<section class="compass-intake-shell">
  <style>
    .compass-intake-shell {
      max-width: 980px;
      margin: 0 auto;
      padding: 24px 0 42px;
      color: #1f2933;
      font-family: Arial, Helvetica, sans-serif;
      line-height: 1.5;
    }

    .compass-intake-shell * {
      box-sizing: border-box;
    }

    .compass-intake-header {
      border-bottom: 2px solid #d8dee6;
      padding-bottom: 20px;
      margin-bottom: 22px;
    }

    .compass-intake-header h1 {
      margin: 0 0 10px;
      font-size: 2rem;
      line-height: 1.15;
      letter-spacing: 0;
    }

    .compass-intake-header p {
      margin: 0;
      max-width: 760px;
      color: #5b6775;
    }

    .compass-intake-notice {
      margin: 18px 0 0;
      padding: 14px 16px;
      color: #8a4b13;
      background: #fff7ed;
      border: 1px solid #fed7aa;
      border-radius: 6px;
      font-size: 0.96rem;
    }

    .compass-intake-form {
      display: grid;
      gap: 24px;
    }

    .compass-intake-form fieldset {
      margin: 0;
      padding: 20px;
      border: 1px solid #d8dee6;
      border-radius: 6px;
      background: #fff;
    }

    .compass-intake-form legend {
      padding: 0 8px;
      font-weight: 700;
      font-size: 1.12rem;
    }

    .compass-intake-grid {
      display: grid;
      grid-template-columns: repeat(2, minmax(0, 1fr));
      gap: 16px 18px;
      margin-top: 14px;
    }

    .compass-intake-field,
    .compass-intake-checks {
      display: grid;
      gap: 7px;
    }

    .compass-intake-full {
      grid-column: 1 / -1;
    }

    .compass-intake-form label,
    .compass-intake-question {
      font-weight: 700;
    }

    .compass-intake-help {
      margin: 0;
      color: #5b6775;
      font-size: 0.94rem;
    }

    .compass-intake-form input[type="text"],
    .compass-intake-form input[type="email"],
    .compass-intake-form input[type="tel"],
    .compass-intake-form textarea {
      width: 100%;
      min-height: 42px;
      padding: 10px 11px;
      color: #1f2933;
      border: 1px solid #b8c1cc;
      border-radius: 5px;
      background: #fff;
      font: inherit;
    }

    .compass-intake-form textarea {
      min-height: 94px;
      resize: vertical;
    }

    .compass-intake-choices {
      display: grid;
      grid-template-columns: repeat(3, minmax(0, 1fr));
      gap: 8px 14px;
    }

    .compass-intake-choices label,
    .compass-intake-attestation label {
      display: flex;
      align-items: flex-start;
      gap: 8px;
      min-width: 0;
      font-weight: 400;
    }

    .compass-intake-form input[type="checkbox"],
    .compass-intake-form input[type="radio"] {
      flex: 0 0 auto;
      width: 17px;
      height: 17px;
      margin-top: 3px;
      accent-color: #0f766e;
    }

    .compass-intake-attestation {
      display: grid;
      gap: 12px;
      padding: 18px;
      background: #f4f7f9;
      border: 1px solid #d8dee6;
      border-radius: 6px;
    }

    .compass-intake-actions {
      display: flex;
      flex-wrap: wrap;
      align-items: center;
      gap: 12px 16px;
    }

    .compass-intake-form button {
      min-height: 44px;
      padding: 10px 18px;
      border: 0;
      border-radius: 5px;
      color: #fff;
      background: #0f766e;
      font: inherit;
      font-weight: 700;
      cursor: pointer;
    }

    .compass-intake-form button:hover,
    .compass-intake-form button:focus {
      background: #0b5f59;
    }

    .compass-intake-status {
      color: #5b6775;
      font-size: 0.94rem;
    }

    .compass-intake-trap {
      position: absolute;
      left: -9999px;
      width: 1px;
      height: 1px;
      overflow: hidden;
    }

    @media (max-width: 760px) {
      .compass-intake-header h1 {
        font-size: 1.55rem;
      }

      .compass-intake-form fieldset {
        padding: 16px;
      }

      .compass-intake-grid,
      .compass-intake-choices {
        grid-template-columns: 1fr;
      }
    }
  </style>

