{ "document_id": 10277, "page": 2, "width_pt": 612, "height_pt": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "engine": "paddleocr_vl", "source_run_id": 10388, "item_count": 103, "counts_by_type": { "caption": 1, "form_field": 49, "table": 2, "table_cell": 48, "text": 3 }, "build_ms": 2, "items": [ { "id": "p2.1", "order": 1, "type": "caption", "bbox": { "l": 47.76, "t": 700.08, "r": 486.96, "b": 684.96 }, "text": "Please list ALL members in the opposing party's household and attach sheets if necessary:", "attrs": { "block_label": "figure_title" } }, { "id": "p2.2", "order": 2, "type": "table", "bbox": { "l": 49.44, "t": 673.92, "r": 561.6, "b": 528.24 }, "text": "", "attrs": { "block_label": "table", "n_rows": 8, "n_cols": 4, "integrity": { "cells_checked": 4, "cells_flagged": 0 } }, "children": [ { "id": "p2.2.1", "order": 3, "type": "table_cell", "bbox": { "l": 56.0398, "t": 669.288, "r": 84.647491, "b": 658.38 }, "text": "Name", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "children": [ { "id": "p2.2.1.1", "order": 4, "type": "form_field", "bbox": { "l": 51.36, "t": 643.44, "r": 177.72, "b": 630.24 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow1_2(CRAHV)", "source": "acroform", "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.2", "order": 5, "type": "form_field", "bbox": { "l": 51.36, "t": 571.92, "r": 177.72, "b": 558.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow6_2(CRAHV)", "source": "acroform", "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.3", "order": 6, "type": "form_field", "bbox": { "l": 51.36, "t": 629.16, "r": 177.72, "b": 615.96 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow2_2(CRAHV)", "source": "acroform", "row": 2, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.4", "order": 7, "type": "form_field", "bbox": { "l": 51.36, "t": 614.88, "r": 177.72, "b": 601.56 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow3_2(CRAHV)", "source": "acroform", "row": 3, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.5", "order": 8, "type": "form_field", "bbox": { "l": 51.36, "t": 600.48, "r": 177.72, "b": 587.28 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow4_2(CRAHV)", "source": "acroform", "row": 4, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.6", "order": 9, "type": "form_field", "bbox": { "l": 51.36, "t": 586.2, "r": 177.72, "b": 573 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow5_2(CRAHV)", "source": "acroform", "row": 5, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.7", "order": 10, "type": "form_field", "bbox": { "l": 51.36, "t": 557.64, "r": 177.72, "b": 544.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow7_2(CRAHV)", "source": "acroform", "row": 6, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.8", "order": 11, "type": "form_field", "bbox": { "l": 51.36, "t": 543.36, "r": 177.72, "b": 530.04 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow8_2(CRAHV)", "source": "acroform", "row": 7, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.9", "order": 12, "type": "form_field", "bbox": { "l": 51.36, "t": 376.2, "r": 305.4, "b": 363 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow1_3(CRAHV)", "source": "acroform", "row": 1, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.10", "order": 13, "type": "form_field", "bbox": { "l": 51.36, "t": 361.92, "r": 305.4, "b": 348.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow2_3(CRAHV)", "source": "acroform", "row": 2, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.11", "order": 14, "type": "form_field", "bbox": { "l": 51.36, "t": 347.64, "r": 305.4, "b": 334.