Instead of directly putting the contents of the annotation appearance
streams into the page's content stream, add commands to render the
form xobjects directly. This is a more robust way to do it than the
original solution as it works properly with patterns and avoids
problems with resource name clashes between the pages and the form
xobjects.
Flatten annotations by integrating their appearance streams into the
content stream of the containing page. In the case of form fields,
only flatten if /NeedAppearance is false (or equivalently absent). If
flattening form fields, also remove /AcroForm from the document
catalog.