Business Information
Business Information
Legal Address
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Legal Name of Business :
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Legal Address:
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Legal Zip:
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Legal City:
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Legal State :
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Alaska
Alabama
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California
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Connecticut
Washington
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Florida
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Hawaii
Iowa
Idaho
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Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
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New Hampshire
New Jersey
New Mexico
Nevada
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
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Legal Phone
Copy Legal To DBA
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DBA Name :
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DBA Address :
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DBA Zip:
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DBA City:
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DBA State :
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Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
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DBA Phone
Copy DBA To Legal
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Email Address :
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Confirm Email :
Website Address:
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Merchant Customer Service
Lenth Owned
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Years :
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Months :
Preferred Addresses
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Chargeback Notifications:
Fax:
Email:
Chargeback Fax:
Chargeback Email::
*
Chargebacks
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Legal
DBA
Other
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Statements
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Legal
DBA
Other
Contact:
---Select---
CEO
Co-Owner
Controller
Coporate Secretary
Director
Executive Director
Financial Officer
General Manager
General Partner
IRS/Tax Contact
Limited Partner
Manager
Member
Owner
President
Secretary
Secretary/Treasurer
Other
Senior VP
Vice President
*
FirstName
*
LastName
*Receive 1099K Statements via :
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No
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Type of Ownership :
Select
Corporation
Corporation - Publicly Traded
General
Financial Institution
Government
LLC
Ltd Liability Partnership
Ltd. Part.
Non-Profit
Other
Partnership
Political Organization
Professional Association
Trust
Proprietorship
Public Institution
Tax Exempt :
Yes
No
(Exact TIN as submitted on their last income tax returns)
Business Type :
--Select--
Retail
Retail With Tips
Restaurant
MOTO
Internet
Lodging
SuperMarket
Utility
Pharmacy
Financial Institution
Business to Business
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Type of Tax ID :
-----Select----
Employer Identification Number (Federal Tax Identification Number)
Social Security Number
Individual Taxpayer Identification Number
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Tax identification #(TIN) :
MCC/SIC :
0742 - Veterinary Services
0763 - Agriculture Cooperative
0780 - Landscaping and Horticultural Services
1520 - General Contractors-Residential and Commercial
1711 - Heating, Plumbing and Air Conditioning Contractors
1731 - Electrical Contractors
1740 - Masonry, Stonework, Tile Setting and Plastering
1750 - Carpentry Service
1761 - Roofing, Siding, Sheet Metal Work Contractors
1771 - Concrete Work Contractors
1799 - Special Trade Contractors
2741 - Miscellaneous Publishing and Printing
2791 - Typesetting, Plate Making and Related Services
2842 - Specialty Cleaning and Polishing
3015 - Swiss International Airlines
3056 - Jet Air
3057 - Virgin America
3069 - Sun Country Air
