{"id":424,"date":"2026-02-04T15:42:59","date_gmt":"2026-02-04T15:42:59","guid":{"rendered":"https:\/\/partnershipone.com\/DDC\/?page_id=424"},"modified":"2026-08-17T15:43:50","modified_gmt":"2026-08-17T14:43:50","slug":"hb-council-tax-hardship-award","status":"publish","type":"page","link":"https:\/\/partnershipone.com\/DDC\/hb-council-tax-hardship-award\/","title":{"rendered":"Apply for the Council Tax Support exceptional hardship award"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_60' style='display:none'><style>#gform_wrapper_60[data-form-index=\"0\"].gform-theme{--gf-color-primary: #025B99;--gf-color-primary-rgb: 2, 91, 153;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #002967;--gf-color-primary-lighter: #348DCB;--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, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #025B99;--gf-color-in-ctrl-primary-rgb: 2, 91, 153;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #002967;--gf-color-in-ctrl-primary-lighter: #348DCB;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #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><div id='gf_60' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_60'  action='\/DDC\/wp-json\/wp\/v2\/pages\/424#gf_60' data-formid='60' novalidate><div id='gf_page_steps_60' class='gf_page_steps'><div id='gf_step_60_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Using the form<\/span><\/div><div id='gf_step_60_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Declaration<\/span><\/div><div id='gf_step_60_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>About you<\/span><\/div><div id='gf_step_60_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Reasons for applying<\/span><\/div><div id='gf_step_60_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>Your accounts<\/span><\/div><div id='gf_step_60_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'>Your income<\/span><\/div><div id='gf_step_60_7' class='gf_step gf_step_pending'><span class='gf_step_number'>7<\/span><span class='gf_step_label'>Your income (continued)<\/span><\/div><div id='gf_step_60_8' class='gf_step gf_step_pending'><span class='gf_step_number'>8<\/span><span class='gf_step_label'>Your outgoings<\/span><\/div><div id='gf_step_60_9' class='gf_step gf_step_pending'><span class='gf_step_number'>9<\/span><span class='gf_step_label'>Your loans and debts<\/span><\/div><div id='gf_step_60_10' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>10<\/span><span class='gf_step_label'>Other information and proof<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_60_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_60' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_5\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Complete this form to apply for an exceptional hardship award.\u00a0If you have not yet discussed a Council Tax payment plan with us, then don&#8217;t fill this form in yet. Phone our Council Tax Team first on 01304 872199.<\/p>\n\n<h2>This form will ask you to provide<\/h2>\n\n<ul>\n\t<li>your details including National Insurance number<\/li>\n\t<li>details about why you need help, future changes and what you are doing to help your situation<\/li>\n\t<li>details of all your bank, building society and Post Office accounts, including the account numbers and how much is in each<\/li>\n\t<li>the amount of Council Tax you pay per month for the current financial year<\/li>\n\t<li>the amount of rent or mortgage you pay and Housing Benefit you get per week<\/li>\n\t<li>a full list of every type and amount of money coming into your household (your household income) and how often you get this<\/li>\n\t<li>a full list of every type and amount of money going out of your household (your household outgoings) and how often you pay this<\/li>\n\t<li>a full list of every type of loan and debt you pay per week and the total amount of each outstanding<\/li>\n\t<li>proof of all your bank, building society and Post Office accounts, and of all your income and outgoings<\/li>\n\t<li>if you are self-employed, a copy of your accounts for the past year or a completed self-employed income form.<\/li>\n<\/ul>\n<p><\/p>\n<p>You can upload your proof to this form now or you can send it later,\u00a0but your application won&#8217;t be decided until we have received proof. If you don&#8217;t provide proof within two weeks of completing this form your application will be cancelled and you will need to apply again if you wish to do so.\u00a0<\/p>\n<p>Please have this information ready as pages time-out after one hour.<\/p>\n\n<p>Please do not use your browser&#8217;s back button &#8211; if you need to go to a previous page click on the &#8216;previous&#8217; button at the bottom of each page.<\/p>\n\n<h2>Privacy Statement<\/h2>\nDover District Council is a Data Controller under GDPR.  In submitting this form we will collect and process your personal data.  For information about your rights and how the Council uses your data,  please view our Corporate and relevant service privacy notice which can be found on our <a href=\"https:\/\/www.dover.gov.uk\/Website\/Privacy-and-Cookies.aspx\"target=\"_blank\">Privacy page<\/a>.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_60_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_538\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Declaration<\/h3><div class='gsection_description' id='gfield_description_60_538'><p>Please check the box below to confirm that you have read, understand and agree to the following statements before completing this form:<\/p>\n\n<ul>\n\t<li>I confirm the details I will give are correct and that the documents I will upload as proof are original copies and have not been edited in any way.<\/li>\n\t<li>I confirm that I will notify you of any relevant changes straight away.<\/li>\n\t<li>I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.<\/li>\n\t<li>I understand my data may be shared with other departments as permitted by law.<\/li>\n<\/ul><\/div><\/div><fieldset id=\"field_60_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Declaration<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_60_11'><div class='gchoice gchoice_60_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='I understand and accept the above declaration'  id='choice_60_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_11_1' id='label_60_11_1' class='gform-field-label gform-field-label--type-inline'>I understand and accept the above declaration<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_22' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_22' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_3' class='gform_page' data-js='page-field-id-22' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About you<\/h3><\/div><div id=\"field_60_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_24'><span class='gform-field-label__text'>Title (for example Mr, Mrs, Ms, Miss)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_60_24' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_25'><span class='gform-field-label__text'>First name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_60_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_26'><span class='gform-field-label__text'>Last name(s)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_60_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_512\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_512'><span class='gform-field-label__text'>Contact phone number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_512' id='input_60_512' type='text' value='' class='large'    placeholder='99999 999999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99999 999999\"\/><\/div><\/div><fieldset id=\"field_60_37\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_60_37'>We will use your email address to send the receipt of your form, including the form reference number. This may include personal data. We will also use your email address to contact you about your benefit claim and Council Tax account.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_60_37_container'>\n                                <span id='input_60_37_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_60_37' class='gform-field-label gform-field-label--type-sub '>Enter email address<\/label>\n                                    <input class='' type='email' name='input_37' id='input_60_37' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_60_37\" \/>\n                                <\/span>\n                                <span id='input_60_37_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_60_37_2' class='gform-field-label gform-field-label--type-sub '>Confirm email address<\/label>\n                                    <input class='' type='email' name='input_37_2' id='input_60_37_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_60_37\" \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_60_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to receive your Housing Benefit, Council Tax Support notifications and Council Tax bills by email?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_60_38'>You can receive your Housing Benefit, Council Tax Support notifications and Council Tax bills by email rather than post. We will send all future Housing Benefit and Council Tax Support notification letters and Council Tax bills to the email address you have given above. If you change your email address you must let us know straight away. You can opt out of this at any time at dover.gov.uk\/paperless<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_38'>\n\t\t\t<div class='gchoice gchoice_60_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Yes'  id='choice_60_38_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_60_38\"   \/>\n\t\t\t\t\t<label for='choice_60_38_0' id='label_60_38_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='No'  id='choice_60_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_38_1' id='label_60_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_28'><span class='gform-field-label__text'>Housing Benefit or Council Tax Support reference number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_60_28' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_29'><span class='gform-field-label__text'>National Insurance number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_60_29' type='text' value='' class='large'    placeholder='aa999999a' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"aa999999a\"\/><\/div><\/div><div id=\"field_60_513\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your address<\/h3><\/div><fieldset id=\"field_60_537\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full custom-address-field d-block field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_60_537' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_60_537_1_container' >\n                                        <label for='input_60_537_1' id='input_60_537_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_537.1' id='input_60_537_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_60_537_2_container' >\n                                        <label for='input_60_537_2' id='input_60_537_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_537.2' id='input_60_537_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_60_537_3_container' >\n                                    <label for='input_60_537_3' id='input_60_537_3_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                    <input type='text' name='input_537.3' id='input_60_537_3' value=''    aria-required='false'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_537.4' id='input_60_537_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_60_537_5_container' >\n                                    <label for='input_60_537_5' id='input_60_537_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_537.5' id='input_60_537_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_537.6' id='input_60_537_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_49' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_49' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_4' class='gform_page' data-js='page-field-id-49' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_50\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Reasons for applying<\/h3><\/div><div id=\"field_60_523\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_523'><span class='gform-field-label__text'>Why do you need extra help to pay your council tax?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_523' id='input_60_523' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_60_525\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_525'><span class='gform-field-label__text'>What are you doing to improve your financial situation?