Objects in image: Ball, Calculator, Office supplies, Pen, Remote control
Text visible in image: PERSONAL, INJURY, LAWSUIT, ACTION-LAR, COUNTY,, COURT, OF, IN, THE, (STATE), Plaintiff, Petitioner, Defendant, Respondent:, QUALIFIED, ORDER, AND, NOW,, THIS, appears, to, the, court, as, follows, seek, this, order, conjunction, with, final, decrce, number
Question: what is the first thing you need to fill out on this form?
Answers: state, in the state, in the state..., state, state, state, state, state, state, the state