Pre-app Cover Details
Created On
May, 09 2023 11:00am
ID #4339
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
Gregory E. Reeves O.D
Business Legal Name :
Gregory E. Reeves O.D.
Contact Name :
Cathy Abston
Contact Phone Number :
901-465-3955
Physical
Address :
105 E.Market St
City :
Somerville
State :
TN
Country :
USA
Zip :
38068
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
105 E.Market St
City :
Somerville
State :
TN
Country :
USA
Zip :
38068
Business Type
State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
409-33-2609
Types of Goods Sold :
Ownership Information
Owner 1
Officer/Owners Name:
Gregory Reeves
Title :
owner
Social Security:
409332609
Home Address:
135 Elm Rd
City :
Somerville
State:
TN
Country:
Zip:
38068
Drivers License:
085118765
Issue Date:
Oct, 22 2014
Expiration Date:
Nov, 17 2019
State:
TN
DOB:
Nov, 17 1979
Home Phone Number:
9012334403
% of Business Owned :
100
Length of Ownership :
Banking Information
Billing Type :
Name of Bank :
Bank of Fayette County
ABA Routing :
084304337
Account :
0030120
Estimated Sales Volume
Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$
Average Ticket :
$250.00
High Ticket :
$1800.00
Business Profile
Card Swiped :
98%
Card Keyed In :
02% =
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 :