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_525' id='input_60_525' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_60_524\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_524'><span class='gform-field-label__text'>Is anything likely to change in the near future that will allow you to meet the shortfall in your council tax?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_524' id='input_60_524' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_58' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_5' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your bank, building society and Post Office accounts<\/h3><div class='gsection_description' id='gfield_description_60_59'><p>Please fill in the table below listing all bank, building society and Post Office accounts held by you and your partner (if you have one) and list the amounts in each account.<\/p>\n\n<p>If you have no bank accounts, please leave blank.<\/p><\/div><\/div><fieldset id=\"field_60_526\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Bank, building society and Post Office accounts held by you and your partner<\/span><\/legend><div class='gfield_description' id='gfield_description_60_526'>Click on the + sign to add a new row.<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name of bank or building society<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Account number<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Amount<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_526_cell1 gform-grid-col' data-label='Name of bank or building society'><input aria-invalid='false'  aria-describedby=\"gfield_description_60_526\" aria-label='Name of bank or building society, Row 1' data-aria-label-template='Name of bank or building society, Row {0}' type='text' name='input_526[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_526_cell2 gform-grid-col' data-label='Account number'><input aria-invalid='false'  aria-describedby=\"gfield_description_60_526\" aria-label='Account number, Row 1' data-aria-label-template='Account number, Row {0}' type='text' name='input_526[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_526_cell3 gform-grid-col' data-label='Amount'><input aria-invalid='false'  aria-describedby=\"gfield_description_60_526\" aria-label='Amount, Row 1' data-aria-label-template='Amount, Row {0}' type='text' name='input_526[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_68' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_68' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_6' class='gform_page' data-js='page-field-id-68' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_78\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your income<\/h3><div class='gsection_description' id='gfield_description_60_78'>Please list all the money coming into the household and select how often. This includes any income you and your partner receive and if any other adults living in the property contribute any money towards the household. If you get any income not listed, please give amounts using the &#8216;other income&#8217; option.<\/div><\/div><div id=\"field_60_79\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_79'><span class='gform-field-label__text'>Income type<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_60_79' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_80\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_80'><span class='gform-field-label__text'>Amount received<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_60_80' type='text' step='any'   value='' class='large'    placeholder='0.00'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_85'><span class='gform-field-label__text'>How often<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_60_85' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_354\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_354'>\n\t\t\t<div class='gchoice gchoice_60_354_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_354' type='radio' value='Yes'  id='choice_60_354_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_354_0' id='label_60_354_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_354_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_354' type='radio' value='No'  id='choice_60_354_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_354_1' id='label_60_354_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_355\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_93'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_60_93' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_94\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_94'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_94' id='input_60_94' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_95\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_95'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_60_95' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_356\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_356'>\n\t\t\t<div class='gchoice gchoice_60_356_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_356' type='radio' value='Yes'  id='choice_60_356_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_356_0' id='label_60_356_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_356_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_356' type='radio' value='No'  id='choice_60_356_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_356_1' id='label_60_356_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_357\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_135\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_135'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_135' id='input_60_135' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_136\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_136'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_136' id='input_60_136' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_137\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_137'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_137' id='input_60_137' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_358\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_358'>\n\t\t\t<div class='gchoice gchoice_60_358_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_358' type='radio' value='Yes'  id='choice_60_358_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_358_0' id='label_60_358_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_358_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_358' type='radio' value='No'  id='choice_60_358_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_358_1' id='label_60_358_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_359\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_96\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_96'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_96' id='input_60_96' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_97\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_97'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_97' id='input_60_97' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_98\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_98'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_98' id='input_60_98' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_362\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_362'>\n\t\t\t<div class='gchoice gchoice_60_362_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_362' type='radio' value='Yes'  id='choice_60_362_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_362_0' id='label_60_362_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_362_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_362' type='radio' value='No'  id='choice_60_362_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_362_1' id='label_60_362_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_363\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_100\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_100'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_60_100' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_108\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_108'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_108' id='input_60_108' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_119\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_119'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_119' id='input_60_119' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_364\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_364'>\n\t\t\t<div class='gchoice gchoice_60_364_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_364' type='radio' value='Yes'  id='choice_60_364_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_364_0' id='label_60_364_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_364_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_364' type='radio' value='No'  id='choice_60_364_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_364_1' id='label_60_364_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_365\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_138\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_138'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_138' id='input_60_138' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_139\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_139'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_139' id='input_60_139' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_140\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_140'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_140' id='input_60_140' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_366\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_366'>\n\t\t\t<div class='gchoice gchoice_60_366_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_366' type='radio' value='Yes'  id='choice_60_366_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_366_0' id='label_60_366_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_366_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_366' type='radio' value='No'  id='choice_60_366_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_366_1' id='label_60_366_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_367\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_99\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_99'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_99' id='input_60_99' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_106\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_106'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_106' id='input_60_106' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_118\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_118'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_118' id='input_60_118' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_368\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_368'>\n\t\t\t<div class='gchoice gchoice_60_368_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_368' type='radio' value='Yes'  id='choice_60_368_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_368_0' id='label_60_368_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_368_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_368' type='radio' value='No'  id='choice_60_368_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_368_1' id='label_60_368_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_369\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_102\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_102'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_102' id='input_60_102' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_107\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_107'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_107' id='input_60_107' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_116\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_116'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_116' id='input_60_116' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_370\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_370'>\n\t\t\t<div class='gchoice gchoice_60_370_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_370' type='radio' value='Yes'  id='choice_60_370_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_370_0' id='label_60_370_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_370_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_370' type='radio' value='No'  id='choice_60_370_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_370_1' id='label_60_370_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_371\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_144\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_144'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_60_144' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_145\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_145'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_145' id='input_60_145' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_146\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_146'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_60_146' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_372\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_372'>\n\t\t\t<div