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 Charles Carnett 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 08 2025		Alexander Wilkins	Received letter of cancellation from the merchant. Submitted it to Vantiv-Worldpay. Will let the merchant know when they are cancelled.
2	Mar 14 2025		Charlotte Groff	Charles called and asked what to do to cancel his account. He hasn't used it in 6 months and doesn't want to pay for something that he rarely uses. I told him to send an email with his MID, Tax ID and the name of his business. The email should state that he wants to cancel his account. I have him our support email address to send the cancel request to.
3	Aug 21 2024		Charlotte Groff	Charles called and wanted to know what he needs to do for his terminal since he's getting rid of his land line. He wanted me to call him back because another call was coming in for him. When I called him back, I left a voicemail letting him know that he will need to get an ethernet cable to run from his modem to the terminal and as soon as he gets that to call us back and we can easily switch the terminal (VX520) from dial up to ethernet.
4	Aug 01 2023			User: Charlotte Goff -> Notes: Spoke to Charles - he's been getting calls saying he's not PCI compliant so he called to see what PCI Compliance means and if it's something he should do. I stressed to him how important it is and told him that it is a yearly thing and if he remains uncompliant that he would start receiving a big fine each month until he becomes compliant. I emailed him the Vantiv PCI phone number their email address and their website link. I also sent him a copy of a QRG for his VX520. He was needing to know how to reprint a receipt.
5	Aug 01 2023			User: Emily Karawadra -> Notes: Charles called had issue with 520 was requesting password with each sale. His keys were locked. Conferenced in Vantiv it was corrected.
6	Aug 01 2023			User: Pennye McAnulty -> Notes: Called needing paper for vx520. He stated that the supplying merchant sold too many at one time. I advised him to purchase from office depot for a lesser quantity.
7	Aug 01 2023			User: Pennye McAnulty -> Notes: Wanted to make sure we received the transactions he processed on 09/08/2018.
8	Aug 01 2023			User: Kay Arpin -> Notes: called merchant to make sure he received new terminal, yes and he has pigged it in but has not had anyone using a CC yet
9	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Downloaded and shipped ground VX520 SN: 803-122-088

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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