NameDescriptionTypeAdditional information
Check__c

boolean

None.

Credit_Card__c

boolean

None.

Electronic_Funds_Transfer_EFT__c

boolean

None.

Other__c

boolean

None.

If_Other_Specify__c

string

None.

Annual__c

boolean

None.

Quarterly__c

boolean

None.

Semi_Annual__c

boolean

None.

Monthly__c

boolean

None.

Insured__c

boolean

None.

Owner__c

boolean

None.

Other_Premium_Notices__c

boolean

None.

If_Other_Premium_Notices_Specify__c

string

None.

Policy_backdating__c

boolean

None.

Insured_Premium_payer__c

boolean

None.

Owner_Premium_payer__c

boolean

None.

Other_Premium_payer__c

boolean

None.

First_Name__c

string

None.

Middle_Name__c

string

None.

Last_Name__c

string

None.

Address__Street__s

string

None.

Address__City__s

string

None.

Address__StateCode__s

string

None.

Address__PostalCode__s

string

None.

Address__CountryCode__s

string

None.

Relation_to_Insured__c

string

None.

Phone__c

string

None.

Tax_ID_Social_Security__c

string

None.

Premium_Loan_Provision_Not_Effective__c

boolean

None.

Opportunity__c

string

None.

Application_Form__c

string

None.

Name

string

None.