class='gchoice gchoice_60_372_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_372' type='radio' value='Yes'  id='choice_60_372_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_372_0' id='label_60_372_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_372_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_372' type='radio' value='No'  id='choice_60_372_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_372_1' id='label_60_372_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_373\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_141\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_141'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_60_141' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_142\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_142'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_142' id='input_60_142' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_143\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_143'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_143' id='input_60_143' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_374\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_374'>\n\t\t\t<div class='gchoice gchoice_60_374_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='Yes'  id='choice_60_374_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_374_0' id='label_60_374_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_374_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='No'  id='choice_60_374_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_374_1' id='label_60_374_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_375\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_101\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_101'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_101' id='input_60_101' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_110\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_110'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_110' id='input_60_110' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_117\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_117'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_60_117' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_376\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_376'>\n\t\t\t<div class='gchoice gchoice_60_376_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='Yes'  id='choice_60_376_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_376_0' id='label_60_376_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_376_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='No'  id='choice_60_376_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_376_1' id='label_60_376_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_377\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_103\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_103'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_60_103' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_109\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_109'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_109' id='input_60_109' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_115\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_115'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_115' id='input_60_115' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_378\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_378'>\n\t\t\t<div class='gchoice gchoice_60_378_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='Yes'  id='choice_60_378_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_378_0' id='label_60_378_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_378_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='No'  id='choice_60_378_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_378_1' id='label_60_378_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_379\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_104\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_104'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_104' id='input_60_104' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_112\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_112'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_112' id='input_60_112' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_114\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_114'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_114' id='input_60_114' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_380\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_380'>\n\t\t\t<div class='gchoice gchoice_60_380_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='Yes'  id='choice_60_380_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_380_0' id='label_60_380_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_380_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='No'  id='choice_60_380_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_380_1' id='label_60_380_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_381\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_105\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_105'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_105' id='input_60_105' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_111\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_111'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_111' id='input_60_111' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_113\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_113'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_113' id='input_60_113' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_382\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_382'>\n\t\t\t<div class='gchoice gchoice_60_382_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_382' type='radio' value='Yes'  id='choice_60_382_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_382_0' id='label_60_382_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_382_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_382' type='radio' value='No'  id='choice_60_382_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_382_1' id='label_60_382_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_383\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_147\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_147'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_60_147' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_148\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_148'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_148' id='input_60_148' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_149\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_149'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_149' id='input_60_149' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_384\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_384'>\n\t\t\t<div class='gchoice gchoice_60_384_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='Yes'  id='choice_60_384_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_384_0' id='label_60_384_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_384_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='No'  id='choice_60_384_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_384_1' id='label_60_384_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_385\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_150\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_150'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_150' id='input_60_150' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_151\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_151'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_151' id='input_60_151' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_152\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_152'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_152' id='input_60_152' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_386\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to add another type of income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_386'>\n\t\t\t<div class='gchoice gchoice_60_386_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_386' type='radio' value='Yes'  id='choice_60_386_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_386_0' id='label_60_386_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_386_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_386' type='radio' value='No'  id='choice_60_386_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_386_1' id='label_60_386_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_387\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_153\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_153'><span class='gform-field-label__text'>Income type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_153' id='input_60_153' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Attendance Allowance' >Attendance Allowance<\/option><option value='Carer&#039;s Allowance' >Carer&#039;s Allowance<\/option><option value='Child Benefit' >Child Benefit<\/option><option value='Child Maintenance' >Child Maintenance<\/option><option value='Child Tax Credit' >Child Tax Credit<\/option><option value='Disability Living Allowance' >Disability Living Allowance<\/option><option value='Employment and Support Allowance' >Employment and Support Allowance<\/option><option value='Incapacity Benefit' >Incapacity Benefit<\/option><option value='Income Support' >Income Support<\/option><option value='Jobseeker&#039;s Allowance' >Jobseeker&#039;s Allowance<\/option><option value='Money paid to you by any other adults who live with you (not your partner)' >Money paid to you by any other adults who live with you (not your partner)<\/option><option value='Personal Independence Payment' >Personal Independence Payment<\/option><option value='Severe Disability Allowance' >Severe Disability Allowance<\/option><option value='Wages or salary' >Wages or salary<\/option><option value='Working Tax Credit' >Working Tax Credit<\/option><option value='Universal Credit' >Universal Credit<\/option><option value='Other income' >Other income<\/option><\/select><\/div><\/div><div id=\"field_60_154\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_154'><span class='gform-field-label__text'>Amount received<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_154' id='input_60_154' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_155\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_155'><span class='gform-field-label__text'>How often<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_155' id='input_60_155' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every two weeks' >Every two weeks<\/option><option value='Every four weeks' >Every four weeks<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_353\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_122\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_122'><span class='gform-field-label__text'>If you have included &#039;other income&#039; as an option above, please give details about this other income<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_122' id='input_60_122' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_530' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_530' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_7' class='gform_page' data-js='page-field-id-530' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_531\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your income (continued)<\/h3><\/div><fieldset id=\"field_60_532\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you self-employed?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_532'>\n\t\t\t<div class='gchoice gchoice_60_532_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_532' type='radio' value='Yes'  id='choice_60_532_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_532_0' id='label_60_532_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_532_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_532' type='radio' value='No'  id='choice_60_532_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_532_1' id='label_60_532_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_533\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >We will need to see copies of your accounts for the past year. If you don&#8217;t have these you will need to complete a self-employed income form (you can find this form on our website).