3103 - Garuda Airlines - Indonesia
3148 - Air Littoral SA
3191 - Island Air
3263 - Aero Servicios Carabobo Airlines
3300 - Azul Air
3301 - Wizz Air
3302 - FLYBEAIR
3357 - Hertz Rent-A-Car
3366 - Budget Rent-A-Car
3370 - Rent-A-Wreck
3389 - Avis Rent-A-Car
3393 - National Car Rental
3501 - Holiday Inn
3502 - Best Western Hotels
3504 - Hilton Hotels
3508 - Quality Inn
3509 - Marriot
3510 - Days Inn
3515 - Rodeway Inn
3516 - La Quinta Inn
3528 - Red Lion Inns
3553 - Park Inn by Radisson
3559 - Candlewood Suites
3562 - Comfort Inns
3565 - Relax Inn
3575 - Vagabond Hotels
3582 - Radisson BLU
3583 - Radison Blue
3600 - Saddlebrook Resort Tampa
3601 - Tradewinds Resort
3601 - Tradewinds Resort
3607 - Fontainebleau Resorts
3613 - Micro Tel Inn and Suites
3614 - Americinn
3615 - Travelodge
3617 - Americas Best Value Inn
3621 - Suburban Extended Stay
3622 - Merlin Hotels
3627 - Extended Stay
3631 - Sleep Inn
3637 - Ramada Inn
3638 - Howard Johnson
3640 - Hyatt Hotels
3644 - Econo Lodge
3649 - Radisson
3650 - RED ROOF INNS
3657 - Oberoi Hotels
3660 - Knights Inn
3665 - Hampton Inns
3684 - Budget Host Inn
3687 - Clarion Hotels
3692 - DoubleTree Hotel
3694 - Economy Inns of America
3700 - Motel
3709 - Super 8 Motels
3715 - Fairfield Inn and Suites
3716 - Carlton Hotels
3722 - Wyndham Hotel
3724 - Inter Nor Hotel
3728 - Bally Hotel
3750 - Crowne Plaza Hotels
3751 - Homewood Suites
3770 - Springhill Suites
3778 - Sheraton
3789 - Smugglers Notch Resort
3791 - Staybridge Suites
3813 - Hotel Indigo
3816 - Home2 Suites
3818 - Mainstay Suite
3821 - Caribe Royal
3829 - Country Inn By Carlson
3830 - Park Plaza Hotel
3831 - Waldorf
3832 - Curio Hotels
3833 - Canopy Hotels
3834 - Baymont Inn & Suites
3835 - Dolce Hotels and Resorts
3836 - Hawthorn by Wyndham
3837 - Hoshino Resorts
3838 - Kimpton Hotels
4011 - Railroads
4111 - Local/Suburban Commuter Passenger Transportation
4112 - Passenger Railways
4119 - Ambulance Services
4121 - Taxicabs/Limousines
4131 - Bus Lines
4214 - Motor Freight Carriers, Trucking
4215 - Courier Services
4225 - Public Warehousing and Storage
4411 - Cruise Lines
4457 - Boat Rentals and Leases
4468 - Marinas, Marine Service and Supplies
4511 - Airlines, Air Carriers
4582 - Airports, Flying Fields, Airport Terminals
4722 - Travel Agencies and Tour Operators
4784 - Toll and Bridge Fees
4789 - Transportation Services
4812 - Telecommunications Equipment/'Telephone Sales
4814 - Telecommunication Services
4816 - Computer Network
4821 - Telegraph Services
4829 - Wire Transfer Money Orders
4899 - Cable and Other Pay Television Services
4900 - Utilities-Electric, Gas, Water, Sanitary
5013 - Motor Vehicle Supplies and New Parts
5021 - Office and Commercial Furniture
5039 - Construction Materials
5044 - Photographic, Photocopy, Microfilm Equipment
5045 - Computer and Computer Peripheral Equipment
5046 - Commercial Equipment
5047 - Medical Supplies
5051 - Metal Service Centers
5065 - Electrical Parts and Equipment
5072 - Hardware, Equipment and Supplies
5074 - Plumbing and Heating Equipment Supplies
5085 - Industrial Supplies
5094 - Precious Stones and Metals
5099 - Durable Goods
5111 - Printing/Writing Supplies
5122 - Drug Store
5131 - Piece Goods, Notions, and Other Dry Goods
5137 - Men's, Women's and Children's Uniforms
5139 - Footwear
5169 - Chemicals and Allied Products
5172 - Petroleum and Petroleum Products
5192 - Books, Periodicals and Newspapers
5193 - Florists Supplies, Nursery Stock and Flowers
5198 - Paints, Varnishes and Supplies
5199 - Nondurable Goods
5200 - Home Supply Warehouse
5211 - Lumber and Building Material Stores
5231 - Glass, Paint and Wallpaper Stores
5251 - Hardware Stores
5261 - Nurseries, Lawn and Garden Supply Stores
5271 - Mobile Homes Dealers
5300 - Wholesale Clubs
5311 - Department Stores
5331 - Variety Stores
5399 - Miscellaneous General Merchandise
5411 - Grocery Stores, Supermarkets
5422 - Freezer and Locker Meat Provisioners
5441 - Candy, Nut and Confectionery Stores
5451 - Dairy Products Store
5462 - Bakeries
5499 - Misc Food-Specialty, Markets, Convenience
5511 - Automobile and Truck Dealers
5521 - Automobile and Truck Dealers (Used)
5532 - Automotive Tire Stores
5533 - Automotive Parts, Accessories Stores
5541 - Service Stations
5542 - Automated Fuel Dispensers
