{"id":36658,"date":"2025-06-10T19:23:06","date_gmt":"2025-06-10T23:23:06","guid":{"rendered":"https:\/\/staging.jgwentworth.com\/?page_id=36658"},"modified":"2026-02-26T15:50:56","modified_gmt":"2026-02-26T20:50:56","slug":"debt-step3","status":"publish","type":"page","link":"https:\/\/www.jgwentworth.com\/debt-step3","title":{"rendered":"Debt Relief"},"content":{"rendered":"<?xml encoding=\"UTF-8\"><?xml encoding=\"UTF-8\"><div data-elementor-type=\"wp-page\" data-elementor-id=\"36658\" class=\"elementor elementor-36658\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f5f200 e-con-full e-flex e-con e-parent\" data-id=\"6f5f200\" data-element_type=\"container\" data-settings='{\"background_background\":\"classic\"}'>\n\t\t<div class=\"elementor-element elementor-element-23df8f8 e-con-full e-con-jgw-boxed e-flex e-con e-child\" data-id=\"23df8f8\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1a8c6a e-con-full e-flex e-con e-child\" data-id=\"a1a8c6a\" data-element_type=\"container\" data-settings='{\"background_background\":\"classic\"}'>\n\t\t\t\t<div class=\"elementor-element elementor-element-b94fa04 elementor-widget elementor-widget-image\" data-id=\"b94fa04\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" loading=\"lazy\" width=\"194\" height=\"24\" src=\"https:\/\/www.jgwentworth.com\/wp-content\/uploads\/2024\/01\/JG-Wentworth-logo-header.svg\" class=\"attachment-large size-large wp-image-65\" alt=\"JG Wentworth Logo\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1766d54 elementor-widget elementor-widget-text-editor\" data-id=\"1766d54\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Checking offers will NOT affect your credit score<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2508492 elementor-widget__width-inherit elementor-widget-tablet__width-initial elementor-widget-mobile__width-initial eael-gravity-form-button-full-width loandrform elementor-widget elementor-widget-eael-gravity-form\" data-id=\"2508492\" data-element_type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form eael-contact-form-align-center\">\n\t\t        <script src=\"https:\/\/www.jgwentworth.com\/wp-includes\/js\/jquery\/jquery.min.js?ver=3.7.1\"><\/script><script src=\"https:\/\/www.jgwentworth.com\/wp-content\/plugins\/jgw-multistep-form\/js\/jquery.inputmask.min.js\"><\/script>    <script type=\"text\/javascript\">\n     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href=\"https:\/\/www.jgwentworth.com\/wp-content\/plugins\/gravityforms\/assets\/css\/dist\/gravity-forms-orbital-theme.min.css?ver=2.9.22\" media=\"all\">\n\n                <div class=\"gf_browser_unknown gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital ef-loan-offers-form_wrapper ef-self-enroll-form_wrapper\" data-form-theme=\"orbital\" data-form-index=\"0\" id=\"gform_wrapper_55\"><style>#gform_wrapper_55[data-form-index=\"0\"].gform-theme,[data-parent-form=\"55_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 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#EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class=\"gform_heading\">\n                            <p class=\"gform_description\"><\/p>\n\t\t\t\t\t\t\t<p class=\"gform_required_legend\">\"<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\" indicates required fields<\/p>\n                        <\/div><form data-product=\"Debt Relief\" data-type=\"Lead Submission\" data-name=\"BlendedFunnel_2025v3\" method=\"post\" enctype=\"multipart\/form-data\" target=\"gform_ajax_frame_55\" id=\"gform_55\" class=\"ef-loan-offers-form ef-self-enroll-form\" action=\"\/wp-json\/wp\/v2\/pages\/36658\" data-formid=\"55\" novalidate>\n        <div id=\"gf_progressbar_wrapper_55\" class=\"gf_progressbar_wrapper\" data-start-at-zero=\"\">\n        \t<p class=\"gf_progressbar_title\">Step <span class=\"gf_step_current_page\">1<\/span> of <span class=\"gf_step_page_count\">10<\/span><span class=\"gf_step_page_name\"> - loanAmount<\/span>\n        \t<\/p>\n            <div class=\"gf_progressbar gf_progressbar_blue\" aria-hidden=\"true\">\n                <div class=\"gf_progressbar_percentage percentbar_blue percentbar_10\" style=\"width:10%;\"><span>10%<\/span><\/div>\n            <\/div><\/div><div class=\"ef-progress-bar\"><div class=\"ef-progress-segment ef-segment-completed\"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><div class=\"ef-progress-segment \"><\/div><\/div>\n                        <div class=\"gform-body gform_body\"><div id=\"gform_page_55_1\" class=\"gform_page \" data-js=\"page-field-id-0\" data-number=\"1\" data-name=\"loanAmount\">\n\t\t\t\t\t<div class=\"gform_page_fields\"><div id=\"gform_fields_55\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_131\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full loan-purpose-tooltip less-margin-bottom gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><div class=\"modal-parent\"><h2>How much do you need?