{"id":25,"date":"2022-08-09T13:41:00","date_gmt":"2022-08-09T13:41:00","guid":{"rendered":"https:\/\/capitaleasing.net\/?page_id=25"},"modified":"2024-07-05T13:00:53","modified_gmt":"2024-07-05T13:00:53","slug":"municipal-application","status":"publish","type":"page","link":"https:\/\/capitaleasing.net\/?page_id=25","title":{"rendered":"Municipal Application"},"content":{"rendered":"<table border=\"0\" width=\"900\" align=\"center\">\n<tbody>\n<tr>\n<td class=\"style41a\" colspan=\"3\" align=\"center\" valign=\"middle\">\n<h3>Municipal Application<\/h3>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"style4\" width=\"9%\"><\/td>\n<td class=\"style4\" style=\"text-align: left;\" width=\"82%\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-122\"><form id=\"wpforms-form-122\" class=\"wpforms-validate wpforms-form\" data-formid=\"122\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F25\" data-token=\"fa5b733a9cdc2db8ba92d207b2d2c521\" data-token-time=\"1779118250\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-122-field_42-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"42\"><h3 id=\"wpforms-122-field_42\">Municipality Business Information :<\/h3><\/div><div id=\"wpforms-122-field_1-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_1\">Legal Name of Municipality\/ Obligor:  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-122-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-122-field_43-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_43\">Federal ID<\/label><input type=\"text\" id=\"wpforms-122-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" placeholder=\"eg 00-0000000\" ><\/div><div id=\"wpforms-122-field_44-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Address<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-122-field_44\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][44][address1]\" ><label for=\"wpforms-122-field_44\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-122-field_44-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][44][city]\" ><label for=\"wpforms-122-field_44-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-122-field_44-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][44][state]\" ><option class=\"placeholder\" value=\"\" selected disabled>--- 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=\"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><label for=\"wpforms-122-field_44-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-122-field_44-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][44][postal]\" ><label for=\"wpforms-122-field_44-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_7\">County<\/label><input type=\"text\" id=\"wpforms-122-field_7\" class=\"wpforms-field-small\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-122-field_45-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_45\">Phone<\/label><input type=\"tel\" id=\"wpforms-122-field_45\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][45]\" aria-label=\"Phone\" ><\/div><div id=\"wpforms-122-field_46-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_46\">Fax<\/label><input type=\"tel\" id=\"wpforms-122-field_46\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][46]\" aria-label=\"Fax\" ><\/div><div id=\"wpforms-122-field_10-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-122-field_10\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][10][primary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_10\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-122-field_10-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-122-field_10\" name=\"wpforms[fields][10][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_10-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_47-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_47\">Gross Annual Revenue<\/label><input type=\"text\" id=\"wpforms-122-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" ><\/div><div id=\"wpforms-122-field_48-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_48\">State Organization ID<\/label><input type=\"text\" id=\"wpforms-122-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" ><\/div><div id=\"wpforms-122-field_49-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-firstwpforms-one-half wpforms-first\" data-field-id=\"49\"><label class=\"wpforms-field-label\">Contact Name  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_49\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][49][first]\" required><label for=\"wpforms-122-field_49\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_49-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][49][last]\" required><label for=\"wpforms-122-field_49-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_14-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-one-halfwpforms-one-half\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_14\">Contact Title<\/label><input type=\"text\" id=\"wpforms-122-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-122-field_50-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_50\">Contact Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-122-field_50\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][50]\" aria-label=\"Contact Phone\" required><\/div><div id=\"wpforms-122-field_16-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Contact Email<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-122-field_16\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][16][primary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_16\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-122-field_16-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-122-field_16\" name=\"wpforms[fields][16][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_16-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_51-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"51\"><label class=\"wpforms-field-label\">Alternate Contact<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_51\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][51][first]\" ><label for=\"wpforms-122-field_51\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_51-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][51][last]\" ><label for=\"wpforms-122-field_51-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_18-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_18\">Alternate Contact Title<\/label><input