<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_123' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_123' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_8' class='gform_page' data-js='page-field-id-123' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_124\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your outgoings<\/h3><div class='gsection_description' id='gfield_description_60_124'>Please list all of your household outgoings and select how often. If you have any outgoings not listed, please give amounts using the &#8216;other expense&#8217; option.<\/div><\/div><div id=\"field_60_428\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Priority outgoings<\/h3><\/div><div id=\"field_60_129\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_129'><span class='gform-field-label__text'>Type of outgoing<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_129' id='input_60_129' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_130\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_130'><span class='gform-field-label__text'>Amount paid<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_130' id='input_60_130' type='text' step='any'   value='' class='large'    placeholder='0.00'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_128\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_128'><span class='gform-field-label__text'>How often?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_128' id='input_60_128' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_272\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_272'>\n\t\t\t<div class='gchoice gchoice_60_272_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_272' type='radio' value='Yes outgoing 2'  id='choice_60_272_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_272_0' id='label_60_272_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_272_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_272' type='radio' value='No'  id='choice_60_272_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_272_1' id='label_60_272_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_390\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_162\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_162'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_162' id='input_60_162' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_166\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_166'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_166' id='input_60_166' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_179\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_179'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_179' id='input_60_179' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_273\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_273'>\n\t\t\t<div class='gchoice gchoice_60_273_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_273' type='radio' value='Yes outgoing 3'  id='choice_60_273_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_273_0' id='label_60_273_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_273_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_273' type='radio' value='No'  id='choice_60_273_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_273_1' id='label_60_273_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_391\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_161\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_161'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_161' id='input_60_161' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_167\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_167'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_167' id='input_60_167' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_178\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_178'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_178' id='input_60_178' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_275\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_275'>\n\t\t\t<div class='gchoice gchoice_60_275_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_275' type='radio' value='Yes outgoing 3'  id='choice_60_275_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_275_0' id='label_60_275_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_275_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_275' type='radio' value='No'  id='choice_60_275_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_275_1' id='label_60_275_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_392\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_163\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_163'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_163' id='input_60_163' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_171\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_171'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_171' id='input_60_171' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_177\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_177'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_177' id='input_60_177' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_393\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_393'>\n\t\t\t<div class='gchoice gchoice_60_393_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_393' type='radio' value='Yes outgoing 3'  id='choice_60_393_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_393_0' id='label_60_393_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_393_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_393' type='radio' value='No'  id='choice_60_393_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_393_1' id='label_60_393_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_394\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_159\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_159'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_159' id='input_60_159' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_169\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_169'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_169' id='input_60_169' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_176\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_176'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_176' id='input_60_176' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_395\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_395'>\n\t\t\t<div class='gchoice gchoice_60_395_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_395' type='radio' value='Yes outgoing 3'  id='choice_60_395_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_395_0' id='label_60_395_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_395_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_395' type='radio' value='No'  id='choice_60_395_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_395_1' id='label_60_395_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_396\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_164\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_164'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_164' id='input_60_164' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_168\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_168'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_168' id='input_60_168' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_175\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_175'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_175' id='input_60_175' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_397\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_397'>\n\t\t\t<div class='gchoice gchoice_60_397_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_397' type='radio' value='Yes outgoing 3'  id='choice_60_397_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_397_0' id='label_60_397_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_397_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_397' type='radio' value='No'  id='choice_60_397_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_397_1' id='label_60_397_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_398\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_160\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_160'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_160' id='input_60_160' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_170\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_170'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_170' id='input_60_170' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_174\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_174'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_174' id='input_60_174' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_399\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another priority outgoing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_399'>\n\t\t\t<div class='gchoice gchoice_60_399_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_399' type='radio' value='Yes outgoing 3'  id='choice_60_399_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_399_0' id='label_60_399_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_399_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_399' type='radio' value='No'  id='choice_60_399_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_399_1' id='label_60_399_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_400\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_165\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_165'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_165' id='input_60_165' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Broadband \/ home phone' >Broadband \/ home phone<\/option><option value='Child maintenance' >Child maintenance<\/option><option value='Council Tax' >Council Tax<\/option><option value='Electricity' >Electricity<\/option><option value='Gas' >Gas<\/option><option value='Rent' >Rent<\/option><option value='TV licence' >TV licence<\/option><option value='Water rates' >Water rates<\/option><\/select><\/div><\/div><div id=\"field_60_172\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_172'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_172' id='input_60_172' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_173\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_173'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_173' id='input_60_173' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_427\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Normal household expenses<\/h3><\/div><div id=\"field_60_200\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_200'><span class='gform-field-label__text'>Type of outgoing<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_200' id='input_60_200' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_201\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_201'><span class='gform-field-label__text'>Amount paid<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_201' id='input_60_201' type='text' step='any'   value='' class='large'    placeholder='0.00'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_202\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_202'><span class='gform-field-label__text'>How often?