Pre-app Cover Details
Created On
Jul, 29 2025 06:32am
ID #8122
Pre-app Cover Details
Attached
Required Document Checklist :
-
Merchant
(Business) DBA Name :
Testing Purpose
Business Legal Name :
Testing Purpose
Contact Name :
Testing Purpose
Contact Phone Number :
876239797
Physical
Address :
Testing Purpose
City :
Testing Purpose
State :
Testing Purpose
Country :
Testing Purpose
Zip :
867869
Phone Number :
78568876
Fax Number :
344234243
Email Address :
Website :
GMAIL.COM
Billing Address
Address :
Testing Purpose
City :
Testing Purpose
State :
Testing Purpose
Country :
Testing Purpose
Zip :
867869
Business Type
State incorporated in :
Public
Type of Legal Entity :
Financial Institution
Business Type :
Restaurant
Business Start Date :
-
EIN/Federal Tax ID Type :
Employer Identification Number
EIN/Federal Tax ID# :
*****7898
Types of Goods Sold :
Ownership Information
Owner 1
Officer/Owners Name:
testing
Title :
Social Security:
*****8797
Home Address:
GMAIL.COM
City :
GMAIL.COM
State:
GMAIL.COM
Country:
GMAIL.COM
Zip:
2342232
Drivers License:
2345687545
Issue Date:
Jul, 31 2025
Expiration Date:
Jul, 14 2025
State:
GMAIL.COM
DOB:
Jul, 29 2025
Home Phone Number:
5676453243
% of Business Owned :
12
Length of Ownership :
12
Banking Information
Billing Type :
Gross Settlement
Name of Bank :
GMAIL.COM
ABA Routing :
763258732
Account :
36587348
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 :
11:00
Terminal Type :
7269
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 :