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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	Nov 13 2023		Charlotte Groff	received email from Mary at branch 79 asking how to process a refund for a sale that was taken on the computer. I called her and informed her that she would need to be logged in as the Branch user in order to process a refund. Also explained to her that after she runs the refund, she should log back in as the CCUser again to avoid sales being run under the incorrect branch number.
2	Aug 01 2023			Entered in sr to lower rate to go active 3/1. attached rate reduction form in documents and merchant file
3	Aug 01 2023			User: Charlotte Goff -> Notes: Shelby called to say that on 4/13 right at the store closing time she ran a card through the terminal for $291.89 but did not get an approval. On 14th she keyed the transaction into the virtual after checking to make sure that it was not in the terminal. Cardholder came in today stating that he had been double billed. I looked in Swipe Simple Terminal and could not see the transaction. I only saw it once in Swipe Simple Mobile (virtual). When I checked the card history in IQ I see that it was approved twice (once on 13th and once on 14th) but only settled one time (the 14ths txn). I asked her if her terminal had batched because I didn't see a settlement record for the terminal for the 14th batch date and she said it had not. There was a customer in the store so she had to let me go to help her customer before I could check the current batch in TSYS. She said she would call back.
4	Aug 01 2023			User: Charlotte Goff -> Notes: TT- Mary - she received a chargeback on card 4852 for $200.00 for duplicate processing. After speaking with JaMichael in Vantiv Chargeback dept I did realize that Binswanger did get paid twice for the transaction. One payment on 8/27 (when terminal batched) and the other on 8/31 when the transaction was rekeyed as part of the Batch Rekey issue they previously. I informed Mary that the store had been paid twice and cardholder billed twice and to just let the CB go and not respond (as per one recommendation from JaMichael). Their other option was for me to go into IQ and close the chargeback myself.
5	Aug 01 2023			User: Charlotte Goff -> Notes: During Daily Audit noticed that 10/7 did not batch. Called branch and spoke to Shelby. Found a txn for $276.25 - Card 2219 in Tsys current batch as #1 txn. Confirmed that the trans had been keyed into Virtual and then deleted the transaction from the current batch in the terminal and was able to successfully batch for 10/7 & 10/8
6	Aug 01 2023			User: Charlotte Goff -> Notes: TT - Mary - walked her through how to pull the current batch totals and also how to delete transaction from batch. She deleted all transactions in the current batch except for anything from 8/24/21 forward. Then had her manually batch. Batch was successful
7	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
8	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Turned off level 2 and 3 processing USA ePay
9	Aug 01 2023			User: Pennye McAnulty -> Notes: Updated tax id
10	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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