To: jennifer@landlordassocpa.com Subject: LandlordAssocPA Application Name: [Name] Address1: [Address1] Address2: [Address2] City: [City] State: [State] Zip Code: [Zip] Social Security No: [SSN] Phone: [Phone] Fax: [Fax] Email: [email] Number Rental Units: [NumberRentalUnits] Type of Properties: [PropType] Location: [PrimaryCounty] Contact Person: [ContactPerson] Payment Method: [PaymentType] Credit Card Type: [CreditCard] Card Number: [CreditCardNumber] Expiration Date: [ExpirationDate] Cardholder: [CreditCardName] Lead Source: [LeadSource] Referred by: [Referrer]