{
    "document_id": 10972,
    "page": 1,
    "width_pt": 595,
    "height_pt": 842,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 11082,
    "item_count": 38,
    "counts_by_type": {
        "form_field": 10,
        "text": 27,
        "title": 1
    },
    "build_ms": 4,
    "items": [
        {
            "id": "p1.1",
            "order": 1,
            "type": "title",
            "bbox": {
                "l": 209.4496,
                "t": 770.0137,
                "r": 379.7923,
                "b": 756.0963
            },
            "text": "AFFIDAVIT OF SURVIVORSHIP",
            "attrs": {
                "block_label": "doc_title"
            },
            "level": 2
        },
        {
            "id": "p1.2",
            "order": 2,
            "type": "text",
            "bbox": {
                "l": 31.1895,
                "t": 736.66,
                "r": 558.5323,
                "b": 697.3075
            },
            "text": "STATE OF MONTANA\nCOUNTY OF ___\nRETURN TO: MONTANA DEPARTMENT OF LIVESTOCK\nPO BOX 202001\nHELENA, MT 59620-2001",
            "children": [
                {
                    "id": "p1.2.1",
                    "order": 3,
                    "type": "form_field",
                    "bbox": {
                        "l": 35.0398,
                        "t": 722.8589,
                        "r": 179.5695,
                        "b": 712.1137
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "COUNTY OF",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.2"
                    }
                }
            ]
        },
        {
            "id": "p1.3",
            "order": 4,
            "type": "text",
            "bbox": {
                "l": 32.869,
                "t": 682.6703,
                "r": 475.2802,
                "b": 671.6324
            },
            "text": "，BEING FIRST DULY SWORN, DEPOSES AND SAYS;",
            "children": [
                {
                    "id": "p1.3.1",
                    "order": 5,
                    "type": "form_field",
                    "bbox": {
                        "l": 35.0348,
                        "t": 682.0589,
                        "r": 473.1266,
                        "b": 671.3137
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "，BEING FIRST DULY SWORN, DEPOSES AND SAYS;",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.3"
                    }
                }
            ]
        },
        {
            "id": "p1.4",
            "order": 6,
            "type": "text",
            "bbox": {
                "l": 87.8105,
                "t": 669.7127,
                "r": 168.9032,
                "b": 660.5945
            },
            "text": "(NAME OF SURVIVING HEIR)"
        },
        {
            "id": "p1.5",
            "order": 7,
            "type": "text",
            "bbox": {
                "l": 33.3488,
                "t": 643.3178,
                "r": 549.1754,
                "b": 632.0399
            },
            "text": "THAT (HE, SHE) IS THE SURVIVING ___ OF ___, WHO DIED ON",
            "children": [
                {
                    "id": "p1.5.1",
                    "order": 8,
                    "type": "form_field",
                    "bbox": {
                        "l": 35.0398,
                        "t": 642.4586,
                        "r": 546.7941,
                        "b": 631.7134
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "THAT (HE, SHE) IS THE SURVIVING ___ OF ___, WHO DIED ON",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.5"
                    }
                }
            ]
        },
        {
            "id": "p1.6",
            "order": 9,
            "type": "text",
            "bbox": {
                "l": 194.5746,
                "t": 630.1203,
                "r": 414.5806,
                "b": 620.5221
            },
            "text": "(SPOUSE, CHILD, HEIR) (NAME OF DECEEDENT)"
        },
        {
            "id": "p1.7",
            "order": 10,
            "type": "text",
            "bbox": {
                "l": 34.5484,
                "t": 607.0846,
                "r": 547.256,
                "b": 556.4543
            },
            "text": "- - ___ AT ___. THE UNDERSIGNED IS THE CLOSEST NEXT OF KIN (DATE OF DEATH) (CITY AND STATE WHERE DEATH OCCURRED) THAT THE DECEASED OWNED NO ESTATE NECESSITATING ADMINISTRATION. THEREFORE, THERE IS NO ESTATE OR PROBATE PROCEEDINGS BEING CONDUCTED FOR (HIS, HER) ESTATE. FURTHER THE BRAND OR BRANDS:",
            "children": [
                {
                    "id": "p1.7.1",
                    "order": 11,
                    "type": "form_field",
                    "bbox": {
                        "l": 35.0348,
                        "t": 606.2189,
                        "r": 553.9537,
                        "b": 595.4737