  <header class="compass-intake-header">
    <h1>Property, Assets, Income, and Tax Snapshot</h1>
    <p>This form gives Compass a general overview only. Exact balances, deeds, titles, appraisals, and statements can be provided later if the matter moves forward.</p>
    <div class="compass-intake-notice">This form is for prospective clients, family members, fiduciaries, and matter participants. Marketing, vendor, SEO, lead-generation, recruiting, and unrelated business solicitations are not accepted.</div>
  </header>

  <form class="compass-intake-form" id="property-assets-tax-form" action="https://formsubmit.co/jtaddei@compassfidgroup.com" method="post">
    <input type="hidden" name="_cc" value="rkane@compassfidgroup.com,amartin@compassfidgroup.com">
    <input type="hidden" name="_subject" value="Property, Assets, Income, and Tax Snapshot">
    <input type="hidden" name="_template" value="table">
    <input type="hidden" name="form_name" value="property_assets_income_tax_snapshot">
    <input type="hidden" id="form_started_at" name="form_started_at" value="">
    <div class="compass-intake-trap" aria-hidden="true">
      <label for="website_url">Website URL</label>
      <input id="website_url" name="website_url" type="text" tabindex="-1" autocomplete="off">
    </div>

    <fieldset>
      <legend>Contact Information</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-field">
          <label for="full_name">Full name</label>
          <input id="full_name" name="full_name" type="text" autocomplete="name" required>
        </div>
        <div class="compass-intake-field">
          <label for="relationship_to_matter">Relationship to the matter</label>
          <input id="relationship_to_matter" name="relationship_to_matter" type="text" placeholder="Example: adult child, trustee, personal representative" required>
        </div>
        <div class="compass-intake-field">
          <label for="email">Email</label>
          <input id="email" name="email" type="email" autocomplete="email" required>
        </div>
        <div class="compass-intake-field">
          <label for="phone">Phone</label>
          <input id="phone" name="phone" type="tel" autocomplete="tel">
        </div>
      </div>
    </fieldset>

    <fieldset>
      <legend>A. Real Property</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Is there any real estate or real property involved?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="real_property_involved" value="yes"> Yes</label>
            <label><input type="radio" name="real_property_involved" value="no"> No</label>
            <label><input type="radio" name="real_property_involved" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="property_address">Property address / county / state</label>
          <textarea id="property_address" name="property_address"></textarea>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">How is title believed to be held?</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="title_held[]" value="sole_ownership"> Sole ownership</label>
            <label><input type="checkbox" name="title_held[]" value="joint_tenancy"> Joint tenancy</label>
            <label><input type="checkbox" name="title_held[]" value="joint_tenancy_with_right_of_survivorship"> Joint tenancy with right of survivorship</label>
            <label><input type="checkbox" name="title_held[]" value="community_property"> Community property</label>
            <label><input type="checkbox" name="title_held[]" value="community_property_with_right_of_survivorship"> Community property with right of survivorship</label>
            <label><input type="checkbox" name="title_held[]" value="tenants_in_common"> Tenants in common</label>
            <label><input type="checkbox" name="title_held[]" value="life_estate"> Life estate</label>
            <label><input type="checkbox" name="title_held[]" value="trust_owned_property"> Trust-owned property</label>
            <label><input type="checkbox" name="title_held[]" value="estate_owned_property"> Estate-owned property</label>
            <label><input type="checkbox" name="title_held[]" value="business_owned_property"> Business-owned property</label>
            <label><input type="checkbox" name="title_held[]" value="unknown"> Unknown</label>
          </div>
        </div>
        <div class="compass-intake-checks">
          <div class="compass-intake-question">Is the property believed to be occupied?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="property_occupied" value="yes"> Yes</label>
            <label><input type="radio" name="property_occupied" value="no"> No</label>
            <label><input type="radio" name="property_occupied" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-field">
          <label for="occupies_or_controls">Who currently occupies or controls the property?</label>
          <textarea id="occupies_or_controls" name="occupies_or_controls"></textarea>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Is there a mortgage, reverse mortgage, HELOC, lien, tax lien, judgment, or other secured debt associated with the property?</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="secured_debt[]" value="mortgage"> Mortgage</label>
            <label><input type="checkbox" name="secured_debt[]" value="reverse_mortgage"> Reverse mortgage</label>
            <label><input type="checkbox" name="secured_debt[]" value="heloc"> HELOC</label>
            <label><input type="checkbox" name="secured_debt[]" value="property_tax_lien"> Property tax lien</label>
            <label><input type="checkbox" name="secured_debt[]" value="judgment_lien"> Judgment lien</label>
            <label><input type="checkbox" name="secured_debt[]" value="other_lien_or_secured_debt"> Other lien or secured debt</label>
            <label><input type="checkbox" name="secured_debt[]" value="none_known"> None known</label>
            <label><input type="checkbox" name="secured_debt[]" value="unknown"> Unknown</label>
          </div>
        </div>
        <div class="compass-intake-checks">
          <div class="compass-intake-question">Is the property believed to be free and clear?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="free_and_clear" value="yes"> Yes</label>
            <label><input type="radio" name="free_and_clear" value="no"> No</label>
            <label><input type="radio" name="free_and_clear" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-field">
          <label for="estimated_property_value">Estimated property value, if known</label>
          <input id="estimated_property_value" name="estimated_property_value" type="text" inputmode="decimal">
        </div>
        <div class="compass-intake-field">
          <label for="estimated_lien_balance">Estimated mortgage / lien balance, if known</label>
          <input id="estimated_lien_balance" name="estimated_lien_balance" type="text" inputmode="decimal">
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Any urgent property issues?</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="urgent_property_issues[]" value="foreclosure"> Foreclosure</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="tax_sale"> Tax sale</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="reverse_mortgage_deadline"> Reverse mortgage deadline</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="occupancy_dispute"> Occupancy dispute</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="unsafe_condition"> Unsafe condition</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="insurance_issue"> Insurance issue</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="needed_sale"> Needed sale</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="unknown"> Unknown</label>
            <label><input type="checkbox" name="urgent_property_issues[]" value="none_known"> None known</label>
          </div>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="real_property_explanation">Brief explanation</label>
          <textarea id="real_property_explanation" name="real_property_explanation"></textarea>
        </div>
      </div>
    </fieldset>

