<commit_before><div class="top-pad"></div>

<div class="content-padding" ng-show="ready">

	<h1 class="title left"><i class="fa fa-briefcase"></i><span>Payment Information</span></h1>

	<div class="divider"></div>

	<form name="formBasic" novalidate>
		<div class="ul-inputs box-content">
			<ul ng-class="{'submitted':basicSubmitted}">
				<li class="li-input" ng-class="{'error':formBasic.basicLegalName.$invalid}">
					<div class="label">Legal Name:</div>
					<div class="input"><input type="text" name="basicLegalName" ng-model="basicInfo.legal_name_payment" required placeholder="Legal Name" ng-maxlength="250"></div>
					<div class="box-error">
						<small ng-show="formBasic.basicLegalName.$error.required">Required.</small>
						<small ng-show="formBasic.basicLegalName.$error.maxlength">Name cannot be longer than 250 characters.</small>
					</div>
				</li>
				<li class="li-input" ng-class="{'error':formBasic.basicSocialSecurityNumber.$invalid}">
					<div class="label">Social Security Number:</div>
					<div class="input"><input type="text" name="basicSocialSecurityNumber" ng-model="basicInfo.social_security_number" required placeholder="Social Security Number" social-security-number-validate ng-maxlength="15"></div>
					<div class="box-error">
						<small ng-show="formBasic.basicSocialSecurityNumber.$error.required">Required.</small><commit_msg>Drivers payment info form CSS adjustments<commit_after><div class="top-pad"></div>

<div class="content-padding" ng-show="ready">

	<h1 class="title left"><i class="fa fa-briefcase"></i><span>Payment Information</span></h1>

	<div class="divider"></div>

	<form name="formBasic" novalidate>
		<div class="ul-inputs box-content2">
			<ul ng-class="{'submitted':basicSubmitted}">
				<li class="li-input" ng-class="{'error':formBasic.basicLegalName.$invalid}">
					<div class="label">Legal Name:</div>
					<div class="input"><input type="text" name="basicLegalName" ng-model="basicInfo.legal_name_payment" required placeholder="Legal Name" ng-maxlength="250"></div>
					<div class="box-error">
						<small ng-show="formBasic.basicLegalName.$error.required">Required.</small>
						<small ng-show="formBasic.basicLegalName.$error.maxlength">Name cannot be longer than 250 characters.</small>
					</div>
				</li>
				<li class="li-input" ng-class="{'error':formBasic.basicSocialSecurityNumber.$invalid}">
					<div class="label">Social Security Number:</div>
					<div class="input"><input type="text" name="basicSocialSecurityNumber" ng-model="basicInfo.social_security_number" required placeholder="Social Security Number" social-security-number-validate ng-maxlength="15"></div>
					<div class="box-error">
						<small ng-show="formBasic.basicSocialSecurityNumber.$error.required">Required.</small>
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