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

@section('title', '| Last Will And Testament')

@section('content')
@include('frontend.forms.v2.Will-Testament.stepIndicator')
   <form action="{{route('willsAndTestFormcreate')}}" method="POST" id="signUpForm">
      @csrf
      <input type="hidden" id="stepInput" name="step" value="3">
      <div class="multiple-form dashboard-radio">
         <h4>Estate assets</h4>
         @if(isset($willsAndTest->m_status) &&  $willsAndTest->m_status == "single")
            <p>Who will receive all the assets of the testator's estate excluding any specific gifts they might give to others?</p>
         @else
            <p>Do you want your spouse to receive the assets of your estate excluding any specific gifts to others?</p>
         @endif
         <div class="sub-title mb-3">You will be asked to list any specific gifts later.</div>
         <div class="form">
            <div class="row">
               <div class="col-12">
                  <div class="dashboard-radio-form">
                     <div class="form-check">
                         <input class="form-check-input" type="radio" id="estate-l-y" name="estate_status" value="yes" {{ isset($willsAndTest->asset_description) &&  $willsAndTest->asset_description == "yes" ? 'checked' : ''}}>
                         <label for="estate-l-y"><p>Yes</p></label>
                     </div>
                     <div class="form-check">
                         <input class="form-check-input" type="radio" id="estate-l-n" name="estate_status" value="no"  {{ isset($willsAndTest->asset_description) &&  $willsAndTest->asset_description == "no" ? 'checked' : ''}}>
                         <label for="estate-l-n"><p>No</p></label>
                     </div>
                  </div>
               </div>
            </div>
            <div class="row my-5">

               <div id="excluding-section-details" class="child-card-holder">

                  <div id="beneficiary-container" style="display:block">
                     @if(!empty($willsAndTest->asset_beneficiary))
                     @foreach(json_decode($willsAndTest->asset_beneficiary, true) as $index => $abeneficiary)
                     
                     <div class="card list mb-3 beneficiary-card" id="child">
                        <div class="card-header">
                           <div class="card-title m-0">Beneficiary details</div>
                           <a class="r-button" onclick="removetList(this)"><span class="fas fa-times"></span><span class="remove">Remove</span></a>
                        </div>
                        <div class="card-body">
                           <div class="long-btn-card">

                              <div class="dashboard-radio-form">
                                 <div class="form-check">
                                   <input class="form-check-input" data-form="individual_form_gifts32" type="radio" id="gifts32_lb-{{$index}}" name="beneficiary_type[{{$index}}]" value="person" {{ isset($abeneficiary['type']) &&  $abeneficiary['type'] == 'person' ? 'checked' : '' }}>
                                   <label for="gifts32_lb-{{$index}}"><p>Person</p></label>
                                 </div>
                                 <div class="form-check">
                                   <input class="form-check-input" data-form="charity_form_gifts32" type="radio" id="gifts32_charity_lb-{{$index}}" name="beneficiary_type[{{$index}}]" value="charity" {{ isset($abeneficiary['type']) && $abeneficiary['type'] == 'charity'   ? 'checked' : '' }}>
                                   <label for="gifts32_charity_lb-{{$index}}"><p>Charity or Organization</p></label>
                                 </div>
                               </div>
                           </div>