type=\"text\" id=\"wpforms-122-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-122-field_53-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_53\">Alternate Contact Phone <\/label><input type=\"tel\" id=\"wpforms-122-field_53\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][53]\" aria-label=\"Alternate Contact Phone \" ><\/div><div id=\"wpforms-122-field_20-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Alternate Contact Email<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-122-field_20\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][20][primary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_20\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-122-field_20-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-122-field_20\" name=\"wpforms[fields][20][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_20-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_93-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"93\"><label class=\"wpforms-field-label\">Type of Municipality<\/label><ul id=\"wpforms-122-field_93\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_1\" name=\"wpforms[fields][93]\" value=\"City \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_1\">City<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_2\" name=\"wpforms[fields][93]\" value=\"Township \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_2\">Township<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_3\" name=\"wpforms[fields][93]\" value=\"State\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_3\">State<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_5\" name=\"wpforms[fields][93]\" value=\"School District\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_5\">School District<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_4\" name=\"wpforms[fields][93]\" value=\"Town \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_4\">Town<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_7\" name=\"wpforms[fields][93]\" value=\"County\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_7\">County<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_6\" name=\"wpforms[fields][93]\" value=\"Solid Waste District\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_6\">Solid Waste District<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_93_8\" name=\"wpforms[fields][93]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_93_8\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_22-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third wpforms-first\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_22\">Population<\/label><input type=\"number\" id=\"wpforms-122-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" step=\"any\" ><\/div><div id=\"wpforms-122-field_23-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_23\">Households<\/label><input type=\"number\" id=\"wpforms-122-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" step=\"any\" ><\/div><div id=\"wpforms-122-field_24-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_24\">Department\/Agency<\/label><input type=\"text\" id=\"wpforms-122-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-122-field_54-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"54\"><label class=\"wpforms-field-label\">Fiscal Officer Name<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_54\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][54][first]\" ><label for=\"wpforms-122-field_54\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_54-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][54][last]\" ><label for=\"wpforms-122-field_54-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_26-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_26\">Fiscal Officeer Title<\/label><input type=\"text\" id=\"wpforms-122-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-122-field_55-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_55\">Fiscal Officer Phone<\/label><input type=\"tel\" id=\"wpforms-122-field_55\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][55]\" aria-label=\"Fiscal Officer Phone\" ><\/div><div id=\"wpforms-122-field_56-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_56\">Fiscal Officer Fax<\/label><input type=\"tel\" id=\"wpforms-122-field_56\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][56]\" aria-label=\"Fiscal Officer Fax\" ><\/div><div id=\"wpforms-122-field_95-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"95\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_95\">Date Municipality Entity Was Established<\/label><input type=\"text\" id=\"wpforms-122-field_95\" class=\"wpforms-field-medium\" name=\"wpforms[fields][95]\" placeholder=\"MM\/DD\/YYY\" ><\/div><div id=\"wpforms-122-field_31-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-inline\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Does the obligor self-insure for property &amp; liability insurance? <\/label><ul id=\"wpforms-122-field_31\"><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_31_2\" name=\"wpforms[fields][31]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_31_2\">Yes<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_31_3\" name=\"wpforms[fields][31]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_31_3\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_33-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"33\"><label class=\"wpforms-field-label\">Within the current calendar year, we or will not issue $10,000,000 or more total debt including all bonds, loans and leases.