Merchant Processing Application
This form type is used by businesses to apply for a merchant account that enables them to accept credit and debit card payments. It typically collects information about the business, its owners, banking details, and anticipated transaction volumes.
To use the Upload PDF endpoint for this document, you must use MERCHANT_PROCESSING_APPLICATION
in the form_type
parameter.
Field descriptions
The following fields are available on this document type:
JSON Attribute | Data Type | Description |
---|---|---|
merchant_processing_application-Part01-BusinessInformation:dba(DoingBusinessAs) | Text | DBA (Doing Business As) |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalName | Text | Company (Merchant) Legal Name |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)FederalTaxId | EIN | Company (Merchant) Federal Tax ID |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)NumberOfLocations | Text | Company (Merchant) Number Of Locations |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LocationAddress:addressLine1 | Text | Company (Merchant) Location Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LocationAddress:addressLine2 | Text | Company (Merchant) Location Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LocationAddress:city | Text | Company (Merchant) Location Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LocationAddress:state | State | Company (Merchant) Location Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LocationAddress:zip | ZIP Code | Company (Merchant) Location Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LocationPhoneNumber | Phone Number | Company (Merchant) Location Phone Number |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalAddress:addressLine1 | Text | Company (Merchant) Legal Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalAddress:addressLine2 | Text | Company (Merchant) Legal Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalAddress:city | Text | Company (Merchant) Legal Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalAddress:state | State | Company (Merchant) Legal Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalAddress:zip | ZIP Code | Company (Merchant) Legal Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)LegalPhoneNumber | Phone Number | Company (Merchant) Legal Phone Number |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)ContactEmail(S) | Company (Merchant) Contact Email(s) | |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)WebsiteAddress | Text | Company (Merchant) Website Address |
merchant_processing_application-Part01-BusinessInformation:company(Merchant)CustomerServicePhoneNumber | Phone Number | Company (Merchant) Customer Service Phone Number |
merchant_processing_application-Part02-BusinessProfile:typeOfOwnership | SOLE PROPRIETOR , PARTNERSHIP , LLC , CORP , GOVERNMENT , TAX EXEMPT , OTHER | Type Of Ownership |
merchant_processing_application-Part02-BusinessProfile:typeOfOwnership-IfCorporation:stateOfIncorporation | State | Type Of Ownership - If Corporation |
merchant_processing_application-Part02-BusinessProfile:typeOfOwnership-IfOther | Text | Type Of Ownership - If Other |
merchant_processing_application-Part02-BusinessProfile:numberOfYearsInBusiness | Integer | Number Of Years In Business |
merchant_processing_application-Part02-BusinessProfile:mcc/sicCode | Text | MCC/SIC Code |
merchant_processing_application-Part02-BusinessProfile:priorBankruptcies?:yes | CHECKED , NOT CHECKED | Prior Bankruptcies? |
merchant_processing_application-Part02-BusinessProfile:priorBankruptcies?:no | CHECKED , NOT CHECKED | Prior Bankruptcies? |
merchant_processing_application-Part02-BusinessProfile:name(s)OfPreviousVisa/Mastercard/Discover/AmericanExpressProcessor(S) | Text | Name(s) Of Previous Visa/Mastercard/Discover/American Express Processor(s) |
merchant_processing_application-Part02-BusinessProfile:haveYouEverBeenTerminatedFromAcceptingBankcards?:yes | CHECKED , NOT CHECKED | Have You Ever Been Terminated From Accepting Bankcards? |
merchant_processing_application-Part02-BusinessProfile:haveYouEverBeenTerminatedFromAcceptingBankcards?:no | CHECKED , NOT CHECKED | Have You Ever Been Terminated From Accepting Bankcards? |
merchant_processing_application-Part02-BusinessProfile:haveYouBeenPlacedOnAPaymentChargebackProgramOrHigh-RiskListInTheLast2Years:yes | CHECKED , NOT CHECKED | Have You Been Placed On A Payment Chargeback Program Or High-Risk List In The Last 2 Years |
merchant_processing_application-Part02-BusinessProfile:haveYouBeenPlacedOnAPaymentChargebackProgramOrHigh-RiskListInTheLast2Years:no | CHECKED , NOT CHECKED | Have You Been Placed On A Payment Chargeback Program Or High-Risk List In The Last 2 Years |
merchant_processing_application-Part02-BusinessProfile:ifYesPleaseDescribe | Text | If Yes Please Describe |
merchant_processing_application-Part02-BusinessProfile:descriptionOfProducts/ServicesSold | Text | Description Of Products/Services Sold |
merchant_processing_application-Part03-ProcessingProfile:salesMethod:%Swiped | Percentage | Sales Method |
merchant_processing_application-Part03-ProcessingProfile:salesMethod:%Imprinted | Percentage | Sales Method |
