{!! html()->label('Cotisations','cotisations') !!}

{!! html()->text('cotisations', $cotisations)->attributes(['class' => 'form-control','style'=>'text-align:right']) !!}

{!! html()->label('Majorations','majorations' ) !!}

{!! html()->text('majorations', $majorations)->attributes(['class' => 'form-control','style'=>'text-align:right']) !!}

{!! html()->label('Total de la dette','total') !!}

{!! html()->text('total', ($cotisations+$majorations))->attributes(['class' => 'form-control','style'=>'text-align:right','disabled'=>'true']) !!}

{!! html()->label('obs', 'Observations') !!} {!! html()->textarea('obs', null)->attributes(['placeholder' => 'Observations', 'class' => 'form-control', 'rows'=>'3']) !!}