PRE-APP COVER DETAILS

Created On Feb, 14 2024 18:17pm   ID #7556 Back Download Add Merchant

Attached Required Document Checklist :

Voided check, Business Verification Document, Copy of Drivers License

Merchant (Business) DBA Name :

dee's Dog

Business Legal Name :

084000026

Contact Name : Dee Karawadra

Contact Phone Number : 9016010032

Physical Address :

1164 Vickery LaneSuite 200Cordova

City : Dee

State : Tennessee

Country : United States

Zip : 38016

Phone Number : 19016010032

Fax Number :

Email Address : dee@impactpays.com

Website :

Billing Address

Address :

1164 Vickery LaneSuite 200Cordova

City : Dee

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# : 201922999

Types of Goods Sold : Dog treats

Ownership Information

Owner 1

Officer/Owners Name :

dee

Title :

Social Security :

Home Address :

10080 Hwy 194

City : Oakland

State : TN

Country : United States

Zip : 38060

Drivers License : 795249990

Expiration Date : Feb, 10 2024

State : TN

DOB : Jan, 10 1973

Home Phone Number :

% of Business Owned :

Length of Ownership :

Banking Information

Billing Type :

Name of Bank : Firsdt TBN

ABA Routing : 111111999

Account : 26766889

Estimated Sales Volume

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

$

Estimated Monthly Visa/MC/Discover/ AMEX Sales :

$

Average Ticket :

$

high Ticket :

$

Business Profile

Card Swiped :

0%

Card Keyed In :

0%

= 0%

Card Present :

0%

Card Not Present :

0%

= 0%

MOTO :

0%

Internet :

0%

Notes :

Terminal Answer

Batch Out Time : 11:00 AM

Terminal Type : 9

Communication Method :

Do You Dial 9 For Outside Line? :

Reprogram Terminal :

Equipment Purchase :

Equipment Rental Program :

Next Day Funding :

Tip Edit :

EBT :

FNS Number :

Tax Calculation :

If So Tax Rate :

Refund Policy : 30 Days

Print Refund Policy On Footer : Yes

Software Or POS Integration Answer

POS Software Integration :

Software Name & Version :

MP/AP Name :

RP Name :

Pricing Provided :

Receipt Header Message :

Receipt Footer Message :