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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
Untitled checkboxes field
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)