<%' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit.

On Error Resume Next
Session("FP_OldCodePage") = Session.CodePage
Session("FP_OldLCID") = Session.LCID
Session.CodePage = 1252
Err.Clear

strErrorUrl = ""

If Request.ServerVariables("REQUEST_METHOD") = "POST" Then
If Request.Form("VTI-GROUP") = "0" Then
	Err.Clear

	Set fp_conn =  Server.CreateObject("ADODB.Connection")
	FP_DumpError strErrorUrl, "Cannot create connection"

	Set fp_rs = Server.CreateObject("ADODB.Recordset")
	FP_DumpError strErrorUrl, "Cannot create record set"

	fp_conn.Open Application("CPKLaw2.0_ConnectionString")
	FP_DumpError strErrorUrl, "Cannot open database"

	fp_rs.Open """client financial profile""", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable
	FP_DumpError strErrorUrl, "Cannot open record set"

	fp_rs.AddNew
	FP_DumpError strErrorUrl, "Cannot add new record set to the database"
	Dim arFormFields0(69)
	Dim arFormDBFields0(69)
	Dim arFormValues0(69)

	arFormFields0(0) = "Field53"
	arFormDBFields0(0) = "Other Creditors"
	arFormValues0(0) = Request("Field53")
	arFormFields0(1) = "Field42"
	arFormDBFields0(1) = "monthly payment3"
	arFormValues0(1) = Request("Field42")
	arFormFields0(2) = "Field31"
	arFormDBFields0(2) = "Interest rate on card1"
	arFormValues0(2) = Request("Field31")
	arFormFields0(3) = "Field20"
	arFormDBFields0(3) = "Defendant's value any other equities"
	arFormValues0(3) = Request("Field20")
	arFormFields0(4) = "Field64"
	arFormDBFields0(4) = "Cellular phone bill"
	arFormValues0(4) = Request("Field64")
	arFormFields0(5) = "Field43"
	arFormDBFields0(5) = "Credit Card 4"
	arFormValues0(5) = Request("Field43")
	arFormFields0(6) = "Field32"
	arFormDBFields0(6) = "monthly payment1"
	arFormValues0(6) = Request("Field32")
	arFormFields0(7) = "Field21"
	arFormDBFields0(7) = "Vehicles driven by Plaintiff"
	arFormValues0(7) = Request("Field21")
	arFormFields0(8) = "Field10"
	arFormDBFields0(8) = "Appraised value or estimated value"
	arFormValues0(8) = Request("Field10")
	arFormFields0(9) = "Field54"
	arFormDBFields0(9) = "Total of other creditors"
	arFormValues0(9) = Request("Field54")
	arFormFields0(10) = "Field44"
	arFormDBFields0(10) = "user of card4"
	arFormValues0(10) = Request("Field44")
	arFormFields0(11) = "Field22"
	arFormDBFields0(11) = "Vehicles driven by Defendant"
	arFormValues0(11) = Request("Field22")
	arFormFields0(12) = "Field11"
	arFormDBFields0(12) = "Other real estate"
	arFormValues0(12) = Request("Field11")
	arFormFields0(13) = "Field33"
	arFormDBFields0(13) = "Credit Card 2"
	arFormValues0(13) = Request("Field33")
	arFormFields0(14) = "Field55"
	arFormDBFields0(14) = "Medical Insurance"
	arFormValues0(14) = Request("Field55")
	arFormFields0(15) = "Field66"
	arFormDBFields0(15) = "child care day care"
	arFormValues0(15) = Request("Field66")
	arFormFields0(16) = "Field23"
	arFormDBFields0(16) = "Estimated Blue Book Value vehicle 1"
	arFormValues0(16) = Request("Field23")
	arFormFields0(17) = "Field34"
	arFormDBFields0(17) = "user of card2"
