Merchants

Set as Pre-App

Merchant ID*

Legal Name*

DBA Name*

Processor

Agent*

Split*

Is Override*

Password*

Status*

Product Type

Received Date*

Approved Date

Activation Date

Closed Date

Address

Address 2

City

ZIP

Country

State

Contact

Email(comma separated)

Phone

Phone 2

Cell

Fax

URL

DBA Same as Legal Address

Address

City

ZIP

Country

State

Mailing Address Same as DBA

Address

City

ZIP

Country

State

File here *	Download	Notes *	Status	Date	Action
		signed app
		pre app too large to upload
		voided check too large to upload

Type*

Deployment Date*

EPI/TPN

Status*

Model*

Purchase T.*

Returned Date

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Type*

Deployment Date

EPI/TPN

Status*

Model*

Purchase T.*

Returned Date

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee Delete

Type*

Deployment Date

EPI/TPN

Status*

Model*

Purchase T.*

Returned Date

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee Delete

Bank 1 Information

Bank Name

Account Name

Rounting Number

Account Number

Billing Type

Gross Settlement

Net Settlement

Bank 2 Information

Bank Name

Account Name

Rounting Number

Account Number

Overrides who receive partial commission on all of Rosalia Martinez Accounts

Default Setup

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Processor wise Setup

Select Processor *

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Select Processor *

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Merchant *

Month *

Year *

Merchant CMS

EIN/Federal Tax ID Type

MCC Code

EIN/Federal Tax ID #

State incorporated in

Business Start Date

Type of Legal Entity

Business Type

Sub Business Type

Types of Goods Sold

Primary Transaction Type

Card Swiped

%

Card Keyed In

%

Card Present

%

Card Not Present

%

Internet

%

Moto

%

B2B

%

B2C

%

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales

Estimated Monthly Visa/MC/Discover/ AMEX Sales

Average Ticket

High Ticket

Persoanl Guarantor

Telephone Order

%

Discount Method

Refund Policy

30 Days

60 Days

Other

None

Print Refund Policy On Footer
(If Yes Input Message In Notes)

