PRE-APP COVER DETAILS

Created On Mar, 28 2024 23:41pm   ID #7628 Back Download Add Merchant Resend Document for Sign

Attached Required Document Checklist :

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Merchant (Business) DBA Name :

Nash Karawadra

Business Legal Name :

Veja LLC

Contact Name : Nash Karawadra

Contact Phone Number : 9013010153

Physical Address :

6000 Allen Rd

City : VanCleave

State : MS

Country : US

Zip : 38016

Phone Number :

Fax Number :

Email Address : nash@impactpays.com

Website :

Billing Address

Address :

6000 Allen Rd

City : VanCleave

State : MS

Country : US

Zip : 38016

Business Type

State incorporated in : Public

Type of Legal Entity : LLC

Business Type : Petroleum (Gas Station)

Business Start Date : Jan, 01 1970

EIN/Federal Tax ID Type : Employer Identification Number

EIN/Federal Tax ID# : 12-2234567

Types of Goods Sold :

Ownership Information

Owner 1

Officer/Owners Name :

Nash

Title :

Social Security :

Home Address :

1164 Vickery LN

City : Memphis

State : TN

Country : United States

Zip : 38016

Drivers License : 70524440

Expiration Date : Mar, 01 2024

State : Tn

DOB : Mar, 07 2024

Home Phone Number : 9018282229

% of Business Owned :

Length of Ownership :

Banking Information

Billing Type : Gross Settlement

Name of Bank : Anthony Drain

ABA Routing : 233456889

Account : 34444

Estimated Sales Volume

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

$1000000

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 : Pos

Communication Method : IP-internet

Do You Dial 9 For Outside Line? : Yes

Reprogram Terminal : No

Equipment Purchase : No

Equipment Rental Program : Yes

Next Day Funding : Yes

Tip Edit : No

EBT : Yes

FNS Number : Bgdfjjbjj

Tax Calculation : Yes

If So Tax Rate : 9.25

Refund Policy : 30 Days

Print Refund Policy On Footer : Yes

Software Or POS Integration Answer

POS Software Integration : Yes

Software Name & Version : Rev

MP/AP Name :

RP Name :

Pricing Provided :

Receipt Header Message :

Receipt Footer Message :

Front Drivers License Download

Back Drivers License Download

Voided Check Download