PRE-APP COVER DETAILS

Created On Apr, 11 2024 12:41pm   ID #7648 Back Download Add Merchant Resend Document for Sign

Attached Required Document Checklist :

-

Merchant (Business) DBA Name :

ABC LLC

Business Legal Name :

John Smith

Contact Name : John Smith

Contact Phone Number : 9988665544

Physical Address :

test address

City : bathinda

State : Punjab

Country : India

Zip : 151001

Phone Number :

Fax Number :

Email Address : johnsmith@abcllc.com

Website :

Billing Address

Address :

test address

City : bathinda

State : Punjab

Country : India

Zip : 151001

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 : Social Security Number

EIN/Federal Tax ID# :

Types of Goods Sold :

Ownership Information

Owner 1

Officer/Owners Name :

jhjj

Title :

Social Security :

Home Address :

City : gh

State : gh

Country : ghg

Zip : 5454

Drivers License : hjjh

Expiration Date : Apr, 05 2024

State : pn

DOB : Mar, 31 2024

Home Phone Number :

% of Business Owned :

Length of Ownership :

Banking Information

Billing Type : Gross Settlement

Name of Bank : hgh

ABA Routing : 000000000

Account : ghgh

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 : ghgh

Communication Method : Dial-phone

Do You Dial 9 For Outside Line? : No

Reprogram Terminal : No

Equipment Purchase : No

Equipment Rental Program : No

Next Day Funding : No

Tip Edit : No

EBT : No

FNS Number :

Tax Calculation : No

If So Tax Rate :

Refund Policy : 60 Days

Print Refund Policy On Footer : No

Software Or POS Integration Answer

POS Software Integration :

Software Name & Version :

MP/AP Name :

RP Name :

Pricing Provided :

Receipt Header Message :

Receipt Footer Message :