Merchants

Back

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
		DL
		Var
		Signed app
		Voided check

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

Batch time 7:30pm - IP

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 Tyler County Art League 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 21 2025		Charlotte Groff	spoke to Jill. She was having problems with her pax s80 showing DHCP Failure. I conferenced her in with Pax tech support and he tried a few trouble shooting things and then we had her reset her internet modem and the terminal came back up. She successfully ran a test transaction.
2	Dec 16 2024		Charlotte Groff	Lisa called and said that she's stepping down as director of foundation and wanted to change the contact person to the President of the Foundation - Judith Haney as well as change the email address to Judith's email. [email protected]. Submitted request to SBC to have contact and email address changed in their system.
3	Oct 03 2024		Mike Thomas	Merchant need PCI help desk phone number
4	Aug 01 2023			Lisa called in about her refund issue. It looks like we never closed out her vantiv account when we moved her to ibuxx. She said she spoke to Charlotte on this. Charlotte is out so I went ahead and offered her a refund of $373.60 for December - March. I will put this refund through on her ibuxx account.
5	Aug 01 2023		Mike Thomas	2022-11-25 09:36:37 User: Mike Thomas -> Notes: Downloaded and shipped PAX S80
6	Aug 01 2023			2022-11-23 10:17:24 User: Charlotte Goff -> Notes: Changed status to Approved - uploaded Var - added MID and approval date
7	Aug 01 2023			2022-11-23 09:27:15 User: Charlotte Goff -> Notes: SBC - IBUXX - 3.95% - PAX S80 - IP - BATCH TIME 7:30PM
8	Aug 01 2023			2022-11-23 09:23:51 User: Charlotte Goff -> Changed : AverageTicket FROM 0.00 TO 50.00
9	Aug 01 2023			2022-11-23 09:23:51 User: Charlotte Goff -> Changed : MonthlyVolume FROM 0.00 TO 500.00
10	Aug 01 2023			2022-11-23 09:23:51 User: Charlotte Goff -> Changed : Swipe Percent FROM 0 TO 90
11	Aug 01 2023			2022-11-23 09:23:51 User: Charlotte Goff -> Changed : TO Percent FROM 0 TO 10
12	Aug 01 2023			SBC- IBUXX- 3.95%- Pax S80- Batch time 7:30 pm Central- IP- NDF

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 *

Cancel