer text-center" style="margin-bottom: 10px;">
<input id="final_submit_ul" type="button" class="btn-submit" value="get your results">
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<div class="nmls-notice" style="font-size:8pt; line-height:10px;margin:0 5px 5px 15px;color:rgb(10,41,177);">Refi Advantage Experts is not acting as a lender or a broker ("Service Provider"). The information provided by you to Refi Advantage
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rates and terms are subject to change daily without notice. </div>
</form>Text Content
GOVERNMENT RELIEF PROGRAMS ARE AVAILABLE
TAKE OUR SURVEY TO SEE IF YOU'RE ELIGIBLE!
DO YOU OWN A HOME OR ARE YOU LOOKING TO BUY?
i own a home i’m looking to buy
HAVE YOU OR YOUR SPOUSE SERVED IN THE MILITARY?
Yes, we’re a
Veteran household No, we’re not a
Veteran household
LATE PAYMENTS IN PAST YEAR?
I'm not behind 1 Month Late 2 Months Late 2+ Months Late
WHO IS YOUR CURRENT LENDER?
Please select an option Wells Fargo Bank of America JP Morgan Chase Citigroup
GMAC/Ally Financial Credit Union HSBC/Beneficial Indy Mac OCWEN PHH Mortgage
Suntrust Washington Mutual Nationstar Countrywide Metlife Other
ANY BANKRUPTCIES IN THE LAST 3 YEARS?
YES NO
FIRST TIME BUYER?
YES NO
ARE YOU WORKING WITH A REAL ESTATE AGENT?
YES NO
HOW MUCH IS YOUR ESTIMATED PROPERTY VALUE?
HOW MUCH IS YOUR ESTIMATED PURCHASE PRICE?
$100,000
$2200002000000
$2,000,000
WHAT IS YOUR ESTIMATED MORTGAGE BALANCE?
WHAT IS YOUR ESTIMATED DOWN PAYMENT?
$60000
$1800002000000
$2000000
ARE YOU 62 YEARS OR OLDER AND INTERESTED IN A REVERSE MORTGAGE?
WHAT IS A REVERSE MORTGAGE?
YES NO
AGE
AGE 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86
87 88 89 90 91 92 93 94 95 96 97 98 99 99 +
WHAT IS YOUR INTEREST RATE?
WHAT IS YOUR ANNUAL PRE-TAX INCOME? ESTIMATIONS ARE FINE.
1.5 %
$0
5.250%10.000
10% or more
$200000 or more
WHAT IS YOUR CREDIT SCORE?
Excellent Good Fair Poor
WHAT TYPE OF HOME ARE YOU LOOKING FOR?
Single Family Multi Family Townhouse Mobile/Manufactured
WHAT IS YOUR PURCHASE STATUS?
Please select an option Signed a Purchase Agreement Found House/Offer Pending
Buying in 2-3 Months Researching Options
WHAT IS THE USE OF THIS PROPERTY?
Please select an option Primary Residence Second Home/Vacation Property
Investment Property
WHAT IS YOUR DESIRED RATE TYPE?
Please select an option Fixed Adjustable Don't know
WHAT IS YOUR EMPLOYMENT STATUS?
Please select an option Employed Self-Employed Retired Not Employed
WHERE DO YOU CURRENTLY LIVE?
Property values vary per area - this helps calculate the most accurate offers.
ADDRESS
ZIP CODE
STATE
Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa
Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota
Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico
New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode
Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia
Washington West Virginia Wisconsin Wyoming
ENTER YOUR INFORMATION FOR PERSONALIZED RESULTS.
FIRST NAME
LAST NAME
EMAIL ADDRESS
PHONE NUMBER
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