Pre-app Cover Details
Created On
May, 09 2023 11:00am
ID #4206
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
John L Sandifer DC
Business Legal Name :
John L Sandifer DC
Contact Name :
John Sandifer or Amy
Contact Phone Number :
662-563-1102
Physical
Address :
155 Hwy 6 West
City :
BATESVILLE
State :
MS
Country :
USA
Zip :
38606
Phone Number :
Fax Number :
Email Address :
Website :
www.sandiferchiro.com
Billing Address
Address :
155 Hwy 6 West
City :
BATESVILLE
State :
MS
Country :
USA
Zip :
38606
Business Type
State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
42-5170333
Types of Goods Sold :
Ownership Information
Banking Information
Billing Type :
Name of Bank :
Renasant Bank
ABA Routing :
084201294
Account :
2800501034
Estimated Sales Volume
Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$18,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$1500.00
Average Ticket :
$30.00
High Ticket :
$1,000.00
Business Profile
Card Swiped :
98%
Card Keyed In :
2% =
100%
Card Present :
-
Card Not Present :
- =
0%
Moto :
-
Internet :
0%
Notes :
-
Terminal Answer
Batch Out Time :
-
Terminal Type :
-
Communication Method :
IP-internet
Do You Dial 9 For Outside Line? :
Yes
Reprogram Terminal :
Yes
Equipment Purchase :
Yes
Equipment Rental Program :
Yes
Next Day Funding :
Yes
Tip Edit :
Yes
EBT :
Yes
FNS Number :
-
Tax Calculation :
Yes
If So Tax Rate :
-
Refund Policy :
30 Days
Print Refund Policy On Footer :
Yes
Software Or POS Integration Answer
POS Software Integration :
-
Software Name & Version :
-
MP/AP Name :
-
RP Name :
-
Pricing Provided :
Statement Analysis
Receipt Header Message :
-
Receipt Footer Message :
-