<\/h2><div class=\"modal-wrap\">\n<a class=\"modal-link\" data-type=\"button\" data-name=\"Info Icon\" data-parent=\"form\"><img decoding=\"async\" src=\"\/wp-content\/plugins\/jgw-even-financial\/img\/circle-info.png\"><\/a>\n<div class=\"disclosure-modal disclosure-modal-id\">\n<br>\n  <div class=\"modal-content\">\n    <div class=\"modal-body\">\n            <span class=\"close-modal\">&times;<\/span>\n      <p style=\"display: none\">&nbsp;<\/p>\n      <p class=\"modal-text\">\n       A soft credit report is pulled in accordance with the consumer's written authorization on our site. After reviewing the offer, if a consumer chooses to apply for credit, lending partners or platforms may require a hard pull for processing on their website.\n      <\/p>\n    <\/div>\n  <\/div>\n<\/div>\t\t\n<\/div>  \n<\/div><\/div><div id=\"field_55_132\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full ef-loan-amount overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_132\" report-value=\"true\">Amount<span class=\"gfield_required\" report-value=\"true\"><span class=\"gfield_required gfield_required_asterisk\" report-value=\"true\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\" report-value=\"true\"><input data-api=\"loanAmount\" data-name=\"loanAmount\" name=\"input_132\" id=\"input_55_132\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\" report-value=\"true\"><\/div>        <script report-value=\"true\">\n            (function($) {\n                $(document).ready(function(){\n                    $('.ef-loan-amount input').inputmask('numeric', {\"groupSeparator\":\",\",\"autoGroup\":true,\"allowMinus\":false,\"prefix\":\"$\",\"placeholder\":\"\",\"min\":0,\"max\":9999999,\"unmaskAsNumber\":true,\"rightAlign\":false,\"digits\":0});\n                });\n            })(jQuery);\n        <\/script><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                         <input type=\"button\" id=\"gform_next_button_55_133\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_2\" class=\"gform_page\" data-js=\"page-field-id-133\" style=\"display:none;\" data-number=\"2\" data-name=\"employmentStatus\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_2\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_134\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2>What's your employment status?<\/h2>\n <\/div><fieldset id=\"field_55_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label\">What's your employment status?*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_radio\"><div class=\"gfield_radio\" id=\"input_55_135\">\n\t\t\t<div class=\"gchoice gchoice_55_135_0\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"employmentStatus\" data-name=\"employmentStatus\" name=\"input_135\" type=\"radio\" value=\"employed\" id=\"choice_55_135_0\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_135_0\" id=\"label_55_135_0\" class=\"gform-field-label gform-field-label--type-inline\">Employed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_135_1\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"employmentStatus\" data-name=\"employmentStatus\" name=\"input_135\" type=\"radio\" value=\"self_employed\" id=\"choice_55_135_1\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_135_1\" id=\"label_55_135_1\" class=\"gform-field-label gform-field-label--type-inline\">Self Employed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_135_2\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"employmentStatus\" data-name=\"employmentStatus\" name=\"input_135\" type=\"radio\" value=\"not_employed\" id=\"choice_55_135_2\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_135_2\" id=\"label_55_135_2\" class=\"gform-field-label gform-field-label--type-inline\">Not Employed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_135_3\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"employmentStatus\" data-name=\"employmentStatus\" name=\"input_135\" type=\"radio\" value=\"retired\" id=\"choice_55_135_3\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_135_3\" id=\"label_55_135_3\" class=\"gform-field-label