Owner Repurchase Request Form

Sorry to see you go!

Please fill out this form and we will work on repurchasing your ownership shares from you!
Owner Name*
Owner Number
(it's ok if you don't remember!)
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
Phone Number*
Preferred Payment*

ePayment (Direct Deposit)Physical Check
Please provide a reason for your request*

Equity Repurchase Request Process

Please read to better understand how your request will be processed
The process for equity repurchases is as follows:
1. Request form filled out (Almost done!)
2. Request is received by Ownership Services and included in our Operations Report for the board.
3. Repurchase request is reviewed and/or approved during the monthly board meeting (visit dillpickle.coop/events to find when the next meeting is scheduled).
4. Once approved, you will have a Bill.com profile created in your name with the information provided in this form. Bill.com is the platform we use for managing/payment of bills- it is completely safe and free to use.
5. A custom invoice is created and sent to Accounts Payable for review. This includes but is not limited to: verifying account information, coding it to the correct category, and connecting with owners about their preferred payment method- this is when you will receive an invitation to enter your banking information if you have chosen to receive an ePayment. Note: If you do not complete your profile within 30 days of the invitation being sent a physical check will be mailed out instead.
6. Invoice gets approved for payment!
7. Invoice gets scheduled for payment / Bill.com generated check or ePayment is sent out
8. Check gets cashed/deposit is received, your equity is zeroed out in SMS (our point of sale system) and your owner number is retired.
If you are enrolled in an automatic payment plan via our Moonclerk payment portal, please allow 1-2 weeks for plans to be turned off after submission of this form. If you need to cancel your payment plan immediately, you may log into your Moonclerk account via your last payment receipt email and choose 'cancel plan.' If you need additional assistance in stopping equity payments immediately please email ownership@dillpickle.coop
Please note Secondary Owners cannot create repurchase requests. If you are unsure if you are the Primary or Secondary Owner on your account contact ownership@dillpickle.coop in addition to any further questions or comments.
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Sorry to see you go!

Equity Repurchase Request Process