<form name="loanForm" id="loanForm" action="loancalculator.php#results" method="post" onsubmit="return processForm(this);" style="margin-bottom:0; margin-top:20px;">
<h2>Enter your loan repayment details...</h2>
<div class="single-field">
<label for="currency" class="heading">Currency:</label>
<span class="spacer"> </span>
<select name="currency" id="currency" onchange="ChangeCurrency(this.selectedIndex);">
<option value="dollar">Dollar ($)</option>
<option value="euro">Euro (€)</option>
<option value="pound">Pound (£)</option>
<option value="other">Other</option>
</select>
</div>
<div class="single-field">
<label for="amount" class="heading">Loan amount:</label>
<input type="text" readonly="" name="curr" value="$" size="1" class="curr no_border" tabindex="-1">
<input type="number" step="any" min="0" name="amount" id="amount" value="" class="calculatorInput" required="">
</div>
<div class="single-field">
<label for="percent" class="heading">Annual Interest rate:</label>
<span class="spacer"> </span>
<input type="number" step="any" min="0" name="percent" id="percent" value="" class="calculatorShortInput" required=""><span class="additional">%</span>
</div>
<div class="single-field">
<label for="term" class="heading">Months:</label>
<span class="spacer"> </span>
<input type="number" step="any" min="0" name="term" id="term" value="" class="calculatorShortInput" required="">
</div>
<div class="single-field">
<label for="deposit" class="notrequired heading">Initial deposit?</label>
<input type="text" readonly="" name="curr" value="$" size="1" class="curr no_border notrequired" tabindex="-1">
<input type="number" step="any" min="0" name="deposit" id="deposit" value="" class="calculatorMedInput notrequired">
</div>
<div class="single-field">
<label for="extrafees" class="notrequired heading">Extra Fees?</label>
<input type="text" readonly="" name="curr" value="$" size="1" class="curr no_border notrequire " tabindex="-1">
<input type="number" step="any" min="0" name="extrafees" id="extrafees" value="0" class="calculatorMedInput notrequired">
<span class="additional"> add to loan? <input type="checkbox" name="includefees"></span>
</div>
<div class="single-field">
<label for="balloon" class="notrequired heading">Balloon payment at end?</label>
<input type="text" readonly="" name="curr" value="$" size="1" class="curr no_border notrequired" tabindex="-1">
<input type="number" step="any" min="0" name="balloon" id="balloon" value="" class="calculatorInput notrequired">
</div>
<div class="single-field">
<label for="balloon" class="notrequired heading">Loan start date?</label>
<span class="spacer"> </span>
<input type="text" name="startdate" id="datepicker" value="" class="calculatorMedInput notrequired hasDatepicker">
</div>
<br style="clear:both;"><br>
<div class="submitButtons">
<label></label>
<span class="spacer"> </span>
<input type="submit" value="Calculate" class="calculatorButton"><input value="Reset" type="reset" class="calculatorReset">
</div>
</form>
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