In addition to Editing Existing Content you can also add / create new content. The following content types can be added to a document.
Note: Content is different than adding annotations as they are created as permanent objects into the page and are not interactive. For information on adding annotations / comments to the document see Annotating & Commenting PDFs
Add Text: Creates new text on the page
Add Image: Import images as content to be added to the document
Add Shape: Add new shape content (circle, square, line, etc...) to the PDF
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