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
		voided check
		var 1
		DL
		signed app

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 Chandra Dave 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	Apr 24 2025		Alexander Wilkins	Successfully changed the merchant's ACH information
2	Apr 16 2025		Charlotte Groff	Received a call from merchant stating that his bank account has not been changed yet and his old bank is about to close. I informed him that, while we have the bank letter that was sent to us, we will also need the ACH Change form signed and returned to us before it can be changed. Resent my original email with the form attached back to them.
3	Mar 04 2025		Charlotte Groff	Received a letter from merchant's bank for a depository account. I emailed Mr. Dave the ACH Change request form for him to sign and asked the question if his fees are to also come from this new account. Waiting to hear back from him and get the signed form so that I can submit the new banking info.
4	Jul 24 2024		Charlotte Groff	SBC questioned a refund on visa card 5620 for $50.00. Called merchant and he said that he doesn't know where the refund came from and not to process it.
5	Nov 22 2023	Nov 22 2023	Mike Thomas	TT Merchant his terminal not connecting to internet he says all his guests are saying they don't have internet so I advised him to contact internet provider.
6	Nov 21 2023	Nov 22 2023	Mike Thomas	Talked to merchant walked him through changing over to Ethernet....he was going to reset his router, Checked Valor he has ran a successful transaction since.
7	Nov 14 2023		Morgan Withee	TT merchant again today. We tried to connect ethernet again but it did not work. Dee is trying to help him. He has instructed merchant to get a longer cord then call back.
8	Nov 13 2023		Morgan Withee	Wifi is not staying connected. Merchant is going to connect it to ethernet and call me back if it doesnt work.
9	Aug 01 2023			TT merchant still hasn't got password entered, will call in the mornng to try to assist
10	Aug 01 2023			Merchant called back and still could not get connected. I got Rudy from Valor terminal support on the phone to try to help. The merchant does not know what his WiFi password is and will call back once he gets it
11	Aug 01 2023			TT Merchant trying to reconnect to Wi-fi when he puts the password in it goes back to The first screen. I asked him to double check his password. He is entering some number he is getting on his router. I think he isn't using the correct password. He will try to confirm his password and call back if needed.
12	Aug 01 2023			SBC - Converted from Elavon - Traditional - Valor100 - Batch 7:30pm - IP
13	Jul 21 2023			Returned VL100 deactivated terminal in Valor. Tested...all working . Put back into inventory

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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