| Name | Description | Type | Additional information |
|---|---|---|---|
| SsnBic | string |
None. |
|
| FirstName | string |
None. |
|
| Name | string |
None. |
|
| StreetAddress | string |
None. |
|
| City | string |
None. |
|
| PostalCode | string |
None. |
|
| Phone | string |
None. |
|
| string |
None. |