    <fieldset>
      <legend>B. Estimated Liquid Assets</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Estimated liquid assets currently available or believed to be available</div>
          <p class="compass-intake-help">Liquid assets may include checking, savings, money market accounts, brokerage cash, readily available trust funds, settlement proceeds already received, or funds that may be available for care costs, legal fees, fiduciary fees, taxes, or administration expenses.</p>
          <div class="compass-intake-choices">
            <label><input type="radio" name="estimated_liquid_assets" value="under_10000"> Under $10,000</label>
            <label><input type="radio" name="estimated_liquid_assets" value="10000_25000"> $10,000-$25,000</label>
            <label><input type="radio" name="estimated_liquid_assets" value="25000_100000"> $25,000-$100,000</label>
            <label><input type="radio" name="estimated_liquid_assets" value="100000_250000"> $100,000-$250,000</label>
            <label><input type="radio" name="estimated_liquid_assets" value="250000_500000"> $250,000-$500,000</label>
            <label><input type="radio" name="estimated_liquid_assets" value="over_500000"> Over $500,000</label>
            <label><input type="radio" name="estimated_liquid_assets" value="unknown"> Unknown</label>
          </div>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Known or believed liquid asset sources</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="liquid_asset_sources[]" value="bank_accounts"> Bank accounts</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="brokerage_investment_accounts"> Brokerage / investment accounts</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="trust_account"> Trust account</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="estate_account"> Estate account</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="settlement_funds"> Settlement funds</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="structured_settlement_payments"> Structured settlement payments</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="annuity_payments"> Annuity payments</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="social_security_ssi"> Social Security / SSI</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="pension"> Pension</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="va_benefits"> VA benefits</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="rental_income"> Rental income</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="business_income"> Business income</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="other_fixed_or_recurring_income"> Other fixed or recurring income</label>
            <label><input type="checkbox" name="liquid_asset_sources[]" value="unknown"> Unknown</label>
          </div>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="liquid_asset_notes">Brief notes</label>
          <textarea id="liquid_asset_notes" name="liquid_asset_notes"></textarea>
        </div>
      </div>
    </fieldset>

