{{ Form::open([
    'method' => 'post',
    'route' => ['mortgages.postAddMore', $id]
]) }}
<div class="row">
    <div class="col-md-6 form-group">
        {{ Form::label("receipt_id", trans('installments.receipt_id')) }} <span class="required">*</span>
        {{ Form::text('receipt_id', null, [
            'class'    =>  'form-control',
            'id'       =>  'receipt_id',
            'placeholder'  =>  trans('installments.receipt_id')
        ]) }}
    </div>
    <div class="col-md-6 form-group">
        {{ Form::label("payment_name", trans('installments.payment_name')) }} <span class="required">*</span>
        {{ Form::text('payment_name', null, [
            'class'    =>  'form-control',
            'placeholder'  =>  trans('installments.payment_name')
        ]) }}
    </div>
</div>
<div class="row">
    <div class="col-md-12 form-group">
        {{ Form::label('payment_date',Trans("installments.date_payment")) }} <span class="required">*</span>
                <div class="input-group date">
            {{ Form::text('payment_date', $selected, [
                'class' => 'form-control',
                'id' => 'payment_date',
                'placeholder'    =>  trans('installments.date_payment')
            ]) }}
            <div class="input-group-addon">
                <i class="fa fa-calendar-o"></i>
            </div>
        </div>
    </div>
</div>
<div class="row">
    <div class="col-md-12 form-group">
        {{ Form::label("amount", trans('mortgages.new_amount')) }} <span class="required">*</span>
        {{ Form::number('amount', $newPrice, [
            'class'    =>  'form-control',
            'id'       =>  'amount',
            'placeholder'  =>  trans('mortgages.new_amount')
        ]) }}
    </div>
    <div class="col-md-12 form-group">
        {{ Form::label("old_interest", trans('mortgages.old_interest')) }} <span class="required">*</span>
        {{ Form::number('old_interest', $oldInterest, [
            'class'    =>  'form-control',
            'id'       =>  'old_interest',
            'placeholder'  =>  trans('mortgages.old_interest')
        ]) }}
    </div>
    <div class="col-md-12 form-group">
        {{ Form::label("note", trans('mortgages.note')) }} <span class="required">*</span>
        {{ Form::textarea('note', null, [
            'class'    =>  'form-control',
            'placeholder'  =>  trans('mortgages.note'),
            'rows' => 2
        ]) }}
    </div>
</div>
{{ Form::close() }}