<form class="mt-40 mb-20">
  <input type="hidden" id="a4_debit" value="11101">
  <input type="hidden" id="a4_bank" value="1">
  <input type="hidden" id="a4_cat" value="1">
  <input type="hidden" id="a4_inout" value="1">
  <label for="a4_action_at">Action At</label>
  <input type="datetime-local" id="a4_action_at" placeholder="Action At" value="">
  <label for="a4_amount">Amount</label>
  <input type="text" id="a4_amount" placeholder="Amount" value="">
  <label for="a4_pay_to">Pay From</label>
  <input type="text" id="a4_pay_from" placeholder="Pay From" value="">
  <label for="a4_invoice">Invoice</label>
  <input type="text" id="a4_invoice" placeholder="Invoice" value="">
  <label for="a4_descr">Description</label>
  <input type="text" id="a4_descr" placeholder="Description" value="">
  <label for="debit">Debit</label>
  <input type="text" id="debit" value="">
  <label for="credit">Credit</label>
  <div id="a4_credit">
  </div>
  <a href="#" id="action_in_add_button" class="btn btn-primary btn-block fw-700 mb-30">Save</a>
</form>