Pre-app Cover Details
Created On
Feb, 06 2024 17:58pm
ID #7539
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
Shape n Up
Business Legal Name :
Shape n Up Fitness Center, LLC
Contact Name :
Chuck Maddox
Contact Phone Number :
205-625-3385
Physical
Address :
501 1st Ave East
City :
Oneonta
State :
AL
Country :
Zip :
35121
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
PO BOX 881
City :
Oneonta
State :
AL
Country :
Zip :
35121
Business Type
State incorporated in :
Public
Type of Legal Entity :
LLC
Business Type :
Business Start Date :
-
EIN/Federal Tax ID Type :
EIN/Federal Tax ID# :
45-1645333
Types of Goods Sold :
Fitness Center
Ownership Information
Owner 1
Officer/Owners Name:
Charles Maddox
Title :
Owner
Social Security:
423-88-3026
Home Address:
1220 Hicks Rd
City :
Oneonta
State:
AL
Country:
Zip:
35121
Drivers License:
4588985
Issue Date:
Jun, 30 2022
Expiration Date:
May, 04 2026
State:
AL
DOB:
Apr, 29 1962
Home Phone Number:
205-296-3385
% of Business Owned :
100
Length of Ownership :
13 Years
Banking Information
Billing Type :
Net Settlement
Name of Bank :
Hometown Bank
ABA Routing :
062206444
Account :
*****8927
Estimated Sales Volume
Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$2000.00
Average Ticket :
$30.00
High Ticket :
$750.00
Business Profile
Card Swiped :
99%
Card Keyed In :
1% =
100%
Card Present :
0%
Card Not Present :
0% =
0%
Moto :
0%
Internet :
0%
Ibuxx
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 :