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Merchant ID

Legal Name

DBA Name

Processor

Agent

Split

Is Override

Password

Status

Received Date

Approved Date

Activation Date

Closed Date

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 *	Notes *	Status	Date
	Pre App to large to upload
	voided Check
	Business Tax License
	DL

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 Kimberly Shafer 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

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

Sr. No.	Date	Reminder Date	Employee	Note	Created by	Updated at
1	Jan 05 2024 12:00 AM		Charlotte Groff	Closed account due to change of ownership. Sent SBC a request to have the account closed on their system.	Dee Karawadra	Jan 31 2024 01:39 PM
2	Jan 02 2024 12:00 AM		Charlotte Groff	Ownership transferring to Kimberly Shafer's mother-in-law, Janet Cook. Sent Janet new pre-app so we can get everything set up under her name and send Travis Smith the cancellation request to have Kimberly sign so we can close this MID out.	Dee Karawadra	Jan 31 2024 01:39 PM
3	Aug 21 2023 12:00 AM	Aug 21 2023	Mike Thomas	Programmed VL100 and shipped 2 day delivery	Dee Karawadra	Jan 31 2024 01:39 PM
4	Aug 21 2023 12:00 AM		Charlotte Groff	SBC - IBUXX - 3.95% - Valor 100 - IP - Batch time 6:00pm - Receipt Footer = "All Sales Are Final"	Dee Karawadra	Jan 31 2024 01:39 PM

.....

No Owner Found!!

Merchants

View Merchant

Bank 1 Information

Bank 2 Information

Overrides who receive partial commission on all of Kimberly Shafer Accounts

Default Setup

Merchant CMS