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64))},n.createElement(Z,null,n.createElement("h2",null,"Atlantic Bay Mortgage Payments"),n.createElement("p",null,"You can check where your mortgage payments should go using the"," ",n.createElement("a",{href:"/payments/"},"mortgage payment tool"),". If you have any other questions, please submit them via the form below.")),n.createElement(T,{errors:i,watchAllFields:c,dirtyFields:r,step:s,stepOneCompleted:p,stepTwoCompleted:M,setStep:m,setStepOneCompleted:u,setStepTwoCompleted:d}),n.createElement(V,{step:s},n.createElement(H,null,n.createElement("h3",null,"Let us know who you are."),n.createElement("p",null,"This information will help us reach back out to you.")),n.createElement(U,{className:"name"},n.createElement("input",Object.assign({type:"text",name:"name",id:"name",placeholder:"Your name",defaultValue:""},t("name",{required:!0,minLength:2}),{className:i.name?"errors":void 0})),n.createElement("label",{htmlFor:"name"},"Your name")),i.name&&n.createElement(Y,null,"Please enter your full name."),n.createElement(W,null,n.createElement(P,null,n.createElement(U,{className:"phone-number"},n.createElement(g.Qr,{control:o,rules:{required:!0,minLength:12},type:"text",name:"phone",id:"phone",defaultValue:"",className:i.phone?"errors":void 0,render:e=>{let{field:t}=e;return n.createElement(N(),Object.assign({options:{phone:!0,phoneRegionCode:"us",delimiter:"-"},placeholder:"Your phone number"},t))}}),n.createElement("label",{htmlFor:"phone"},"Your phone number")),i.phone&&n.createElement(Y,null,"Please enter a valid phone number with the area code.")),n.createElement(P,null,n.createElement(U,null,n.createElement("input",Object.assign({type:"text",name:"email",id:"email",placeholder:"Your email",defaultValue:""},t("email",{required:!0,pattern:/^(([^<>()[\]\\.,;:\s@"]+(\.[^<>()[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/}),{className:i.email?"errors":void 0})),n.createElement("label",{htmlFor:"email"},"Your email")),i.email&&n.createElement(Y,null,"Oh, no! That doesnât look like an email address. Could you try again?"))),n.createElement("hr",null),n.createElement(G,{className:0===Object.keys(i).length&&c.email&&c.name&&c.phone?null:"disabled",onClick:()=>{m("two"),u(!0)}},"Continue")),n.createElement(R,{step:s},n.createElement(F,{onClick:()=>m("one")},n.createElement("img",{src:A,alt:"chevron left icon"}),"Previous step"),n.createElement(H,{className:"step-two-header"},n.createElement("h3",null,"Loan information"),n.createElement("p",null,"Providing this information will allow us to get more insight on any issues you may have experienced.")),n.createElement(q,null,n.createElement(P,null,n.createElement(U,null,n.createElement("input",Object.assign({type:"text",name:"borrower_name",id:"borrower_name",placeholder:"Borrower's name",defaultValue:""},t("borrower_name",{required:!0,minLength:2}),{className:i.borrower_name?"errors":void 0})),n.createElement("label",{htmlFor:"borrower_name"},"Borrower's name")),i.borrower_name&&n.createElement(Y,null,"Please enter your full borrower name.")),n.createElement(P,null,n.createElement(U,null,n.createElement("input",Object.assign({type:"text",name:"co_borrower_name",id:"co_borrower_name",placeholder:"Co-Borrower's name (optional)",defaultValue:""},t("co_borrower_name",{minLength:2}),{className:i.co_borrower_name?"errors":void 0})),n.createElement("label",{htmlFor:"co_borrower_name"},"Co-Borrower's name (optional)")),i.co_borrower_name&&n.createElement(Y,null,"Almost there! Please enter your full co-borrower name."))),n.createElement(U,{className:"loan-number"},n.createElement("input",Object.assign({type:"text",name:"loan_number",id:"loan_number",placeholder:"Loan number (optional)",defaultValue:""},t("loan_number"),{className:i.loan_number?"errors":void 0})),n.createElement("label",{htmlFor:"loan_number"},"Loan number (optional)")),i.loan_number&&n.createElement(Y,null,"Almost there! Please enter a complete loan number."),n.createElement(U,{className:"property-street-address"},n.createElement("input",Object.assign({type:"text",name:"property_street_address",id:"property_street_address",placeholder:"Property Street Address",defaultValue:""},t("property_street_address",{required:!0,minLength:2}),{className:i.property_street_address?"errors":void 0})),n.createElement("label",{htmlFor:"property_street_address"},"Property Street Address")),i.property_street_address&&n.createElement(Y,null,"Please enter a complete property address."),n.createElement(q,null,n.createElement(P,{className:"city"}
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