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_202' id='input_60_202' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_401\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_401'>\n\t\t\t<div class='gchoice gchoice_60_401_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_401' type='radio' value='Yes outgoing 3'  id='choice_60_401_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_401_0' id='label_60_401_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_401_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_401' type='radio' value='No'  id='choice_60_401_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_401_1' id='label_60_401_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_403\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_215\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_215'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_215' id='input_60_215' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_216\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_216'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_216' id='input_60_216' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_239\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_239'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_239' id='input_60_239' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_404\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_404'>\n\t\t\t<div class='gchoice gchoice_60_404_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_404' type='radio' value='Yes outgoing 3'  id='choice_60_404_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_404_0' id='label_60_404_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_404_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_404' type='radio' value='No'  id='choice_60_404_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_404_1' id='label_60_404_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_405\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_214\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_214'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_214' id='input_60_214' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_217\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_217'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_217' id='input_60_217' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_228\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_228'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_228' id='input_60_228' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_406\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_406'>\n\t\t\t<div class='gchoice gchoice_60_406_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_406' type='radio' value='Yes outgoing 3'  id='choice_60_406_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_406_0' id='label_60_406_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_406_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_406' type='radio' value='No'  id='choice_60_406_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_406_1' id='label_60_406_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_407\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_213\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_213'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_213' id='input_60_213' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_218\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_218'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_218' id='input_60_218' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_229\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_229'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_229' id='input_60_229' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_408\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_408'>\n\t\t\t<div class='gchoice gchoice_60_408_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_408' type='radio' value='Yes outgoing 3'  id='choice_60_408_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_408_0' id='label_60_408_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_408_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_408' type='radio' value='No'  id='choice_60_408_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_408_1' id='label_60_408_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_409\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_212\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_212'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_212' id='input_60_212' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_219\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_219'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_219' id='input_60_219' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_230\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_230'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_230' id='input_60_230' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_410\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_410'>\n\t\t\t<div class='gchoice gchoice_60_410_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='Yes outgoing 3'  id='choice_60_410_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_410_0' id='label_60_410_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_410_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='No'  id='choice_60_410_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_410_1' id='label_60_410_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_411\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_211\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_211'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_211' id='input_60_211' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_220\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_220'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_220' id='input_60_220' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_231\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_231'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_231' id='input_60_231' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_412\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_412'>\n\t\t\t<div class='gchoice gchoice_60_412_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_412' type='radio' value='Yes outgoing 3'  id='choice_60_412_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_412_0' id='label_60_412_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_412_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_412' type='radio' value='No'  id='choice_60_412_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_412_1' id='label_60_412_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_413\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_210\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_210'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_210' id='input_60_210' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_221\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_221'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_221' id='input_60_221' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_232\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_232'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_232' id='input_60_232' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_414\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_414'>\n\t\t\t<div class='gchoice gchoice_60_414_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_414' type='radio' value='Yes outgoing 3'  id='choice_60_414_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_414_0' id='label_60_414_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_414_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_414' type='radio' value='No'  id='choice_60_414_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_414_1' id='label_60_414_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_415\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_209\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_209'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_209' id='input_60_209' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_222\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_222'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_222' id='input_60_222' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_234\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_234'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_234' id='input_60_234' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_416\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_416'>\n\t\t\t<div class='gchoice gchoice_60_416_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='Yes outgoing 3'  id='choice_60_416_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_416_0' id='label_60_416_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_416_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='No'  id='choice_60_416_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_416_1' id='label_60_416_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_417\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_208\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_208'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_208' id='input_60_208' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_227\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_227'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_227' id='input_60_227' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_233\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_233'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_233' id='input_60_233' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_418\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_418'>\n\t\t\t<div class='gchoice gchoice_60_418_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='Yes outgoing 3'  id='choice_60_418_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_418_0' id='label_60_418_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_418_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='No'  id='choice_60_418_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_418_1' id='label_60_418_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_419\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_207\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_207'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_207' id='input_60_207' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_223\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_223'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_223' id='input_60_223' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_235\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_235'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_235' id='input_60_235' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_420\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_420'>\n\t\t\t<div class='gchoice gchoice_60_420_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_420' type='radio' value='Yes outgoing 3'  id='choice_60_420_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_420_0' id='label_60_420_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_420_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_420' type='radio' value='No'  id='choice_60_420_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_420_1' id='label_60_420_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_421\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_206\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_206'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_206' id='input_60_206' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_224\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_224'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_224' id='input_60_224' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_237\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_237'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_237' id='input_60_237' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_422\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_422'>\n\t\t\t<div class='gchoice gchoice_60_422_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_422' type='radio' value='Yes outgoing 3'  id='choice_60_422_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_422_0' id='label_60_422_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_422_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_422' type='radio' value='No'  id='choice_60_422_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_422_1' id='label_60_422_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_423\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_205\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_205'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_205' id='input_60_205' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_225\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_225'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_225' id='input_60_225' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_236\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_236'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_236' id='input_60_236' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_424\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another normal household expense?