Admin Client || Dee Karawadra

Created On May, 09 2023 11:00am ID #4248 Back

Merchant (Business) DBA Name : Broken Rose & Co

Business Legal Name : Alice Hawkins

Contact Name : Alice Hawkins

Contact Phone Number : 731-610-0790

Physical Address : 132 Warren Ave

City : Selmer

State : TN

Country : USA

Zip : 38375

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type/>
  <irs_tax_id_no>587-07-8575</irs_tax_id_no>
  <ownership_type/>
  <business_incorporated/>
  <business_description/>
  <mailing_address>132 Warren Ave</mailing_address>
  <mailing_city>Selmer</mailing_city>
  <mailing_state>TN</mailing_state>
  <mailing_zip>38375</mailing_zip>
  <business_phone>731-610-0790</business_phone>
  <contact_first_name>Alice</contact_first_name>
  <contact_last_name>Hawkins</contact_last_name>
  <contact_phone>731-610-0790</contact_phone>
  <location_address>132 Warren Ave</location_address>
  <location_city>Selmer</location_city>
  <location_state>TN</location_state>
  <location_zip>38375</location_zip>
  <avg_ticket_amount>200.00</avg_ticket_amount>
  <ave_month_volume>3000.00</ave_month_volume>
  <bank_name>Bank of McNairy county</bank_name>
  <bank_transit_number>084304337</bank_transit_number>
  <bank_dda_no>*****3179</bank_dda_no>
  <gross_vs_net/>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Alice</owner1_first_name>
  <owner1_last_name>Hawkins</owner1_last_name>
  <owner1_home_address>276 Pharr Ave</owner1_home_address>
  <owner1_home_city>Selmer</owner1_home_city>
  <owner1_home_state>TN</owner1_home_state>
  <owner1_home_zip>38375</owner1_home_zip>
  <owner1_home_phone>7316100790</owner1_home_phone>
  <owner1_title>owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1950-05-31</owner1_dob>
  <owner1_social_securrity_no>582078575</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>050829341</owner1_number>
  <owner1_expired>2028-06-22</owner1_expired>
  <owner1_issuer_state>TN</owner1_issuer_state>
  <owner1_issued_date>2020-06-22</owner1_issued_date>
</object>

PRE-APP DETAILS