| Field Name | Example | Length | Description |
| Date | 2/9/2008 | - | required |
| First_Name | John | 50 | required |
| Last_Name | Doe | 50 | required |
| Address1 | 123 Oak St. | 100 | required |
| Address2 | PO Box 332 | 100 | |
| City | Topeka | 20 | required |
| State | KS | 2 | required, must be two-letter state abbreviation |
| Zip1 | 66633 | 5 | required |
| Zip2 | 1114 | 4 | |
| Type_of_Tender | Cash | 50 |
required, must be Cash, Check, Loan, Refund,Credit Card, E Funds or Other |
| Primary Amount | 44.99 | - | required, if there is not a General Amount. Total of the Primary and General amounts must equal the Amount field. |
| General Amount | 0.00 | - | required, if there is not a Primary Amount.Total of the Primary and General amounts must equal the Amount field. |
| Amount | 44.99 | - | required, must have two digits to the right of the decimal |
| PAC_Name | John's PAC | 100 | required if no first name, last name, or Business Name entered |
| Occupation | Attorney | 75 | required if amount is over $150 |
| Business_Name | Signs R Us | 50 | required if no first name, last name, or PAC Name entered |