gform-field-label--type-inline\">Retired<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_135_4\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"employmentStatus\" data-name=\"employmentStatus\" name=\"input_135\" type=\"radio\" value=\"military\" id=\"choice_55_135_4\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_135_4\" id=\"label_55_135_4\" class=\"gform-field-label gform-field-label--type-inline\">Military<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_135_5\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"employmentStatus\" data-name=\"employmentStatus\" name=\"input_135\" type=\"radio\" value=\"other\" id=\"choice_55_135_5\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_135_5\" id=\"label_55_135_5\" class=\"gform-field-label gform-field-label--type-inline\">Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_55_136\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Back\"> <input type=\"button\" id=\"gform_next_button_55_136\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_3\" class=\"gform_page\" data-js=\"page-field-id-136\" style=\"display:none;\" data-number=\"3\" data-name=\"annualIncome\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_3\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_137\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><div class=\"modal-parent\"><h2>What is your annual income?<\/h2>\n <div class=\"modal-wrap\">\n<a class=\"modal-link\" data-type=\"button\" data-name=\"Info Icon\" data-parent=\"form\"><img decoding=\"async\" src=\"\/wp-content\/plugins\/jgw-even-financial\/img\/circle-info.png\"><\/a>\n<div class=\"disclosure-modal disclosure-modal-id\">\n<br>\n<div class=\"modal-content\">\n<div class=\"modal-body\">\n<span class=\"close-modal\">&times;<\/span>\n<p style=\"display: none\">&nbsp;<\/p>\n<p class=\"modal-text\">For the most accurate results, list your total available income including wages, retirement, investments, and rental properties. Alimony, child support or separate maintenance is optional and does not need to be included if you do not wish it to be considered as a basis for repaying the loan. Increase any non-taxable income or benefits by 25%.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><div id=\"field_55_138\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full ef-annual-income ef-improved-annual-income overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_138\" report-value=\"true\">Income<span class=\"gfield_required\" report-value=\"true\"><span class=\"gfield_required gfield_required_asterisk\" report-value=\"true\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\" report-value=\"true\"><input data-api=\"annualIncome\" data-name=\"annualIncome\" name=\"input_138\" id=\"input_55_138\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\" report-value=\"true\"><\/div>\n    <div id=\"jgw-annual-income-error-message-container-55_138\" class=\"jgw-annual-income-error-message-container\" style=\"display: none;\" report-value=\"true\">\n      <div class=\"jgw-annual-income-error-icon\" report-value=\"true\"> <\/div>\n      <div class=\"jgw-annual-income-error-text\" report-value=\"true\">Please confirm that you have entered your <strong report-value=\"true\">annual income<\/strong> and not your monthly income.<\/div>\n    <\/div>      <script type=\"text\/javascript\" report-value=\"true\">\n        jQuery(document).ready(function($) {\n          var $annualIncomeField = $('#input_55_138');\n          var $errorMessageContainer = $('#jgw-annual-income-error-message-container-55_138');\n\n          function checkAnnualIncomeValue() {\n            var rawValue = $annualIncomeField.val();\n            var numericValue = rawValue.replace(\/[^\\d]\/g, ''); \/\/ Remove $ and commas\n            if (numericValue && (!\/^\\d+$\/.test(numericValue) || parseInt(numericValue, 10) < 12000)) {\n              $errorMessageContainer.css('display', 'flex');\n            } else {\n              $errorMessageContainer.css('display', 'none');\n            }\n          }\n\n          $annualIncomeField.on('change', checkAnnualIncomeValue);\n          $annualIncomeField.on('input', checkAnnualIncomeValue);\n\n          \/\/ Initial check on page load\n          checkAnnualIncomeValue();\n        });\n      <\/script>\n            <script report-value=\"true\">\n            (function($) {\n                $(document).ready(function(){\n                    $('.ef-annual-income input').inputmask('numeric', {\"groupSeparator\":\",\",\"autoGroup\":true,\"allowMinus\":false,\"prefix\":\"$\",\"placeholder\":\"\",\"min\":0,\"max\":9999999,\"unmaskAsNumber\":true,\"rightAlign\":false,\"digits\":0});\n                });\n            })(jQuery);\n        <\/script><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_55_139\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Back\"> <input type=\"button\" id=\"gform_next_button_55_139\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_4\" class=\"gform_page\" data-js=\"page-field-id-139\" style=\"display:none;\" data-number=\"4\" data-name=\"homeStatus\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_4\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_140\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2>Do you rent or own your home?