Merchants

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Merchant ID

Legal Name

DBA Name

Processor

Agent

Split

Is Override

Password

Received Date

Approved Date

Activation Date

Closed Date

Product Type

Status

Address

Address 2

City

ZIP

Country

State

Contact

Email(comma separated)

Phone

Phone 2

Cell

Fax

URL

DBA Same as Legal Address

Address

City

ZIP

Country

State

Mailing Address Same as DBA

Address

City

ZIP

Country

State

File here *	Download	Notes *	Status	Date
		Signed App
		Flat rate App Signed
		Signed Amendment
		Merchant Rate Amendment
		Pre App

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Bank 1 Information

Bank Name

Account Name

Rounting Number

Account Number

Billing Type

Gross Settlement

Net Settlement

Bank 2 Information

Bank Name

Account Name

Rounting Number

Account Number

Overrides who receive partial commission on all of Dents Away LLC Accounts

Default Setup

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Processor wise Setup

Select Processor *

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Select Processor *

Agent 1 Receives

%

on all Newly Inputted Accounts

Agent 2 Receives

%

on all Newly Inputted Accounts

Agent 3 Receives

%

on all Newly Inputted Accounts

Agent 4 Receives

%

on all Newly Inputted Accounts

Merchant *

Month *

Year *

Merchant CMS

EIN/Federal Tax ID Type

MCC Code

EIN/Federal Tax ID #

Type of Legal Entity

State incorporated in

Types of Goods Sold

Primary Transaction Type

Internet

%

Swipe

%

Keyed

%

Average Ticket

Telephone Order

%

Annual Volume

Business Start Date

High Ticket

Persoanl Guarantor

Monthly Volume

Discount Method

Refund Policy

30 Days

60 Days

Other

None

Date

Reminder Date & Time

Employee

Notes

Sr. No.	Date	Reminder Date	Employee	Note	Action
1	Aug 01 2023			Updated address in our system. Confirmed that Vantiv did change the address in their system per Mike's SR
2	Aug 01 2023			Submitted change of address in NPCRM # 46009036 Changing to 5079 Raleigh LaGrange Rd. Memphis 38034 TT Shanna
3	Aug 01 2023			Tt Shanna confirmed a batch went through successfully on 2/24/23
4	Aug 01 2023			User: Charlotte Goff -> Notes: Genie called and wanted to know the website for IQ log in. She already had her user name and password.
5	Aug 01 2023			User: Charlotte Goff -> Notes: TT - Genie on 12/29/21 about changing the bank account and also doing a change of ownership. Since Ashley Bishop is the person that signed the contract I called him to make sure he did actually sell the business. He didn't sell it but he lost it in his divorce to Genie. I told him that I needed something official from him since his signature is on the contract stating that it's ok to transfer ownership from Ashley to Genie. He's checking with his lawyer and will call me back.
6	Aug 01 2023			User: Charlotte Goff -> Notes: TT - Genie - she was asking about a debit to their bank account on 9/17 for $247.29. The debit was due to a CB for $532.29 that was applied to their account on 9/16. They had a sale on 9/16 for $285.00 which was applied to the CB. She never received any ppwk on CB and asked for supporting documentation. When I told her that we would have to request that from Vantiv CB Department and offered to conference her in she said that she'll call them herself. Gave her the # for Vantiv Customer Service
7	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Ashely requested a usa epay account. I sent him paperwork to get it added to his account. I am waiting for the signed paperwork back. Sending out his dongle to TX where he requested it.
8	Aug 01 2023			User: Aimee Jones -> Notes: Genie called with concerns about PCI. She was charged for noncompliance in for the month of March.
9	Aug 01 2023			User: Pennye McAnulty -> Notes: Genie called because they are not getting NDF. I spoke with a rep at WorldPay who advised NDF has been put on hold due to COVID19.
10	Aug 01 2023			User: Pennye McAnulty -> Notes: Did not receive nightly batch. 3 way with Vantiv. Per Vantiv she will receive within 24 hours.
11	Aug 01 2023			User: Kay Arpin -> Notes: per agent Doug M, request PCI info sent to merchant, emailed contact Ashley
12	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Merchant changed auto settle time to 7:00 pm
13	Aug 01 2023			User: Pennye McAnulty -> Notes: Wants to be set up for next day funding. Emailed Vantiv to have them set up.
14	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Programmed VX520 SN: 332-917-064 IP
15	Aug 01 2023			User: Kay Arpin -> Changed : Swipe Percent FROM 0 TO 100
16	Aug 01 2023			User: Kay Arpin -> Changed : MonthlyVolume FROM 0.00 TO 100000
17	Aug 01 2023			User: Kay Arpin -> Changed : AnnualVolume FROM 0 TO 100000000
18	Aug 01 2023			User: Kay Arpin -> Changed : AverageTicket FROM 0.00 TO 100000

Application Type

Discount

Business Type

MCC Code

Visa/MC/Discover Rate Category

Base/Qualified (%)

Mid Qualified (%)

Non Qualified (%)

Base Debit- Non Pin Debit(Sig Debit Rate) (%)

Rewards Discount (%)

Statement Fee

Card On File Fee

PCI Fee

Non PCI Compliance

Authorization Fee

Per Item Fee

EBT Fee

FNS/EBT Number

Pin Debit Item Fee

Pin Debit Discount

Amex Opt Blue Rate

Base/Qualified Rate (%)

Mid Qualified Rate (%)

Non Qualified Rate (%)

Program Cost Opt Blue (%)

Authorization Fee

Per Item Fee

Other Monthly Fee

Ancillary Fees

Batch Fee

Retrievel Fee

Chargeback Fee

ACH Change Fee

Voice Auth Fee

Gateway Monthly Fee

Setup Fee

Owner 1 Information

Officer/Owners Name

Title

Social Security

Form of ID

ID #

Issue Date

Expiration Date

State

DOB

Home Phone Number

% of Business Owned

Length of Ownership

Y N

Home Address

Home city

Home state

Home country

Home zip

Owner 1 Information

Officer/Owners Name *

Title

Social Security

Form of ID *

ID # *

Issue Date *

Expiration Date *

State *

DOB *

Home Phone Number

% of Business Owned

Length of Ownership

Y N

Home Address *

Home city *

Home state *

Home country

Home zip *

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