Pre-app Cover Details
Created On
Jun, 16 2025 06:00am
ID #8064
Pre-app Cover Details
Attached
Required Document Checklist :
-
Merchant
(Business) DBA Name :
Neil Lou
Business Legal Name :
wwww
Contact Name :
Neil Lou
Contact Phone Number :
2172592400
Physical
Address :
1164 Vickery LaneSuite200
City :
Cordova
State :
TN
Country :
United States
Zip :
38016
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
1164 Vickery LaneSuite200
City :
Cordova
State :
TN
Country :
United States
Zip :
38016
Business Type
State incorporated in :
Public
Type of Legal Entity :
Association/Estate/Trust
Business Type :
Retail
Business Start Date :
-
EIN/Federal Tax ID Type :
Employer Identification Number
EIN/Federal Tax ID# :
Types of Goods Sold :
Ownership Information
Owner 1
Officer/Owners Name:
www
Title :
Social Security:
Home Address:
www
City :
ww
State:
ww
Country:
ww
Zip:
111
Drivers License:
wwww
Issue Date:
Jun, 18 2025
Expiration Date:
Jun, 17 2025
State:
wwww
DOB:
Jun, 17 2025
Home Phone Number:
% of Business Owned :
Length of Ownership :
Banking Information
Billing Type :
Gross Settlement
Name of Bank :
www
ABA Routing :
www
Account :
www
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 :
Terminal Type :
www
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 :
Print Refund Policy On Footer :
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 :