tns:IssuedAtUSLocation 

The US address of the signer.

Element Information

Model

tns:StreetAddress1{0,1} , tns:StreetAddress2{0,1} , tns:City{0,1} , tns:County , tns:USState , tns:USZipCode{0,1} , tns:Country
Children: tns:City, tns:Country, tns:County, tns:StreetAddress1, tns:StreetAddress2, tns:USState, tns:USZipCode

Source 

<xsd:element name="IssuedAtUSLocation" type="tns:USAddressType" minOccurs="1" maxOccurs="1">
  <xsd:annotation>
    <xsd:documentation xml:lang="en-US">The US address of the signer.</xsd:documentation>
  </xsd:annotation>
</xsd:element>

Sample