{
  "account_holder_entity_type": {
    "label": "Account Holder Entity Type",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "account_holder_name": {
    "label": "Account Holder Legal Name",
    "recovery_impact": false,
    "required": true,
    "source": "client.company_name",
    "type": "text"
  },
  "account_number": {
    "label": "Account Number",
    "recovery_impact": false,
    "required": true,
    "source": null,
    "type": "text"
  },
  "account_type": {
    "label": "Account Type",
    "options": [
      "Checking",
      "Savings"
    ],
    "recovery_impact": false,
    "required": true,
    "source": null,
    "type": "checkbox"
  },
  "bank_name": {
    "label": "Bank Name",
    "recovery_impact": false,
    "required": true,
    "source": null,
    "type": "text"
  },
  "claim_amount_cents": {
    "label": "Claim Amount",
    "recovery_impact": true,
    "required": true,
    "source": "claim.amount_cents",
    "type": "money"
  },
  "client_company_name": {
    "label": "Client Legal Name",
    "recovery_impact": false,
    "required": true,
    "source": "client.company_name",
    "type": "text"
  },
  "client_contact_name": {
    "label": "Client Contact / Print Name",
    "recovery_impact": false,
    "required": true,
    "source": "client.contact_name",
    "type": "text"
  },
  "client_entity_type": {
    "label": "Client Entity Type",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_address": {
    "label": "Debtor Business Address",
    "recovery_impact": true,
    "required": false,
    "source": "debtor.physical_address",
    "type": "text"
  },
  "debtor_alt_address": {
    "label": "Debtor Alternate Address",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_ar_lenders": {
    "label": "Debtor Known AR / Lenders",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_bank": {
    "label": "Debtor Bank / FI",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_city_state_zip": {
    "label": "Debtor City / State / ZIP",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_contact_email": {
    "label": "Debtor Email",
    "recovery_impact": true,
    "required": false,
    "source": "debtor.contact_email",
    "type": "text"
  },
  "debtor_contact_name": {
    "label": "Debtor Primary Contact",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_contact_phone": {
    "label": "Debtor Direct Phone",
    "recovery_impact": true,
    "required": false,
    "source": "debtor.contact_phone",
    "type": "text"
  },
  "debtor_contact_title": {
    "label": "Debtor Contact Title",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_dba": {
    "label": "DBA / Trade Name",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_ein": {
    "label": "EIN / Tax ID",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_entity_type": {
    "label": "Debtor Entity Type",
    "recovery_impact": true,
    "required": false,
    "source": "debtor.business_type",
    "type": "text"
  },
  "debtor_name": {
    "label": "Debtor Legal Name",
    "recovery_impact": true,
    "required": true,
    "source": "debtor.name",
    "type": "text"
  },
  "debtor_registered_agent": {
    "label": "Registered Agent Name",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_registered_agent_address": {
    "label": "Registered Agent Address",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_state": {
    "label": "State of Formation",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "debtor_website": {
    "label": "Debtor Website",
    "recovery_impact": false,
    "required": false,
    "source": null,
    "type": "text"
  },
  "dre_claim_number": {
    "label": "DRE Claim Number",
    "recovery_impact": false,
    "required": true,
    "source": "claim.claim_number",
    "type": "text"
  },
  "invoice_date": {
    "label": "Invoice / Contract Date",
    "recovery_impact": true,
    "required": false,
    "source": "claim.invoice_date",
    "type": "date"
  },
  "personal_guarantee": {
    "label": "Personal Guarantee Exists?",
    "options": [
      "Yes",
      "No",
      "Unsure"
    ],
    "recovery_impact": true,
    "required": true,
    "source": null,
    "type": "checkbox"
  },
  "personal_guarantee_signer": {
    "label": "Personal Guarantee Signer",
    "recovery_impact": true,
    "required": false,
    "source": null,
    "type": "text"
  },
  "routing_number": {
    "label": "Routing (ABA) Number",
    "recovery_impact": false,
    "required": true,
    "source": null,
    "type": "text"
  }
}