Created On May, 09 2023 11:00am ID #4290

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
Romanescos
Business Legal Name :
Affordable Flooring USA Inc
Contact Name :
Jeffrey Stec
Contact Phone Number :
847-639-3333
Physical Address :
103 N. 1st St.
City :
Cary
State :
IL
Country :
USA
Zip :
60013
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
103 N. 1st St.
City :
Cary
State :
IL
Country :
USA
Zip :
60013

Business Type

State incorporated in :
Public
Type of Legal Entity :
-
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
85-0962159
Types of Goods Sold :
-

Ownership Information

Banking Information

Billing Type :
Name of Bank :
Libertyville Bank and Trust
ABA Routing :
071925567
Account :
1587663449

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$350,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$16,000.00
Average Ticket :
$25.00
High Ticket :
$300.00

Business Profile

Card Swiped :
75%
Card Keyed In :
25% = 100%
Card Present :
-
Card Not Present :
- = 0%
Moto :
-
Internet :
%
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 :
-

Front Drivers License

Back Drivers License

Video Check