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
		unsigned 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 Binswanger Enterprises 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	Jan 10 2024		Charlotte Groff	Spoke to Julie today - she needed to know how to run a refund. The original trans was on 12/12/23 for $135.00 taken on the terminal. I walked her through how to refund on the terminal. Cardholder was there with their card.
2	Aug 01 2023			Spoke with Julie about 5/18 5/22 not batching. Went through the steps and deleted trans. $16.05 card #9009 after we deleted the transaction batch closed successfully.
3	Aug 01 2023			hasn't batched since 3/17/23 deleted a transaction for $25.00 and closed batch they had ran it on VT
4	Aug 01 2023			Shauna called in to say that her terminal has not worked in a long time. We ended up having to uninstall and reinstall the SS app. Had her run a test transaction from $0.01 and it went through just fine.
5	Aug 01 2023			Entered in sr to lower rate to go active 3/1. attached rate reduction form in documents and merchant file
6	Aug 01 2023			User: Emily Karawadra -> Notes: Shawna called in she accidently selected the tsys app on terminal and ran a sale for $692.50. Team will reach out in morning to be sure it batched. Also instructed her to email Linda Long to let her know it will not be on swipesimple reports.
7	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Deleted trans for $37.80 that was ran on VT and batched
8	Aug 01 2023			User: Charlotte Goff -> Notes: TT - Joey - he needed to know the user name and password for their terminal
9	Aug 01 2023		Morgan Withee	User: Morgan Withee -> Notes: Put in request with iso client services to do a group address change to P O Box 171173 Memphis TN 38187-1173
10	Aug 01 2023		Mike Thomas	User: Mike Thomas -> Notes: Turned off level 2 and 3 processing USA ePay
11	Aug 01 2023			User: Pennye McAnulty -> Notes: Updated tax id
12	Aug 01 2023			User: Christina Sullins -> Notes: Legal Contact: Jennifer Thomas RT: 307070267 Acct: 76968107562

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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