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow3_3(CRAHV)", "source": "acroform", "row": 3, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.12", "order": 15, "type": "form_field", "bbox": { "l": 51.36, "t": 304.8, "r": 305.4, "b": 291.48 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow6_3(CRAHV)", "source": "acroform", "row": 5, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.13", "order": 16, "type": "form_field", "bbox": { "l": 51.36, "t": 290.4, "r": 305.4, "b": 277.2 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow7_3(CRAHV)", "source": "acroform", "row": 6, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } }, { "id": "p2.2.1.14", "order": 17, "type": "form_field", "bbox": { "l": 51.36, "t": 276.12, "r": 305.4, "b": 262.92 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow8_3(CRAHV)", "source": "acroform", "row": 7, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.1" } } ] }, { "id": "p2.2.2", "order": 18, "type": "table_cell", "bbox": { "l": 183.72, "t": 669.288, "r": 246.95967, "b": 658.38 }, "text": "Date of Birth", "attrs": { "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "children": [ { "id": "p2.2.2.1", "order": 19, "type": "form_field", "bbox": { "l": 179.04, "t": 643.44, "r": 305.4, "b": 630.24 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow1_2(CRAHV)", "source": "acroform", "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.2", "order": 20, "type": "form_field", "bbox": { "l": 179.04, "t": 571.92, "r": 305.4, "b": 558.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow6_2(CRAHV)", "source": "acroform", "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.3", "order": 21, "type": "form_field", "bbox": { "l": 179.04, "t": 629.16, "r": 305.4, "b": 615.96 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow2_2(CRAHV)", "source": "acroform", "row": 2, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.4", "order": 22, "type": "form_field", "bbox": { "l": 179.04, "t": 614.88, "r": 305.4, "b": 601.56 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow3_2(CRAHV)", "source": "acroform", "row": 3, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.5", "order": 23, "type": "form_field", "bbox": { "l": 179.04, "t": 600.48, "r": 305.4, "b": 587.28 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow4_2(CRAHV)", "source": "acroform", "row": 4, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.6", "order": 24, "type": "form_field", "bbox": { "l": 179.04, "t": 586.2, "r": 305.4, "b": 573 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow5_2(CRAHV)", "source": "acroform", "row": 5, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.7", "order": 25, "type": "form_field", "bbox": { "l": 179.04, "t": 557.64, "r": 305.4, "b": 544.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow7_2(CRAHV)", "source": "acroform", "row": 6, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.8", "order": 26, "type": "form_field", "bbox": { "l": 179.04, "t": 543.36, "r": 305.4, "b": 530.04 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow8_2(CRAHV)", "source": "acroform", "row": 7, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.9", "order": 27, "type": "form_field", "bbox": { "l": 306.72, "t": 376.2, "r": 560.76, "b": 363 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow1_3(CRAHV)", "source": "acroform", "row": 1, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.10", "order": 28, "type": "form_field", "bbox": { "l": 306.72, "t": 361.92, "r": 560.76, "b": 348.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow2_3(CRAHV)", "source": "acroform", "row": 2, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.11", "order": 29, "type": "form_field", "bbox": { "l": 306.72, "t": 347.64, "r": 560.76, "b": 334.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow3_3(CRAHV)", "source": "acroform", "row": 3, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.12", "order": 30, "type": "form_field", "bbox": { "l": 306.72, "t": 304.8, "r": 560.76, "b": 291.48 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow6_3(CRAHV)", "source": "acroform", "row": 5, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.13", "order": 31, "type": "form_field", "bbox": { "l": 306.72, "t": 290.4, "r": 560.76, "b": 277.2 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow7_3(CRAHV)", "source": "acroform", "row": 6, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } }, { "id": "p2.2.2.14", "order": 32, "type": "form_field", "bbox": { "l": 306.72, "t": 276.12, "r": 560.76, "b": 262.92 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow8_3(CRAHV)", "source": "acroform", "row": 7, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.2" } } ] }, { "id": "p2.2.3", "order": 33, "type": "table_cell", "bbox": { "l": 311.4, "t": 669.288, "r": 350.628175, "b": 658.38 }, "text": "Address", "attrs": { "row": 0, "col": 2, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "children": [ { "id": "p2.2.3.1", "order": 34, "type": "form_field", "bbox": { "l": 306.72, "t": 643.44, "r": 433.08, "b": 630.24 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow1_2(CRAHV)", "source": "acroform", "row": 0, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.2", "order": 35, "type": "form_field", "bbox": { "l": 306.72, "t": 571.92, "r": 433.08, "b": 558.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow6_2(CRAHV)", "source": "acroform", "row": 0, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.3", "order": 36, "type": "form_field", "bbox": { "l": 306.72, "t": 629.16, "r": 433.08, "b": 615.96 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow2_2(CRAHV)", "source": "acroform", "row": 2, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.4", "order": 37, "type": "form_field", "bbox": { "l": 306.72, "t": 614.88, "r": 433.08, "b": 601.56 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow3_2(CRAHV)", "source": "acroform", "row": 3, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.5", "order": 38, "type": "form_field", "bbox": { "l": 306.72, "t": 600.48, "r": 433.08, "b": 587.28 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow4_2(CRAHV)", "source": "acroform", "row": 4, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.6", "order": 39, "type": "form_field", "bbox": { "l": 306.72, "t": 586.2, "r": 433.08, "b": 573 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow5_2(CRAHV)", "source": "acroform", "row": 5, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.7", "order": 40, "type": "form_field", "bbox": { "l": 306.72, "t": 557.64, "r": 433.08, "b": 544.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow7_2(CRAHV)", "source": "acroform", "row": 6, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } }, { "id": "p2.2.3.8", "order": 41, "type": "form_field", "bbox": { "l": 306.72, "t": 543.36, "r": 433.08, "b": 530.04 }, "text": "", "attrs": { "field_kind": "text", "label": "Address", "pdf_field_name": "AddressRow8_2(CRAHV)", "source": "acroform", "row": 7, "col": 2, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.3" } } ] }, { "id": "p2.2.4", "order": 42, "type": "table_cell", "bbox": { "l": 439.08, "t": 669.288, "r": 512.160949, "b": 644.58 }, "text": "Relationship to Child(ren)", "attrs": { "row": 0, "col": 3, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "children": [ { "id": "p2.2.4.1", "order": 43, "type": "form_field", "bbox": { "l": 434.4, "t": 643.44, "r": 560.76, "b": 630.24 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow1_2(CRAHV)", "source": "acroform", "row": 0, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.2", "order": 44, "type": "form_field", "bbox": { "l": 434.4, "t": 571.92, "r": 560.76, "b": 558.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow6_2(CRAHV)", "source": "acroform", "row": 0, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.3", "order": 45, "type": "form_field", "bbox": { "l": 434.4, "t": 629.16, "r": 560.76, "b": 615.96 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow2_2(CRAHV)", "source": "acroform", "row": 2, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.4", "order": 46, "type": "form_field", "bbox": { "l": 434.4, "t": 614.88, "r": 560.76, "b": 601.56 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow3_2(CRAHV)", "source": "acroform", "row": 3, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.5", "order": 47, "type": "form_field", "bbox": { "l": 434.4, "t": 600.48, "r": 560.76, "b": 587.28 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow4_2(CRAHV)", "source": "acroform", "row": 4, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.6", "order": 48, "type": "form_field", "bbox": { "l": 434.4, "t": 586.2, "r": 560.76, "b": 573 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow5_2(CRAHV)", "source": "acroform", "row": 5, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.7", "order": 49, "type": "form_field", "bbox": { "l": 434.4, "t": 557.64, "r": 560.76, "b": 544.