@if($errors->count()>0)
@endif
@if(Session::has('failed'))
@endif
-
@foreach($errors->all() as $error)
- {{ $error }} @endforeach
{{ Session::get('failed') }}
{{Form::open(['route'=>'order.hoa.store', 'files' => true, 'id' => 'new_update_form', 'class'=>'form-horizontal row-border'])}}
{{ Form::hidden('is_update', 1) }}
Basic Information
Requested By:
{{Form::text('customer_contact',Input::old('customer_contact', Auth::user()->fullname), ['class'=>'form-control', 'maxlength'=>"100"])}}File Number:
{{Form::text('file_number',Input::old('file_number', $order->file), ['class'=>'form-control center', 'maxlength'=>"30"])}}Closing Date:
{{ Form::text('closing_date', Input::old('closing_date'), ['id'=>'closing-date-lien', 'class'=>"form-control center", 'placeholder'=>"MM/DD/YYYY"]) }}
Property Information
Number:
{{ Form::text('StreetNo', Input::old('StreetNo'), ['class'=>'form-control-especial center', 'required' => 'required'] )}}{{ Form::select('StreetDirectionID',($select + $streetDirection), Input::old('StreetDirectionID'), ['class'=>'form-control center-especial StreetDirectionID']) }}
Street Name:
{{ Form::text('StreetName', Input::old('StreetName'), ['class'=>'form-control center', 'maxlength'=>"100"] )}}Type:
{{ Form::select('StreetTypeID',($select + $streetType), Input::old('StreetTypeID'), ['class'=>'form-control center StreetTypeID']) }}Unit Number:
{{ Form::text('StreetUnitNo', Input::old('StreetUnitNo'), ['class'=>'form-control center'] )}}City:
{{ Form::select('city_id',($select + $cities), Input::old('city_id'), ['id'=>'CityID', 'class'=>'form-control center']) }}Zip:
{{ Form::text('zipcode',Input::get('zipcode'), ['class'=>'form-control center', 'maxlength'=>"10"] )}}County:
{{ Form::select('county_id',($select + $counties), Input::old('county_id'), ['id'=>'CountyID', 'class'=>'form-control center']) }}Folio Number:
{{ Form::text('folio_number',Input::get('folio_number'), ['class'=>'form-control center', 'maxlength'=>"150"] )}}Legal Description:
{{ Form::textarea('legal_description',Input::get('legal_description'), ['class'=>'form-control', 'size'=>'3x5'] )}}Buyer:
{{ Form::text('buyer_name',Input::get('buyer_name'), ['class'=>'form-control center', 'maxlength'=>"100"] )}}Seller:
{{ Form::text('seller_name',Input::get('seller_name'), ['class'=>'form-control center', 'maxlength'=>"100"] )}}Specific Instructions:
{{ Form::textarea('special_instruction',Input::get('special_instruction'), ['class'=>'form-control','size'=>'3x5'] )}}
HOA Information
HOA Name:
{{ Form::text('hoa_name',Input::get('hoa_name'), ['class'=>'form-control center', 'maxlength'=>"255"] )}}Phone:
{{ Form::text('hoa_tel[0]',Input::get('hoa_tel.0'), ['class'=>'form-control-especial', 'id'=>'tel1', 'size'=>'3', 'maxlength'=>'3']) }}{{ Form::text('hoa_tel[1]',Input::get('hoa_tel.1'), ['class'=>'form-control-especial', 'id'=>'tel2', 'size'=>'3', 'maxlength'=>'3']) }}
{{ Form::text('hoa_tel[2]',Input::get('hoa_tel.2'), ['class'=>'form-control-especial', 'id'=>'tel3', 'size'=>'4', 'maxlength'=>'4']) }}
Listing Agent/ Realtor:
{{ Form::text('listing_agent_name',Input::get('listing_agent_name'), ['class'=>'form-control center', 'maxlength'=>"150"] )}}Phone:
{{ Form::text('agent_tel[0]',Input::get('agent_tel.0'), ['class'=>'form-control-especial', 'id'=>'tel1', 'size'=>'3', 'maxlength'=>'3'] )}}{{ Form::text('agent_tel[1]',Input::get('agent_tel.1'), ['class'=>'form-control-especial', 'id'=>'tel2', 'size'=>'3', 'maxlength'=>'3'] )}}
{{ Form::text('agent_tel[2]',Input::get('agent_tel.2'), ['class'=>'form-control-especial', 'id'=>'tel2', 'size'=>'4', 'maxlength'=>'4'] )}}
Upload Document
Upload Document:
{{ Form::file('CTFileName', ['class'=>'form-control center', 'accept'=>'.pdf, .txt, .xls, .doc, .xlsx, .docx'] )}}
Search Response Delivery
@include('site.EmailFax')
@include('site.buttonsSubmit')
{{ Form::close() }}