Admin Client || Dee Karawadra

Created On Oct, 26 2023 16:59pm ID #7450 Back

Merchant (Business) DBA Name : River Bottom Forge

Business Legal Name : Adam Fahr

Contact Name : Adam Fahr

Contact Phone Number : 870-215-2016

Physical Address : 1081 Greene Rd

City : Paragould

State : AR

Country :

Zip : 72450

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>431670743</irs_tax_id_no>
  <ownership_type/>
  <business_incorporated/>
  <business_description/>
  <mailing_address>1081 Greene Rd</mailing_address>
  <mailing_city>Paragould</mailing_city>
  <mailing_state>AR</mailing_state>
  <mailing_zip>72450</mailing_zip>
  <business_phone>870-215-2016</business_phone>
  <contact_first_name>Adam</contact_first_name>
  <contact_last_name>Fahr</contact_last_name>
  <contact_phone>870-215-2016</contact_phone>
  <location_address>1081 Greene Rd</location_address>
  <location_city>Paragould</location_city>
  <location_state>AR</location_state>
  <location_zip>72450</location_zip>
  <avg_ticket_amount>400.00</avg_ticket_amount>
  <ave_month_volume>5000.00</ave_month_volume>
  <bank_name>First National Bank</bank_name>
  <bank_transit_number>084100793</bank_transit_number>
  <bank_dda_no>*****8471</bank_dda_no>
  <gross_vs_net/>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Adam</owner1_first_name>
  <owner1_last_name>Fahr</owner1_last_name>
  <owner1_home_address>1081 Greene Rd</owner1_home_address>
  <owner1_home_city>Paragould</owner1_home_city>
  <owner1_home_state>Arkansas</owner1_home_state>
  <owner1_home_zip>72450</owner1_home_zip>
  <owner1_home_phone>8702152016</owner1_home_phone>
  <owner1_title>owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1979-10-19</owner1_dob>
  <owner1_social_securrity_no>431670743</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number> 914847880</owner1_number>
  <owner1_expired>2027-10-19</owner1_expired>
  <owner1_issuer_state>Arkansas</owner1_issuer_state>
  <owner1_issued_date>2019-10-15</owner1_issued_date>
</object>

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