{
  "documentType": "payment_demand",
  "language": "EN",
  "placeholders": [
    {
      "id": "letter_date",
      "label": "Date of the letter",
      "type": "date",
      "required": true
    },
    {
      "id": "creditor_name",
      "label": "Creditor name",
      "type": "text",
      "required": true
    },
    {
      "id": "creditor_address",
      "label": "Creditor address",
      "type": "textarea",
      "required": true
    },
    {
      "id": "creditor_phone",
      "label": "Creditor phone",
      "type": "tel",
      "required": true
    },
    {
      "id": "creditor_email",
      "label": "Creditor email",
      "type": "email",
      "required": true
    },
    {
      "id": "debtor_name",
      "label": "Debtor name",
      "type": "text",
      "required": true
    },
    {
      "id": "debtor_address",
      "label": "Debtor address",
      "type": "textarea",
      "required": true
    },
    {
      "id": "matter_reference",
      "label": "Reference for this matter",
      "type": "text",
      "placeholder": "e.g. Invoice 15/2026",
      "required": true
    },
    {
      "id": "principal_amount",
      "label": "Principal amount owed ($)",
      "type": "currency",
      "required": true
    },
    {
      "id": "debt_description",
      "label": "What the debt is for",
      "type": "textarea",
      "required": true
    },
    {
      "id": "source_document",
      "label": "Source document",
      "type": "text",
      "placeholder": "e.g. Invoice no. 15/2026",
      "required": true
    },
    {
      "id": "source_document_date",
      "label": "Date of the source document",
      "type": "date",
      "required": true
    },
    {
      "id": "original_due_date",
      "label": "Original due date",
      "type": "date",
      "required": true
    },
    {
      "id": "days_overdue",
      "label": "Days past due",
      "type": "number",
      "required": true
    },
    {
      "id": "interest_amount",
      "label": "Interest accrued ($)",
      "type": "currency",
      "required": true
    },
    {
      "id": "interest_rate",
      "label": "Annual interest rate (%)",
      "type": "number",
      "placeholder": "e.g. 8",
      "required": true
    },
    {
      "id": "governing_state",
      "label": "Governing state",
      "type": "select",
      "required": true,
      "options": [
        {
          "value": "Alabama",
          "label": "Alabama"
        },
        {
          "value": "Alaska",
          "label": "Alaska"
        },
        {
          "value": "Arizona",
          "label": "Arizona"
        },
        {
          "value": "Arkansas",
          "label": "Arkansas"
        },
        {
          "value": "California",
          "label": "California"
        },
        {
          "value": "Colorado",
          "label": "Colorado"
        },
        {
          "value": "Connecticut",
          "label": "Connecticut"
        },
        {
          "value": "Delaware",
          "label": "Delaware"
        },
        {
          "value": "District of Columbia",
          "label": "District of Columbia"
        },
        {
          "value": "Florida",
          "label": "Florida"
        },
        {
          "value": "Georgia",
          "label": "Georgia"
        },
        {
          "value": "Hawaii",
          "label": "Hawaii"
        },
        {
          "value": "Idaho",
          "label": "Idaho"
        },
        {
          "value": "Illinois",
          "label": "Illinois"
        },
        {
          "value": "Indiana",
          "label": "Indiana"
        },
        {
          "value": "Iowa",
          "label": "Iowa"
        },
        {
          "value": "Kansas",
          "label": "Kansas"
        },
        {
          "value": "Kentucky",
          "label": "Kentucky"
        },
        {
          "value": "Louisiana",
          "label": "Louisiana"
        },
        {
          "value": "Maine",
          "label": "Maine"
        },
        {
          "value": "Maryland",
          "label": "Maryland"
        },
        {
          "value": "Massachusetts",
          "label": "Massachusetts"
        },
        {
          "value": "Michigan",
          "label": "Michigan"
        },
        {
          "value": "Minnesota",
          "label": "Minnesota"
        },
        {
          "value": "Mississippi",
          "label": "Mississippi"
        },
        {
          "value": "Missouri",
          "label": "Missouri"
        },
        {
          "value": "Montana",
          "label": "Montana"
        },
        {
          "value": "Nebraska",
          "label": "Nebraska"
        },
        {
          "value": "Nevada",
          "label": "Nevada"
        },
        {
          "value": "New Hampshire",
          "label": "New Hampshire"
        },
        {
          "value": "New Jersey",
          "label": "New Jersey"
        },
        {
          "value": "New Mexico",
          "label": "New Mexico"
        },
        {
          "value": "New York",
          "label": "New York"
        },
        {
          "value": "North Carolina",
          "label": "North Carolina"
        },
        {
          "value": "North Dakota",
          "label": "North Dakota"
        },
        {
          "value": "Ohio",
          "label": "Ohio"
        },
        {
          "value": "Oklahoma",
          "label": "Oklahoma"
        },
        {
          "value": "Oregon",
          "label": "Oregon"
        },
        {
          "value": "Pennsylvania",
          "label": "Pennsylvania"
        },
        {
          "value": "Rhode Island",
          "label": "Rhode Island"
        },
        {
          "value": "South Carolina",
          "label": "South Carolina"
        },
        {
          "value": "South Dakota",
          "label": "South Dakota"
        },
        {
          "value": "Tennessee",
          "label": "Tennessee"
        },
        {
          "value": "Texas",
          "label": "Texas"
        },
        {
          "value": "Utah",
          "label": "Utah"
        },
        {
          "value": "Vermont",
          "label": "Vermont"
        },
        {
          "value": "Virginia",
          "label": "Virginia"
        },
        {
          "value": "Washington",
          "label": "Washington"
        },
        {
          "value": "West Virginia",
          "label": "West Virginia"
        },
        {
          "value": "Wisconsin",
          "label": "Wisconsin"
        },
        {
          "value": "Wyoming",
          "label": "Wyoming"
        }
      ]
    },
    {
      "id": "total_due",
      "label": "Total now due ($)",
      "type": "currency",
      "required": true
    },
    {
      "id": "payment_deadline_days",
      "label": "Days allowed to pay",
      "type": "number",
      "placeholder": "e.g. 14",
      "required": true
    },
    {
      "id": "final_deadline_date",
      "label": "Final deadline date",
      "type": "date",
      "required": true
    },
    {
      "id": "payment_method",
      "label": "How to pay",
      "type": "text",
      "placeholder": "e.g. bank transfer or certified check",
      "required": true
    },
    {
      "id": "payee_name",
      "label": "Make payment out to",
      "type": "text",
      "required": true
    },
    {
      "id": "payment_details",
      "label": "Payment details",
      "type": "textarea",
      "placeholder": "account number, routing number or mailing address",
      "required": true
    },
    {
      "id": "contact_details",
      "label": "Contact for this matter",
      "type": "text",
      "required": true
    },
    {
      "id": "additional_notes",
      "label": "Additional notes",
      "type": "textarea",
      "required": false
    },
    {
      "id": "delivery_method",
      "label": "How this letter is delivered",
      "type": "select",
      "options": [
        {
          "value": "certified mail, return receipt requested",
          "label": "Certified mail, return receipt requested"
        },
        {
          "value": "hand delivery",
          "label": "Hand delivery"
        },
        {
          "value": "email",
          "label": "Email"
        }
      ],
      "required": true
    },
    {
      "id": "creditor_signature",
      "label": "Creditor signature",
      "type": "text",
      "required": false
    }
  ]
}