@extends('layouts.v2.frontend-user-backend')

@section('title', '| Revocable Living Trust')

@section('content')
@include('frontend.forms.v2.Revocable-Living-Trust.stepIndicator')
   <form action="{{route('RevocableLivingTrustFormcreate')}}" method="POST" id="signUpForm">
      @csrf
      <input type="hidden" id="stepInput" name="step" value="2-2">
      <div class="multiple-form dashboard-radio">
         <h4>Your details</h4>
         <p></p>
         <div class="form">
            <div class="row">
               <div class="col-12">
                  <div class="checkbox-item form-check-input-child mb-3">
                     <input class="custom-checkbox" type="checkbox" value="" id="userCheckbox">
                     <label class="form-check-label" for="flexCheckDefault">
                        <p>Auto fill your previous information</p>
                     </label>
                  </div>

                  <div class="form-group mb-3">
                     <label for="name">Name</label>   
                     <input type="text" oninput="filterString(this);addNameToZoho(this);" id="author_name" name="author[name]"  aria-describedby="nameHelp" @if(!empty($RevocableTrustData['author_info']['author']['name'])) value="{{ $RevocableTrustData['author_info']['author']['name']}}" @endif>
                     <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                  </div>
                  <div class="form-group mb-3">
                     <label for="street">Street Address1</label>
                     <input type="text"  name="author[street_1]" id="street" value="{{ isset($RevocableTrustData['author_info']['author']['street_1']) ? $RevocableTrustData['author_info']['author']['street_1'] : '' }}" >
                  </div>
                  <div class="form-group mb-3">
                     <label for="street">Street Address2</label>
                     <input type="text"  name="author[street_2]" id="street2" value="{{ isset($RevocableTrustData['author_info']['author']['street_2']) ? $RevocableTrustData['author_info']['author']['street_2'] : '' }}" >
                  </div>
                  <div class="row">
                     <div class="col-md-6">
                        <div class="form-group mb-3">
                           <label for="country">Country</label>   
                           <input type="hidden" name="rev_author_country_value" id="rev_author_country_value" @if(!empty($RevocableTrustData['author_info']['author']['country'])) value="{{ $RevocableTrustData['author_info']['author']['country']}}" @else value="" @endif/>
                           <input type="hidden" id="country_code_value">
                           <select id="rev_author_country" name="author[country]" class="form-control" data-country-dropdown data-country-value="rev_author_country_value" data-state-dropdown="rev_author_state" data-state-value="rev_author_state_value" data-userdefined-country-code="country_code_value">
                              <option value="">Select Country</option>
                           </select>
                        </div>
                     </div>
                     <div class="col-md-6">   
                        <div class="form-group mb-3">
                           <label for="state">State</label>   
                           <input type="hidden" name="rev_author_state_value" id="rev_author_state_value" @if(!empty($RevocableTrustData['author_info']['author']['state'])) value="{{ $RevocableTrustData['author_info']['author']['state']}}" @else value="" @endif/>
                           <select id="rev_author_state" name="author[state]" class="form-control" data-state-dropdown>
                              <option value="">Select State</option>
                           </select>
                        </div>
                     </div>   
                  </div>
                  <div class="row">
                     <div class="col-md-6">
                        <div class="form-group mb-3">
                           <label for="city">City/Town</label>   
                           <input type="text" oninput="filterString(this);addCityToZoho(this);" id="city" name="author[city]"  aria-describedby="cityHelp" @if(!empty($RevocableTrustData['author_info']['author']['city'])) value="{{ $RevocableTrustData['author_info']['author']['city']}}" @endif>
                           <small id="cityHelp" class="form-text text-muted">e.g. Northridge</small>
                        </div>
                     </div>
                 
                     <div class="col-md-6">
                        <div class="form-group mb-3">
                           <label for="zip">ZIP Code</label>
                           <!-- Include a hidden input for the country code if necessary -->
                           <input type="hidden" id="userdefinedCountryCode" value="US" />
                           <input type="text"  name="author[zip_code]" id="zip" value="{{ isset($RevocableTrustData['author_info']['author']['zip_code']) ? $RevocableTrustData['author_info']['author']['zip_code'] : '' }}" maxlength="5" data-zipcode-input data-country-dropdown="rev_author_country" data-state-dropdown="rev_author_state" data-message-element="zipcode_message" data-userdefined-country-code="userdefinedCountryCode">
                           <span class="invalid-zipcode invalid-feedback d-block text-danger" id="zipcode_message" role="alert"></span>
                        </div>
                     </div>
                  </div> 
               </div>
            </div>
         </div>
         <!-- start previous / next buttons -->
         <div id="buttonsection" class="submit-button-multiple">
               <button type="submit" name="back" value="1">Back</button>
               <button type="submit" name="forward" value="1" class="submit-btn">Save and Continue</button>
               <button type="button" class="skip-btn d-none">Skip Step</button>
               <button type="submit" class="d-none" name="preview_submit" value="preview">Save and Preview</button>   
         </div>
         <!-- end previous / next buttons -->
      </div>
   </form>
@endsection
@section('page-js')
<script src="{{ url('frontend/assets/js/forms/revocable-living-trust-step.js') }}?v={{ time() }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.1') }}"></script>
<script src="{{ url('frontend/assets/js/common.js?v=10.1') }}"></script>
{{-- 
Developer Name: Theshan Thanushka
Date: April 10, 2024
Description: JavaScript code snippet that utilizes jQuery to populate input fields with user data retrieved via AJAX when a checkbox is checked. If the checkbox is unchecked, it clears the input fields. 
Authour : Gurupriya Solanki
Update  Date : 30 May 2024
Description : added address response in the relevent input
--}}
<script>
   $(document).ready(function(){
       $('#userCheckbox').click(function(){
           if($(this).is(":checked")) {
               $.ajax({
                   url: '{{ route('populateUserData', ['form' => '5']) }}',
                   type: 'GET',
                   success: function(response){
                       $('#author_name').val(response.username);
                       $('#street').val(response.street_1);
                       $('#street2').val(response.street_2);
                       $('#city').val(response.city);
                       $('#rev_author_state').val(response.state);
                       $('#zip').val(response.zip_code);
                       $('#rev_author_country').val(response.country);
                   },
                   error: function(xhr){
                       console.log(xhr.responseText);
                   }
               });
           } else {
               // Clear the fields if the checkbox is unchecked
               $('#author_name').val('');
            
               $('#street').val('');
               $('#street2').val('');
               ('#city').val('');
               $('#rev_author_state').val('');
               $('#zip').val('');
               $('#rev_author_country').val(1);
           }
       });
   });
</script>
 <!-- START - autopopulating from zipcode
   /*
   * Author: Gurupriya Solanki
   * Updated date: 30 May 2024
   * Description: Updated fields according to edit profile page for autopopulating from zipcode
   */
   -->
   <script src="{{ url('v2/js/form-validation.js') }}?v={{ time() }}"></script>
 <!-- END - autopopulating from zipcode--> 
@endsection