Pre-app Cover Details
Created On
Jul, 21 2025 12:40pm
ID #8114
Pre-app Cover Details
Attached
Required Document Checklist :
-
Merchant
(Business) DBA Name :
Testing Purpose
Business Legal Name :
Testing Purpose
Contact Name :
Krishna Tiwari
Contact Phone Number :
0123456789
Physical
Address :
india
City :
india
State :
india
Country :
India
Zip :
380054
Phone Number :
Fax Number :
Email Address :
Website :
Billing Address
Address :
india
City :
india
State :
india
Country :
India
Zip :
380054
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# :
*****6793
Types of Goods Sold :
Ownership Information
Owner 1
Officer/Owners Name:
Testing Purpose
Title :
Social Security:
*****4324
Home Address:
india
City :
india
State:
india
Country:
India
Zip:
380054
Drivers License:
Testing Purpose123
Issue Date:
Jul, 16 2025
Expiration Date:
Jul, 01 2025
State:
india
DOB:
Jul, 17 2025
Home Phone Number:
012345678
% of Business Owned :
Length of Ownership :
Banking Information
Billing Type :
Gross Settlement
Name of Bank :
Krishna Tiwari
ABA Routing :
3243532
Account :
3243242343
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 :
23434
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 :
Yes
Software Name & Version :
MP/AP Name :
RP Name :
Pricing Provided :
Statement Analysis
Receipt Header Message :
Receipt Footer Message :