	arFormValues0(17) = Request("Field34")
	arFormFields0(18) = "Field45"
	arFormDBFields0(18) = "Balance on card4"
	arFormValues0(18) = Request("Field45")
	arFormFields0(19) = "Field56"
	arFormDBFields0(19) = "Life Insurance"
	arFormValues0(19) = Request("Field56")
	arFormFields0(20) = "Field67"
	arFormDBFields0(20) = "car insurance premium"
	arFormValues0(20) = Request("Field67")
	arFormFields0(21) = "Field12"
	arFormDBFields0(21) = "Retirement Benefits of Plaintiff"
	arFormValues0(21) = Request("Field12")
	arFormFields0(22) = "Field57"
	arFormDBFields0(22) = "Insurance Premium"
	arFormValues0(22) = Request("Field57")
	arFormFields0(23) = "Field13"
	arFormDBFields0(23) = "Plaintiff value 401k"
	arFormValues0(23) = Request("Field13")
	arFormFields0(24) = "Field24"
	arFormDBFields0(24) = "Estimated Blue Book Value vehicle 2"
	arFormValues0(24) = Request("Field24")
	arFormFields0(25) = "Field35"
	arFormDBFields0(25) = "Balance on card2"
	arFormValues0(25) = Request("Field35")
	arFormFields0(26) = "Field46"
	arFormDBFields0(26) = "Interest rate on card4"
	arFormValues0(26) = Request("Field46")
	arFormFields0(27) = "Field68"
	arFormDBFields0(27) = "Auto fuel"
	arFormValues0(27) = Request("Field68")
	arFormFields0(28) = "Field58"
	arFormDBFields0(28) = "Cash surrender value"
	arFormValues0(28) = Request("Field58")
	arFormFields0(29) = "Field14"
	arFormDBFields0(29) = "Plaintiff value pension"
	arFormValues0(29) = Request("Field14")
	arFormFields0(30) = "Field25"
	arFormDBFields0(30) = "Estimated Blue Book Value vehicle 3"
	arFormValues0(30) = Request("Field25")
	arFormFields0(31) = "Field36"
	arFormDBFields0(31) = "Interest rate on card2"
	arFormValues0(31) = Request("Field36")
	arFormFields0(32) = "Field47"
	arFormDBFields0(32) = "monthly payment4"
	arFormValues0(32) = Request("Field47")
	arFormFields0(33) = "Field69"
	arFormDBFields0(33) = "Auto payments"
	arFormValues0(33) = Request("Field69")
	arFormFields0(34) = "Field48"
	arFormDBFields0(34) = "Credit Card 5"
	arFormValues0(34) = Request("Field48")
	arFormFields0(35) = "Field15"
	arFormDBFields0(35) = "Plaintiff value mutual fund"
	arFormValues0(35) = Request("Field15")
	arFormFields0(36) = "Field26"
	arFormDBFields0(36) = "Estimated Blue Book Value vehicle 4"
	arFormValues0(36) = Request("Field26")
	arFormFields0(37) = "Field37"
	arFormDBFields0(37) = "monthly payment2"
	arFormValues0(37) = Request("Field37")
	arFormFields0(38) = "Field49"
	arFormDBFields0(38) = "user of card5"
	arFormValues0(38) = Request("Field49")
	arFormFields0(39) = "Field16"
	arFormDBFields0(39) = "Plaintiff value any other equities"
	arFormValues0(39) = Request("Field16")
	arFormFields0(40) = "Field27"
	arFormDBFields0(40) = "Safe Deposit Box"
	arFormValues0(40) = Request("Field27")
	arFormFields0(41) = "Field38"
	arFormDBFields0(41) = "Credit Card 3"
	arFormValues0(41) = Request("Field38")
	arFormFields0(42) = "Field28"
	arFormDBFields0(42) = "Credit Card 1"
	arFormValues0(42) = Request("Field28")