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_424'>\n\t\t\t<div class='gchoice gchoice_60_424_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_424' type='radio' value='Y'  id='choice_60_424_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_424_0' id='label_60_424_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_424_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_424' type='radio' value='No'  id='choice_60_424_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_424_1' id='label_60_424_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_425\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_204\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_204'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_204' id='input_60_204' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Childcare costs' >Childcare costs<\/option><option value='Clothing' >Clothing<\/option><option value='Food (including household products and toiletries)' >Food (including household products and toiletries)<\/option><option value='Insurance - home' >Insurance &#8211; home<\/option><option value='Insurance - life' >Insurance &#8211; life<\/option><option value='Insurance - vehicle' >Insurance &#8211; vehicle<\/option><option value='Insurance - other' >Insurance &#8211; other<\/option><option value='Mobile phone' >Mobile phone<\/option><option value='Petrol or diesel' >Petrol or diesel<\/option><option value='Prescription costs' >Prescription costs<\/option><option value='Public transport' >Public transport<\/option><option value='School meals' >School meals<\/option><option value='Vehicle expenses' >Vehicle expenses<\/option><\/select><\/div><\/div><div id=\"field_60_226\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_226'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_226' id='input_60_226' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_238\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_238'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_238' id='input_60_238' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_426\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Non-essential costs<\/h3><\/div><div id=\"field_60_132\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_132'><span class='gform-field-label__text'>Type of outgoing<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_132' id='input_60_132' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_133\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_133'><span class='gform-field-label__text'>Amount paid<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_133' id='input_60_133' type='text' step='any'   value='' class='large'    placeholder='0.00'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_134\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_134'><span class='gform-field-label__text'>How often?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_134' id='input_60_134' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_429\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another non-essential cost?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_429'>\n\t\t\t<div class='gchoice gchoice_60_429_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_429' type='radio' value='Yes outgoing 3'  id='choice_60_429_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_429_0' id='label_60_429_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_429_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_429' type='radio' value='No'  id='choice_60_429_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_429_1' id='label_60_429_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_430\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_197\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_197'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_197' id='input_60_197' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_185\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_185'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_185' id='input_60_185' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_196\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_196'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_196' id='input_60_196' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_431\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another non-essential cost?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_431'>\n\t\t\t<div class='gchoice gchoice_60_431_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_431' type='radio' value='Yes outgoing 3'  id='choice_60_431_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_431_0' id='label_60_431_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_431_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_431' type='radio' value='No'  id='choice_60_431_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_431_1' id='label_60_431_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_432\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_182\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_182'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_182' id='input_60_182' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_189\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_189'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_189' id='input_60_189' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_195\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_195'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_195' id='input_60_195' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_433\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another non-essential cost?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_433'>\n\t\t\t<div class='gchoice gchoice_60_433_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_433' type='radio' value='Yes outgoing 3'  id='choice_60_433_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_433_0' id='label_60_433_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_433_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_433' type='radio' value='No'  id='choice_60_433_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_433_1' id='label_60_433_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_434\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_184\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_184'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_184' id='input_60_184' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_188\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_188'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_188' id='input_60_188' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_194\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_194'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_194' id='input_60_194' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_435\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another non-essential cost?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_435'>\n\t\t\t<div class='gchoice gchoice_60_435_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_435' type='radio' value='Yes outgoing 3'  id='choice_60_435_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_435_0' id='label_60_435_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_435_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_435' type='radio' value='No'  id='choice_60_435_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_435_1' id='label_60_435_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_436\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_180\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_180'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_180' id='input_60_180' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_186\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_186'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_186' id='input_60_186' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_193\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_193'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_193' id='input_60_193' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_438\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another non-essential cost?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_438'>\n\t\t\t<div class='gchoice gchoice_60_438_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_438' type='radio' value='Yes outgoing 3'  id='choice_60_438_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_438_0' id='label_60_438_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_438_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_438' type='radio' value='No'  id='choice_60_438_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_438_1' id='label_60_438_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_439\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_181\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_181'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_181' id='input_60_181' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_187\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_187'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_187' id='input_60_187' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_192\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_192'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_192' id='input_60_192' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><fieldset id=\"field_60_440\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Add another non-essential cost?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_440'>\n\t\t\t<div class='gchoice gchoice_60_440_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_440' type='radio' value='Yes outgoing 3'  id='choice_60_440_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_440_0' id='label_60_440_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_440_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_440' type='radio' value='No'  id='choice_60_440_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_440_1' id='label_60_440_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_441\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_183\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_183'><span class='gform-field-label__text'>Type of outgoing<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_183' id='input_60_183' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Cable or Sky TV' >Cable or Sky TV<\/option><option value='Cigarettes or vape \/ alcohol' >Cigarettes or vape \/ alcohol<\/option><option value='Eating out' >Eating out<\/option><option value='Gambling' >Gambling<\/option><option value='Leisure activities' >Leisure activities<\/option><option value='Lottery' >Lottery<\/option><option value='Other expense' >Other expense<\/option><\/select><\/div><\/div><div id=\"field_60_190\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_190'><span class='gform-field-label__text'>Amount paid<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_190' id='input_60_190' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_191\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_191'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_191' id='input_60_191' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_437\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_198\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_198'><span class='gform-field-label__text'>If you have included &#039;insurance &#8211; other&#039; as an option above or have any other outgoings, please give details about these<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_198' id='input_60_198' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_60_203\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have any outstanding loans or debts (including rent arrears)?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_203'>\n\t\t\t<div class='gchoice gchoice_60_203_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Yes'  id='choice_60_203_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_203_0' id='label_60_203_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_203_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='No'  id='choice_60_203_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_203_1' id='label_60_203_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_240' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_240' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_9' class='gform_page' data-js='page-field-id-240' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_241\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your loans and debts<\/h3><div class='gsection_description' id='gfield_description_60_241'>Please list all of your loans and debts including the amount payable per week and the total amount you owe.