Created On Jun, 29 2023 17:24pm ID #4387

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
MALFUNCTION JUNCTION AUTOMOTIVE LLC
Business Legal Name :
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Contact Name :
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Contact Phone Number :
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Physical Address :
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City :
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State :
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Country :
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Zip :
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Phone Number :
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Fax Number :
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Email Address :
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Website :
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Billing Address

Address :
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City :
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State :
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Country :
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Zip :
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Business Type

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

Banking Information

Billing Type :
Name of Bank :
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ABA Routing :
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Account :
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Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
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Estimated Monthly Visa/MC/Discover/ AMEX Sales :
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Average Ticket :
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High Ticket :
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Business Profile

Card Swiped :
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Card Keyed In :
- = 0%
Card Present :
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Card Not Present :
- = 0%
Moto :
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Internet :
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Notes :
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Terminal Answer

Batch Out Time :
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Terminal Type :
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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 :
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Print Refund Policy On Footer :
Yes

Software Or POS Integration Answer

POS Software Integration :
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Software Name & Version :
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MP/AP Name :
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RP Name :
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Pricing Provided :
Statement Analysis
Receipt Header Message :
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Receipt Footer Message :
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Front Drivers License

Back Drivers License

Video Check