<?php
  $template = "Import Records";
  $section = "records";
  include('inc/header.php');
?>

<article>
  <h3>Match Case Details</h3>
  <p>Match the Probate Letter Generate fields with the columns from your imported file. This import tool allows for up to five Heirs.</p>
  <table data-table data-table-theme="editable pad">
    <thead>
      <tr>
        <th>Generator Field</th>
        <th>CSV Column Header</th>
        <th>Your File Row 3 of 13</th>
      </tr>
    </thead>
    <tbody>
      <tr>
        <td>Case Number</td>
        <td>
          <div class="select">
            <select>
              <option>Case Number</option>
            </select>
          </div>
        </td>
        <td>555123</td>
      </tr>
      <tr>
        <td>Decedent’s Name</td>
        <td>
          <div class="select">
            <select>
              <option>Decedent’s Name</option>
            </select>
          </div>
        </td>
        <td>Zack Morris</td>
      </tr>
      <tr>
        <td>Decedent’s Address</td>
        <td>
          <div class="select">
            <select>
              <option>Decedent’s Address</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Decedent’s Apt/PO Box</td>
        <td>
          <div class="select">
            <select>
              <option>Decedent’s Apt/PO Box</option>
            </select>
          </div>
        </td>
        <td>Apt #14</td>
      </tr>
      <tr>
        <td>Decedent’s City</td>
        <td>
          <div class="select">
            <select>
              <option>Decedent’s City</option>
            </select>
          </div>
        </td>
        <td>Dallas</td>
      </tr>
      <tr>
        <td>Decedent’s State</td>
        <td>
          <div class="select">
            <select>
              <option value="">Select a State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District Of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
            </select>
          </div>
        </td>
        <td>TX</td>
      </tr>
      <tr>
        <td>Decedent’s Zip</td>
        <td>
          <div class="select">
            <select>
              <option>Decedent’s Zip</option>
            </select>
          </div>
        </td>
        <td>90210</td>
      </tr>
      <tr>
        <td>Personal Rep Name</td>
        <td>
          <div class="select">
            <select>
              <option>Personal Rep Name</option>
            </select>
          </div>
        </td>
        <td>Zack Morris</td>
      </tr>
      <tr>
        <td>Personal Rep Address</td>
        <td>
          <div class="select">
            <select>
              <option>Personal Rep Address</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Personal Rep Address</td>
        <td>
          <div class="select">
            <select>
              <option>Personal Rep Apt/PO Box</option>
            </select>
          </div>
        </td>
        <td>Apt #14</td>
      </tr>
      <tr>
        <td>Personal Rep City</td>
        <td>
          <div class="select">
            <select>
              <option>Personal Rep City</option>
            </select>
          </div>
        </td>
        <td>Dallas</td>
      </tr>
      <tr>
        <td>Personal Rep State</td>
        <td>
          <div class="select">
            <select>
              <option value="">Select a State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District Of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Personal Rep Zip</td>
        <td>
          <div class="select">
            <select>
              <option>Personal Rep Zip</option>
            </select>
          </div>
        </td>
        <td>90210</td>
      </tr>
      <tr>
        <td>Heir Name</td>
        <td>
          <div class="select">
            <select>
              <option>Heir Name</option>
            </select>
          </div>
        </td>
        <td>Zack Morris</td>
      </tr>
      <tr>
        <td>Heir Address</td>
        <td>
          <div class="select">
            <select>
              <option>Heir Address</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Heir Address</td>
        <td>
          <div class="select">
            <select>
              <option>Heir Apt/PO Box</option>
            </select>
          </div>
        </td>
        <td>Apt #14</td>
      </tr>
      <tr>
        <td>Heir City</td>
        <td>
          <div class="select">
            <select>
              <option>Heir City</option>
            </select>
          </div>
        </td>
        <td>Dallas</td>
      </tr>
      <tr>
        <td>Heir State</td>
        <td>
          <div class="select">
            <select>
              <option value="">Select a State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District Of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Heir Zip</td>
        <td>
          <div class="select">
            <select>
              <option>Heir Zip</option>
            </select>
          </div>
        </td>
        <td>90210</td>
      </tr>
      <tr>
        <td>Attorney Name</td>
        <td>
          <div class="select">
            <select>
              <option>Attorney Name</option>
            </select>
          </div>
        </td>
        <td>Zack Morris</td>
      </tr>
      <tr>
        <td>Attorney Address</td>
        <td>
          <div class="select">
            <select>
              <option>Attorney Address</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Attorney Address</td>
        <td>
          <div class="select">
            <select>
              <option>Attorney Apt/PO Box</option>
            </select>
          </div>
        </td>
        <td>Apt #14</td>
      </tr>
      <tr>
        <td>Attorney City</td>
        <td>
          <div class="select">
            <select>
              <option>Attorney City</option>
            </select>
          </div>
        </td>
        <td>Dallas</td>
      </tr>
      <tr>
        <td>Attorney State</td>
        <td>
          <div class="select">
            <select>
              <option value="">Select a State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District Of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
            </select>
          </div>
        </td>
        <td>555 Bayside Drive</td>
      </tr>
      <tr>
        <td>Attorney Zip</td>
        <td>
          <div class="select">
            <select>
              <option>Attorney Zip</option>
            </select>
          </div>
        </td>
        <td>90210</td>
      </tr>
    </tbody>
  </table>
  <footer>
    <form action="my-records.php">
      <input type="submit" value="Cancel" class="left">
    </form>
    <form action="import3.php">
      <input type="submit" value="Save" class="green right">
    </form>
  </footer>
</article>

<?php
  include('inc/tables.php');
  include('inc/footer.php');
?>