merchant_processing_application-Part03-ProcessingProfile:salesMethod:%Mo/To | Percentage | Sales Method |
merchant_processing_application-Part03-ProcessingProfile:salesMethod:%Internet | Percentage | Sales Method |
merchant_processing_application-Part03-ProcessingProfile:indicateVisa/Mastercard/Discover/AmexTypesNotToAccept | Text | Indicate Visa/Mastercard/Discover/AMEX Types Not To Accept |
merchant_processing_application-Part03-ProcessingProfile:visa/mastercard/discoverAverageTicket | Money | Visa/Mastercard/Discover Average Ticket |
merchant_processing_application-Part03-ProcessingProfile:visa/mastercard/discoverMaximumTicket | Money | Visa/Mastercard/Discover Maximum Ticket |
merchant_processing_application-Part03-ProcessingProfile:visa/mastercard/discoverMonthlyVolume | Money | Visa/Mastercard/Discover Monthly Volume |
merchant_processing_application-Part03-ProcessingProfile:americanExpressAverageTicket | Money | American Express Average Ticket |
merchant_processing_application-Part03-ProcessingProfile:americanExpressMaximumTicket | Money | American Express Maximum Ticket |
merchant_processing_application-Part03-ProcessingProfile:americanExpressMonthlyVolume | Money | American Express Monthly Volume |
merchant_processing_application-Part04-AchProcessing:corporateCreditOrDebit:ccdCredit | CHECKED , NOT CHECKED | Corporate Credit Or Debit |
merchant_processing_application-Part04-AchProcessing:corporateCreditOrDebit:ccdDebit | CHECKED , NOT CHECKED | Corporate Credit Or Debit |
merchant_processing_application-Part04-AchProcessing:pre-arrangedPaymentAndDeposits:ppdCredit | CHECKED , NOT CHECKED | Pre-Arranged Payment And Deposits |
merchant_processing_application-Part04-AchProcessing:pre-arrangedPaymentAndDeposits:ppdDebit | CHECKED , NOT CHECKED | Pre-Arranged Payment And Deposits |
merchant_processing_application-Part04-AchProcessing:webInitiatedEntry:webDebit | CHECKED , NOT CHECKED | Web Initiated Entry |
merchant_processing_application-Part04-AchProcessing:merchantActivity:averageItems/Month | Integer | Merchant's Activity |
merchant_processing_application-Part04-AchProcessing:merchantActivity:averageItemAmount | Money | Merchant's Activity |
merchant_processing_application-Part04-AchProcessing:merchantActivity:averageReturns/Month | Integer | Merchant's Activity |
merchant_processing_application-Part04-AchProcessing:requestedMaximumLimits:maxTransactionAmount | Money | Requested Maximum Limits |
merchant_processing_application-Part04-AchProcessing:requestedMaximumLimits:maxDailyVolume | Money | Requested Maximum Limits |
merchant_processing_application-Part04-AchProcessing:requestedMaximumLimits:maxMonthlyVolume | Money | Requested Maximum Limits |
merchant_processing_application-Part04-AchProcessing:requestedMaximumLimits:dailyTransactionCount | Integer | Requested Maximum Limits |
merchant_processing_application-Part04-AchProcessing:requestedMaximumLimits:monthlyTransactionCount | Integer | Requested Maximum Limits |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:(1)Name(Print) | Text | (1) Name (Print) |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:title | Text | Title |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:equity/ownership | Percentage | Equity/Ownership |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:dateOfBirth | Date | Date Of Birth |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:driverLicense# | Text | Driver's License # |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:state | State | State |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:ssn/itin | Social Security Number | SSN/ITIN |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:homePhone | Phone Number | Home Phone |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:homeAddress:addressLine1 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:homeAddress:addressLine2 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:homeAddress:city | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:homeAddress:state | State | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers1Info:homeAddress:zip | ZIP Code | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:(2)Name(Print) | Text | (2) Name (Print) |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:title | Text | Title |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:equity/ownership | Percentage | Equity/Ownership |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:dateOfBirth | Date | Date Of Birth |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:driverLicense# | Text | Driver's License # |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:state | State | State |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:ssn/itin | Social Security Number | SSN/ITIN |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:homePhone | Phone Number | Home Phone |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:homeAddress:addressLine1 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:homeAddress:addressLine2 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:homeAddress:city | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:homeAddress:state | State | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers2Info:homeAddress:zip | ZIP Code | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:(3)Name(Print) | Text | (3) Name (Print) |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:title | Text | Title |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:equity/ownership | Percentage | Equity/Ownership |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:dateOfBirth | Date | Date Of Birth |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:driverLicense# | Text | Driver's License # |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:state | State | State |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:ssn/itin | Social Security Number | SSN/ITIN |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:homePhone | Phone Number | Home Phone |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:homeAddress:addressLine1 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:homeAddress:addressLine2 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:homeAddress:city | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:homeAddress:state | State | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers3Info:homeAddress:zip | ZIP Code | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:(4)Name(Print) | Text | (4) Name (Print) |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:title | Text | Title |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:equity/ownership | Percentage | Equity/Ownership |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:dateOfBirth | Date | Date Of Birth |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:driverLicense# | Text | Driver's License # |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:state | State | State |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:ssn/itin | Social Security Number | SSN/ITIN |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:homePhone | Phone Number | Home Phone |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:homeAddress:addressLine1 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:homeAddress:addressLine2 | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:homeAddress:city | Text | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:homeAddress:state | State | Home Address |
merchant_processing_application-Part05-Principals/Owners/Partners/Officers4Info:homeAddress:zip | ZIP Code | Home Address |
merchant_processing_application-Part06-ControllingPerson:name(Print) | Text | Name (Print) |
merchant_processing_application-Part06-ControllingPerson:title | Text | Title |
merchant_processing_application-Part06-ControllingPerson:equity/ownership | Percentage | Equity/Ownership |
merchant_processing_application-Part06-ControllingPerson:dateOfBirth | Date | Date Of Birth |
merchant_processing_application-Part06-ControllingPerson:driverLicense# | Text | Driver's License # |
merchant_processing_application-Part06-ControllingPerson:state | State | State |
merchant_processing_application-Part06-ControllingPerson:ssn/itin | Social Security Number | SSN/ITIN |
merchant_processing_application-Part06-ControllingPerson:homePhone | Phone Number | Home Phone |
merchant_processing_application-Part06-ControllingPerson:homeAddress:addressLine1 | Text | Home Address |
merchant_processing_application-Part06-ControllingPerson:homeAddress:addressLine2 | Text | Home Address |
merchant_processing_application-Part06-ControllingPerson:homeAddress:city | Text | Home Address |
merchant_processing_application-Part06-ControllingPerson:homeAddress:state | State | Home Address |
merchant_processing_application-Part06-ControllingPerson:homeAddress:zip | ZIP Code | Home Address |
merchant_processing_application-Part07-BankInformation:forDeposits:accountNumber | Integer | For Deposits |
merchant_processing_application-Part07-BankInformation:forDeposits:routingNumber | Routing Number | For Deposits |
merchant_processing_application-Part07-BankInformation:forFeeDebits:accountNumber | Integer | For Fee Debits |
merchant_processing_application-Part07-BankInformation:forFeeDebits:routingNumber | Routing Number | For Fee Debits |
merchant_processing_application-Part08-AcquiringBankAndAssociationDisclosure:merchantSignature | SIGNED , NOT SIGNED | Merchant Signature |
merchant_processing_application-Part08-AcquiringBankAndAssociationDisclosure:merchantTitle | Text | Merchant Title |
merchant_processing_application-Part08-AcquiringBankAndAssociationDisclosure:merchantSignatureDate | Date | Merchant Signature Date |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:initialsOfPersonMakingCertification | SIGNED , NOT SIGNED | Initials Of Person Making Certification |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:iHaveViewedTheMerchantProcessingAgreement | SIGNED , NOT SIGNED | I Have Viewed The Merchant Processing Agreement |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:iHaveViewedTheAchProcessingAgreement | SIGNED , NOT SIGNED | I Have Viewed The ACH Processing Agreement |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:owner/officer1Signature | SIGNED , NOT SIGNED | Owner/Officer 1 Signature |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:titleOfOwner/Officer1 | Text | Title Of Owner/Officer 1 |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:dateOfOwner/Officer1Signature | Date | Date Of Owner/Officer 1 Signature |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:owner/officer2Signature | SIGNED , NOT SIGNED | Owner/Officer 2 Signature |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:titleOfOwner/Officer2 | Text | Title Of Owner/Officer 2 |
merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:dateOfOwner/Officer2Signature | Date | Date Of Owner/Officer 2 Signature |
merchant_processing_application-Part10-PersonalGuarantee:guarantor1Signature | SIGNED , NOT SIGNED | Guarantor 1 Signature |
merchant_processing_application-Part10-PersonalGuarantee:titleOfGuarantor1 | Text | Title Of Guarantor 1 |
merchant_processing_application-Part10-PersonalGuarantee:dateOfGuarantor1Signature | Date | Date Of Guarantor 1 Signature |
merchant_processing_application-Part10-PersonalGuarantee:guarantor2Signature | SIGNED , NOT SIGNED | Guarantor 2 Signature |
merchant_processing_application-Part10-PersonalGuarantee:titleOfGuarantor2 | Text | Title Of Guarantor 2 |
merchant_processing_application-Part10-PersonalGuarantee:dateOfGuarantor2Signature | Date | Date Of Guarantor 2 Signature |
Sample document
Sample JSON result
{
"pk": 58546719,
"uuid": "54aafe68-ac99-47b7-9d7d-e6b22a081c4a",
"name": "MERCHANT_PROCESSING_APPLICATION",
"created": "2025-02-27T20:19:32Z",
"created_ts": "2025-02-27T20:19:32Z",
"verified_pages_count": 4,
"book_status": "ACTIVE",
"id": 58546719,
"forms": [
{
"pk": 63726356,
"uuid": "1fe94f30-c551-4e35-994e-3c2f81ec97a0",
"uploaded_doc_pk": 90951436,
"form_type": "MERCHANT_PROCESSING_APPLICATION",
"form_config_pk": 1159384,
"tables": [],
"attribute_data": null,
"raw_fields": {
"merchant_processing_application-Part10-PersonalGuarantee:titleOfGuarantor1": {
"value": "CEO",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part10-PersonalGuarantee:titleOfGuarantor2": {
"value": "CO",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part10-PersonalGuarantee:guarantor1Signature": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part10-PersonalGuarantee:guarantor2Signature": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part10-PersonalGuarantee:dateOfGuarantor1Signature": {
"value": "07/09/2024",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part10-PersonalGuarantee:dateOfGuarantor2Signature": {
"value": "07/09/2024",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part08-AcquiringBankAndAssociationDisclosure:merchantTitle": {
"value": "CEO",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part08-AcquiringBankAndAssociationDisclosure:merchantSignature": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:titleOfOwner/Officer1": {
"value": "CEO",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:titleOfOwner/Officer2": {
"value": "CO",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:owner/officer1Signature": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:owner/officer2Signature": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part08-AcquiringBankAndAssociationDisclosure:merchantSignatureDate": {
"value": "07/09/2024",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:dateOfOwner/Officer1Signature": {
"value": "07/09/2024",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:dateOfOwner/Officer2Signature": {
"value": "07/09/2024",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:initialsOfPersonMakingCertification": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:iHaveViewedTheAchProcessingAgreement": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part03-ProcessingProfile:indicateVisa/Mastercard/Discover/AmexTypesNotToAccept": {
"value": "",
"is_empty": true,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part09-MerchantAcceptanceAndDeclarations:iHaveViewedTheMerchantProcessingAgreement": {
"value": "SIGNED",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:state": {
"value": "CA",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:title": {
"value": "CEO",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:ssn/itin": {
"value": "234-45-6789",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:homePhone": {
"value": "(234) 567-1234",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:dateOfBirth": {
"value": "01/01/1970",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:name(Print)": {
"value": "HENDRIK SAMPLE",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:homeAddress:zip": {
"value": "12345",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:driverLicense#": {
"value": "C123456",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:equity/ownership": {
"value": "50%",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:homeAddress:city": {
"value": "ANYCITY",
"is_empty": false,
"alias_used": null,
"source_filename": "MERCHANT PROCESSING APPLICATION.pdf",
"confidence": 1.0
},
"merchant_processing_application-Part06-ControllingPerson:homeAddress:state": {
"value": "CA",
"is_empty": false,
"alias_used": null,
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Updated 3 days ago