	arFormFields0(43) = "Field17"
	arFormDBFields0(43) = "Defendant's value 401k"
	arFormValues0(43) = Request("Field17")
	arFormFields0(44) = "Field39"
	arFormDBFields0(44) = "user of card3"
	arFormValues0(44) = Request("Field39")
	arFormFields0(45) = "Field29"
	arFormDBFields0(45) = "user of card1"
	arFormValues0(45) = Request("Field29")
	arFormFields0(46) = "Field18"
	arFormDBFields0(46) = "Defendant's value pension"
	arFormValues0(46) = Request("Field18")
	arFormFields0(47) = "Field19"
	arFormDBFields0(47) = "Defendant's value mutual fund"
	arFormValues0(47) = Request("Field19")
	arFormFields0(48) = "Field3"
	arFormDBFields0(48) = "Marital Home Address or legal description"
	arFormValues0(48) = Request("Field3")
	arFormFields0(49) = "Field4"
	arFormDBFields0(49) = "Year Purchased"
	arFormValues0(49) = Request("Field4")
	arFormFields0(50) = "Field70"
	arFormDBFields0(50) = "Any other expenses"
	arFormValues0(50) = Request("Field70")
	arFormFields0(51) = "Beneficiary"
	arFormDBFields0(51) = "Beneficiary"
	arFormValues0(51) = Request("Beneficiary")
	arFormFields0(52) = "Field5"
	arFormDBFields0(52) = "Purchase price"
	arFormValues0(52) = Request("Field5")
	arFormFields0(53) = "Field60"
	arFormDBFields0(53) = "Disability insurance"
	arFormValues0(53) = Request("Field60")
	arFormFields0(54) = "Field6"
	arFormDBFields0(54) = "Balance due"
	arFormValues0(54) = Request("Field6")
	arFormFields0(55) = "groceries"
	arFormDBFields0(55) = "groceries"
	arFormValues0(55) = Request("groceries")
	arFormFields0(56) = "Field61"
	arFormDBFields0(56) = "disability premium"
	arFormValues0(56) = Request("Field61")
	arFormFields0(57) = "Field50"
	arFormDBFields0(57) = "Balance on card5"
	arFormValues0(57) = Request("Field50")
	arFormFields0(58) = "Field7"
	arFormDBFields0(58) = "Who are the payments made to?"
	arFormValues0(58) = Request("Field7")
	arFormFields0(59) = "Field51"
	arFormDBFields0(59) = "Interest rate on card5"
	arFormValues0(59) = Request("Field51")
	arFormFields0(60) = "Field40"
	arFormDBFields0(60) = "Balance on card3"
	arFormValues0(60) = Request("Field40")
	arFormFields0(61) = "Field8"
	arFormDBFields0(61) = "What is the mortgage interest rate?"
	arFormValues0(61) = Request("Field8")
	arFormFields0(62) = "Field62"
	arFormDBFields0(62) = "Phone Bill"
	arFormValues0(62) = Request("Field62")
	arFormFields0(63) = "T1"
	arFormDBFields0(63) = "Client Case Number"
	arFormValues0(63) = Request("T1")
	arFormFields0(64) = "Field52"
	arFormDBFields0(64) = "monthly payment5"
	arFormValues0(64) = Request("Field52")
	arFormFields0(65) = "Field41"
	arFormDBFields0(65) = "Interest rate on card3"
	arFormValues0(65) = Request("Field41")
	arFormFields0(66) = "Field30"
	arFormDBFields0(66) = "Balance on card1"
	arFormValues0(66) = Request("Field30")
	arFormFields0(67) = "Field9"
	arFormDBFields0(67) = "Home Owner's insurance?"
	arFormValues0(67) = Request("Field9")
	arFormFields0(68) = "Field63"
	arFormDBFields0(68) = "Electric/gas bill"
	arFormValues0(68) = Request("Field63")

	FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0


	fp_rs.Update
	FP_DumpError strErrorUrl, "Cannot update the database"

	fp_rs.Close
	fp_conn.Close

	FP_FormConfirmation "text/html; charset=windows-1252",_
						"Form Confirmation",_
						"Thank you for submitting the following information:",_
						"Client%20Financial%20Profile.htm",_
						"Return to the form."

End If
End If

Session.CodePage = Session("FP_OldCodePage")
Session.LCID = Session("FP_OldLCID")

%>
<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns="http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<link rel="File-List" href="Client%20Financial%20Profile_files/filelist.xml">
<title>Client Financial Profile</title>
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<style>
v\:*         { behavior: url(#default#VML) }
o\:*         { behavior: url(#default#VML) }
.shape       { behavior: url(#default#VML) }
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<![endif]--><!--[if gte mso 9]>
<xml><o:shapedefaults v:ext="edit" spidmax="1027"/>
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</head>

<body>

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height=83 src="Client%20Financial%20Profile_files/image003.jpg" v:shapes="_x0000_s1026"></span><![endif]><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
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		<object classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=5,0,0,0" WIDTH="130" HEIGHT="64" style="border-style: solid; border-width: 2; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1" align="top" hspace="20">
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		<p>&nbsp;&nbsp;&nbsp; </p>
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		<p><b><u><font size="2">30445 Northwester Highway, Suite 230, Farmington 
		Hills, MI 48334</font>/</u><font size="2"><u>248-737-8410 
    phone/1-866-728-4718 fax, </u>
		<a href="mailto:christopherpkohler@ameritech.net">
		christopherkohler@kohlerlaw.net</a></font></b></p>
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</v:shape><![endif]--><![if !vml]><span style='mso-ignore:vglayout;position:
absolute;z-index:9;left:85px;top:21px;width:454px;height:52px'><img width=454
height=52 src="Client%20Financial%20Profile_files/image007.gif"
alt="The Law Offices of Christopher P. Kohler, P.C." v:shapes="_x0000_s1031"></span><![endif]></p>
		<p>
    <img border="0" src="creditcards_images.gif" height="23" style="position: relative; left: 0; top: 0; z-index: 3; width:145px"></p>
		<p align="center">
		<!--webbot bot="Navigation" S-Orientation="horizontal" S-Rendering="graphics" S-Theme="deepblue" S-Type="top" B-Include-Home="TRUE" B-Include-Up="FALSE" startspan --><!--webbot bot="Navigation" i-checksum="0" endspan --></p>
		<p>&nbsp;</p>
		<table border="0" width="58%" background="begin%20a%20case_files/image001.gif">
			<tr>
				<td><b><font face="verdana" color="#FFFFFF">Client Financial 
				Profile...</font></b></td>
			</tr>
		</table>
		<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript" Type="text/javascript"><!--
function FrontPage_Form1_Validator(theForm)
{

  if (theForm.Field5.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field5\" field.");
    theForm.Field5.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field5.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field5\" field.");
    theForm.Field5.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field5\" field.");
    theForm.Field5.focus();
    return (false);
  }

  if (theForm.Field6.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field6\" field.");
    theForm.Field6.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field6.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field6\" field.");
    theForm.Field6.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field6\" field.");
    theForm.Field6.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field10.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field10\" field.");
    theForm.Field10.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field10\" field.");
    theForm.Field10.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field13.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field13\" field.");
    theForm.Field13.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field13\" field.");
    theForm.Field13.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field14.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field14\" field.");
    theForm.Field14.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field14\" field.");
    theForm.Field14.focus();
    return (false);
  }

  if (theForm.Field15.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field15\" field.");
    theForm.Field15.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field15.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field15\" field.");
    theForm.Field15.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field15\" field.");
    theForm.Field15.focus();
    return (false);
  }

  if (theForm.Field16.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field16\" field.");
    theForm.Field16.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field16.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field16\" field.");
    theForm.Field16.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field16\" field.");
    theForm.Field16.focus();
    return (false);
  }

  if (theForm.Field17.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field17\" field.");
    theForm.Field17.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field17.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field17\" field.");
    theForm.Field17.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field17\" field.");
    theForm.Field17.focus();
    return (false);
  }

  if (theForm.Field18.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field18\" field.");
    theForm.Field18.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field18.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field18\" field.");
    theForm.Field18.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field18\" field.");
    theForm.Field18.focus();
    return (false);
  }

  if (theForm.Field19.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field19\" field.");
    theForm.Field19.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field19.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field19\" field.");
    theForm.Field19.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field19\" field.");
    theForm.Field19.focus();
    return (false);
  }

  if (theForm.Field20.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field20\" field.");
    theForm.Field20.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field20.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field20\" field.");
    theForm.Field20.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field20\" field.");
    theForm.Field20.focus();
    return (false);
  }

  if (theForm.Field23.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field23\" field.");
    theForm.Field23.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field23.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field23\" field.");
    theForm.Field23.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field23\" field.");
    theForm.Field23.focus();
    return (false);
  }

  if (theForm.Field24.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field24\" field.");
    theForm.Field24.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field24.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field24\" field.");
    theForm.Field24.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field24\" field.");
    theForm.Field24.focus();
    return (false);
  }

  if (theForm.Field25.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field25\" field.");
    theForm.Field25.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field25.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field25\" field.");
    theForm.Field25.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field25\" field.");
    theForm.Field25.focus();
    return (false);
  }