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow7_2(CRAHV)", "source": "acroform", "row": 6, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } }, { "id": "p2.2.4.8", "order": 50, "type": "form_field", "bbox": { "l": 434.4, "t": 543.36, "r": 560.76, "b": 530.04 }, "text": "", "attrs": { "field_kind": "text", "label": "Relationship to Child(ren)", "pdf_field_name": "Relationship to ChildrenRow8_2(CRAHV)", "source": "acroform", "row": 7, "col": 3, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.2.4" } } ] }, { "id": "p2.2.5", "order": 51, "type": "table_cell", "bbox": { "l": 49.44, "t": 655.71, "r": 177.48, "b": 637.5 }, "text": "", "attrs": { "row": 1, "col": 0, "rowspan": 1, "colspan": 1, "column_header": true, "header_source": "pdf" } }, { "id": "p2.2.6", "order": 52, "type": "table_cell", "bbox": { "l": 177.48, "t": 655.71, "r": 305.52, "b": 637.5 }, "text": "", "attrs": { "row": 1, "col": 1, "rowspan": 1, "colspan": 1, "column_header": true, "header_source": "pdf" } }, { "id": "p2.2.7", "order": 53, "type": "table_cell", "bbox": { "l": 305.52, "t": 655.71, "r": 433.56, "b": 637.5 }, "text": "", "attrs": { "row": 1, "col": 2, "rowspan": 1, "colspan": 1, "column_header": true, "header_source": "pdf" } }, { "id": "p2.2.8", "order": 54, "type": "table_cell", "bbox": { "l": 433.56, "t": 655.71, "r": 561.6, "b": 637.5 }, "text": "", "attrs": { "row": 1, "col": 3, "rowspan": 1, "colspan": 1, "column_header": true, "header_source": "pdf" } }, { "id": "p2.2.9", "order": 55, "type": "table_cell", "bbox": { "l": 49.44, "t": 637.5, "r": 177.48, "b": 619.29 }, "text": "", "attrs": { "row": 2, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.10", "order": 56, "type": "table_cell", "bbox": { "l": 177.48, "t": 637.5, "r": 305.52, "b": 619.29 }, "text": "", "attrs": { "row": 2, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.11", "order": 57, "type": "table_cell", "bbox": { "l": 305.52, "t": 637.5, "r": 433.56, "b": 619.29 }, "text": "", "attrs": { "row": 2, "col": 2, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.12", "order": 58, "type": "table_cell", "bbox": { "l": 433.56, "t": 637.5, "r": 561.6, "b": 619.29 }, "text": "", "attrs": { "row": 2, "col": 3, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.13", "order": 59, "type": "table_cell", "bbox": { "l": 49.44, "t": 619.29, "r": 177.48, "b": 601.08 }, "text": "", "attrs": { "row": 3, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.14", "order": 60, "type": "table_cell", "bbox": { "l": 177.48, "t": 619.29, "r": 305.52, "b": 601.08 }, "text": "", "attrs": { "row": 3, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.15", "order": 61, "type": "table_cell", "bbox": { "l": 305.52, "t": 619.29, "r": 433.56, "b": 601.08 }, "text": "", "attrs": { "row": 3, "col": 2, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.16", "order": 62, "type": "table_cell", "bbox": { "l": 433.56, "t": 619.29, "r": 561.6, "b": 601.08 }, "text": "", "attrs": { "row": 3, "col": 3, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.17", "order": 63, "type": "table_cell", "bbox": { "l": 49.44, "t": 601.08, "r": 177.48, "b": 582.87 }, "text": "", "attrs": { "row": 4, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.18", "order": 64, "type": "table_cell", "bbox": { "l": 177.48, "t": 601.08, "r": 305.52, "b": 582.87 }, "text": "", "attrs": { "row": 4, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.19", "order": 65, "type": "table_cell", "bbox": { "l": 305.52, "t": 601.08, "r": 433.56, "b": 582.87 }, "text": "", "attrs": { "row": 4, "col": 2, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.20", "order": 66, "type": "table_cell", "bbox": { "l": 433.56, "t": 601.08, "r": 561.6, "b": 582.87 }, "text": "", "attrs": { "row": 4, "col": 3, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.21", "order": 67, "type": "table_cell", "bbox": { "l": 49.44, "t": 582.87, "r": 177.48, "b": 564.66 }, "text": "", "attrs": { "row": 5, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.22", "order": 68, "type": "table_cell", "bbox": { "l": 177.48, "t": 582.87, "r": 305.52, "b": 564.66 }, "text": "", "attrs": { "row": 5, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.23", "order": 69, "type": "table_cell", "bbox": { "l": 305.52, "t": 582.87, "r": 433.56, "b": 564.66 }, "text": "", "attrs": { "row": 5, "col": 2, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.24", "order": 70, "type": "table_cell", "bbox": { "l": 433.56, "t": 582.87, "r": 561.6, "b": 564.66 }, "text": "", "attrs": { "row": 5, "col": 3, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.25", "order": 71, "type": "table_cell", "bbox": { "l": 49.44, "t": 564.66, "r": 177.48, "b": 546.45 }, "text": "", "attrs": { "row": 6, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.26", "order": 72, "type": "table_cell", "bbox": { "l": 177.48, "t": 564.66, "r": 305.52, "b": 546.45 }, "text": "", "attrs": { "row": 6, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.27", "order": 73, "type": "table_cell", "bbox": { "l": 305.52, "t": 564.66, "r": 433.56, "b": 546.45 }, "text": "", "attrs": { "row": 6, "col": 2, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.28", "order": 74, "type": "table_cell", "bbox": { "l": 433.56, "t": 564.66, "r": 561.6, "b": 546.45 }, "text": "", "attrs": { "row": 6, "col": 3, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.29", "order": 75, "type": "table_cell", "bbox": { "l": 49.44, "t": 546.45, "r": 177.48, "b": 528.24 }, "text": "", "attrs": { "row": 7, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.30", "order": 76, "type": "table_cell", "bbox": { "l": 177.48, "t": 546.45, "r": 305.52, "b": 528.24 }, "text": "", "attrs": { "row": 7, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.31", "order": 77, "type": "table_cell", "bbox": { "l": 305.52, "t": 546.45, "r": 433.56, "b": 528.24 }, "text": "", "attrs": { "row": 7, "col": 2, "rowspan": 1, "colspan": 1 } }, { "id": "p2.2.32", "order": 78, "type": "table_cell", "bbox": { "l": 433.56, "t": 546.45, "r": 561.6, "b": 528.24 }, "text": "", "attrs": { "row": 7, "col": 3, "rowspan": 1, "colspan": 1 } } ] }, { "id": "p2.3", "order": 79, "type": "text", "bbox": { "l": 47.04, "t": 504.96, "r": 555.84, "b": 444.48 }, "text": "□ Party requests their residence remain confidential as they are protected by the Protection from Abuse Act, 23 Pa.C.S. § 6112, or the Domestic and Sexual Violence Victim Address Confidentiality Act, 23 Pa.C.S. §§ 6701-6713, or the Child Custody Act, 23 Pa.C.S. § 5336(b), or they are in the process of seeking protection under the same.", "children": [ { "id": "p2.3.1", "order": 80, "type": "form_field", "bbox": { "l": 50.4, "t": 512.04, "r": 64.92, "b": 493.44 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "□ Party requests their residence remain confidential as they are protected by the Protection from Abuse Act, 23 Pa.C.S. § 6112, or the Domestic and Sexual Violence Victim Address Confidentiality Act, 23 Pa.C.S. §§ 6701-6713, or the Child Custody Act, 23 Pa.C.S. § 5336(b), or they are in the process of seeking protection under the same.", "pdf_field_name": "Checkbox4", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.3", "text_offset": 0, "text_span": 1 } } ] }, { "id": "p2.4", "order": 81, "type": "text", "bbox": { "l": 47.28, "t": 419.04, "r": 372.48, "b": 404.4 }, "text": "SUBJECT CHILD(REN) – Attach additional sheets if necessary:" }, { "id": "p2.5", "order": 82, "type": "table", "bbox": { "l": 49.2, "t": 393.84, "r": 561.84, "b": 261.6 }, "text": "", "attrs": { "block_label": "table", "n_rows": 8, "n_cols": 2, "integrity": { "cells_checked": 2, "cells_flagged": 0 } }, "children": [ { "id": "p2.5.1", "order": 83, "type": "table_cell", "bbox": { "l": 56.0398, "t": 388.248, "r": 84.647491, "b": 377.34 }, "text": "Name", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "children": [ { "id": "p2.5.1.1", "order": 84, "type": "form_field", "bbox": { "l": 51.36, "t": 333.36, "r": 305.4, "b": 320.16 