Created On May, 09 2023 11:00am ID #4298

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
Holiday Inn Express & Suites, Fulton
Business Legal Name :
Fulton Lodging LLC
Contact Name :
Bruce Patel
Contact Phone Number :
662-862-5505
Physical Address :
1505 S Adams St
City :
Fulton
State :
MS
Country :
USA
Zip :
38843
Phone Number :
662-205-4031
Fax Number :
Email Address :
Website :

Billing Address

Address :
1020 N Gloster St
City :
Tupelo
State :
MS
Country :
USA
Zip :
38804

Business Type

State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
27-2949050
Types of Goods Sold :

Ownership Information

Banking Information

Billing Type :
Name of Bank :
BNA
ABA Routing :
084201757
Account :
2091216902

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$2,000,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$166,667.00
Average Ticket :
$
High Ticket :
$

Business Profile

Card Swiped :
98%
Card Keyed In :
0% = 98%
Card Present :
0%
Card Not Present :
0% = 0%
Moto :
0%
Internet :
0%
Traditional
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