Created On May, 09 2023 11:00am ID #4245

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
PolyPhase Inc
Business Legal Name :
PolyPhase Inc
Contact Name :
Mark Giovannucci
Contact Phone Number :
978-786-7827
Physical Address :
644 Pleasant St
City :
LEOMINSTER
State :
MA
Country :
USA
Zip :
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
644 Pleasant St
City :
LEOMINSTER
State :
MA
Country :
USA
Zip :

Business Type

State incorporated in :
Public
Type of Legal Entity :
-
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
04-3106501
Types of Goods Sold :
-

Ownership Information

Banking Information

Billing Type :
Name of Bank :
Wells Fargo
ABA Routing :
061000227
Account :
7699246471

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$140,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$12,000.00
Average Ticket :
$700.00
High Ticket :
$1500.00

Business Profile

Card Swiped :
20%
Card Keyed In :
% =