gistfile1.txt

<div class="loanApplication">

    <!-- Nav tabs -->
    <ul class="nav nav-tabs" role="tablist">
        <li role="presentation" class="active"><a href="#personalInfo" aria-controls="home" role="tab" data-toggle="tab">Personal Info</a></li>
        <li role="presentation"><a href="#propertyInfo" aria-controls="profile" role="tab" data-toggle="tab">Property Info</a></li>
    </ul>

    <!-- Tab panes -->
    <div class="tab-content">
        <div role="tabpanel" class="tab-pane active" id="personalInfo">
            <ul class="list-group">
                <li class="list-group-item focus">
                    <div class="loanApplication__label">
                        <label>Full Name</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="fullName" type="text" class="form-control" />
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Date of Birth</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="dateOfBith" class="form-control inputDate" type="text"></input>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Education</label>
                    </div>
                    <div class="loanApplication__input">
                        <select name="education" class="form-control">
                            <option value="" selected disabled>Please select</option>
                            <option>Some high school, no diploma</option>
                            <option>High school graduate, diploma or the equivalent </option>
                            <option>Some college credit, no degree</option>
                            <option>Trade/technical/vocational training</option>
                            <option>Associate degree</option>
                            <option>Bachelor’s degree</option>
                            <option>Master’s degree</option>
                            <option>Professional degree</option>
                            <option>Doctorate degree</option>
                        </select>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Current Address</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="currentAddress" type="text" class="form-control" />
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Years at above address</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="yearsAtAddress" type="text" class="form-control" />
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Mailing Address (if different from above)</label>
                    </div>
                    <div class="loanApplication__input">
                        <div class="loanApplication__input">
                            <input name="mailingAddress" type="text" class="form-control" />
                        </div>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Marital Status</label>
                    </div>
                    <div class="loanApplication__input">
                        <select name="MaritalStatus" class="form-control">
                            <option value="" selected disabled>Please select</option>
                            <option>Single, never married</option>
                            <option>Married or domestic partnership</option>
                            <option>Widowed</option>
                            <option>Divorced</option>
                            <option>Separated</option>
                        </select>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Number of Dependents</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="numOfDependents" type="text" class="form-control" />
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Employment Status</label>
                    </div>
                    <div class="loanApplication__input">
                        <select name="employmentStatus" class="form-control">
                            <option value="" selected disabled>Please select</option>
                            <option>Employed for wages</option>
                            <option>Self-employed</option>
                            <option>Out of work and looking for work</option>
                            <option>Out of work but not currently looking for work</option>
                            <option>A homemaker</option>
                            <option>A student</option>
                            <option>Military</option>
                            <option>Retired</option>
                            <option>Unable to work</option>
                        </select>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Years at Current Employer</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="yearsAtEmployer" type="text" class="form-control" />
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Monthly employment income</label>
                    </div>
                    <div class="loanApplication__input">
                        <div class="loanApplication__input">
                            <form class="form-inline">
                              <div class="form-group">
                                <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                                <div class="input-group">
                                  <div class="input-group-addon">$</div>
                                 <input name="monthlyIncome" type="text" class="form-control" />
                                </div>
                              </div>
                            </form>
                        </div>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Annual self-employment income</label>
                    </div>
                    <div class="loanApplication__input">
                        <form class="form-inline">
                          <div class="form-group">
                            <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                            <div class="input-group">
                              <div class="input-group-addon">$</div>
                             <input name="annualIncome" type="text" class="form-control" />
                            </div>
                          </div>
                        </form>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Total value of asset</label>
                    </div>
                    <div class="loanApplication__input">
                        <form class="form-inline">
                          <div class="form-group">
                            <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                            <div class="input-group">
                              <div class="input-group-addon">$</div>
                             <input name="valueOfAssets" type="text" class="form-control" />
                            </div>
                          </div>
                        </form>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Total value of liabilites</label>
                    </div>
                    <div class="loanApplication__input">
                        <form class="form-inline">
                          <div class="form-group">
                            <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                            <div class="input-group">
                              <div class="input-group-addon">$</div>
                             <input name="valueOfLiabilities" type="text" class="form-control" />
                            </div>
                          </div>
                        </form>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Are you a U.S citizen?</label>
                    </div>
                    <div class="loanApplication__input">
                        <select name="citizen" class="form-control">
                            <option value="" selected disabled>Please select</option>
                            <option>Yes</option>
                            <option>No </option>
                        </select>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Social Security Number</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="socialSecurityNumber" class="form-control inputSSN" type="text"></input>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
            </ul>
        </div>
        <div role="tabpanel" class="tab-pane" id="propertyInfo">
            <ul class="list-group">
                <li class="list-group-item focus">
                    <div class="loanApplication__label">
                        <label>Property Address</label>
                    </div>
                    <div class="loanApplication__input">
                        <input name="propertyAddress" type="text" class="form-control" />
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>How Much do you want to buy it for?</label>
                    </div>
                    <div class="loanApplication__input">
                        <div class="loanApplication__input">
                            <form class="form-inline">
                              <div class="form-group">
                                <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                                <div class="input-group">
                                  <div class="input-group-addon">$</div>
                                 <input name="buyingAmount"type="text" class="form-control" />
                                </div>
                              </div>
                            </form>
                        </div>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Down Payment Amount</label>
                    </div>
                    <div class="loanApplication__input">
                        <div class="loanApplication__input">
                            <form class="form-inline">
                              <div class="form-group">
                                <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                                <div class="input-group">
                                  <div class="input-group-addon">$</div>
                                 <input name="downPaymentAmount" type="text" class="form-control" />
                                </div>
                              </div>
                            </form>
                        </div>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Property Type</label>
                    </div>
                    <div class="loanApplication__input">
                        <select name="propertyType" class="form-control">
                            <option value="" selected disabled>Please select</option>
                            <option>Single Family Home</option>
                            <option>Property Type Here</option>
                            <option>Property Type Here</option>
                        </select>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
                <li class="list-group-item">
                    <div class="loanApplication__label">
                        <label>Purpose of Loan</label>
                    </div>
                    <div class="loanApplication__input">
                        <select name="purposeOfLoan" class="form-control">
                            <option value="" selected disabled>Please select</option>
                            <option>Purchase</option>
                            <option>Purpose of loan here</option>
                            <option>Purpose of loan here</option>
                        </select>
                    </div>
                    <div class="loanApplication__info">
                        <i class="fa fa-info-circle"></i>
                    </div>
                </li>
            </ul>
        </div>
    </div>
</div>