@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="2-3">
      <div class="multiple-form dashboard-radio">
         <h4>Spouse details</h4>
         <p></p>
         <div class="form">
            <div class="row">
               <div class="col-12">
                  <div class="form-group mb-3">
                     <label for="name">Name</label>   
                     <input type="text" oninput="filterString(this);" id="spouse_name" name="spouse[name]"  aria-describedby="nameHelp" @if(!empty($RevocableTrustData['spouse_info']['spouse']['name'])) value="{{ $RevocableTrustData['spouse_info']['spouse']['name']}}" @endif>
                     <small id="nameHelp" class="form-text text-muted">e.g. William Smith</small>
                  </div>
                  <div class="form-group mb-3">
                     <label for="country">Country</label>   
                     <input type="hidden" name="rev_spouse_country_value" id="rev_spouse_country_value" @if(!empty($RevocableTrustData['spouse_info']['spouse']['country'])) value="{{ $RevocableTrustData['spouse_info']['spouse']['country']}}" @else value="" @endif/>
                     <select id="rev_spouse_country" name="spouse[country]" class="form-control" data-country-dropdown data-country-value="rev_spouse_country_value" data-state-dropdown="rev_spouse_state" data-state-value="rev_spouse_state_value">
                        <option value="">Select Country</option>
                     </select>
                  </div>
                  <div class="form-group mb-3">
                     <label for="state">State</label>   
                     <input type="hidden" name="rev_spouse_state_value" id="rev_spouse_state_value" @if(!empty($RevocableTrustData['spouse_info']['spouse']['state'])) value="{{ $RevocableTrustData['spouse_info']['spouse']['state']}}" @else value="" @endif/>
                     <select id="rev_spouse_state" name="spouse[state]" class="form-control" data-state-dropdown>
                        <option value="">Select State</option>
                     </select>
                  </div>
                  <div class="form-group mb-3">
                     <label for="city">City</label>   
                     <input type="text" oninput="filterString(this);" id="spouse_city" name="spouse[city]"  aria-describedby="cityHelp" @if(!empty($RevocableTrustData['spouse_info']['spouse']['city'])) value="{{ $RevocableTrustData['spouse_info']['spouse']['city']}}" @endif>
                     <small id="cityHelp" class="form-text text-muted">e.g. Northridge</small>
                  </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>
<script src="{{ url('v2/js/form-validation.js') }}?v={{ time() }}"></script>
@endsection