Created On May, 29 2025 15:17pm ID #8038

Pre-app Cover Details

Attached Required Document Checklist :
Voided check
Merchant (Business) DBA Name :
Beacon Audit Solutions (NMI)
Business Legal Name :
Beacon Audit Solutions INC
Contact Name :
Contact Phone Number :
Physical Address :
City :
State :
Country :
Zip :
Phone Number :
Fax Number :
Email Address :
Website :

Billing Address

Address :
City :
State :
Country :
Zip :

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

Banking Information

Billing Type :
Gross Settlement
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 :
Do You Dial 9 For Outside Line? :
Reprogram Terminal :
Equipment Purchase :
Equipment Rental Program :
Next Day Funding :
Tip Edit :
EBT :
FNS Number :
Tax Calculation :
If So Tax Rate :
Refund Policy :
Print Refund Policy On Footer :

Software Or POS Integration Answer

POS Software Integration :
Software Name & Version :
MP/AP Name :
RP Name :
Pricing Provided :
Receipt Header Message :
Receipt Footer Message :

Front Drivers License

Back Drivers License

Video Check