  if (theForm.Field26.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field26\" field.");
    theForm.Field26.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field26.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field26\" field.");
    theForm.Field26.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field26\" field.");
    theForm.Field26.focus();
    return (false);
  }

  if (theForm.Field30.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field30\" field.");
    theForm.Field30.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field30.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field30\" field.");
    theForm.Field30.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field30\" field.");
    theForm.Field30.focus();
    return (false);
  }

  if (theForm.Field31.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field31\" field.");
    theForm.Field31.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field31.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field31\" field.");
    theForm.Field31.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field31\" field.");
    theForm.Field31.focus();
    return (false);
  }

  if (theForm.Field32.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field32\" field.");
    theForm.Field32.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field32.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field32\" field.");
    theForm.Field32.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field32\" field.");
    theForm.Field32.focus();
    return (false);
  }

  if (theForm.Field35.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field35\" field.");
    theForm.Field35.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field35.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field35\" field.");
    theForm.Field35.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field35\" field.");
    theForm.Field35.focus();
    return (false);
  }

  if (theForm.Field36.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field36\" field.");
    theForm.Field36.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field36.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field36\" field.");
    theForm.Field36.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field36\" field.");
    theForm.Field36.focus();
    return (false);
  }

  if (theForm.Field37.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field37\" field.");
    theForm.Field37.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field37.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field37\" field.");
    theForm.Field37.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field37\" field.");
    theForm.Field37.focus();
    return (false);
  }

  if (theForm.Field40.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field40\" field.");
    theForm.Field40.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field40.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field40\" field.");
    theForm.Field40.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field40\" field.");
    theForm.Field40.focus();
    return (false);
  }

  if (theForm.Field41.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field41\" field.");
    theForm.Field41.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field41.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field41\" field.");
    theForm.Field41.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field41\" field.");
    theForm.Field41.focus();
    return (false);
  }

  if (theForm.Field42.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field42\" field.");
    theForm.Field42.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field42.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field42\" field.");
    theForm.Field42.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field42\" field.");
    theForm.Field42.focus();
    return (false);
  }

  if (theForm.Field45.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field45\" field.");
    theForm.Field45.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field45.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field45\" field.");
    theForm.Field45.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field45\" field.");
    theForm.Field45.focus();
    return (false);
  }

  if (theForm.Field46.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field46\" field.");
    theForm.Field46.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field46.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field46\" field.");
    theForm.Field46.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field46\" field.");
    theForm.Field46.focus();
    return (false);
  }

  if (theForm.Field47.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field47\" field.");
    theForm.Field47.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field47.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field47\" field.");
    theForm.Field47.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field47\" field.");
    theForm.Field47.focus();
    return (false);
  }

  if (theForm.Field50.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field50\" field.");
    theForm.Field50.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field50.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field50\" field.");
    theForm.Field50.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field50\" field.");
    theForm.Field50.focus();
    return (false);
  }

  if (theForm.Field51.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field51\" field.");
    theForm.Field51.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field51.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field51\" field.");
    theForm.Field51.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field51\" field.");
    theForm.Field51.focus();
    return (false);
  }

  if (theForm.Field52.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field52\" field.");
    theForm.Field52.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field52.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field52\" field.");
    theForm.Field52.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field52\" field.");
    theForm.Field52.focus();
    return (false);
  }

  if (theForm.Field57.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field57\" field.");
    theForm.Field57.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field57.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field57\" field.");
    theForm.Field57.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field57\" field.");
    theForm.Field57.focus();
    return (false);
  }

  if (theForm.Field58.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field58\" field.");
    theForm.Field58.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field58.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field58\" field.");
    theForm.Field58.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field58\" field.");
    theForm.Field58.focus();
    return (false);
  }

  if (theForm.Field61.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field61\" field.");
    theForm.Field61.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field61.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field61\" field.");
    theForm.Field61.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field61\" field.");
    theForm.Field61.focus();
    return (false);
  }

  if (theForm.Field62.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field62\" field.");
    theForm.Field62.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field62.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field62\" field.");
    theForm.Field62.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field62\" field.");
    theForm.Field62.focus();
    return (false);
  }

