Created On May, 09 2023 11:00am ID #4332

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
Tishomingo County Foster Rescue
Business Legal Name :
Tishomingo County Foster Rescue
Contact Name :
Gail Milligan
Contact Phone Number :
662-660-3366
Physical Address :
263 CR 956
City :
Iuka
State :
MS
Country :
USA
Zip :
38852
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
263 CR 956
City :
Iuka
State :
MS
Country :
USA
Zip :
38852

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

Owner 1

Officer/Owners Name:
Gail Milligan
Title :
president
Social Security:
201386303
Home Address:
263 CR 956
City :
Iuka
State:
MS
Country:
Zip:
38852
Drivers License:
802286594
Issue Date:
Oct, 23 2018
Expiration Date:
Oct, 20 2026
State:
MS
DOB:
Oct, 20 1947
Home Phone Number:
6626603366
% of Business Owned :
Length of Ownership :
4 years

Banking Information

Billing Type :
Name of Bank :
First American National Bank
ABA Routing :
084201058
Account :
*****5157

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$40,000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$3333.00
Average Ticket :
$50.00
High Ticket :
$1500.00

Business Profile

Card Swiped :
1%
Card Keyed In :
99% = 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