|
|
@ -78,7 +78,7 @@ |
|
|
<div class="question-well"> |
|
|
<div class="question-well"> |
|
|
<h3>What is your annual gross income as determined above?</h3> |
|
|
<h3>What is your annual gross income as determined above?</h3> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_gross_income" value="" class="money form-block response-textbox" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_gross_income" value="" class="money form-block response-textbox positive-float" %} |
|
|
</div> |
|
|
</div> |
|
|
|
|
|
|
|
|
<div class="collapse-trigger collapsed" data-toggle="collapse" aria-expanded="false" |
|
|
<div class="collapse-trigger collapsed" data-toggle="collapse" aria-expanded="false" |
|
|
@ -144,7 +144,7 @@ |
|
|
<div class="question-well"> |
|
|
<div class="question-well"> |
|
|
<h3>What is your spouse's annual gross income as determined above?</h3> |
|
|
<h3>What is your spouse's annual gross income as determined above?</h3> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="spouse_annual_gross_income" value="" class="money form-block response-textbox" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="spouse_annual_gross_income" value="" class="money form-block response-textbox positive-float" %} |
|
|
</div> |
|
|
</div> |
|
|
|
|
|
|
|
|
<div class="collapse-trigger collapsed" data-toggle="collapse" aria-expanded="false" |
|
|
<div class="collapse-trigger collapsed" data-toggle="collapse" aria-expanded="false" |
|
|
@ -352,12 +352,12 @@ |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer table-bordered"> |
|
|
<td class="fact-sheet-answer table-bordered"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="child_care_expenses" id="child_care_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly" data_mirror_on_pressed="true" data_mirror_target="#child_care_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="child_care_expenses" id="child_care_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly positive-float" data_mirror_on_pressed="true" data_mirror_target="#child_care_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_child_care_expenses" id="child_care_expenses_year" class="fact-sheet-input money extraordinary-expense-annually" data_mirror_on_pressed="true" data_mirror_target="#child_care_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_child_care_expenses" id="child_care_expenses_year" class="fact-sheet-input money extraordinary-expense-annually positive-float" data_mirror_on_pressed="true" data_mirror_target="#child_care_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
</tr> |
|
|
</tr> |
|
|
@ -367,12 +367,12 @@ |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="children_healthcare_premiums" id="children_healthcare_premiums_month" class="fact-sheet-input money extraordinary-expense-monthly" data_mirror_on_pressed="true" data_mirror_target="#children_healthcare_premiums_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="children_healthcare_premiums" id="children_healthcare_premiums_month" class="fact-sheet-input money extraordinary-expense-monthly positive-float" data_mirror_on_pressed="true" data_mirror_target="#children_healthcare_premiums_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_children_healthcare_premiums" id="children_healthcare_premiums_year" class="fact-sheet-input money extraordinary-expense-annually" data_mirror_on_pressed="true" data_mirror_target="#children_healthcare_premiums_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_children_healthcare_premiums" id="children_healthcare_premiums_year" class="fact-sheet-input money extraordinary-expense-annually positive-float" data_mirror_on_pressed="true" data_mirror_target="#children_healthcare_premiums_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
</tr> |
|
|
</tr> |
|
|
@ -392,12 +392,12 @@ |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="health_related_expenses" id="health_related_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly" data_mirror_on_pressed="true" data_mirror_target="#health_related_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="health_related_expenses" id="health_related_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly positive-float" data_mirror_on_pressed="true" data_mirror_target="#health_related_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_health_related_expenses" id="health_related_expenses_year" class="fact-sheet-input money extraordinary-expense-annually" data_mirror_on_pressed="true" data_mirror_target="#health_related_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_health_related_expenses" id="health_related_expenses_year" class="fact-sheet-input money extraordinary-expense-annually positive-float" data_mirror_on_pressed="true" data_mirror_target="#health_related_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
</tr> |
|
|
</tr> |
|
|
@ -417,12 +417,12 @@ |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="extraordinary_educational_expenses" id="extraordinary_educational_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_educational_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="extraordinary_educational_expenses" id="extraordinary_educational_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly positive-float" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_educational_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_extraordinary_educational_expenses" id="extraordinary_educational_expenses_year" class="fact-sheet-input money extraordinary-expense-annually" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_educational_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_extraordinary_educational_expenses" id="extraordinary_educational_expenses_year" class="fact-sheet-input money extraordinary-expense-annually positive-float" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_educational_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
</tr> |
|
|
</tr> |
|
|
@ -431,12 +431,12 @@ |
|
|
<td class="fact-sheet-question">Post-secondary school expenses</td> |
|
|
<td class="fact-sheet-question">Post-secondary school expenses</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="post_secondary_expenses" id="post_secondary_expenses_month" class="fact-sheet-input extraordinary-expense-monthly" data_mirror_on_pressed="true" data_mirror_target="#post_secondary_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="post_secondary_expenses" id="post_secondary_expenses_month" class="fact-sheet-input extraordinary-expense-monthly positive-float" data_mirror_on_pressed="true" data_mirror_target="#post_secondary_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_post_secondary_expenses" id="post_secondary_expenses_year" class="fact-sheet-input money extraordinary-expense-annually" data_mirror_on_pressed="true" data_mirror_target="#post_secondary_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_post_secondary_expenses" id="post_secondary_expenses_year" class="fact-sheet-input money extraordinary-expense-annually positive-float" data_mirror_on_pressed="true" data_mirror_target="#post_secondary_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
</tr> |
|
|
</tr> |
|
|
@ -458,12 +458,12 @@ |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="extraordinary_extracurricular_expenses" id="extraordinary_extracurricular_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_extracurricular_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="extraordinary_extracurricular_expenses" id="extraordinary_extracurricular_expenses_month" class="fact-sheet-input money extraordinary-expense-monthly positive-float" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_extracurricular_expenses_year" data_mirror_scale="year_up" data_mirror_broadcast_change="true" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
<td class="fact-sheet-answer"> |
|
|
<td class="fact-sheet-answer"> |
|
|
<div class="dollar-prefix"> |
|
|
<div class="dollar-prefix"> |
|
|
{% money_input_field name="annual_extraordinary_extracurricular_expenses" id="extraordinary_extracurricular_expenses_year" class="fact-sheet-input money extraordinary-expense-annually" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_extracurricular_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
|
|
|
|
|
|
{% money_input_field name="annual_extraordinary_extracurricular_expenses" id="extraordinary_extracurricular_expenses_year" class="fact-sheet-input money extraordinary-expense-annually positive-float" data_mirror_on_pressed="true" data_mirror_target="#extraordinary_extracurricular_expenses_month" data_mirror_scale="month_down" data_mirror_broadcast_change="true" data_sum="true" data_sum_class="extraordinary-expense-annually" data_sum_target_id="total_extraordinary_expense_annually" %} |
|
|
</div> |
|
|
</div> |
|
|
</td> |
|
|
</td> |
|
|
</tr> |
|
|
</tr> |
|
|
|