Convert Image to .rtf gile

Very small project - I have an image of Pay Advice and need to convert it to/create template in .RTF file. You need to create layout that mimics scanned image (also figure out fonts used ??" as close as possible) ? Each filed must be defined as a Form Field ? Some sensitive info blanked out ??" names, addresses and IDs. Each shall be one field. **Note:? Fields must be enterable and I must be able to print it and it shall look the same.** ## Deliverables See image attached.