  if (theForm.Field63.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field63\" field.");
    theForm.Field63.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field63.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field63\" field.");
    theForm.Field63.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field63\" field.");
    theForm.Field63.focus();
    return (false);
  }

  if (theForm.Field64.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field64\" field.");
    theForm.Field64.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field64.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field64\" field.");
    theForm.Field64.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field64\" field.");
    theForm.Field64.focus();
    return (false);
  }

  if (theForm.groceries.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"groceries\" field.");
    theForm.groceries.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.groceries.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"groceries\" field.");
    theForm.groceries.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"groceries\" field.");
    theForm.groceries.focus();
    return (false);
  }

  if (theForm.Field66.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field66\" field.");
    theForm.Field66.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field66.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field66\" field.");
    theForm.Field66.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field66\" field.");
    theForm.Field66.focus();
    return (false);
  }

  if (theForm.Field67.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field67\" field.");
    theForm.Field67.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field67.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field67\" field.");
    theForm.Field67.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field67\" field.");
    theForm.Field67.focus();
    return (false);
  }

  if (theForm.Field68.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field68\" field.");
    theForm.Field68.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field68.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field68\" field.");
    theForm.Field68.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field68\" field.");
    theForm.Field68.focus();
    return (false);
  }

  if (theForm.Field69.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"Field69\" field.");
    theForm.Field69.focus();
    return (false);
  }

  var checkOK = "0123456789-.,";
  var checkStr = theForm.Field69.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else if (ch == "," && decPoints != 0)
    {
      validGroups = false;
      break;
    }
    else if (ch != ",")
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"Field69\" field.");
    theForm.Field69.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"Field69\" field.");
    theForm.Field69.focus();
    return (false);
  }
  return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" name="FrontPage_Form1" action="_vti_bin/shtml.dll/Client%20Financial%20Profile.htm" onsubmit="return FrontPage_Form1_Validator(this)" language="JavaScript" webbot-action="--WEBBOT-SELF--">
			<!--webbot bot="SaveDatabase" SuggestedExt="asp" S-DataConnection="CPKLaw2.0" S-RecordSource="client financial profile" U-ASP-Include-Url="_fpclass/fpdbform.inc" startspan S-Form-Fields="Field53 Field42 Field31 Field20 Field64 Field43 Field32 Field21 Field10 Field54 Field44 Field22 Field11 Field33 Field55 Field66 Field23 Field34 Field45 Field56 Field67 Field12 Field57 Field13 Field24 Field35 Field46 Field68 Field58 Field14 Field25 Field36 Field47 Field69 Field48 Field15 Field26 Field37 Field49 Field16 Field27 Field38 Field28 Field17 Field39 Field29 Field18 Field19 Field3 Field4 Field70 Beneficiary Field5 Field60 Field6 groceries Field61 Field50 Field7 Field51 Field40 Field8 Field62 T1 Field52 Field41 Field30 Field9 Field63" S-Form-DBFields="Other\ Creditors monthly\ payment3 Interest\ rate\ on\ card1 Defendant's\ value\ any\ other\ equities Cellular\ phone\ bill Credit\ Card\ 4 monthly\ payment1 Vehicles\ driven\ by\ Plaintiff Appraised\ value\ or\ estimated\ value Total\ of\ other\ creditors user\ of\ card4 Vehicles\ driven\ by\ Defendant Other\ real\ estate Credit\ Card\ 2 Medical\ Insurance child\ care\ day\ care Estimated\ Blue\ Book\ Value\ vehicle\ 1 user\ of\ card2 Balance\ on\ card4 Life\ Insurance car\ insurance\ premium Retirement\ Benefits\ of\ Plaintiff Insurance\ Premium Plaintiff\ value\ 401k Estimated\ Blue\ Book\ Value\ vehicle\ 2 Balance\ on\ card2 Interest\ rate\ on\ card4 Auto\ fuel Cash\ surrender\ value Plaintiff\ value\ pension Estimated\ Blue\ Book\ Value\ vehicle\ 3 Interest\ rate\ on\ card2 monthly\ payment4 Auto\ payments Credit\ Card\ 5 Plaintiff\ value\ mutual\ fund Estimated\ Blue\ Book\ Value\ vehicle\ 4 monthly\ payment2 user\ of\ card5 Plaintiff\ value\ any\ other\ equities Safe\ Deposit\ Box Credit\ Card\ 3 Credit\ Card\ 1 Defendant's\ value\ 401k user\ of\ card3 user\ of\ card1 Defendant's\ value\ pension Defendant's\ value\ mutual\ fund Marital\ Home\ Address\ or\ legal\ description Year\ Purchased Any\ other\ expenses Beneficiary Purchase\ price Disability\ insurance Balance\ due groceries disability\ premium Balance\ on\ card5 Who\ are\ the\ payments\ made\ to? Interest\ rate\ on\ card5 Balance\ on\ card3 What\ is\ the\ mortgage\ interest\ rate? Phone\ Bill Client\ Case\ Number monthly\ payment5 Interest\ rate\ on\ card3 Balance\ on\ card1 Home\ Owner's\ insurance? Electric/gas\ bill" --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--#include file="_fpclass/fpdbform.inc"--><!--webbot bot="SaveDatabase" endspan i-checksum="40548" -->