<\/h2>\n <\/div><fieldset id=\"field_55_141\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label\">Do you rent or own your home?*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_radio\"><div class=\"gfield_radio\" id=\"input_55_141\">\n\t\t\t<div class=\"gchoice gchoice_55_141_0\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"propertyStatus\" data-name=\"propertyStatus\" name=\"input_141\" type=\"radio\" value=\"rent\" id=\"choice_55_141_0\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_141_0\" id=\"label_55_141_0\" class=\"gform-field-label gform-field-label--type-inline\">Rent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_141_1\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"propertyStatus\" data-name=\"propertyStatus\" name=\"input_141\" type=\"radio\" value=\"own_with_mortgage\" id=\"choice_55_141_1\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_141_1\" id=\"label_55_141_1\" class=\"gform-field-label gform-field-label--type-inline\">Own with Mortgage<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_55_141_2\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" data-api=\"propertyStatus\" data-name=\"propertyStatus\" name=\"input_141\" type=\"radio\" value=\"own_outright\" id=\"choice_55_141_2\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_55_141_2\" id=\"label_55_141_2\" class=\"gform-field-label gform-field-label--type-inline\">Own<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_55_142\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Back\"> <input type=\"button\" id=\"gform_next_button_55_142\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_5\" class=\"gform_page\" data-js=\"page-field-id-142\" style=\"display:none;\" data-number=\"5\" data-name=\"name\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_5\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_143\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2>What is your name?<\/h2>\n <\/div><div id=\"field_55_144\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full first-name-validation overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_144\">First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input data-api=\"first_name\" data-name=\"first_name\" name=\"input_144\" id=\"input_55_144\" type=\"text\" value=\"\" class=\"large\" maxlength=\"30\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_55_145\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full last-name-validation overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_145\">Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input data-api=\"last_name\" data-name=\"last_name\" name=\"input_145\" id=\"input_55_145\" type=\"text\" value=\"\" class=\"large\" maxlength=\"30\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_55_146\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Back\"> <input type=\"button\" id=\"gform_next_button_55_146\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_6\" class=\"gform_page\" data-js=\"page-field-id-146\" style=\"display:none;\" data-number=\"6\" data-name=\"emailAddress\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_6\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_147\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2>What is your email address?<\/h2>\n <\/div><div id=\"field_55_148\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_148\">Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_email\">\n                            <input data-api=\"email_address\" data-name=\"email_address\" name=\"input_148\" id=\"input_55_148\" type=\"email\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\">\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_55_149\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Back\"> <input type=\"button\" id=\"gform_next_button_55_149\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_7\" class=\"gform_page\" data-js=\"page-field-id-149\" style=\"display:none;\" data-number=\"7\" data-name=\"phoneNumber\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_7\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_150\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><div class=\"modal-parent\"><h2>What is your phone number?