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

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

RevUp with P1 - and receipt printer (no charge for printer per Dee)

SN: P125020206001905

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 JEANINE SMITH 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	May 27 2025		Charlotte Groff	Travis called in and said that merchant wants to switch to RevUp POS with the P1 terminal. Requested var from SBC.
2	May 20 2025		Mike Thomas	Travis called to report merchant will be doing a 5K transaction today. Called SBC to inform
3	May 08 2025		Alexander Wilkins	Spoke to Lindsey/Jeanine. Terminal was having an issue where the last transaction showed credit reversal. Rich at Valor walked them through deleting the credit reversal, batching out, and downloading an update which fixed the issue.
4	Nov 07 2024			TT Jeanine, gave us heads up there will be a a large transaction between $4,500.00 and $5,000.00 ran this afternoon. Called them back to let them know to send us and documenting paper work. I let SBC know
5	Jan 02 2024		Charlotte Groff	Jeanine called this morning and gave us a heads up that she will be processing a couple of large tickets for some catering that she did over the weekend. The first transaction is for $6270.00 (plus fee) on card 7848 and will be key entered. The other one will be for somewhere between $4000.00 - 5000.00 but will be a card present transaction. Emailed SBC to let them know to expect those tickets
6	Sep 19 2023	Sep 19 2023	Mike Thomas	TT Travis he wanted to let us know they will be doing a transaction for between $4500 and $4700 today. I sent that over to SBC. I also advised him we would need an invoice, and signed receipt. I also told him it would be better if the card was used at the location.
7	Aug 07 2023		Morgan Withee	Walked Jeanine through a void.
8	Aug 01 2023			Jeanine called to let us know that she ran a large transaction today for $3258.83 on card 6790 for a Dal-Tile catering event. Emailed SBC to let them know.
9	Aug 01 2023			TT Jeanine walked her through a refund for $831.60
10	Aug 01 2023			SBC - IBUXX - 3.95% - VALOR 100 - Batch time - 7:30pm - Tip at time of sale

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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