[{"id":"TPSSN","type":"ssn","calc":true,"value":""},{"id":"SPSSN","type":"ssn","calc":true,"value":""},{"id":"NAME1","type":"alpha","calc":true,"value":""},{"id":"NAME2","type":"alpha","calc":true,"value":""},{"id":"ADDR","type":"alpha","calc":true,"value":""},{"id":"CITY","type":"alpha","calc":true,"value":""},{"id":"STATE","type":"alpha","calc":true,"value":""},{"id":"ZIP","type":"zip","calc":true,"value":""},{"id":"DPHONE","type":"phone","calc":true,"value":""},{"id":"PAYMENT","type":"number","calc":false,"value":""}]