<\/h2>\n <div class=\"modal-wrap\">\n<a class=\"modal-link\" data-type=\"button\" data-name=\"Info Icon\" data-parent=\"form\"><img decoding=\"async\" src=\"\/wp-content\/plugins\/jgw-even-financial\/img\/circle-info.png\"><\/a>\n<div class=\"disclosure-modal disclosure-modal-id\">\n<br>\n<div class=\"modal-content\">\n<div class=\"modal-body\">\n<span class=\"close-modal\">&times;<\/span>\n<p style=\"display: none\">&nbsp;<\/p>\n<p class=\"modal-text\">We ask this so that we, our partners and their affiliated companies can contact you about the products and services you inquired about, even if your telephone number is listed on any Do-Not-Call list. Contact may be made through automatic dialing systems, artificial or pre-recorded voice messaging, or text message.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><div id=\"field_55_151\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full ef-phone-validation overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_151\">Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_phone\"><input inputmode=\"numeric\" data-api=\"phone_number\" data-name=\"phone_number\" name=\"input_151\" id=\"input_55_151\" type=\"tel\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div>        <script>\n            (function($) {\n                $(document).ready(function(){\n                    $('.phone-validation input').inputmask('(999) 999-9999');\n                });\n            })(jQuery);\n        <\/script>        <script>\n            (function($) {\n                $(document).ready(function(){\n                    $('.ef-phone-validation input').inputmask('(999) 999-9999');\n                });\n            })(jQuery);\n        <\/script><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_55_152\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Back\"> <input type=\"button\" id=\"gform_next_button_55_152\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continue\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_55_8\" class=\"gform_page\" data-js=\"page-field-id-152\" style=\"display:none;\" data-number=\"8\" data-name=\"address\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_8\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2>What is your address?<\/h2>\n\n <\/div><div id=\"field_55_154\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full address-validation overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_154\">Street Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input data-api=\"address1\" data-name=\"address1\" name=\"input_154\" id=\"input_55_154\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_55_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full address-validation overlap-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_155\">Address line 2<\/label><div class=\"ginput_container ginput_container_text\"><input data-api=\"address2\" data-name=\"address2\" name=\"input_155\" id=\"input_55_155\" type=\"text\" value=\"\" class=\"large\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_55_156\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full city-validation overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_156\">City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input data-api=\"city\" data-name=\"city\" name=\"input_156\" id=\"input_55_156\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_55_157\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half adr-state overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_157\">State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><select data-api=\"state\" data-name=\"state\" name=\"input_157\" id=\"input_55_157\" class=\"medium gfield_select\" aria-describedby=\"gfield_description_55_157\" required><option value=\"\">Select 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=\"DC\">District of Columbia<\/option><option value=\"DE\">Delaware<\/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=\"PR\">Puerto Rico<\/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><script type=\"text\/javascript\">\n    document.getElementById(\"input_55_157\").addEventListener(\"change\", function() {\n        \/\/ Set the cookie to expire in 1 hour (3600000 milliseconds)\n        let expiryDate = new Date();\n        expiryDate.setTime(expiryDate.getTime() - (1000 * 60 * 60)); \/\/ Subtracts 1 hour from current time\n        document.cookie = \"dr_zip_api_response=; expires=\" + 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data-js=\"page-field-id-159\" style=\"display:none;\" data-event=\"submit\" data-number=\"9\" data-name=\"birthdate\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_55_9\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_55_160\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2>What's your date of birth?