Yes

No

Location Type

Notes

Date

Reminder Date & Time

Employee

Notes

Sr. No.	Date	Reminder Date	Employee	Note	Documents	Created by	Updated at	Updated by	Action
1	May 28 2025 02:22 PM		Alexander Wilkins	Merchant had Invalid ISO Response last night when trying to add tip adjustment. Valor was having a DATABASE Issue at that time. Valor stated if they want they can refund the customer and run the transaction again to add tip.	-	Alexander Wilkins	May 28 2025 02:23 PM		Update Delete
2	Apr 10 2025 03:56 PM		Mike Thomas	Spoke to Jonathon, terminal showed No Key Present. We tried all resets, no results. Terminal needs replacing. Shipping Next day	-	Mike Thomas	Apr 10 2025 03:59 PM		Update Delete
3	Mar 04 2025 08:57 PM		Charlotte Groff	Rosalia called and said she had received an email and wanted to know what it was. I had her forward it to me. It was her Valor Batch report that was sent to her for 2/26 transactions. I tried to call her back to let her know what it is but kept getting voicemail. I did reply to her email and told her what it was.	-		Mar 04 2025 10:30 PM		Update Delete
4	Feb 27 2025 02:56 PM		Charlotte Groff	Rosalia called and needed her 1099 for 2024 tax year. I tried to pull it from IQ but only get a black screen. I emailed WP and they sent me the 1099 and I sent it to email address on file.	-	Charlotte Groff	Feb 27 2025 04:21 PM	Charlotte Groff	Update Delete
5	Feb 12 2025 04:58 PM		Alexander Wilkins	Spoke to Jonathon, terminal showed No Key Present. Had merchant attempt a parameter update. Came up with Server Connection Error. Had the merchant do a Soft Reset. (Menu Button[Three Lines], Host Utility, Enter Last 4 of EPI for Password, Reset Terminal, Valor Master Password [82567729], and Clear Database). Merchant put in EPI and terminal is now working.	-	Alexander Wilkins	Feb 12 2025 05:28 PM		Update Delete
6	Dec 02 2024 02:37 PM		Charlotte Groff	Please don't speak to anyone at this merchant location about anything other than listed contacts: Rosalia or Jonathon Martinez.	-	Charlotte Groff	Dec 02 2024 02:50 PM		Update Delete
7	Oct 29 2024 09:02 PM		Mike Thomas	TT Jonathon, no key present. Walked through a download...now working.	-	Mike Thomas	Oct 29 2024 09:43 PM	Mike Thomas	Update Delete
8	Oct 02 2024 05:36 PM		Alexander Wilkins	Merchant's Terminal (New VL100) was showing up as terminal locked. Was able to call Valor to get terminal unlocked and get RKI Keys Downloaded. Also changed tips to Dollar Amounts per merchant request.	-	Alexander Wilkins	Oct 02 2024 07:21 PM		Update Delete
9	Oct 01 2024 07:01 PM		Mike Thomas	replaced terminal with VL100	-	Mike Thomas	Oct 02 2024 07:02 PM		Update Delete
10	Sep 30 2024 03:00 PM		Charlotte Groff	Merchant called and said that the terminal is not printing all of the numbers / letters on the receipts / batch receipts. Ordering var for a replacement terminal.	-	Charlotte Groff	Sep 30 2024 03:08 PM		Update Delete
11	Nov 17 2023 12:00 AM		Charlotte Groff	Merchant called and needed to know how to add additional servers to their VX520. Called Vantiv and conferenced merchant in. He was able to add the servers successfully	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
12	Aug 01 2023 12:00 AM		Morgan Withee	User: Morgan Withee -> Notes: Terminal was not autobatching and was not asking for tip at time of sale. Was able to get their terminal profile updated for batch at 7:00 PM and for tip prompt at time of sale. Sherry will call back if it does not auto batch tonight.	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
13	Aug 01 2023 12:00 AM		Mike Thomas	User: Mike Thomas -> Notes: Called Peggy to let her know Ed's was shipping today	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
14	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Notes: Changed status to Approved; updated Approval Date; added MID	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
15	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Notes: Vantiv - Traditional - Tiered Pricing; VX520 with Pin Debit and TIP at time of sale; IP; Batch time 7:00pm Central; NDF	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
16	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Changed : TO Percent FROM 0 TO 5	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
17	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Changed : Internet Percent FROM 0 TO	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
18	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Changed : Swipe Percent FROM 0 TO 95	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
19	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Changed : MonthlyVolume FROM 0.00 TO 20000	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
20	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Changed : AnnualVolume FROM 0 TO 120000	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete
21	Aug 01 2023 12:00 AM			User: Charlotte Goff -> Changed : AverageTicket FROM 0.00 TO 30.00	-	Dee Karawadra	Jan 31 2024 01:39 PM		Update Delete

Application Type

Discount

Business Type

MCC Code

Visa/MC/Discover Rate Category

Base/Qualified (%)

Mid Qualified (%)

Non Qualified (%)

Base Debit- Non Pin Debit(Sig Debit Rate) (%)

Rewards Discount (%)

Statement Fee

Card On File Fee

PCI Fee

Non PCI Compliance

Authorization Fee

Per Item Fee

EBT Fee

FNS/EBT Number

Pin Debit Item Fee

Pin Debit Discount

Amex Opt Blue Rate

Base/Qualified Rate (%)

Mid Qualified Rate (%)

Non Qualified Rate (%)

Program Cost Opt Blue (%)

Authorization Fee

Per Item Fee

Other Monthly Fee

Ancillary Fees

Batch Fee

Retrievel Fee

Chargeback Fee

ACH Change Fee

Voice Auth Fee

Gateway Monthly Fee

Setup Fee

Owner 1 Information

Officer/Owners Name

Title

Social Security

Form of ID

ID #

Issue Date

Expiration Date

State

DOB

Home Phone Number

% of Business Owned

Length of Ownership

Home Address

Home city

Home state

Home country

Home zip

Owner 1 Information

Officer/Owners Name *

Title

Social Security

Form of ID *

ID # *

Issue Date *

Expiration Date *

State *

DOB *

Home Phone Number

% of Business Owned

Length of Ownership

Home Address *

Home city *

Home state *

Home country

Home zip *

Software Or POS Integration Questions Only

POS Software Integration

Yes

No

Software Name & Version:

Pricing Provided

Statement Analysis

Quote

POS Software Publisher

Seasonal Flag

Seasonal Months

Deposit Time Frame

Deposit Type

Network ID

MP/AP Name

RP Name

Receipt Header Message

Receipt Footer Message

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