<p><font face="verdana" size="2"><b>Please enter the case number I have assigned 
to you.&nbsp; </b>
</font><font face="verdana"><b>
<input type="text" name="T1" size="34"><font size="1"> </font></b></font><i>
<font face="Verdana" size="2">(this</font><font face="Verdana" size="1"> is not 
your court case number, but the case number I gave to you at our first office 
consult.)</font></i></p>
<p><font face="verdana" size="2"><b>What is the Address and legal description (if you know) of the 
marital home?<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field3" cols="64" tabindex="2"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>What year was the marital home purchased in?<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field4" size="19"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>What was the purchase price of the marital home?&nbsp; (remember no 
dollar signs!)<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field5" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>If there is a balance on the mortgage, how much is it?&nbsp; (if not, 
skip ahead)<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field6" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field6" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Who are the payments made to?<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field7" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>What is the mortgage interest rate? (remember no percentage signs!)<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field8" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>If you have home owner's insurance, who is it with and what are the terms 
of the policy?<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field9" size="68" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>What is the appraised value or estimated value of the marital home?&nbsp; 
(remember no dollar signs)<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field10" s-data-type="Number" s-number-separators=",." --><input name="Field10" size="10" value="0"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Please list all other real estate you own, and provide the address, 
estimated value, insurance policies and their terms, and anyone else beside your 
spouse who may have an ownership interest in said property.<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="10" name="Field11" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>If you are, or will be the Plaintiff in this action, please provide a 
comprehensive list of all of your retirement assets here.&nbsp; Please include 
the name(s) of the broker and the account numbers.&nbsp; Please provide the 
balances in the fields indicated.&nbsp; If you are not the Plaintiff, then 
provide the same information for your spouse.&nbsp; If the information is not 
available to you at this time, then indicate that as well.<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="10" name="Field12" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Plaintiff value 401k (the following fields have to be numbers, even if 
you don't have an exact amount, ballpark it for now)<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field13" s-data-type="Number" s-number-separators=",." --><input name="Field13" size="10" value="0"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Plaintiff value pension<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field14" s-data-type="Number" s-number-separators=",." --><input name="Field14" size="10" value="0"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Plaintiff value mutual fund<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field15" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field15" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Plaintiff value any other equities<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field16" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field16" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Defendant's value 401k<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field17" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field17" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Defendant's value pension<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field18" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field18" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Defendant's value mutual fund<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field19" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field19" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Defendant's value any other equities<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field20" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field20" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Vehicles driven by Plaintiff<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field21" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Vehicles driven by Defendant<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field22" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Estimated Blue Book Value vehicle 1(the following fields have to be 
numbers, even if you don't have an exact amount, ballpark it for now)<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field23" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field23" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Estimated Blue Book Value vehicle 2<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field24" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field24" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Estimated Blue Book Value vehicle 3<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field25" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field25" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Estimated Blue Book Value vehicle 4<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field26" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field26" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>If you have a safe deposit box, please list the name and address of the 
financial institution where it is kept and give an accounting of the contents of 
said box.<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field27" cols="64"></textarea></b></font></p>
<p>&nbsp;</p>
<p><font face="verdana" size="2"><b>The following fields pertain to your unsecured credit.&nbsp; If you have 
more cards than are allowed for here, you may supplement that information in the 
&quot;other creditors&quot; field.&nbsp; (the following fields have to be 
numbers, even if you don't have an exact amount, ballpark it for now)<br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Credit Card 1-Please enter the name of the card and issuing financial 
institution.<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field28" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>user of card1<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field29" size="50" value="" maxlength="50"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Balance on card1 <br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field30" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field30" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Interest rate on card1<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field31" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field31" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>monthly payment1<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field32" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field32" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Credit Card 2-Please enter the name of the card and issuing financial 
