[field id="b_legalname"]
[field id="dba"]
[field id="b_physicaladdress"]
[field id="b_city"]
[field id="b_state"]
[field id="b_zip"]
[field id="b_telephone"]
[field id="b_fax"]
[field id="b_federal_tax"]
[field id="b_business_started"]
[field id="b_ownership"]
[field id="b_website"]
[field id="b_entity_type"]
[field id="b_email"]
[field id="b_business_type"]
[field id="b_product"]
[field id="merchant_owner_name"]
[field id="merchant_title"]
[field id="merchant_ownership"]
[field id="merchant_homeaddress"]
[field id="merchant_city"]
[field id="merchant_state"]
[field id="merchant_zip"]
[field id="merchant_ssn"]
[field id="merchant_dob"]
[field id="merchant_home"]
[field id="merchant_cell"]
[field id="partner_name"]
[field id="partner_title"]
[field id="partner_ownership"]
[field id="partner_homeaddress"]
[field id="partner_city"]
[field id="partner_state"]
[field id="partner_zip"]
[field id="partner_ssn"]
[field id="partner_dob"]
[field id="partner_home"]
[field id="partner_cell"]
[field id="bproperty_landlord"]
[field id="bproperty_contact"]
[field id="bproperty_phone"]
[field id="agent_company"]
[field id="agent_noterminal"]
[field id="agent_terminaltype"]
[field id="agent_request_advanced"]
[field id="agent_daily_withholding"]
[field id="agent_volume"]
[field id="agent_cashadvance"]
[field id="agent_balance"]
[field id="agent_cashadvance"]
[field id="date"]