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Pre-Application Submission

Business Information

Legal Business Name

Legal Address

DBA Name

DBA Address (if different from Legal)

Federal Tax ID (EIN Number)

Business Start Date

Business Phone Number

Website URL

Descriptor: For Customer Bank Statement

Desired MCC Code

Ownership Information

Legal Name Owner 1

Ownership %

Job Title

Date of Birth

Owner 1 Address

Owner 1 Email

Owner 1 SSN or ITIN

Owner 1 Personal Phone Number

Legal Name Owner 2

Ownership %

Job Title

Date of Birth

Owner 2 Address

Owner 2 Email

Owner 2 SSN or ITIN

Owner 2 Personal Phone Number

Processing Information
Desired Method(s) of Accepting Payments

Average Monthly Processing Volume

Average Transaction Size

High Ticket Transaction Size

Do you have payment processing already? If yes, how long?

Previous Processor Name

File Upload
Please submit documents in a single zip file with documents titled correctly.
Required Documents:
1. Certificate of Incorporation or Articles of Organization
2. SS-4 (EIN Letter from IRS)
3. Drivers License or Passport for all owners over 25%
4. Voided Check or Bank Letter (where you would like deposits)
5. Processing Statements (3-6 most recent months)
6. Business Bank Statements (3-6 most recent months)
7. Fulfillment Agreement or 3PL Agreement (If selling physical products)
8. Recent Invoice from Supplier (If selling physical products)
9. Certificate of Analysis (If selling supplements, nutraceuticals, CBD or any ingestible product)
10. Agreements with any third party vendors (Plaid, Radar, Chargeback Management providers)