<\/div><\/div><div id=\"field_60_280\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_280'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_280' id='input_60_280' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_255\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_255'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_255' id='input_60_255' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_256\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_256'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_256' id='input_60_256' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_262\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_262'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_262' id='input_60_262' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_281\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_281'>\n\t\t\t<div class='gchoice gchoice_60_281_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_281' type='radio' value='Yes'  id='choice_60_281_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_281_0' id='label_60_281_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_281_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_281' type='radio' value='No'  id='choice_60_281_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_281_1' id='label_60_281_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_282\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_284\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_284'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_284' id='input_60_284' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_260\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_260'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_260' id='input_60_260' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_261\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_261'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_261' id='input_60_261' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_268\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_268'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_268' id='input_60_268' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_283\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_283'>\n\t\t\t<div class='gchoice gchoice_60_283_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_283' type='radio' value='Yes'  id='choice_60_283_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_283_0' id='label_60_283_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_283_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_283' type='radio' value='No'  id='choice_60_283_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_283_1' id='label_60_283_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_290\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_286\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_286'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_286' id='input_60_286' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_267\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_267'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_267' id='input_60_267' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_265\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_265'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_265' id='input_60_265' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_257\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_257'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_257' id='input_60_257' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_289\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_289'>\n\t\t\t<div class='gchoice gchoice_60_289_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='Yes'  id='choice_60_289_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_289_0' id='label_60_289_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_289_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='No'  id='choice_60_289_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_289_1' id='label_60_289_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_291\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_292\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_292'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_292' id='input_60_292' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_293\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_293'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_293' id='input_60_293' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_294\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_294'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_294' id='input_60_294' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_295\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_295'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_295' id='input_60_295' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_296\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_296'>\n\t\t\t<div class='gchoice gchoice_60_296_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_296' type='radio' value='Yes'  id='choice_60_296_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_296_0' id='label_60_296_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_296_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_296' type='radio' value='No'  id='choice_60_296_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_296_1' id='label_60_296_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_297\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_298\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_298'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_298' id='input_60_298' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_518\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_518'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_518' id='input_60_518' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_300\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_300'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_300' id='input_60_300' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_301\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_301'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_301' id='input_60_301' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_302\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_302'>\n\t\t\t<div class='gchoice gchoice_60_302_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_302' type='radio' value='Yes'  id='choice_60_302_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_302_0' id='label_60_302_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_302_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_302' type='radio' value='No'  id='choice_60_302_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_302_1' id='label_60_302_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_303\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_304\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_304'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_304' id='input_60_304' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_305\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_305'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_305' id='input_60_305' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_306\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_306'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_306' id='input_60_306' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_307\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_307'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_307' id='input_60_307' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_308\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_308'>\n\t\t\t<div class='gchoice gchoice_60_308_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='Yes'  id='choice_60_308_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_308_0' id='label_60_308_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_308_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='No'  id='choice_60_308_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_308_1' id='label_60_308_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_309\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_310\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_310'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_310' id='input_60_310' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_311\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_311'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_311' id='input_60_311' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_312\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_312'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_312' id='input_60_312' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_313\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_313'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_313' id='input_60_313' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_314\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_314'>\n\t\t\t<div class='gchoice gchoice_60_314_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_314' type='radio' value='Yes'  id='choice_60_314_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_314_0' id='label_60_314_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_314_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_314' type='radio' value='No'  id='choice_60_314_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_314_1' id='label_60_314_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_315\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_316\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_316'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_316' id='input_60_316' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_317\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_317'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_317' id='input_60_317' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_318\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_318'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_318' id='input_60_318' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_319\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_319'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_319' id='input_60_319' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_320\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_320'>\n\t\t\t<div class='gchoice gchoice_60_320_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_320' type='radio' value='Yes'  id='choice_60_320_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_320_0' id='label_60_320_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_320_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_320' type='radio' value='No'  id='choice_60_320_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_320_1' id='label_60_320_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_321\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_322\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_322'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_322' id='input_60_322' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_323\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_323'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_323' id='input_60_323' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_324\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_324'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_324' id='input_60_324' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_325\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_325'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_325' id='input_60_325' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_326\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_326'>\n\t\t\t<div class='gchoice gchoice_60_326_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_326' type='radio' value='Yes'  id='choice_60_326_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_326_0' id='label_60_326_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_326_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_326' type='radio' value='No'  id='choice_60_326_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_326_1' id='label_60_326_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_327\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_328\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_328'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_328' id='input_60_328' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_329\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_329'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_329' id='input_60_329' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_330\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_330'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_330' id='input_60_330' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_331\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_331'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_331' id='input_60_331' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_332\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_332'>\n\t\t\t<div class='gchoice gchoice_60_332_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_332' type='radio' value='Yes'  id='choice_60_332_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_332_0' id='label_60_332_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_332_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_332' type='radio' value='No'  