    <fieldset>
      <legend>C. Estimated Overall Estate / Matter Value</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Estimated total value of all known assets involved in the matter</div>
          <p class="compass-intake-help">Include real estate, investment accounts, retirement accounts, vehicles, business interests, personal property, insurance proceeds, settlement funds, and recurring income rights.</p>
          <div class="compass-intake-choices">
            <label><input type="radio" name="estimated_total_value" value="under_25000"> Under $25,000</label>
            <label><input type="radio" name="estimated_total_value" value="25000_100000"> $25,000-$100,000</label>
            <label><input type="radio" name="estimated_total_value" value="100000_500000"> $100,000-$500,000</label>
            <label><input type="radio" name="estimated_total_value" value="500000_1_million"> $500,000-$1 million</label>
            <label><input type="radio" name="estimated_total_value" value="1_million_3_million"> $1 million-$3 million</label>
            <label><input type="radio" name="estimated_total_value" value="over_3_million"> Over $3 million</label>
            <label><input type="radio" name="estimated_total_value" value="unknown"> Unknown</label>
          </div>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Are any significant assets missing, disputed, frozen, controlled by another person, or difficult to access?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="assets_difficult_to_access" value="yes"> Yes</label>
            <label><input type="radio" name="assets_difficult_to_access" value="no"> No</label>
            <label><input type="radio" name="assets_difficult_to_access" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="assets_access_explanation">If yes, please explain</label>
          <textarea id="assets_access_explanation" name="assets_access_explanation"></textarea>
        </div>
      </div>
    </fieldset>

    <fieldset>
      <legend>D. Income, Settlements, and Future Payments</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Are there any known fixed, recurring, or future income sources connected to this matter?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="future_income_sources_known" value="yes"> Yes</label>
            <label><input type="radio" name="future_income_sources_known" value="no"> No</label>
            <label><input type="radio" name="future_income_sources_known" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Please select all that apply</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="income_sources[]" value="social_security"> Social Security</label>
            <label><input type="checkbox" name="income_sources[]" value="ssi"> SSI</label>
            <label><input type="checkbox" name="income_sources[]" value="pension"> Pension</label>
            <label><input type="checkbox" name="income_sources[]" value="va_benefits"> VA benefits</label>
            <label><input type="checkbox" name="income_sources[]" value="rental_income"> Rental income</label>
            <label><input type="checkbox" name="income_sources[]" value="business_income"> Business income</label>
            <label><input type="checkbox" name="income_sources[]" value="annuity"> Annuity</label>
            <label><input type="checkbox" name="income_sources[]" value="structured_settlement"> Structured settlement</label>
            <label><input type="checkbox" name="income_sources[]" value="personal_injury_settlement"> Personal injury settlement</label>
            <label><input type="checkbox" name="income_sources[]" value="wrongful_death_settlement"> Wrongful death settlement</label>
            <label><input type="checkbox" name="income_sources[]" value="trust_distribution"> Trust distribution</label>
            <label><input type="checkbox" name="income_sources[]" value="life_insurance_proceeds"> Life insurance proceeds</label>
            <label><input type="checkbox" name="income_sources[]" value="inheritance_expected"> Inheritance expected</label>
            <label><input type="checkbox" name="income_sources[]" value="sale_proceeds_expected"> Sale proceeds expected</label>
            <label><input type="checkbox" name="income_sources[]" value="other"> Other</label>
          </div>
        </div>
        <div class="compass-intake-field">
          <label for="estimated_payment_amount">Estimated monthly income or expected payment amount, if known</label>
          <input id="estimated_payment_amount" name="estimated_payment_amount" type="text" inputmode="decimal">
        </div>
        <div class="compass-intake-checks">
          <div class="compass-intake-question">Are any payments restricted, court-controlled, trust-controlled, or subject to approval before use?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="payments_restricted" value="yes"> Yes</label>
            <label><input type="radio" name="payments_restricted" value="no"> No</label>
            <label><input type="radio" name="payments_restricted" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="income_explanation">Brief explanation</label>
          <textarea id="income_explanation" name="income_explanation"></textarea>
        </div>
      </div>
    </fieldset>

    <fieldset>
      <legend>E. Tax Filing Status</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Current tax filing status, to the best of your knowledge</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="tax_filing_status" value="current"> Current / filed through most recent tax year</label>
            <label><input type="radio" name="tax_filing_status" value="one_year_behind"> One year behind</label>
            <label><input type="radio" name="tax_filing_status" value="multiple_years_behind"> Multiple years behind</label>
            <label><input type="radio" name="tax_filing_status" value="unknown"> Unknown</label>
            <label><input type="radio" name="tax_filing_status" value="not_applicable"> Not applicable</label>
          </div>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Tax return type involved</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="tax_return_type[]" value="individual_income_tax"> Individual income tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="estate_income_tax"> Estate income tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="trust_income_tax"> Trust income tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="gift_tax"> Gift tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="business_tax"> Business tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="property_tax"> Property tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="payroll_tax"> Payroll tax</label>
            <label><input type="checkbox" name="tax_return_type[]" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Are there known IRS, Arizona Department of Revenue, county tax, or other tax issues?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="known_tax_issues" value="yes"> Yes</label>
            <label><input type="radio" name="known_tax_issues" value="no"> No</label>
            <label><input type="radio" name="known_tax_issues" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Please select all that apply</div>
          <div class="compass-intake-choices">
            <label><input type="checkbox" name="tax_issue_types[]" value="unfiled_tax_returns"> Unfiled tax returns</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="taxes_owed"> Taxes owed</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="irs_notices"> IRS notices</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="state_tax_notices"> State tax notices</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="property_tax_delinquency"> Property tax delinquency</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="tax_lien"> Tax lien</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="business_tax_issues"> Business tax issues</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="missing_records"> Missing records</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="accountant_already_involved"> Accountant already involved</label>
            <label><input type="checkbox" name="tax_issue_types[]" value="other"> Other</label>
          </div>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="accountant_contact">Name and contact information for accountant / CPA, if any</label>
          <textarea id="accountant_contact" name="accountant_contact"></textarea>
        </div>
        <div class="compass-intake-field compass-intake-full">
          <label for="tax_issue_explanation">Brief explanation of any known tax issues</label>
          <textarea id="tax_issue_explanation" name="tax_issue_explanation"></textarea>
        </div>
      </div>
    </fieldset>

