Created On May, 09 2023 11:00am ID #638

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
BINSWANGER GLASS #609
Business Legal Name :
Binswanger Enterprises LLC.
Contact Name :
STEVE RIPPEY
Contact Phone Number :
405-789-3545
Physical Address :
3914 NORTH ROCKWELL AVE.
City :
BETHANY
State :
OK
Country :
USA
Zip :
73008
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
3914 NORTH ROCKWELL AVE.
City :
BETHANY
State :
OK
Country :
Zip :
73008

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:
Arturo Carillo
Title :
CEO
Social Security:
Home Address:
965 Ridgelake Blvd 300
City :
Memphis
State:
TN
Country:
Zip:
38120
Drivers License:
Issue Date:
Jan, 01 1970
Expiration Date:
Jan, 01 1970
State:
DOB:
Jun, 01 1950
Home Phone Number:
9015378416
% of Business Owned :
Length of Ownership :

Banking Information

Billing Type :
Name of Bank :
ABA Routing :
Account :

Estimated Sales Volume

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

Business Profile

Card Swiped :
0%
Card Keyed In :
0% = 0%
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