"Check This Entry" message, but there's no place to enter any information in the forms screen.

Hello!  I am ready to e-file my personal returns, but in the final check, I'm getting the following message.  Please note that I've erased out the corporation name:

 

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A forms page then appears below, but the problem is that none of the spaces on the form will let me type anything in.  Please advise.  Thank you!