5551 - Boat Dealers
5552 - Electric Vehicle Charging
5561 - Recreational and Utility Trailers
5571 - Motorcycle Shops and Dealers
5592 - Motor Home Dealers
5598 - Snowmobile Dealers
5599 - Miscellaneous Automotive, Aircraft and Farm Equip
5611 - Men's and Boy's Clothing and Accessories Stores
5621 - Women's Ready to Wear Store
5631 - Women's Accessory and Specialty Shops
5641 - Children's and Infant's Wear Stores
5651 - Family Clothing
5655 - Sports Apparel, Riding Apparel Stores
5661 - Shoe Stores
5681 - Furriers and Fur Shops
5691 - Men And Women Clothing
5697 - Tailors, Seamstresses, Mending
5698 - Wig and Toupee Stores
5699 - Misc Apparel and Accessories Shop
5712 - Furniture, Home Furnishings and Equipment Stores
5713 - Floor Covering Stores
5714 - Drapery, Window Covering and Upholstery Stores
5718 - Fireplace, Fireplace Screens and Accessories
5719 - Misc Home Furnishings Specialty Stores
5722 - Household Appliance Stores
5732 - Electronic Stores
5733 - Musical Instruments/Sheets
5734 - Computer Software Stores
5735 - Record Stores
5811 - Caterers
5812 - Eating Places Restaurants
,
5813 - Drinking Places, Bars, Taverns, Nightclubs
,
5814 - Fast Food Restaurants
5815 - Digital Goods Media: Books/Music/Movies
5816 - Digital Goods Games
5817 - Digital Goods Applications
5818 - Large Digital Goods Merchant
5912 - Pharmacies
5921 - Package Stores-Beer, Wine and Liquor
5931 - Used Merchandise Stores, Secondhand Stores
5932 - Antique Shops
5933 - Pawn Shops
5935 - Wrecking and Salvage Yards
5937 - Antique Reproductions
5940 - Bicycle Shops
5941 - Sporting Goods
5942 - Book Stores
5943 - Stationary Stores, Office and School Supply Stores
5944 - Jewelry Stores, Watches, Clocks, and Silverware
5945 - Hobby,Toy and Game Shops
5946 - Camera and Photographic Supply Stores
5947 - Gift, Card, Novelty and Souvenir Shops
5948 - Luggage and Leather Goods Stores
,
5949 - Sewing, Needlework, Fabric and Piece Goods
5950 - Glassware, Crystal Store
5960 - Direct Marketing-Insurance
5962 - Direct Marketing-Travel Related
5963 - Door to Door Sales
5964 - Direct Marketing-Catalog
5965 - Direct Marketing-Combination Catalog/Retail
5966 - Direct Marketing-Outbound Telemarketing
5967 - Direct Marketing-Inbound Teleservices
,
5968 - Direct Marketing-Subscription
5969 - Direct Marketing-Not Else Classified
5970 - Artist's Supply and Craft Shops
5971 - Art Dealers"
5972 - Stamp and Coin Stores
5973 - Religious Goods Stores
5975 - Hearing Aids
5976 - Orthopedic Goods-Prosthetic Devices
5977 - Cosmetic Stores
5978 - Typewriter Stores
5983 - Fuel Dealers-Fuel, Oil, Wood Coal
5992 - Florists
5993 - Cigar Stores and Stands
5994 - News Dealers and Newsstands
5995 - Pet Merchandise
5996 - Swimming Pool/Equipment/Supplies
5997 - Electric Razor Store
5998 - Tent and Awning Shops
5999 - Miscellaneous and Specialty Retail Stores
6010 - Financial Institutions-Manual Cash Advance
6011 - Automated Cash Disbursements
6012 - Merchandise and Services
6051 - Non-Financial Inst-Foreign Currency,Money Orders
6211 - Security Brokers/Dealers
6300 - Insurance Sales, Underwriting, and Premiums
6513 - Real Estate Agents and Managers Rentals
6540 - Non-Financial Inst Stored Value Card Purchase/Load
7011 - Lodging-Hotels, Motels, Resorts, Reservations
7012 - Timeshares
7032 - Sporting and Recreational Camps
7033 - Trailer Parks and Campgrounds
7210 - Laundry, Cleaning, and Garment Services
7211 - Laundries-Family and Commercial
7216 - Dry Cleaners
7217 - Carpet Upholstery Cleaning
7221 - Photographic Studios
7230 - Barber and Beauty Shops
7251 - Shoe Repair Shops, Shoe Shine, Hat Cleaning
7261 - Funeral Services and Crematories
7273 - Dating and Escort Services
7276 - Tax Preparation Service
7277 - Counseling Services-Debt, Marriage, Personal
7278 - Buying/Shopping Services, Clubs
7296 - Formal Wear Rentals/Costumes
7297 - Massage Parlors
7298 - Health and Beauty Spas
7299 - Other General Services
7311 - Advertising Agency/Services
7321 - Consumer Credit Reporting Agencies
7332 - Blueprinting and Photcopying Services
7333 - Commercial Photography, Art and Graphics
7338 - Quick Copy, Reproduction and Blueprinting Service
7339 - Stenographic and Secretarial Support Services
7342 - Exterminating and Disinfecting Services
