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

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 Lamplighter Montessori School 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		Mike Thomas	User: Mike Thomas -> Notes: No update to be done...uses USA ePay now
2	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Got signed form back from sally submitted the pricing change form via GLL
3	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Sally turned on customer data in USA ePay.
4	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Emailed Sally her rate update form to change her monthly fee from $4 to $10 to add the $6 usa epay fee.
5	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Sally walked her through a transactions on USAePay...approved and answered questions.
6	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Set USA ePay but platform test failed after calling everyone involved it looks like the issue is because it on host settle needed to be on terminal settle. Elavon put in the request to TSYS check at 4:50 pm has not been changed yet. Will check early AM
7	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Sally having comms errors on terminal. She is going to try a new ethernet cable and check with provider. She also asked about a virtual terminal for her computer...suggested USA ePay....Morgan is getting her pricing put together....I called Elavon and requested a TSYS VAR sheet.
8	Aug 01 2023			User: Cheri Hansen -> Notes: Need voided check and DL
9	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: On 6/14/2018 downloaded iCT220, and delivered to merchant.
10	Aug 01 2023			User: Pennye McAnulty -> Notes: Terminal having issues. Elavon recommeded we swap the terminal. Mike is taking them a new terminal.
11	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Downloaded iCT220 SN 7315349CT025353 Dial File 21605374

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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