PRE-APP COVER DETAILS

Created On Dec, 13 2023 23:16pm   ID #7490 Back Download Add Merchant Resend Document for Sign

Attached Required Document Checklist :

Voided check, Business Verification Document, Copy of Drivers License

Merchant (Business) DBA Name :

Morgan's Bakery

Business Legal Name :

Impact PaySystem

Contact Name : Morgan Withee

Contact Phone Number : 9016010032

Physical Address :

1164 Vickery Lane, Suite 200

City : Cordova

State : Tennessee

Country : United States

Zip : 38016

Phone Number : 9016010032

Fax Number :

Email Address : morgan@impactpays.com

Website :

Billing Address

Address :

1164 Vickery Lane, Suite 200

City : Cordova

State : Tennessee

Country : United States

Zip : 38016

Business Type

State incorporated in : Public

Type of Legal Entity : Sole Proprietor

Business Type :

Business Start Date : -

EIN/Federal Tax ID Type :

EIN/Federal Tax ID# :

Types of Goods Sold :

Ownership Information

Owner 1

Officer/Owners Name :

Morgan Withee

Title : Owner

Social Security : 123456789

Home Address :

10080 hwy 194

City : oakland

State : TN

Country : US

Zip : 38016

Drivers License : 1234567899

Expiration Date : Dec, 20 2023

State : TN

DOB : Sep, 02 1994

Home Phone Number : 111111111

% of Business Owned : 51

Length of Ownership : 10

Banking Information

Billing Type :

Name of Bank : Bank

ABA Routing : 111111111

Account : 111111111

Estimated Sales Volume

Estimated Annual Sales Visa/MC/Discover/ AMEX Sales :

$1000000

Estimated Monthly Visa/MC/Discover/ AMEX Sales :

$500000

Average Ticket :

$150

high Ticket :

$1500

Business Profile

Card Swiped :

95%

Card Keyed In :

5%

= 100%

Card Present :

95%

Card Not Present :

5%

= 100%

MOTO :

0%

Internet :

0%

Traditional

Notes :

Terminal Answer

Batch Out Time : 11:00 AM

Terminal Type : 7

Communication Method : IP-internet

Do You Dial 9 For Outside Line? : Yes

Reprogram Terminal :

Equipment Purchase :

Equipment Rental Program :

Next Day Funding :

Tip Edit :

EBT :

FNS Number :

Tax Calculation :

If So Tax Rate :

Refund Policy :

Print Refund Policy On Footer :

Software Or POS Integration Answer

POS Software Integration :

Software Name & Version :

MP/AP Name : Morgan Withee

RP Name :

Pricing Provided : Statement Analysis

Receipt Header Message :

Receipt Footer Message :

Front Drivers License Download

Back Drivers License Download

Voided Check Download