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
		pre app
		DL
		voided check

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

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 Craddock Oil Company 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	Aug 01 2023			Merchant wants monthly statements emailed to him at [email protected]. Sent request to PCS to make the change. Ticket # 4262220
2	Aug 01 2023			Morgan received a message from Molli asking for Craddock Oil statements for last several months. He's still not getting them. I did confirm with PCS that they do have the PO Box 1430 as the address to send statements to. PCS did tell me that they have changed the envelope they mail the statements in. They NO LONGER mail them in envelopes with windows. They come in plain white envelopes now with "important documents enclosed" in the bottom left corner. I have spoken to Molli and gave her the options of having them sent email or getting him access to Clientline. She's going to discuss this with him.
3	Aug 01 2023			User: Charlotte Goff -> Notes: Received confirmation email from PCS that statements have been updated to be sent to the PO BOX.
4	Aug 01 2023			User: Charlotte Goff -> Notes: ticket id 4034769 is the ticket number for PCS to update to the PO Box for monthly statements
5	Aug 01 2023			User: Charlotte Goff -> Notes: Sent Account Updates @PCS email requesting to have the monthly statements sent to the PO Box that is listed as the billing address on the signed application.
6	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Pump vendor let us know the phone number was incorrect on the var. I have gotten this updated with a form to 601-373-1985. Sent the new var to the pump vendor
7	Aug 01 2023			User: Charlotte Goff -> Notes: PCS/Rise - Buypass - IC Plus 0.15% + $0.05 - Monthly stmt fee 19.95 - PCI - 10.00 - Gilbarco Passport -
8	Aug 01 2023			User: Charlotte Goff -> Changed : AverageTicket FROM 0.00 TO 45.00
9	Aug 01 2023			User: Charlotte Goff -> Changed : MonthlyVolume FROM 0.00 TO 250000
10	Aug 01 2023			User: Charlotte Goff -> Changed : Swipe Percent FROM 0 TO 95
11	Aug 01 2023			User: Charlotte Goff -> Changed : TO Percent FROM 0 TO 5

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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