Email

Yes

textfield
<string>

Standard "e-mail" verification

First Name

Yes

Max length: 200 symbols.

Only 'a-z', 'A-Z' chars and spaces are allowed.

Middle Name 

No

textfield
<string>

Last Name

Yes

textfield
<string>

Suffix

No

Jr. | Sr. | I | II | III | IV

Date of Birth

Yes

Age >= 18
When calculating age not only year but also date is considered.

The date may be specified either manually or using the calendar

mm/dd/yyyy

Gender

Yes

Male | Female

Marital Status

Yes

Married | Single | Divorced | Widow(er) |Civil Marriage

Number of dependents

Yes

0 <= N <= 10 

Citizenship

Yes

US citizen | Resident Alien | Non-Resident Alien

Country of Citizenship

Yes

All options from the Countries dictionary

Appears only in case Resident Alien or Non-Resident Alien option is chosen in Citizenship dropdown

Education

Yes

High School | College | Graduate

Social Security Number

Yes

9 digits

xxx-xx-xxxx

Car owner

No

Yes | No

Driver’s License

No

State of Issue

No

Main Phone

Yes

10 digits

xxx-xxx-xxxx

Alternative Phone

No

10 digits

xxx-xxx-xxxx

Monthly Income

Yes

Digits only are allowed

 $

Monthly Expenses

Yes

Digits only are allowed

Income Type

Yes

How Often Are You Paid?

Yes

Weekly | Every 2 weeks | Twice a Month | Monthly

Appears only if NOT Self Employed option is chosen in Income Type dropdown

Employer

Yes

Appears only in case Employed option is chosen in Income Type dropdown

Job title

Yes

CEO/CFO | Upper manager | Middle manager | Employee| Civil Servant

Size of the Company

Yes

Digits only are allowed

Hire date

Yes

 mm/dd/yyyy

Work Phone

Yes

10 digits required (main number) 
Max 5 digits in additional (extension)

ххх-xxx-xxxx   ext. xxxxx

Employee Verification Phone

Yes

10 digits required (main number) 
Max 5 digits in additional (extension)

ххх-xxx-xxxx   ext. xxxxx

Company Name

Yes

Appears only in case Self Employed option is chosen in Income Type dropdown

Company Phone

Yes

10 digits required (main number) 
Max 5 digits in additional (extension)

ххх-xxx-xxxx   ext. xxxxx

Company Beginning Date

Yes

<= Current Date
The date may be specified either manually or using the calendar

mm/dd/yyyy

Benefit Start Date

Yes

The date may be specified either manually or using the calendar

mm/dd/yyyy

Appears only in case Social Security / Disability option is chosen in Income Type dropdown

Next Pay Date

Yes

>= Current Date
The date may be specified either manually or using the calendar

mm/dd/yyyy

Income Received From

Yes

Appears only in case Retirement / Pension option is chosen in Income Type dropdown

Income Start Date

Yes

The date may be specified either manually or using the calendar

mm/dd/yyyy

Appears only in case Other option is chosen in Income Type dropdown

Income Verification Phone

Yes

10 digits required (main number) 
Max 5 digits in additional (extension)

ххх-xxx-xxxx   ext. xxxxx

Resided at Address. Years

Yes

List of options from "0" to "10"

Resided at Address. Months

Yes

List of options from "0" to "11"

Street

Yes

Apartment

No

Max length: 5 symbols

City

Yes

State

Yes

All options from the US States, that may be edited in DB only.

Zip Code

Yes

5 digits

xxxxx

Residential status

Yes

Rent | Own | Live with parents

Resided at address. Years

Yes

List of options from "0" to "10"

Resided at address. Months

Yes

List of options from "0" to "11"

Street

Yes

Apartment

No

Max length: 5 symbols

City

Yes

State

Yes

All options from the US States, that may be edited in DB only.

Zip Code

Yes

5 digits

xxxxx

Residential status

Yes

Rent | Own | Live with parents

1) If the attached file type is image, then File thumbnail = the minimized  image

2) If the attached file type is not image, then File thumbnail = placeholder image

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