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
		Business Verification
		Pre App
		Var 0002
		Signed Application
		Voided Check and DL

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 Rodney Ramirez 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	Feb 04 2025		Charlotte Groff	Rodney called in and needed his 1099. He didn't think that he had ever registered for Pioneer so I tried to register him and got "email already exists" . Called SBC and they re-sent him the activation link for Pioneer
2	Jan 30 2024		Mike Thomas	TT Rodney changed to ethernet and increased batch number. We then batched his terminal out
3	Jan 26 2024		Mike Thomas	TT Rodney comms error, he will reset and try settlement again.
4	Dec 29 2023		Mike Thomas	TT Rodney, comms error...reset terminal and phone line....now working.
5	Oct 19 2023	Oct 19 2023	Mike Thomas	Rodney called and asked if we still have his account....yes we do.
6	Oct 16 2023		Charlotte Groff	Rodney called and said that he got a decline on a transaction for $2060.29 Card 1173 and just wanted to make sure that it did not authorize. I called SBC to confirm transaction status. Ayana did confirm that the transaction had been declined with code 51 - NSF. I called Rodney back and told him that the customer would have to call his bank. He asked about splitting the transaction up into 2 different amounts and I advised him that would not be a good idea just because his internal invoice would have 2060.29 but the authorization would be for less and it would be a losing fight should it be charged back,
7	Oct 06 2023		Charlotte Groff	Rodney called in and needed to issue a refund for a duplicated transaction. The duplicate was on card 4527 for $300.00 and was first settled on 9/27/23 and a second time on 10/2/23. Walked him through the refund process.
8	Sep 27 2023		Charlotte Groff	Rodney called and wanted to know if his terminal did batch for yesterday, 9/26/23. He said he got a duplicate batch error. I confirmed that the $300.00 sale he had yesterday did batch.
9	Aug 01 2023			Rodney sent email asking to have his high ticket amount raised from $1000.00 to $2000.00. He will be running a couple of transaction over the next few days that will be between $1600 - $2000.00. Emailed Conrad at SBC and he will note the system and watch for the transactions.
10	Aug 01 2023			SBC-Traditional-Pax S80-IP-batch time 7:00pm Central

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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