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
		signed app
		pre app
		business verification

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

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 Alvarenges Tires Service And More 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	Jul 26 2024		Mike Thomas	sent request to USA ePay to have account reactivated.
2	Oct 30 2023		Charlotte Groff	Spoke to Eddie - he said that he received a call from a woman named Susan Chapman stating that they were not PCI compliant and that they had tried to notify them via email, mail and phone but had not gotten any response. She would not say what company she was with. But she was wanting to know why type of equipment they had. I explained to him that it was a scam and that Elavon would not call him, they would send him an email. He also told me that he will be working off hours at their shop and that his father would be running the shop and might be calling with questions.
3	Sep 21 2023	Sep 21 2023	Mike Thomas	Tt Carlos to advise him USA ePay was recativated
4	Sep 21 2023		Morgan Withee	USA ePay account was deactivated but they need it back up. I emailed [email protected] to get this reactivated. I told Carlos I will call him back as soon as I get confirmation it is reopened. 7138947145
5	Aug 07 2023		Charlotte Groff	Spoke to Carlos. He was running a transaction for $270.00 and received a communication error. He tried to run the transaction again and got an approval. He called to see if the first one was authorized. I called Elavon and the transaction for $270.00 on Card 9325 had been duplicated. Because the transaction was a debit card, he could not refund it or void it. Elavon settled his batch for $705.00 total ($165.00 + $270 + $270) and then requested a Missing debit so that the duplicated transaction would go back to the cardholder. Lacy at Elavon suggested we do a purge on the terminal to get rid of the existing batch since she batched it at host level. Gave Mike the instruction to purge the terminal.
6	Aug 01 2023			spoke to Carlos. He said cardholder #0297 was double billed for $1000.00 today but he only has the transaction in his terminal 1 time. Called Elavon and they confirmed that there were 2 transactions authorized. Cardholder is upset and doesn't want to wait to see if the duplicate transaction goes back to his credit available in a couple of days. He wants it resolved now. Carlos said he would talk to the customer and take a chance to see if both of the transactions batch.
7	Aug 01 2023			User: Charlotte Goff -> Notes: Merchant's internet is down. He uses USAePay as a backup when his internet goes down so he may not run transactions through it every month. Please do not cancel his USAePay account for non-use. Morgan sent a request to have his USAePay account reactivated
8	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Canceled USA ePay account...non use
9	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: TT Merchant keyboard locked....unlocked....now working
10	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Gave him website info for Elavon online services.
11	Aug 01 2023			User: Kay Arpin -> Changed : Swipe Percent FROM 0 TO 100
12	Aug 01 2023			User: Kay Arpin -> Changed : MonthlyVolume FROM 0.00 TO 30000
13	Aug 01 2023			User: Kay Arpin -> Changed : AnnualVolume FROM 0 TO 480000
14	Aug 01 2023			User: Kay Arpin -> Changed : AverageTicket FROM 0.00 TO 200

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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