institution.<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field33" size="50" value="" maxlength="50"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>user of card2<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field34" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Balance on card2<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field35" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field35" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Interest rate on card2<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field36" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field36" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>monthly payment2<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field37" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field37" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Credit Card 3-Please enter the name of the card and issuing financial 
institution.<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field38" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>user of card3<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field39" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Balance on card3<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field40" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field40" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Interest rate on card3<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field41" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field41" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>monthly payment3<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field42" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field42" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Credit Card 4-Please enter the name of the card and issuing financial 
institution.<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field43" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>user of card4<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field44" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Balance on card4<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field45" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field45" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Interest rate on card4<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field46" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field46" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>monthly payment4<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field47" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field47" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Credit Card 5-Please enter the name of the card and issuing financial 
institution.<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field48" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>user of card5<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field49" size="50" value="" maxlength="50"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Balance on card5<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field50" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field50" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Interest rate on card5<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field51" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field51" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>monthly payment5<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field52" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field52" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Other Creditors<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field53" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Total of other creditors<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field54" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Who is your medical insurance with?&nbsp; What is the policy number and 
group ID?&nbsp; Who does the plan cover?&nbsp; How much is the premium?<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="4" name="Field55" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Who is your life insurance with?&nbsp; What is the policy number?&nbsp; 
Who does the plan cover?&nbsp; <br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="2" name="Field56" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Insurance Premium-Please enter a number in this field.<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field57" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field57" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Cash surrender value-Please enter a number in this field.<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field58" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field58" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Beneficiary<br>
&nbsp;</b></font><font face="verdana"><b><input name="Beneficiary" size="50" value=""></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>If you have disability insurance, please list who the carrier is here.<br>
&nbsp;</b></font><font face="verdana"><b><textarea rows="2" name="Field60" cols="64"></textarea></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>disability premium<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field61" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field61" size="10" value="0" maxlength="10"></b></font></p>
<p><font face="verdana" size="2"><b>The following questions refer to your monthly expenses.&nbsp; Please enter 
numbers for these questions.&nbsp; An estimated value is sufficient for our 
purposes here.<br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Phone Bill<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field62" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field62" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Electric/gas bill<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field63" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field63" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Cellular phone bill<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field64" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field64" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>groceries<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="groceries" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="groceries" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>child care day care<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field66" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field66" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>car insurance premium<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field67" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field67" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Auto fuel<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field68" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field68" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Auto payments<br>
&nbsp;</b></font><font face="verdana"><b><!--webbot bot="Validation" s-display-name="Field69" s-data-type="Number" s-number-separators=",." i-maximum-length="10" --><input name="Field69" size="10" value="0" maxlength="10"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
<p><font face="verdana" size="2"><b>Any other expenses not previously listed?&nbsp; Again, this question 
requires a numerical value.&nbsp; Just enter a total of all other expenses for 
now, we will breakdown the details later.<br>
&nbsp;</b></font><font face="verdana"><b><input name="Field70" size="70" value="0"></b></font><font face="verdana" size="2"><b><br>
</b></font>
</p>
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            <font face="Arial" size="4">T</font><font face="Arial" size="1">he
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        having a question concerning the law and his rights or remedies
        there-under should contact an attorney competent to render legal advice
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            <p align="center"><i><font face="Verdana" size="2">Your Michigan 
            Divorce Lawyer serving:&nbsp; Lake Orion, Michigan. Your Michigan Divorce 
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            Christopher P. Kohler<br>
Copyright � 2006; All rights reserved.<br>
Revised: <!--webbot bot="TimeStamp" S-Type="EDITED" S-Format="%B %d, %Y" startspan -->August 26, 2008<!--webbot bot="TimeStamp" i-checksum="22205" endspan --></td>
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