"<div class=\"invoice-line manual-line col-sm-12\"> <div class=\"col-sm-1\"> <input checked type=\"checkbox\" class=\"js-invoiceline-check\" name=\"invoice[discount][##LineId##][select]\" value=\"1\" \/> <\/div> <div class=\"line-name col-sm-4\"> <input type=\"text\" name=\"invoice[discount][##LineId##][label]\" placeholder=\"Omschrijving\" value=\"\" \/> <\/div> <div class=\"line-name col-sm-2\"> <input type=\"number\" name=\"invoice[discount][##LineId##][amount]\" placeholder=\"Bedrag\" value=\"\" \/> <\/div> <div class=\"line-name col-sm-1\"> <input type=\"text\" name=\"invoice[discount][##LineId##][vatPercentage]\" placeholder=\"VAT %\" value=\"\" \/> <\/div> <div class=\"input-currencyprefix col-sm-2\"> <div class=\"currency-box\">&euro;<\/div> <input type=\"text\" name=\"invoice[discount][##LineId##][vatPrice]\" placeholder=\"VAT price\" value=\"\" \/> <\/div> <div class=\"input-currencyprefix col-sm-2 line-price\"> <div class=\"currency-box\">&euro;<\/div> <input type=\"text\" name=\"invoice[discount][##LineId##][discount]\" placeholder=\"Prijs\" value=\"\" \/> <\/div> <div class=\"remove-invoice-line fa fa-times-circle\"><\/div> <\/div> "