<form class="mt-40 mb-20">
  <input type="hidden" id="a3_credit" value="11101">
  <input type="hidden" id="a3_bank" value="1">
  <input type="hidden" id="a3_cat" value="2">
  <input type="hidden" id="a3_inout" value="2">
  <label for="a3_action_at">Action At</label>
  <input type="datetime-local" id="a3_action_at" placeholder="Action At" value="">
  <label for="a3_amount">Amount</label>
  <input type="text" id="a3_amount" placeholder="Amount" value="">
  <label for="a3_pay_to">Pay To</label>
  <input type="text" id="a3_pay_to" placeholder="Pay To" value="">
  <label for="a3_invoice">Invoice</label>
  <input type="text" id="a3_invoice" placeholder="Invoice" value="">
  <label for="a3_descr">Description</label>
  <input type="text" id="a3_descr" placeholder="Description" value="">
  <label for="credit">Credit</label>
  <input type="text" id="credit" value="">
  <label for="credit">Debit</label>
  <div id="a3_debit">
  </div>
  <a href="#" id="action_out_add_button" class="btn btn-primary btn-block fw-700 mb-30">Save</a>
</form>