Created On Oct, 11 2023 13:26pm ID #7437

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
Jack's Deer Processing
Business Legal Name :
John Oswalt
Contact Name :
John Oswalt
Contact Phone Number :
731-609-4295
Physical Address :
170 Morrison Lane
City :
Whiteville
State :
TN
Country :
Zip :
38075
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
170 Morrison Lane
City :
Whiteville
State :
TN
Country :
Zip :
38075

Business Type

State incorporated in :
Public
Type of Legal Entity :
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
412-02-7161
Types of Goods Sold :

Ownership Information

Owner 1

Officer/Owners Name:
John Oswalt
Title :
owner
Social Security:
412027161
Home Address:
170 Morrison Ln
City :
Whiteville
State:
TN
Country:
Zip:
38075
Drivers License:
042252611
Issue Date:
Jul, 23 2018
Expiration Date:
Jul, 23 2026
State:
TN
DOB:
Oct, 10 1953
Home Phone Number:
% of Business Owned :
100
Length of Ownership :
23 years

Banking Information

Billing Type :
Name of Bank :
Bank of Fayette County
ABA Routing :
084304337
Account :
*****3492

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$75000.00
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$6250.00
Average Ticket :
$100
High Ticket :
$1500.00

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