<\/h2>\n  \t<\/div><div id=\"field_55_161\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full ef-dob-validation overlap-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_55_161\">Date of 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Wentworth Company, together with its subsidiaries and affiliates (collectively, \"JGW\"), its <a href=\"https:\/\/www.jgwentworth.com\/marketplace-partners\" target=\"_blank\">Marketplace Partners<\/a>, its <a href=\"https:\/\/engine.tech\/resources\/legal#providers\" target=\"_blank\" rel=\"noopener noreferrer\">Network Partners<\/a>, and any party calling or texting on behalf of JGW or its Marketplace Partners or its Network Partners. Such calls and texts may be made using automated means, including autodialers, selection systems, robocalls, and prerecorded or AI-generated voice, even if my number is listed on any company-specific, state, or federal Do-Not-Call list. Consent is not required as a condition of any purchase or service. Message and data rates may apply. Messaging frequency varies. Text \"STOP\" to cancel. I further consent to initial contact outside of permissible state and federal call times if made within approximately one hour of submission.\n<\/p>\n\n\n<p class=\"consent-language\">\n  I consent and agree to JG Wentworth's <a href=\"https:\/\/www.jgwentworth.com\/wp-content\/uploads\/2025\/11\/JGW-E-Sign-Consent.pdf\" target=\"_blank\">E-sign Consent<\/a>, <a href=\"https:\/\/www.jgwentworth.com\/jg-wentworth-company-r-consumer-privacy-notice\" target=\"_blank\">Privacy Policy<\/a> and <a href=\"https:\/\/www.jgwentworth.com\/terms-use\" target=\"_blank\">Terms of Use<\/a>. I further consent to Network Partner, ML Enterprise Inc. (Engine), <a href=\"https:\/\/www.engine.tech\/resources\/legal#consent\" target=\"_blank\" rel=\"noopener noreferrer\">E-Consent<\/a>, <a href=\"https:\/\/www.engine.tech\/resources\/legal#terms\" target=\"_blank\" rel=\"noopener noreferrer\">Terms of Service<\/a>, <a href=\"https:\/\/www.engine.tech\/resources\/legal#privacy\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Policy<\/a>, and <a href=\"https:\/\/www.engine.tech\/resources\/legal#glba\" target=\"_blank\" rel=\"noopener noreferrer\">Financial Privacy Notice<\/a>. For details on how to opt out, which you may do at any time, please see JGW's <a href=\"https:\/\/www.jgwentworth.com\/wp-content\/uploads\/2025\/11\/JGW-Revocation-of-Consent.pdf\" target=\"_blank\">Revocation of Consent Instructions<\/a>.\n<\/p>\n\n\n<p class=\"consent-language\">\n  I authorize JGW, Engine, and JGW's <a href=\"https:\/\/www.jgwentworth.com\/marketplace-partners\" target=\"_blank\">Marketplace Partners<\/a> with whom I am matched, to obtain and use consumer credit reports and other information from consumer reporting agencies for the purpose of evaluating my application, verifying information, providing me with personalized offers for financial products and services, and conducting ongoing account review, servicing, or collection activities as permitted under the Fair Credit Reporting Act (\"FCRA\"). I further consent to Engine's <a href=\"https:\/\/www.engine.tech\/resources\/legal#credit\" target=\"_blank\" rel=\"noopener noreferrer\">Credit Authorization<\/a>. I further consent to Engine obtaining consumer report information about me from consumer reporting agencies periodically in the future for the purpose of providing me, from time to time, with personalized offers for financial products and services. To opt out of Engine obtaining your consumer report information in the future, complete and submit the form available <a href=\"https:\/\/www.moneylion.com\/periodic-consumer-report-access\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.\n<\/p>\n\n\n<p class=\"consent-language\">\n  I direct JGW and Engine to share my information with its subsidiaries, affiliates, and with <a href=\"https:\/\/www.jgwentworth.com\/marketplace-partners\" target=\"_blank\">Marketplace Partners<\/a> and <a href=\"https:\/\/engine.tech\/resources\/legal#providers\" target=\"_blank\" rel=\"noopener noreferrer\">Network Partners<\/a> as necessary to process my application, evaluate credit options, provide related services, or to provide me with personalized offers. 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