{
  "applicant_first_name": "Jordan",
  "applicant_middle_initial": "A",
  "applicant_last_name": "Ellison",
  "ssn": "123-45-6789",
  "date_of_birth": "1989-03-14",
  "phone": "(856) 555-0142",
  "email": "jordan.ellison@example.com",
  "street_address": "418 Chestnut Ridge Road, Apt 2B",
  "city": "Blackwood",
  "state": "NJ",
  "zip": "08012",
  "county": "Camden",
  "household_size": "3",
  "monthly_income": "2,840.00",
  "receives_snap": true,
  "receives_medicaid": false,
  "is_us_citizen": true,
  "program_type": "General Assistance",
  "applicant_signature": "Jordan A. Ellison",
  "certification_date": "2026-06-26"
}