id='choice_60_332_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_332_1' id='label_60_332_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_333\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_334\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_334'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_334' id='input_60_334' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_335\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_335'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_335' id='input_60_335' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_336\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_336'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_336' id='input_60_336' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_337\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_337'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_337' id='input_60_337' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_338\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_338'>\n\t\t\t<div class='gchoice gchoice_60_338_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_338' type='radio' value='Yes'  id='choice_60_338_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_338_0' id='label_60_338_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_338_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_338' type='radio' value='No'  id='choice_60_338_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_338_1' id='label_60_338_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_339\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_340\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_340'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_340' id='input_60_340' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_341\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_341'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_341' id='input_60_341' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_342\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_342'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_342' id='input_60_342' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_343\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_343'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_343' id='input_60_343' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_60_344\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have another loan or debt?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_344'>\n\t\t\t<div class='gchoice gchoice_60_344_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_344' type='radio' value='Yes'  id='choice_60_344_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_344_0' id='label_60_344_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_344_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_344' type='radio' value='No'  id='choice_60_344_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_344_1' id='label_60_344_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_345\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_346\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_346'><span class='gform-field-label__text'>Type of loan or debt<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_346' id='input_60_346' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Catalogue(s)' >Catalogue(s)<\/option><option value='Credit card 1' >Credit card 1<\/option><option value='Credit card 2' >Credit card 2<\/option><option value='Credit card 3' >Credit card 3<\/option><option value='Court fines' >Court fines<\/option><option value='Loan 1' >Loan 1<\/option><option value='Loan 2' >Loan 2<\/option><option value='Loan 3' >Loan 3<\/option><option value='Loans from friends \/ family' >Loans from friends \/ family<\/option><option value='Store card(s)' >Store card(s)<\/option><option value='Utility (for example gas, water, electricity) arrears' >Utility (for example gas, water, electricity) arrears<\/option><option value='Rent arrears' >Rent arrears<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_60_347\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_347'><span class='gform-field-label__text'>Amount payable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_347' id='input_60_347' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_348\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_348'><span class='gform-field-label__text'>How often?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_348' id='input_60_348' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Every week' >Every week<\/option><option value='Every month' >Every month<\/option><\/select><\/div><\/div><div id=\"field_60_349\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_349'><span class='gform-field-label__text'>Total amount outstanding or owed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_349' id='input_60_349' type='text' step='any'   value='' class='large'    placeholder='0.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_60_352\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_60_350\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_350'><span class='gform-field-label__text'>What steps have you taken to reduce the amounts owed?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_350' id='input_60_350' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_60_351\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_60_351'><span class='gform-field-label__text'>Please upload proof of these debts<\/span><\/label><div class='gfield_description' id='gfield_description_60_351'>You can upload up to five documents. Each document should be no bigger than 2MB. If you have more documents to upload, you can do so later in the form<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_60_351' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_60_351&quot;,&quot;container&quot;:&quot;gform_multifile_upload_60_351&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_60_351&quot;,&quot;filelist&quot;:&quot;gform_preview_60_351&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/DDC\\\/?gf_page=cd67508b2a8ca4d&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/DDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/DDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;txt,pdf,doc,docx,rtf,jpg,jpeg,tif,tiff,bmp,png,xls,xlsx&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:60,&quot;field_id&quot;:351,&quot;_gform_file_upload_nonce_60_351&quot;:&quot;dc3955fa71&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_60_351&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_60_351' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_60_351' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_60_351 gfield_description_60_351\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_60_351'>Accepted file types: txt, pdf, doc, docx, rtf, jpg, jpeg, tif, tiff, bmp, png, xls, xlsx, Max. file size: 15 MB, Max. files: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_60_351'><\/ul> <div id='gform_preview_60_351' class='ginput_preview_list'><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_60_442' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_60_442' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_60_10' class='gform_page' data-js='page-field-id-442' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_60_10' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_60_445\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Proof for your application and other information<\/h3><div class='gsection_description' id='gfield_description_60_445'><div class='gfield_description' id='gfield_description'>You need to provide proof of your bank, building society or Post Office accounts and of all your income and outgoings. You can upload these to this form now or you can send them later but we won&#8217;t process your application until we have received your proof.<\/div><\/div><\/div><fieldset id=\"field_60_447\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Will you upload your proof now or within the next two weeks?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_60_447'>You must send your proof within the next two weeks otherwise we will cancel your application and you will need to reapply, if you wish to do so.\u00a0<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_60_447'>\n\t\t\t<div class='gchoice gchoice_60_447_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_447' type='radio' value='I will upload my proof to this form now'  id='choice_60_447_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_60_447\"   \/>\n\t\t\t\t\t<label for='choice_60_447_0' id='label_60_447_0' class='gform-field-label gform-field-label--type-inline'>I will upload my proof to this form now<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_60_447_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_447' type='radio' value='I can&#039;t upload my proof to this form now, I&#039;ll send it within the next two weeks'  id='choice_60_447_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_60_447_1' id='label_60_447_1' class='gform-field-label gform-field-label--type-inline'>I can&#8217;t upload my proof to this form now, I&#8217;ll send it within the next two weeks<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_448\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Upload proof for your application<\/h3><\/div><div id=\"field_60_449\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_60_449'><span class='gform-field-label__text'>Upload up to five documents<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_60_449'>You can upload up to five documents. Each document should be no bigger than 2MB. We&#8217;ll give you a link at the end of this form to upload more documents, if you need to.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_60_449' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_60_449&quot;,&quot;container&quot;:&quot;gform_multifile_upload_60_449&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_60_449&quot;,&quot;filelist&quot;:&quot;gform_preview_60_449&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/DDC\\\/?gf_page=cd67508b2a8ca4d&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/DDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/DDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;txt,pdf,doc,docx,rtf,jpg,jpeg,tif,tiff,bmp,png,xls,xlsx&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:60,&quot;field_id&quot;:449,&quot;_gform_file_upload_nonce_60_449&quot;:&quot;a4f08a13a5&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_60_449&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_60_449' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_60_449' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_60_449 gfield_description_60_449\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_60_449'>Accepted file types: txt, pdf, doc, docx, rtf, jpg, jpeg, tif, tiff, bmp, png, xls, xlsx, Max. file size: 15 MB, Max. files: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_60_449'><\/ul> <div id='gform_preview_60_449' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_60_535\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other information<\/h3><\/div><div id=\"field_60_534\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_534'><span class='gform-field-label__text'>Please use this box to tell us any other information<\/span><\/label><div class='gfield_description' id='gfield_description_60_534'>If you have no further information to give us, leave the box blank\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_534' id='input_60_534' class='textarea medium'  aria-describedby=\"gfield_description_60_534\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_60' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='submit' id='gform_submit_button_60' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_60' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_60' id='gform_theme_60' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_60' id='gform_style_settings_60' value='{&quot;inputPrimaryColor&quot;:&quot;#025B99&quot;,&quot;buttonPrimaryBackgroundColor&quot;:&quot;#025B99&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_60' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='60' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='GBP' value='UjCahYN2mHoOVIeKAkBem+cP1OVBH4\/ZkV9eMjnAxxnlEsgCpBz2vWV2ifBvnumWahOlXkm5BXA965qIw541N5hRIoSogh390P17tsPF1ALcPAw=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_60' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_60' id='gform_target_page_number_60' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_60' id='gform_source_page_number_60' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_60' value='' \/>\n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-424","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/pages\/424","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/comments?post=424"}],"version-history":[{"count":2,"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/pages\/424\/revisions"}],"predecessor-version":[{"id":639,"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/pages\/424\/revisions\/639"}],"wp:attachment":[{"href":"https:\/\/partnershipone.com\/DDC\/wp-json\/wp\/v2\/media?parent=424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}