MerchantFind Usa Application

Payment Processing Application

All your information is 100% secure and confidential using the latest in online security technology. Completing this application requires zero obligation or commitment. Our goal is to understand your business better and bring you the best offer ASAP.
What Type of Payment Processing Solution are you looking for?
Monthly Processing Amount? *
Over the last 90 what was your chargeback rate? *
How long have you been in business?
What do you do?
Industry Type ?

Full Name*

First NameLast Name
Partner Name

First NameLast Name
Business Legal Name / DBA *
Business Start Date? *
Business Structure Type ? *
example: LLC, Sole, S Corp, C Corp, Non Profit
# of Employees? *
Name on Tax Return?*
Website*
Describe Products / Services Sold*
Business EIN
Legal Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Years in Current Location
Total # of Locations
Phone Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Email*

Banking Information *

Bank Name

Account Name

Routing Number Bank Reference Name

Account NumberState Account Opened In
Do you Currently have any of these?

Tax LiensJudgementsBankruptcyAllNone
Credit Score?
If you don't know your fico score just guess
Date of Birth*

MonthDayYear
Date of Birth

MonthDayYear
Social Security #*
Partners SSN #
Drive License ID*

StateID #
Drive License ID

StateID #

Total Annual Sales
Highest Single Sale:
$
Avg Monthly Sales
ACH TRANSACTIONS

Swiped: % Keyed: % Internet:%Mail/Phone:%= %
Credit Card Transactions

Swiped: % Keyed: % Internet:%Mail/Phone:%= %
Credit Card Transactions

Monthly Vol.Previous /Current ProcessorCard Return Rate% Chargeback Rate %
Recurring Payments?

Weekly Monthly Quarterly AnnuallyPer Occurrence
Location Type

Retail Office Space Warehouse Residential
HoursOwn or LeaseCard Logo Displayed Inventory Consistent
Landlord

NameNumber
Inventory & Fulfillment

Merchant Owns inventory If Not Who:
Merchant Stocks inventory If Not Who:
Shipping Carrier: SignatureInsurance Required
E-Commerce

Website: Shopping Cart Used
Payment Acceptance

ACHVISAMCDiscover
AMEXVISA DEBITMC Debit OnlyDiscover Debit Only
Pin DebitFleetCard Issuing Other:

Drop 3 Month Bank Statements Below
Drop 3 Month Merchant Statements Below *
Void Check *
Copy of Drives License *
Take a Picture of your Driver's License below
Payment Processing Application

Each person signing below agrees to and certifies that all information provided in the application is true, correct and complete. Each signer authorizes Merchantfind USA, Inc and/or the Member Bank or any agent of the Member Bank, to make whatever inquiries Merchantfind USA, Inc and/or the Member Bank deem appropriate to investigate, verify, or research references, statements or data, including personal credit reports for the purpose of this application. Merchant understands this agreement shall not take effect until Merchantfind USA, Inc and/or the Member Bank have approved Merchant and a merchant number is issued. Client certifies, under penalties of perjury, that the federal taxpayer identification number and corresponding filing name provided herein are correct.
By submitting this credit application, you certify that the information provided on the application is, to the best of your knowledge, complete and accurate. You understand that the lender and financial institution(s) will rely on this information to judge your credit worthiness, and will retain this application and information about you whether or not this application is approved. Further, you authorize an investigation of your credit and employment history, in conjunction with which your credit report(s) may be obtained from one or more consumer credit reporting agencies. You understand that false statements may subject you to criminal penalties. You further understand that the Lender and/or the financial institution(s) that evaluate your application may require additional information.

FAIR CREDIT REPORTING ACT DISCLOSURE: You understand that the application for credit will be submitted by the dealer to various financial institutions for evaluation.

Please submit 4-6 month bank statements and Phone ID
Enter the message as it's shown*
Owner 1 Signature
Owner 2 Signature
Should be Empty: