Pre-app Cover Details
Created On
Jun, 16 2025 06:51am
ID #8081
Pre-app Cover Details
Attached
Required Document Checklist :
-
Merchant
(Business) DBA Name :
Nash Karawadra
Business Legal Name :
test
Contact Name :
Nash Karawadra
Contact Phone Number :
9013010153
Physical
Address :
6000 Allen Rd
City :
VanCleave
State :
MS
Country :
US
Zip :
38016
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
6000 Allen Rd
City :
VanCleave
State :
MS
Country :
US
Zip :
38016
Business Type
State incorporated in :
Public
Type of Legal Entity :
Government
Business Type :
Restaurant
Business Start Date :
-
EIN/Federal Tax ID Type :
Social Security Number
EIN/Federal Tax ID# :
Types of Goods Sold :
Ownership Information
Owner 1
Officer/Owners Name:
test
Title :
Social Security:
Home Address:
test
City :
test
State:
test
Country:
test
Zip:
2222
Drivers License:
test
Issue Date:
May, 28 2025
Expiration Date:
Jun, 05 2025
State:
test
DOB:
Jun, 11 2025
Home Phone Number:
% of Business Owned :
Length of Ownership :
Banking Information
Billing Type :
Gross Settlement
Name of Bank :
test
ABA Routing :
test
Account :
1111
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%
Ibuxx
Notes :
Terminal Answer
Batch Out Time :
Terminal Type :
test
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 :
1
Refund Policy :
Print Refund Policy On Footer :
Software Or POS Integration Answer
POS Software Integration :
1
Software Name & Version :
MP/AP Name :
RP Name :
Pricing Provided :
Statement Analysis
Receipt Header Message :
Receipt Footer Message :