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

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 Binswanger Enterprises 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			Cancelled this account per email from Corissa Stephens of 3/29/23. Created an SR 46445384 in NPCrm to have WorldPay close.
2	Aug 01 2023			Excerpt from Corissa Stephens email 3/29/23 - "Br 49 & 88 combined, they are using the terminal for 49 (MID 520000463546) and said they mailed back the terminal for br 88. We no longer will need this and can close it."
3	Aug 01 2023			Entered in sr to lower rate to go active 3/1. attached rate reduction form in documents and merchant file
4	Aug 01 2023			Returned A80 and put back in stock
5	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Helen wifi disconnected walked her through reconnecting and batched out Friday transaction. They had a new router put in Friday that caused her to go offline
6	Aug 01 2023			User: Charlotte Goff -> Notes: noticed that 12/7 did not batch. Called branch and spoke to Rebecca and she had already manually batched the terminal out earlier today.
7	Aug 01 2023			User: Charlotte Goff -> Notes: during daily audit noticed that 12/3 did not batch. Called branch and spoke to Rebecca and she said there was a batch receipt on the terminal when they opened this morning.
8	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Put in request with iso client services to do a group address change to P O Box 171173 Memphis TN 38187-1173
9	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Helen updated to newest version of SwipeSimple...the receipt was printing before the customer could sign the screen. Will advise if this doesn't work...will escalate at SwipeSimple if this doesn't resolve the issue.
10	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Turned off level 2 and 3 processing USA ePay
11	Aug 01 2023			User: Pennye McAnulty -> Notes: Updated tax id
12	Aug 01 2023			User: Christina Sullins -> Notes: Legal Contact: Jennifer Thomas RT: 307070267 Acct: 76968107562

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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