<\/label><ul id=\"wpforms-122-field_33\"><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_33_2\" name=\"wpforms[fields][33]\" value=\"We Will\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_33_2\">We Will<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_33_3\" name=\"wpforms[fields][33]\" value=\"We Will Not\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_33_3\">We Will Not<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_57-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"57\"><h3 id=\"wpforms-122-field_57\">Equipment Information (Attach separate sheet if necessary)<\/h3><\/div><div id=\"wpforms-122-field_34-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_34\">Equipment Description<\/label><textarea id=\"wpforms-122-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" ><\/textarea><\/div><div id=\"wpforms-122-field_35-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_35\">Manufacturer<\/label><input type=\"text\" id=\"wpforms-122-field_35\" class=\"wpforms-field-large\" name=\"wpforms[fields][35]\" ><\/div><div id=\"wpforms-122-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_36\">Model<\/label><input type=\"text\" id=\"wpforms-122-field_36\" class=\"wpforms-field-large\" name=\"wpforms[fields][36]\" ><\/div><div id=\"wpforms-122-field_37-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_37\">Year<\/label><input type=\"number\" id=\"wpforms-122-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" step=\"any\" ><\/div><div id=\"wpforms-122-field_38-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_38\">Quantity<\/label><input type=\"text\" id=\"wpforms-122-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" ><\/div><div id=\"wpforms-122-field_39-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_39\">Equipment Cost $<\/label><input type=\"text\" id=\"wpforms-122-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" ><\/div><div id=\"wpforms-122-field_40-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_40\">Total Cost $<\/label><input type=\"text\" id=\"wpforms-122-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" ><\/div><div id=\"wpforms-122-field_61-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"61\"><label class=\"wpforms-field-label\">Equipment Location<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-122-field_61\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][61][address1]\" ><label for=\"wpforms-122-field_61\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-122-field_61-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][61][city]\" ><label for=\"wpforms-122-field_61-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-122-field_61-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][61][state]\" ><option class=\"placeholder\" value=\"\" selected disabled>--- 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=\"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><label for=\"wpforms-122-field_61-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-122-field_61-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][61][postal]\" ><label for=\"wpforms-122-field_61-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_62-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"62\"><label class=\"wpforms-field-label\">Equipment<\/label><ul id=\"wpforms-122-field_62\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_62_1\" name=\"wpforms[fields][62]\" value=\"Equipment is Additional\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_62_1\">Equipment is Additional<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_62_2\" name=\"wpforms[fields][62]\" value=\"Equipment is Replacement\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_62_2\">Equipment is Replacement<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_62_3\" name=\"wpforms[fields][62]\" value=\"New \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_62_3\">New<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_62_4\" name=\"wpforms[fields][62]\" value=\"Used\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_62_4\">Used<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_65-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"65\"><label class=\"wpforms-field-label\">Soft Costs Included?<\/label><ul id=\"wpforms-122-field_65\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_65_1\" name=\"wpforms[fields][65]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_65_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_65_2\" name=\"wpforms[fields][65]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_65_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_66-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_66\">Amount of soft costs included (shipping, software, and sales tax)<\/label><input type=\"text\" id=\"wpforms-122-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" placeholder=\"$0\" ><\/div><div id=\"wpforms-122-field_68-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"68\"><label class=\"wpforms-field-label\">Buyout Included?<\/label><ul id=\"wpforms-122-field_68\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_68_1\" name=\"wpforms[fields][68]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_68_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_68_2\" name=\"wpforms[fields][68]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_68_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_67-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_67\">Amount of buyout included:<\/label><input type=\"text\" id=\"wpforms-122-field_67\" class=\"wpforms-field-medium\" name=\"wpforms[fields][67]\" placeholder=\"$0\" ><\/div><div id=\"wpforms-122-field_69-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_69\">Describe the essential use of the equipment:<\/label><textarea id=\"wpforms-122-field_69\" class=\"wpforms-field-medium\" name=\"wpforms[fields][69]\" ><\/textarea><\/div><div id=\"wpforms-122-field_71-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"71\"><label class=\"wpforms-field-label\">Is the project a building?<\/label><ul id=\"wpforms-122-field_71\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_71_1\" name=\"wpforms[fields][71]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_71_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_71_2\" name=\"wpforms[fields][71]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_71_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_70-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_70\">If yes, who owns the land? <\/label><input type=\"text\" id=\"wpforms-122-field_70\" class=\"wpforms-field-medium\" name=\"wpforms[fields][70]\" ><\/div><div id=\"wpforms-122-field_72-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"72\"><label class=\"wpforms-field-label\">What is the physical address of the new building\/project?