                           <div class="beneficiary-form" data-form-name="individual_form_gifts32" id="individual_form_gifts32-{{$index}}" @if($abeneficiary['type'] != 'person')  style="display: none" @else style="display: block" @endif>
                               <div class="form-group mb-3">
                                  <label for="name">Name</label>
                                  <input  value="{{$abeneficiary['name'] ?? ''}}" type="text"  name="beneficiary31_name[]" id="beneficiary31_name_{{$index}}" aria-describedby="nameHelp" >
                                  <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                               </div>
                               <div class="form-group mb-3">
                                  <label for="beneficiary31_city">City/Town</label>
                                  <input value="{{$abeneficiary['city'] ?? ''}}" type="text"  name="beneficiary31_city[]" id="beneficiary31_city_{{$index}}" aria-describedby="cityHelp">
                                  <small id="cityHelp" class="form-text text-muted d-none">city</small>
                               </div>
                               <div class="form-group mb-3">
                                  <label for="state">State</label>
                                  <input  value="{{$abeneficiary['state'] ?? ''}}" type="text"  name="beneficiary31_state[]" id="beneficiary32_state_{{$index}}">
                               </div>
                           </div>
                           <div class="beneficiary-form" data-form-name="charity_form_gifts32" id="charity_form_gifts32-{{$index}}"  @if($abeneficiary['type'] != 'charity')  style="display: none" @else style="display: block" @endif>
                               <div class="form-group mb-3">
                                  <label for="name">Charity or Organization Name</label>
                                  <input value="{{$abeneficiary['charity_name'] ?? ''}}" type="text"  name="beneficiary31_charity_name[]" id="beneficiary31_recipient_name_{{$index}}" aria-describedby="nameHelp" >
                                  <small id="nameHelp" class="form-text text-muted">e.g. United Way Worldwide, Feeding America</small>
                               </div>
                               <div class="form-group mb-3">
                                  <label for="city">Employer Identification Number (EIN):</label>
                                  <input value="{{$abeneficiary['charity_registration'] ?? ''}}" type="text"  name="beneficiary31_charity_registration[]" id="beneficiary31_charity_registration_{{$index}}" aria-describedby="cityHelp" placeholder="e.g. 200583415">
                                  <small id="cityHelp" class="form-text text-muted d-none">e.g. 200583415</small>
                               </div>
                               <div class="form-group mb-3">
                                 <label for="state">City/Town</label>
                                 <input value="{{$abeneficiary['charity_city'] ?? ''}}" type="text"  name="beneficiary31_charity_city[]" id="beneficiary31_charity_city_{{$index}}">
                              </div>
                               <div class="form-group mb-3">
                                  <label for="state">State</label>
                                  <input value="{{$abeneficiary['charity_state'] ?? ''}}" type="text"  name="beneficiary31_charity_state[]" id="beneficiary31_charity_state_{{$index}}">
                               </div>
    
                              <div class="form-group mb-3">
                                 <label for="g_gift">Describe the gift</label>
                                 <input type="text" value="{{$abeneficiary['charity_describe_gift'] ?? ''}}"  name="beneficiary31_charity_describe_gift[]" id="beneficiary31_charity_describe_gift_{{$index}}">
                                 <small id="cityHelp" class="form-text text-muted d-none">e.g. $500 donation</small>
                              </div>
                                 
                           </div>

                        </div> 
                     </div>
                     @endforeach
                     @else
                     <div class="card list mb-3 beneficiary-card" id="child">
                        <div class="card-header">
                           <div class="card-title m-0">Beneficiary details</div>
                           <a class="r-button" onclick="removeBeneficiary(this)"><span class="fas fa-times"></span><span class="remove">Remove</span></a>
                        </div>
                        <div class="card-body">
                           <div class="long-btn-card">
                              <div class="dashboard-radio-form">
                                 <div class="form-check">
                                  <input type="radio" class="form-check-input beneficiary-radio" data-form="individual_form_gifts32" id="gifts32_lb" name="beneficiary_type[]" value="person" checked>
                                  <label for="gifts32_lb"><p>Person</p></label>
                                 </div>
                                 <div class="form-check">
                                  <input type="radio" class="form-check-input beneficiary-radio" data-form="charity_form_gifts32" id="gifts32_charity_lb" name="beneficiary_type[]" value="charity">
                                  <label for="gifts32_charity_lb"><p>Charity or Organization</p></label>
                                 </div>
                              </div>
                          </div>