    <fieldset>
      <legend>F. Ability to Pay Initial Costs</legend>
      <div class="compass-intake-grid">
        <div class="compass-intake-checks compass-intake-full">
          <div class="compass-intake-question">Is there a known source of funds available to pay initial fiduciary fees, legal fees, court costs, care costs, property expenses, or administration expenses?</div>
          <div class="compass-intake-choices">
            <label><input type="radio" name="initial_cost_funds_available" value="yes"> Yes</label>
            <label><input type="radio" name="initial_cost_funds_available" value="no"> No</label>
            <label><input type="radio" name="initial_cost_funds_available" value="not_sure"> Not sure</label>
          </div>
        </div>
        <div class="compass-intake-field">
          <label for="initial_cost_funds_source">If yes, source of funds</label>
          <textarea id="initial_cost_funds_source" name="initial_cost_funds_source"></textarea>
        </div>
        <div class="compass-intake-field">
          <label for="initial_cost_funds_explanation">If no or unsure, please explain</label>
          <textarea id="initial_cost_funds_explanation" name="initial_cost_funds_explanation"></textarea>
        </div>
      </div>
    </fieldset>

    <section class="compass-intake-attestation" aria-labelledby="attestation-heading">
      <h2 id="attestation-heading" style="margin: 0; font-size: 1.12rem;">Submission Attestation</h2>
      <label>
        <input type="checkbox" name="prospective_client_attestation" value="yes" required>
        I am submitting this form because I am seeking help for a legal, fiduciary, care, estate, property, or related matter.
      </label>
      <label>
        <input type="checkbox" name="solicitation_attestation" value="yes" required>
        I understand this form is not for marketing, vendor, recruiting, SEO, lead-generation, or other unrelated business solicitations.
      </label>
      <div class="compass-intake-field">
        <label for="verification_phrase">Verification phrase</label>
        <p class="compass-intake-help">To help filter automated submissions, type the word Compass.</p>
        <input id="verification_phrase" name="verification_phrase" type="text" autocomplete="off" required>
      </div>
    </section>

    <div class="compass-intake-actions">
      <button type="submit">Submit Snapshot</button>
      <span class="compass-intake-status" id="form_status" role="status" aria-live="polite"></span>
    </div>
  </form>

  <script>
    (function () {
      var form = document.getElementById('property-assets-tax-form');
      var startedAt = document.getElementById('form_started_at');
      var status = document.getElementById('form_status');
      var minimumSeconds = 18;

      if (!form || !startedAt || !status) {
        return;
      }

      startedAt.value = String(Date.now());

      form.addEventListener('submit', function (event) {
        var trapValue = document.getElementById('website_url').value.trim();
        var phrase = document.getElementById('verification_phrase').value.trim().toLowerCase();
        var elapsedSeconds = (Date.now() - Number(startedAt.value || Date.now())) / 1000;

        if (trapValue) {
          event.preventDefault();
          status.textContent = 'Submission could not be accepted.';
          return;
        }

        if (elapsedSeconds < minimumSeconds) {
          event.preventDefault();
          status.textContent = 'Please take a little more time to review the form before submitting.';
          return;
        }

        if (phrase !== 'compass') {
          event.preventDefault();
          status.textContent = 'Please enter the verification phrase exactly as shown.';
          return;
        }

        status.textContent = 'Submitting...';
      });
    })();
  </script>
</section>