<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-122-field_72\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][72][address1]\" ><label for=\"wpforms-122-field_72\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-122-field_72-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][72][city]\" ><label for=\"wpforms-122-field_72-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-122-field_72-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][72][state]\" ><option class=\"placeholder\" value=\"\" selected disabled>--- 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=\"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><label for=\"wpforms-122-field_72-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-122-field_72-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][72][postal]\" ><label for=\"wpforms-122-field_72-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_73-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"73\"><h3 id=\"wpforms-122-field_73\">Lease Terms Desired:<\/h3><\/div><div id=\"wpforms-122-field_74-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"74\"><label class=\"wpforms-field-label\">Length of Lease Term<\/label><ul id=\"wpforms-122-field_74\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_74_1\" name=\"wpforms[fields][74]\" value=\"3 Years\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_74_1\">3 Years<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_74_2\" name=\"wpforms[fields][74]\" value=\"4 Years\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_74_2\">4 Years<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_74_3\" name=\"wpforms[fields][74]\" value=\"5 Years\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_74_3\">5 Years<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_75-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_75\">Other<\/label><input type=\"text\" id=\"wpforms-122-field_75\" class=\"wpforms-field-small\" name=\"wpforms[fields][75]\" ><\/div><div id=\"wpforms-122-field_76-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"76\"><label class=\"wpforms-field-label\">Payment Mode<\/label><ul id=\"wpforms-122-field_76\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_76_1\" name=\"wpforms[fields][76]\" value=\"Monthly \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_76_1\">Monthly<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_76_2\" name=\"wpforms[fields][76]\" value=\"4 Quarterly\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_76_2\">4 Quarterly<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_76_4\" name=\"wpforms[fields][76]\" value=\"Semi-Annual\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_76_4\">Semi-Annual<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_76_5\" name=\"wpforms[fields][76]\" value=\"Annual\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_76_5\">Annual<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_77-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first\" data-field-id=\"77\"><label class=\"wpforms-field-label\">First Payment Due<\/label><ul id=\"wpforms-122-field_77\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_77_1\" name=\"wpforms[fields][77]\" value=\"Upon Delivery\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_77_1\">Upon Delivery<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"78\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_78\">Other<\/label><input type=\"text\" id=\"wpforms-122-field_78\" class=\"wpforms-field-small\" name=\"wpforms[fields][78]\" placeholder=\"MM\/DD\/YYYY\" ><\/div><div id=\"wpforms-122-field_83-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"83\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_83\">Other Requests\/ Requirements:<\/label><textarea id=\"wpforms-122-field_83\" class=\"wpforms-field-medium\" name=\"wpforms[fields][83]\" ><\/textarea><\/div><div id=\"wpforms-122-field_84-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"84\"><h3 id=\"wpforms-122-field_84\">Vendor Information (Attach separate sheet if necessary)<\/h3><\/div><div id=\"wpforms-122-field_85-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_85\">Vendor Company<\/label><input type=\"text\" id=\"wpforms-122-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" ><\/div><div id=\"wpforms-122-field_86-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"86\"><label class=\"wpforms-field-label\">Vendor Contact email<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-122-field_86\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][86][primary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_86\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-122-field_86-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-122-field_86\" name=\"wpforms[fields][86][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-122-field_86-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_87-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"87\"><label class=\"wpforms-field-label\">Vendor Contact Name<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_87\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][87][first]\" ><label for=\"wpforms-122-field_87\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-122-field_87-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][87][last]\" ><label for=\"wpforms-122-field_87-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_89-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_89\">Vendor Contact Phone<\/label><input type=\"tel\" id=\"wpforms-122-field_89\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][89]\" aria-label=\"Vendor Contact Phone\" ><\/div><div id=\"wpforms-122-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_90\">Vendor City<\/label><input type=\"text\" id=\"wpforms-122-field_90\" class=\"wpforms-field-medium\" name=\"wpforms[fields][90]\" ><\/div><div id=\"wpforms-122-field_91-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"91\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_91\">State<\/label><input type=\"text\" id=\"wpforms-122-field_91\" class=\"wpforms-field-medium\" name=\"wpforms[fields][91]\" ><\/div><div id=\"wpforms-122-field_92-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"92\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_92\">Zip<\/label><input type=\"text\" id=\"wpforms-122-field_92\" class=\"wpforms-field-medium\" name=\"wpforms[fields][92]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-122-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-122-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LfXTQgqAAAAAKVjKQ1eDIZFCoOJsVw6FfXD1IO9\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"122\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/capitaleasing.net\/index.php?rest_route=\/wp\/v2\/pages\/25\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-122\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/td>\n<td width=\"9%\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Municipal 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