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
		signed app
		pre app
		ein
		bank letter
		var

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

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 Devima LLC 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	Jun 10 2025		Mike Thomas	TT Raj getting declined 51 (NSF from issuing bank)
2	Jan 27 2025		Mike Thomas	B250 not reading cards, will replace. Raj coming by the office
3	Sep 25 2023	Sep 25 2023	Mike Thomas	Called Raj to check on terminal he says it's working fine. We ran a transaction and it went through. Says he likes using card reader also.
4	Aug 01 2023			Just talked to Raj he says he ran a transaction that got declined so he ran it again and got declined. The customer only had 500 on the card and the transaction was around $280.00. The customer checked their online banking and says the money was out of their account. Raj checked transaction history and there is nothing there. I checked SS and it show the transaction declined 3 times. Emailed Morgan.
5	Aug 01 2023			TT Raj along with PAX his internet is down for the day so we connected to his hot spot...all working. Internet back up switced back
6	Aug 01 2023			Had to delete a trans for $26.34, then we batched successfully. Talked o Raj
7	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Conrad said funds will be released in the am
8	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Raj sent over letter signed by customer approving this transaction. I sent it to ayana and conrad to release the funds.
9	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Raj and requested he get some info concerning a transaction that was ran on 9/17/22 for $11975.00 he will contact customer for information. I also advised him to put in AVS info on all keyed transactions
10	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Raj advised him how to run a manual trans.
11	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Downloaded PAX A80 Raj picking terminal up from office
12	Aug 01 2023			User: Charlotte Goff -> Notes: Changed status to Approved; added MID and approval Date
13	Aug 01 2023			User: Charlotte Goff -> Notes: Change of Ownership - New Owner SBC - Traditional - IC Plus 0.05% + $0.05; Equipment undecided at this point - IP - Batch Time 7:30pm - NDF
14	Aug 01 2023			User: Charlotte Goff -> Changed : AverageTicket FROM 0.00 TO 130.00
15	Aug 01 2023			User: Charlotte Goff -> Changed : AnnualVolume FROM 0 TO 240000.00
16	Aug 01 2023			User: Charlotte Goff -> Changed : MonthlyVolume FROM 0.00 TO 20000.00
17	Aug 01 2023			User: Charlotte Goff -> Changed : Swipe Percent FROM 0 TO 90
18	Aug 01 2023			User: Charlotte Goff -> Changed : TO 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 *

Cancel