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "- - ___ AT ___. THE UNDERSIGNED IS THE CLOSEST NEXT OF KIN (DATE OF DEATH) (CITY AND STATE WHERE DEATH OCCURRED) THAT THE DECEASED OWNED NO ESTATE NECESSITATING ADMINISTRATION. THEREFORE, THERE IS NO ESTATE OR PROBATE PROCEEDINGS BEING CONDUCTED FOR (HIS, HER) ESTATE. FURTHER THE BRAND OR BRANDS:",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.7"
                    }
                }
            ]
        },
        {
            "id": "p1.8",
            "order": 12,
            "type": "text",
            "bbox": {
                "l": 35.2681,
                "t": 537.018,
                "r": 71.0161,
                "b": 499.5851
            },
            "text": "DRAW\nBRAND\nHERE\nPOSITION ON CATTLE"
        },
        {
            "id": "p1.9",
            "order": 13,
            "type": "text",
            "bbox": {
                "l": 167.4637,
                "t": 536.2981,
                "r": 497.3528,
                "b": 524.5403
            },
            "text": "POSITION ON CATTLE"
        },
        {
            "id": "p1.10",
            "order": 14,
            "type": "text",
            "bbox": {
                "l": 167.4637,
                "t": 522.1408,
                "r": 495.9133,
                "b": 511.5828
            },
            "text": "POSITION ON HORSES"
        },
        {
            "id": "p1.11",
            "order": 15,
            "type": "text",
            "bbox": {
                "l": 168.4234,
                "t": 509.9031,
                "r": 495.4335,
                "b": 498.6252
            },
            "text": "POSITION ON SHEEP PAINT COLOR"
        },
        {
            "id": "p1.12",
            "order": 16,
            "type": "text",
            "bbox": {
                "l": 169.623,
                "t": 496.7056,
                "r": 307.8165,
                "b": 484.7079
            },
            "text": "POSITION ON OTHER (SPECIFY)"
        },
        {
            "id": "p1.13",
            "order": 17,
            "type": "text",
            "bbox": {
                "l": 32.629,
                "t": 468.391,
                "r": 402.1048,
                "b": 456.3933
            },
            "text": "IS OF NO INTEREST TO ME, AND I GIVE MY APPROVAL THAT IT BE TRANSFERRED TO:"
        },
        {
            "id": "p1.14",
            "order": 18,
            "type": "text",
            "bbox": {
                "l": 66.6976,
                "t": 441.5161,
                "r": 499.0323,
                "b": 427.8387
            },
            "text": "(NEW BRAND OWNER NAME)"
        },
        {
            "id": "p1.15",
            "order": 19,
            "type": "text",
            "bbox": {
                "l": 68.1371,
                "t": 416.3209,
                "r": 508.3891,
                "b": 402.8834
            },
            "text": "(NEW BRAND OWNER ADDRESS)"
        },
        {
            "id": "p1.16",
            "order": 20,
            "type": "text",
            "bbox": {
                "l": 67.1774,
                "t": 390.8857,
                "r": 529.0222,
                "b": 377.4483
            },
            "text": "(NEW BRAND OWNER CITY, STATE, ZIP)"
        },
        {
            "id": "p1.17",
            "order": 21,
            "type": "text",
            "bbox": {
                "l": 32.869,
                "t": 338.3357,
                "r": 193.6149,
                "b": 325.8581
            },
            "text": "DATE: ___ - 20"
        },
        {
            "id": "p1.18",
            "order": 22,
            "type": "text",
            "bbox": {
                "l": 31.1895,
                "t": 337.3759,
                "r": 523.0242,
                "b": 322.7387
            },
            "text": "𩽾𩫝𩿡𩬞𩬟𩬞𩬞𩫀𩫀"
        },
        {
            "id": "p1.19",
            "order": 23,
            "type": "text",
            "bbox": {
                "l": 32.629,
                "t": 305.9419,
                "r": 525.4234,
                "b": 294.904
            },
            "text": "SIGNATURE(S): ___",
            "children": [
                {
                    "id": "p1.19.1",
                    "order": 24,
                    "type": "form_field",
                    "bbox": {
                        "l": 35.0405,
                        "t": 305.499,
                        "r": 523.6086,
                        "b": 294.7538
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "SIGNATURE(S): ___",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.19"
                    }
                }
            ]
        },
        {
            "id": "p1.20",
            "order": 25,
            "type": "text",
            "bbox": {
                "l": 215.2077,
                "t": 292.5044,
                "r": 325.8105,
                "b": 282.4263
            },
            "text": "(SIGNATURE OF SURVIVING HEIR)"
        },
        {
            "id": "p1.21",
            "order": 26,
            "type": "text",
            "bbox": {
                "l": 32.629,
                "t": 268.7489,
                "r": 500.2319,
                "b": 257.4711
            },
