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PayTek Application Form

Welcome. This application is divided among 4 brief pages. Some answers require the upload of documents (entity docs, gov't-issued IDs, proof of address, bank information, etc.) for owners listed with 25% or more ownership. Please have this information accessible.

Third-Party Declaration Question: Are you acting on behalf of a third party for this application or transaction?

Third-Party Declaration Question: Are you acting on behalf of a third party for this application or transaction?

Politically Exposed Person (PEP) Declaration Question:

Politically Exposed Person (PEP) Declaration Question:

Business Identification and Registration

Business Type (select one)

Business Type (select one)
A
B
C
D

Business Proof of Address. Upload a utility bill, lease agreement, payment processing statement, or other to confirm business location.

Business Proof of Existence. Upload one or more: Certified Articles of Incorporation, Government-Issued Business License, Signed Partnership Agreement.

Business Contact Information