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
		DL too large to upload
		Signed app
		Pre app
		Var
		Voided check
		Business verification

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

Terminal will not power up

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 Rizer's Pork and Produce INC 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	Apr 18 2025		Charlotte Groff	Phillip called and said that he believes his terminal did not batch for 3/26/25 because he's not seeing a deposit in his bank account for it and no batch receipt. When I checked in Pioneer, the 26th and 27th had batched together. I gave him the batch amount and he said he'd figure it out from there.
2	Nov 06 2023	Nov 06 2023	Mike Thomas	Rekeyed transaction from 11/2/23. There were 31 transactions for $1490.61. His terminal would not power up so we replaced.
3	Nov 03 2023			TT Phillip and walked him through a download
4	Aug 01 2023			TT Phillip disabled debit on PAX S80
5	Aug 01 2023			User: Emily Karawadra -> Notes: requested 1099 be emailed to him sent request to Charlotte
6	Aug 01 2023			User: Charlotte Goff -> Notes: TT Phillip about not being able to reconcile to the penny on his deposits vs his terminal batch reports. Sent him the link for Pioneer so that he can get exact deposit amounts.
7	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Sent Pioneer Information
8	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Changed auto settle time to 9:30 in profile and in terminal
9	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Wants to change batch time to 9:30 PM EST
10	Aug 01 2023			User: Charlotte Goff -> Notes: SBC - IBUXX; PaxS80; IP; Batch Out 7:00 pm EST; NDF; 3.95%; serial # 2N257173
11	Aug 01 2023			User: Charlotte Goff -> Changed : TO Percent FROM 0 TO 20
12	Aug 01 2023			User: Charlotte Goff -> Changed : Swipe Percent FROM 0 TO 80
13	Aug 01 2023			User: Charlotte Goff -> Changed : MonthlyVolume FROM 0.00 TO 18000
14	Aug 01 2023			User: Charlotte Goff -> Changed : AnnualVolume FROM 0 TO 216000
15	Aug 01 2023			User: Charlotte Goff -> Changed : AverageTicket FROM 0.00 TO 36.00

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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