Extra words before form headline

http://www.jotform.co/form/32255951762862

http://www.texasjusticeguide.com/forms/expunction

notice the uninvited data before headline 

can you fix it or what do you  recommend?

My  print screen does not have the image only formats you allow

Gene Beaty

The following items are related to Form Tabs widgets on your form.

There are two Form Tabs widgets at the bottom of your form. We would like to recommend you to delete one of these widgets to prevent possible conflicts.

If you are referring to something else, please provide us with additional information. Thank you.