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow4_3(CRAHV)", "source": "acroform", "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.5.1" } }, { "id": "p2.5.1.2", "order": 85, "type": "form_field", "bbox": { "l": 51.36, "t": 319.08, "r": 305.4, "b": 305.88 }, "text": "", "attrs": { "field_kind": "text", "label": "Name", "pdf_field_name": "NameRow5_3(CRAHV)", "source": "acroform", "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.5.1" } } ] }, { "id": "p2.5.2", "order": 86, "type": "table_cell", "bbox": { "l": 311.4, "t": 388.248, "r": 374.639683, "b": 377.34 }, "text": "Date of Birth", "attrs": { "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "children": [ { "id": "p2.5.2.1", "order": 87, "type": "form_field", "bbox": { "l": 306.72, "t": 333.36, "r": 560.76, "b": 320.16 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow4_3(CRAHV)", "source": "acroform", "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.5.2" } }, { "id": "p2.5.2.2", "order": 88, "type": "form_field", "bbox": { "l": 306.72, "t": 319.08, "r": 560.76, "b": 305.88 }, "text": "", "attrs": { "field_kind": "text", "label": "Date of Birth", "pdf_field_name": "Date of BirthRow5_3(CRAHV)", "source": "acroform", "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "label_source": "parent_text", "label_ref": "p2.5.2" } } ] }, { "id": "p2.5.3", "order": 89, "type": "table_cell", "bbox": { "l": 49.2, "t": 377.31, "r": 305.52, "b": 360.78 }, "text": "", "attrs": { "row": 1, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.4", "order": 90, "type": "table_cell", "bbox": { "l": 305.52, "t": 377.31, "r": 561.84, "b": 360.78 }, "text": "", "attrs": { "row": 1, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.5", "order": 91, "type": "table_cell", "bbox": { "l": 49.2, "t": 360.78, "r": 305.52, "b": 344.25 }, "text": "", "attrs": { "row": 2, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.6", "order": 92, "type": "table_cell", "bbox": { "l": 305.52, "t": 360.78, "r": 561.84, "b": 344.25 }, "text": "", "attrs": { "row": 2, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.7", "order": 93, "type": "table_cell", "bbox": { "l": 49.2, "t": 344.25, "r": 305.52, "b": 327.72 }, "text": "", "attrs": { "row": 3, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.8", "order": 94, "type": "table_cell", "bbox": { "l": 305.52, "t": 344.25, "r": 561.84, "b": 327.72 }, "text": "", "attrs": { "row": 3, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.9", "order": 95, "type": "table_cell", "bbox": { "l": 49.2, "t": 327.72, "r": 305.52, "b": 311.19 }, "text": "", "attrs": { "row": 4, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.10", "order": 96, "type": "table_cell", "bbox": { "l": 305.52, "t": 327.72, "r": 561.84, "b": 311.19 }, "text": "", "attrs": { "row": 4, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.11", "order": 97, "type": "table_cell", "bbox": { "l": 49.2, "t": 311.19, "r": 305.52, "b": 294.66 }, "text": "", "attrs": { "row": 5, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.12", "order": 98, "type": "table_cell", "bbox": { "l": 305.52, "t": 311.19, "r": 561.84, "b": 294.66 }, "text": "", "attrs": { "row": 5, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.13", "order": 99, "type": "table_cell", "bbox": { "l": 49.2, "t": 294.66, "r": 305.52, "b": 278.13 }, "text": "", "attrs": { "row": 6, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.14", "order": 100, "type": "table_cell", "bbox": { "l": 305.52, "t": 294.66, "r": 561.84, "b": 278.13 }, "text": "", "attrs": { "row": 6, "col": 1, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.15", "order": 101, "type": "table_cell", "bbox": { "l": 49.2, "t": 278.13, "r": 305.52, "b": 261.6 }, "text": "", "attrs": { "row": 7, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p2.5.16", "order": 102, "type": "table_cell", "bbox": { "l": 305.52, "t": 278.13, "r": 561.84, "b": 261.6 }, "text": "", "attrs": { "row": 7, "col": 1, "rowspan": 1, "colspan": 1 } } ] }, { "id": "p2.6", "order": 103, "type": "text", "bbox": { "l": 245.04, "t": 165.84, "r": 366.72, "b": 150.48 }, "text": "(intentionally left blank)" } ], "excluded_furniture": { "first": [], "last": [] } }