Created On Jun, 02 2025 13:26pm ID #8046

Pre-app Cover Details

Attached Required Document Checklist :
-
Merchant (Business) DBA Name :
Test A-1 Small Engine, LLC
Business Legal Name :
Test A-1 Small Engine, LLC
Contact Name :
Mike Moore
Contact Phone Number :
9013379092
Physical Address :
7057 Hwy 72, Byhalia, MS, USA
City :
Byhalia
State :
MS
Country :
USA
Zip :
38611
Phone Number :
9013379092
Fax Number :
Email Address :
Website :

Billing Address

Address :
7057 Hwy 72, Byhalia, MS, USA
City :
Byhalia
State :
MS
Country :
USA
Zip :
38611

Business Type

State incorporated in :
Public
Type of Legal Entity :
LLC
Business Type :
Retail
Business Start Date :
Jan, 01 1989
EIN/Federal Tax ID Type :
Employer Identification Number
EIN/Federal Tax ID# :
87-2548256
Types of Goods Sold :
Engines/Engine Parts

Ownership Information

Owner 1

Officer/Owners Name:
Mike Moore
Title :
Owner
Social Security:
555-55-5555
Home Address:
234 Bradford Trail
City :
Collierville
State:
TN
Country:
USA
Zip:
38017
Drivers License:
047286123
Issue Date:
Aug, 28 2020
Expiration Date:
Aug, 28 2028
State:
MS
DOB:
Oct, 05 1958
Home Phone Number:
9013379092
% of Business Owned :
100
Length of Ownership :
20 Years

Banking Information

Billing Type :
Net Settlement
Name of Bank :
Bank of Fayette
ABA Routing :
084304337
Account :
123454678

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :
$450000
Estimated Monthly Visa/MC/Discover/ AMEX Sales :
$37500
Average Ticket :
$150
High Ticket :
$5000

Business Profile

Card Swiped :
95%
Card Keyed In :
5% = 100%
Card Present :
95%
Card Not Present :
5% = 100%
Moto :
0%
Internet :
0%
Ibuxx
Notes :

Terminal Answer

Batch Out Time :
9:00 PM
Terminal Type :
VL100
Communication Method :
IP-internet
Do You Dial 9 For Outside Line? :
Yes
Reprogram Terminal :
No
Equipment Purchase :
No
Equipment Rental Program :
No
Next Day Funding :
Yes
Tip Edit :
No
EBT :
No
FNS Number :
Tax Calculation :
No
If So Tax Rate :
Refund Policy :
None
Print Refund Policy On Footer :
No

Software Or POS Integration Answer

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

Front Drivers License

Back Drivers License

Video Check

Business Document 1

Business Document 2