Created On May, 09 2023 11:00am ID #4242

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
Jasper Package Store
Business Legal Name :
L & R Patel Inc
Contact Name :
Dinesh Patel
Contact Phone Number :
2052653320
Physical Address :
301 North Walston Bridge Rd
City :
Jasper
State :
AL
Country :
USA
Zip :
35504
Phone Number :
6185317698
Fax Number :
Email Address :
Website :

Billing Address

Address :
301 North Walston Bridge Rd
City :
Jasper
State :
AL
Country :
USA
Zip :
35504

Business Type

State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
Types of Goods Sold :

Ownership Information

Banking Information

Billing Type :
Name of Bank :
Synovus
ABA Routing :
061100606
Account :
*****5032

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$420,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$35,000.00
Average Ticket :
$50.00
High Ticket :
$7,000.00

Business Profile

Card Swiped :
99%
Card Keyed In :
0% = 99%
Card Present :
0%
Card Not Present :
0% = 0%
Moto :
0%
Internet :
0%
-
Notes :

Terminal Answer

Batch Out Time :
11:00 AM
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 :

Front Drivers License

Back Drivers License

Video Check