                          <div class="beneficiary-form" data-form-name="individual_form_gifts32" id="individual_form_gifts32" style="display: block;">
                              <div class="form-group mb-3">
                                 <label for="name">Name</label>
                                 <input type="text"  name="beneficiary31_name[]" id="beneficiary31_name" aria-describedby="nameHelp" >
                                 <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                              </div>
                              <div class="row">
                                 <div class="col-md-6">
                                    <div class="form-group mb-3">
                                       <label for="city">City/Town</label>
                                       <input type="text"  name="beneficiary31_city[]" id="beneficiary31_city" aria-describedby="cityHelp">
                                       <small id="cityHelp" class="form-text text-muted d-none">city</small>
                                    </div>
                                 </div>
                                 <div class="col-md-6">
                                    <div class="form-group mb-3">
                                       <label for="state">State</label>
                                       <input type="text"  name="beneficiary31_state[]" id="beneficiary32_state">
                                    </div>
                                 </div>
                              </div>
                          </div>
                          <div class="beneficiary-form" data-form-name="charity_form_gifts32" id="charity_form_gifts32" style="display: none;">
                              <div class="form-group mb-3">
                                 <label for="name">Charity or Organization Name</label>
                                 <input type="text"  name="beneficiary31_charity_name[]" id="beneficiary31_recipient_name" aria-describedby="nameHelp" >
                                 <small id="nameHelp" class="form-text text-muted">e.g. United Way Worldwide, Feeding America</small>
                              </div>
                              <div class="row">
                                 <div class="col-md-6">
                                    <div class="form-group mb-3">
                                       <label for="city">Charity registration</label>
                                       <input type="text"  name="beneficiary31_charity_registration[]" id="beneficiary31_charity_registration" aria-describedby="cityHelp">
                                       <small id="cityHelp" class="form-text text-muted d-none">e.g. 200583415</small>
                                    </div>
                                 </div>
                                 <div class="col-md-6">
                                    <div class="form-group mb-3">
                                       <label for="City">City</label>
                                       <input type="text"  name="beneficiary31_charity_city[]" id="beneficiary31_charity_city">
                                       <small id="cityHelp" class="form-text text-muted d-none">e.g. Boston</small>
                                    </div>
                                 </div>
                              </div>
                              <div class="row">
                                 <div class="col-md-6">
                                    <div class="form-group mb-3">
                                       <label for="state">State</label>
                                       <input type="text"  name="beneficiary31_charity_state[]" id="beneficiary32_charity_state">
                                    </div>
                                 </div>
                                 <div class="col-md-12">
                                    <div class="form-group mb-3">
                                       <label for="g_gift">Describe the gift</label>
                                       <input type="text"  name="beneficiary31_charity_describe_gift[]" id="beneficiary31_charity_describe_gift">
                                       <small id="cityHelp" class="form-text text-muted d-none">e.g. $500 donation</small>
                                    </div>
                                 </div>
                              </div>
                          </div>
                        </div> 
                     </div>
                     @endif
                  </div>
                  <div class="add-child">
                     <a class="add-another"  onclick="custom_clone('beneficiary-container')">Add another recipient</a>
                   </div>
               </div>

            </div>
         </div>
         <!-- start previous / next buttons -->
         <div id="buttonsection" class="submit-button-multiple">
            <button type="button" onclick="window.location.href = '{{ route('willsAndTest.create.step.two_2') }}'">Back</button>
            <button type="submit" class="submit-btn">Save and Continue</button>
            <button type="submit" class="d-none" name="preview_submit" value="preview">{{env('PREVIEW_BUTTON_TEXT')}}</button>
            <button type="button" class="skip-btn d-none">Skip Step</button>
         </div>
         <!-- end previous / next buttons -->

      </div>
   </form>
@endsection
@section('page-js')
<script>
document.addEventListener("DOMContentLoaded", function () {
    const container = document.getElementById("beneficiary-container"); // Replace with your container ID

    container.addEventListener("change", function (e) {
        const radio = e.target;

        // Only act on radio buttons inside .beneficiary-card
        if (!radio.matches('input[type="radio"][name^="beneficiary_type"]')) return;

        const card = radio.closest('.beneficiary-card');
        if (!card) return;

        const individualForm = card.querySelector('[data-form-name="individual_form_gifts32"]');
        const charityForm = card.querySelector('[data-form-name="charity_form_gifts32"]');

        if (!individualForm || !charityForm) return;

        if (radio.value === "person") {
            individualForm.style.display = "block";
            charityForm.style.display = "none";
        } else if (radio.value === "charity") {
            individualForm.style.display = "none";
            charityForm.style.display = "block";
        }
    });
});
</script>


<script>
   document.addEventListener("DOMContentLoaded", function () {
      setupFormToggle('beneficiary-container', 'beneficiary-radio','.beneficiary-form','.beneficiary-card');
   });
</script>
<script src="{{ url('frontend/assets/js/forms/wills-And-Testament-step.js') }}?v={{ time() }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>
<script src="{{ url('v2/js/form-validation.js') }}?v={{ time() }}"></script>
@endsection