            "text": "STATE OF MONTANA COUNTY OF ___ SIGNED BEFORE ME ON ___ BY ___",
            "children": [
                {
                    "id": "p1.21.1",
                    "order": 27,
                    "type": "form_field",
                    "bbox": {
                        "l": 35.0398,
                        "t": 267.6989,
                        "r": 498.1577,
                        "b": 256.9537
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "STATE OF MONTANA COUNTY OF ___ SIGNED BEFORE ME ON ___ BY ___",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.21"
                    }
                }
            ]
        },
        {
            "id": "p1.22",
            "order": 28,
            "type": "text",
            "bbox": {
                "l": 213.7681,
                "t": 242.3539,
                "r": 561.4113,
                "b": 231.556
            },
            "text": "SIGNATURE OF NOTARY",
            "children": [
                {
                    "id": "p1.22.1",
                    "order": 29,
                    "type": "form_field",
                    "bbox": {
                        "l": 216.8398,
                        "t": 241.0591,
                        "r": 560.6987,
                        "b": 230.314
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "SIGNATURE OF NOTARY",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.22"
                    }
                }
            ]
        },
        {
            "id": "p1.23",
            "order": 30,
            "type": "text",
            "bbox": {
                "l": 236.5605,
                "t": 227.7167,
                "r": 562.131,
                "b": 217.3987
            },
            "text": "MONTANA NOTARIES MUST COMPLETE THE FOLLOWING IF NOT PART OF STAMP AT LEFT:"
        },
        {
            "id": "p1.24",
            "order": 31,
            "type": "text",
            "bbox": {
                "l": 230.5625,
                "t": 205.8809,
                "r": 562.131,
                "b": 195.0829
            },
            "text": "PRINTED NAME OF NOTARY ___",
            "children": [
                {
                    "id": "p1.24.1",
                    "order": 32,
                    "type": "form_field",
                    "bbox": {
                        "l": 232.0805,
                        "t": 203.3491,
                        "r": 560.5572,
                        "b": 195.5237
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "PRINTED NAME OF NOTARY ___",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.24"
                    }
                }
            ]
        },
        {
            "id": "p1.25",
            "order": 33,
            "type": "text",
            "bbox": {
                "l": 326.5302,
                "t": 183.8051,
                "r": 561.6512,
                "b": 173.487
            },
            "text": "NOTARY PUBLIC FOR THE STATE OF ___",
            "children": [
                {
                    "id": "p1.25.1",
                    "order": 34,
                    "type": "form_field",
                    "bbox": {
                        "l": 328.8015,
                        "t": 181.5089,
                        "r": 560.5688,
                        "b": 173.6835
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "NOTARY PUBLIC FOR THE STATE OF ___",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.25"
                    }
                }
            ]
        },
        {
            "id": "p1.26",
            "order": 35,
            "type": "text",
            "bbox": {
                "l": 397.7863,
                "t": 162.929,
                "r": 561.6512,
                "b": 152.611
            },
            "text": "RESIDING AT___",
            "children": [
                {
                    "id": "p1.26.1",
                    "order": 36,
                    "type": "form_field",
                    "bbox": {
                        "l": 400.2022,
                        "t": 160.8691,
                        "r": 560.5576,
                        "b": 153.0437
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "RESIDING AT___",
                        "source": "blank_line",
                        "label_source": "parent_text",
                        "label_ref": "p1.26"
                    }
                }
            ]
        },
        {
            "id": "p1.27",
            "order": 37,
            "type": "text",
            "bbox": {
                "l": 370.9153,
                "t": 137.4939,
                "r": 561.8911,
                "b": 125.7361
            },
            "text": "MY COMMISSION EXPIRES ___ - 20"
        },
        {
            "id": "p1.28",
            "order": 38,
            "type": "text",
            "bbox": {
                "l": 33.3488,
                "t": 92.3824,
                "r": 160.0262,
                "b": 82.7843
            },
            "text": "(AFFIX NOTARIAL SEAL/STAMP ABOVE)"
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}