Created On Jul, 29 2025 06:45am ID #8123

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 :
012345678
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 :
Employer Identification Number
EIN/Federal Tax ID# :
-
Types of Goods Sold :

Ownership Information

Owner 1

Officer/Owners Name:
Testing Purpose
Title :
Testing Purpose
Social Security:
-
Home Address:
Testing Purpose
City :
Testing Purpose
State:
Testing Purpose
Country:
Testing Purpose
Zip:
9876787
Drivers License:
9876xyz
Issue Date:
Jul, 31 2025
Expiration Date:
Jul, 13 2025
State:
Testing Purpose
DOB:
Jul, 29 2025
Home Phone Number:
% of Business Owned :
Length of Ownership :

Banking Information

Billing Type :
Gross Settlement
Name of Bank :
Testing Purpose
ABA Routing :
09876789
Account :
9878987

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 :
7657
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 :

Front Drivers License

Back Drivers License

Voided Check