7349 - Cleaning and Maintenance, Janitorial Services
7361 - Employment Agencies, Temporary Help Services
7372 - Computer Programs Service
7375 - Information Retrieval Services
7379 - Computer Maintenance/Repair
7392 - Management, Consulting, and Public Relations Servi
7393 - Detective Agencies, Security Sys, Armored Cars
7394 - Equipment Rental and Leasing
7395 - Photofinishing Laboratories, Photo Development
7399 - Business Services
7512 - Car Rental Agencies
7513 - Truck and Utility Trailer Rental
7519 - Motor Home and Recreational Vehicle Rental
7523 - Automobile Parking Lots and Garages
7531 - Automotive Body Repair Shops
7534 - Tire Retreading and Repair Shops
7535 - Automotive Paint Shops
7538 - Automotive Service Shops
7542 - Car Wash
7549 - Towing Services
7622 - Electronics Repairs Shops
7623 - Air Conditioning and Refrigeration Repair Services
7629 - Electrical and Small Appliance Repair Services
7631 - Watch, Clock and Jewelry Repair
7641 - Reupholstery and Furniture Repair
7692 - Welding Services and Repair
7699 - Miscellaneous Repair Shops and Related Services
7800-Govt Owned Lotteries
7801 - Govt Licensed Casino (Online)
7812 - Telephone Headsets
7829 - Motion Picture and Video Tape Production
7832 - Motion Picture Theatres
7841 - Video Tape Rental Stores
7911 - Dance Halls, Studios and Schools
7922 - Theatrical Producers, Ticket Agencies
7929 - Bands, Orchestras and Misc Entertainers
7932 - Billiard and Pool Establishments
7933 - Bowling Alleys
7941 - Commercial Sports
7991 - Tourist Attractions and Exhibits
7992 - Golf Courses-Public
7993 - Video Amusement Game Supplies
7994 - Video Game Arcades
7995 - Betting
7996 - Amusement Parks
7997 - Clubs - Country
7998 - Aquariums, Seaquariums
7999 - Recreation Services
8011 - Doctors
8021 - Dentists
8031 - Osteopaths
8041 - Chiropractors
8042 - Optometrists, Opthamologists
8043 - Opticians, Optical Goods and Eyeglasses
8049 - Chiropodists, Podiatrists
8050 - Nursing and Personal Care Facilities
8062 - Hospitals
8071 - Medical and Dental Laboratories
8099 - Medical Services and Health Practitioners
8111 - Attorneys
8211 - Elementary and Secondary Schools
8220 - Colleges, Universities
8241 - Correspondence Schools
8244 - Business and Secretarial Schools
8249 - Vocational and Trade Schools
8299 - Schools and Educational Services
8351 - Child Care Services
8398 - Charitable and Social Service Organizations
8641 - Civic, Social and Fraternal Associations
8651 - Political Organizations
8661 - Religious Organizations
8675 - Automobile Associations
8699 - Membership Clubs
8734 - Testing Laboratories
8911 - Architectural, Engineering and Surveying Services
8931 - Accounting, Auditing and Bookkeeping Services
8999 - Professional Services
9211 - Court Costs, Alimony and Child Support
9222 - Fines
9223 - Bail and Bond Payments
9311 - Tax Payments
9399 - Government Services
9402 - Postal Services-Government Only
8398 - Charitable and Social Service Organizations
8661 - Religious Organizations
Description Of Products or Service Sold :
*
FuelInd
Yes
No
*
FleetInd
Yes
No
Previous Bankruptcies
Any Prior bankruptcies?
Business:
Yes
No
Business Filing Date
Personal:
Yes
No
Personal Filing Date
Ownership and IRS W-9 Information
Name,Title, and Email of Contact for secure IRS related Information
*
IRSReportingName :
*
Street Address :
Suite
PO Box:
*
Zip :
*
City :
*
State :
--Select--
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
ME
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey"
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island"
South Carolina"
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
*
Email Address :
*
Confirm Email :
*
Phone
*
Ext
*
Default Contact Address:
--Select--
Yes
No
*
Send Method
--Select--
No Notifications
Print Notifications
E-Mail Notifications
Fax Notifications
Fax:
Chargeback
DBA
IRS Legal
Mailing
Shipping
Statement
Legal
Other
Agent
Deployment
*
Contact Title:
---Select---
CEO
Co-Owner
Controller
Coporate Secretary
Director
Executive Director
Financial Officer
General Manager
General Partner
IRS/Tax Contact
Limited Partner
Manager
Member
Owner
President
Secretary
Secretary/Treasurer
Other
Senior VP
Vice President
*
Contact Name :
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