Created On May, 09 2023 11:00am ID #4319

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
The Brunswick Skillet
Business Legal Name :
The Brunswick Skillet
Contact Name :
Joe Waldron
Contact Phone Number :
901-730-0907
Physical Address :
5197 Brunswick Rd
City :
Arlington
State :
TN
Country :
USA
Zip :
38002
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
5197 Brunswick Rd
City :
Arlington
State :
TN
Country :
USA
Zip :
38002

Business Type

State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
92-2856980
Types of Goods Sold :

Ownership Information

Owner 1

Officer/Owners Name:
Joe Waldron
Title :
owner
Social Security:
003726823
Home Address:
259 Trebing Parkway
City :
Atoka
State:
TN
Country:
Zip:
38004
Drivers License:
122906078
Issue Date:
Apr, 07 2017
Expiration Date:
Apr, 07 2025
State:
TN
DOB:
Apr, 28 1972
Home Phone Number:
75735011421
% of Business Owned :
96
Length of Ownership :

Banking Information

Billing Type :
Name of Bank :
Navy Federal
ABA Routing :
256074974
Account :
7158557723

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$300,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$25,000.00
Average Ticket :
$45.00
High Ticket :
$500.00

Business Profile

Card Swiped :
98%
Card Keyed In :
2% = 100%
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