Pre-app Cover Details
Created On
May, 09 2023 11:00am
ID #79
Pre-app Cover Details
Attached
Required Document Checklist :
Voided check
Merchant
(Business) DBA Name :
Ayers St Music
Business Legal Name :
Robert Alaniz
Contact Name :
Robert Alaniz
Contact Phone Number :
361-884-4870
Physical
Address :
3433 Ayers St
City :
CORPUS CHRISTI
State :
TX
Country :
USA
Zip :
78415
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
3433 Ayers St
City :
CORPUS CHRISTI
State :
TX
Country :
Zip :
78415
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:
Roberto Alaniz
Title :
owner
Social Security:
Home Address:
4417 Killarmet
City :
Corpus Christi
State:
TX
Country:
Zip:
78413
Drivers License:
04434540
Issue Date:
Nov, 23 2016
Expiration Date:
Jan, 01 2023
State:
TX
DOB:
Jan, 01 1956
Home Phone Number:
% 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 :
-
Card Not Present :
- =
0%
Moto :
-
Internet :
0%
-
Notes :
-
Terminal Answer
Batch Out Time :
-
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 :
-