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
		Voided check
		Signed app too large to upload

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

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

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

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

Invoice Number

Invoice Amount

Invoice Status

SN: 2501146096
SN: 2501146098
SN: 2501146101

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

SN: 118234715112

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

SN 118234715116

Send Email to Merchant Send Email to Sales rep Send Email to Employee

Type

Install Date

Equipment ID

Status

Model

Purchase T.

PD Telephone

Sales Rep

Serial #

Tracking #

TID

Employee

Purchase Date

SN  118234715109

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 Reeder Farms 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	Mar 14 2025		Mike Thomas	Terminals acting strange after a current update, talked to Oscar at Valor and he changed the version. As of now they are working
2	Mar 14 2025		Charlotte Groff	Kenny called and said that the terminals that we sent to him is printing the incorrect city and state on the receipts. He also stated that 2 of the key pads that we sent are not working consistently. I transferred him over to Mike to take care of his terminal issues.
3	May 08 2024		Mike Thomas	Shipped 3 VL 100 and 3 VL 300 FedEx # 776290111979
4	May 01 2024		Mike Thomas	Sent invoice for 3 VL100 and 3 VL300.
5	Apr 30 2024			Kenneth called back today to say that he wanted to move forward with the Valor terminals quoted to him on 2/29/24. Quoted 3 VL100s for $225 each ($675 total) PLUS 3 VL300 PinPads at $185 each ($555) for a Total of $1230.00
6	Aug 01 2023			User: Charlotte Goff -> Notes: Mike called Tasq and found out the pricing for the FD150 and PinPad RP10. FD150 is $245.00 and PinPad is $175.00. Called Kenneth back and gave him the information on prices. These prices do not include our 20% markup. Total quoted for 3 FD150s and 3 pinpads was $1512.00 (includes mark up)
7	Aug 01 2023			User: Charlotte Goff -> Notes: Due to rolling power outages one of his terminals was fried. PCS Help Desk said that we needed to replace the terminal. They also said that these terminals are end of life at the end of this year and if he has any more issues with any of his terminals that they would have to upgrade to the FD150 terminals. The current pin pads they have will not work with the FD150 terminals so we would need to also send a pin pad. Will need to get pricing on an FD 150 and pin pad from Morgan when she gets back in January.
8	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Replaced down terminal with FD130 that Charlotte downloaded SN 0000FD5000059442
9	Aug 01 2023			User: Charlotte Goff -> Notes: Spoke to Kenneth the Accountant and he is emailing me a copy of the refund receipt for the $159.00 requested by PCS. He said that the clerk that processed the transaction that day had a problem with the machine and it didn't print a receipt so she ran it again. But for some reason she thought that the cardholder had been double charged so she issued a refund. Turns out the sale never went through at all.
10	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: pin pad was shipped on 8/22/22
11	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Kenneth needs a new FD35 sent an invoice will ship upon receiving payment
12	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Kept getting returned statements. Called PCS to have them put in a request to change Billing address to PO BOX 506 Pontotoc MS 38863 which was on their pre-application.
13	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Had all 3 terminals updated to print detail reports instead of summary
14	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Downloaded FD130 SN: 0000FD1000605779 IP
15	Aug 01 2023			User: Pennye McAnulty -> Changed : AverageTicket FROM 0.00 TO 50.00
16	Aug 01 2023			User: Pennye McAnulty -> Changed : AnnualVolume FROM 0 TO 40000000
17	Aug 01 2023			User: Pennye McAnulty -> Changed : MonthlyVolume FROM 0.00 TO 80000
18	Aug 01 2023			User: Pennye McAnulty -> Changed : Swipe Percent FROM 0 TO 90
19	Aug 01 2023			User: Pennye McAnulty -> Changed : MO Percent FROM 0 TO 10

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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