ORDER FORMS / LIEN ONLY
@if($errors->count()>0)
@endif
@if(Session::has('failed'))
@endif
-
@foreach($errors->all() as $error)
- {{ $error }} @endforeach
{{ Session::get('failed') }}
{{Form::open(['route'=>'order.lien.store', 'files' => true, 'class'=>'form-horizontal row-border'])}}
@include ('helpers.lienSelections')
@include ('helpers.uploadDoc')
Basic Information
Requested By:
{{ Form::text('RequestedBy', Input::old('RequestedBy', Auth::user()->fullname), ['id'=>'requested-lien', 'class'=>"form-control", 'maxlength'=>"50"]) }} {{ Form::hidden('ClientID', Auth::user()->lien_client_id)}}File Number:
{{ Form::text('FileNo', Input::old('FileNo', ($order)? $order->FileNo:''), ['id'=>'file-number-lien', 'class'=>"form-control center", 'required'=>'required', 'maxlength'=>"50"]) }}Closing Date:
{{ Form::text('ClosingDate', Input::old('ClosingDate', ($order)? $order->ClosingDate:''), ['id'=>'closing-date-lien', 'class'=>"form-control center", 'placeholder'=>"MM/DD/YYYY"]) }}
Property Information
Number:
{{ Form::text('StreetNo', Input::old('StreetNo', ($property)? $property->StreetNo:''), ['id'=>'number-street-lien', 'class'=>"form-control-especial center", 'maxlength'=>"50"]) }}{{ Form::select('StreetDirectionID', ['-1'=>'Select'] + $streetDirections, Input::old('StreetDirectionID', ($property)? $property->StreetDirectionID:''), ['id'=>'', 'class'=>"form-control center"]) }}
Street Name:
{{ Form::text('StreetName', Input::old('StreetName', ($property)? $property->StreetName:''), ['id'=>'street-name-lien', 'class'=>"form-control center", 'maxlength'=>"100"]) }}Type:
{{ Form::select('StreetTypeID', ['-1'=>'Select'] + $streetTypes, Input::old('StreetTypeID', ($property)? $property->StreetTypeID:''), ['id'=>'type-lien', 'class'=>"form-control center"]) }}Unit Number:
{{ Form::text('StreetUnitNo', Input::old('StreetUnitNo', ($property)? $property->StreetUnitNo:''), ['id'=>'unit-number-lien', 'class'=>"form-control center", 'maxlength'=>"50"]) }}City:
{{ Form::select('CityID', [''=>'Select'] + $cities, Input::old('CityID', ($property)? $property->CityID:''), ['id'=>'city-lien', 'class'=>"form-control center"]) }}Zip:
{{ Form::text('ZipCode', Input::old('ZipCode', ($property)? $property->ZipCode:''), ['id'=>'zip-lien', 'class'=>"form-control center", 'maxlength'=>"10"]) }}County:
{{ Form::select('CountyID', [''=>'Select'] + $counties, Input::old('CountyID', ($property)? $property->CountyID:''), ['id'=>'county-lien', 'class'=>"form-control center"]) }}Folio Number:
{{ Form::text('FolioNo', Input::old('FolioNo', ($property)? $property->FolioNo:''), ['id'=>'folio-number-lien', 'class'=>"form-control center", 'maxlength'=>"100"]) }}Legal Description:
{{ Form::textarea('LegalDescription', Input::old('LegalDescription', ($property)? $property->LegalDescription:''), ['id'=>'legal-description-lien', 'class'=>"form-control", 'size'=>'20x3', 'maxlength'=>"1000"]) }}Buyer:
{{ Form::text('BuyerName', Input::old('BuyerName', ($order)? $order->BuyerName:''), ['id'=>'buyer-lien', 'class'=>"form-control center",'maxlength'=>"100"]) }}Seller:
{{ Form::text('SellerName', Input::old('SellerName', ($order)? $order->SellerName:''), ['id'=>'seller-lien', 'class'=>"form-control center", 'maxlength'=>"100"]) }}Specific Instructions:
{{ Form::textarea('SpecialInstruction', Input::old('SpecialInstruction', ($order)? $order->SpecialInstruction:''), ['id'=>'specific-instructions-lien', 'class'=>"form-control", 'size'=>'20x3', 'maxlength'=>"2000"]) }}
Search Response Delivery
@include('site.EmailFax')
@include('site.buttonsSubmit')
{{ Form::close() }}
@if(Session::has('message'))
{{ Session::get('message')}}
@endif