Hemp & Hemp Seed-New Merchant Application
ALL INFORMATION MUST BE PROVIDED AS REQUESTED. PROCESS WILL BE DELAYED UNTIL THIS IS DONE.
How did you hear about us?
*
If a referral, please provide name
BUSINESS LEGAL INFORMATION
Legal Name
*
Entity Type
*
Please Select
Sole Prop
LLC
Corporation
Other
Articles of Organization for LLC **OR** Articles of Incorporation for Inc.
*
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Procuct/Inventory List - Include Brand Name to Verify Products Sold
*
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Legal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Legal Phone Number
*
Please enter a valid phone number.
EIN Letter from IRS
*
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Legal Email Address
*
Years in Business
*
BUSINESS INFORMATION
DBA Name
*
Business Address (If different than Legal Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Start Date
*
-
Month
-
Day
Year
Date
Business Phone #
*
Please enter a valid phone number.
Preferred Email Address
*
Website Address **CANNOT USE WIX**
*
Type NA if there is not a website
Proof of Domain Ownership **CANNOT USE WIX**
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MUST HAVE FOR ALL WEBSITES WITH ONLINE PAYMENTS FOR CANNABIS & HEMP SEEDS
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Products & Services Sold
*
Type of Business
*
OWNER INFORMATION
OWNER 1
Owner Title
*
Owner %
*
Owner Full Name
*
Email
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years at Address
*
Owner Cell Phone
*
Owner Social Security #
*
Owner Drivers License #
*
Owner Drivers License State
*
Owner DOB
*
-
Month
-
Day
Year
Date
OWNER 2
Owner Title
Owner %
Owner full name
Email
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years at Address
Owner Cell Phone
Social Security #
Owner Drivers License #
Owner Drivers License State
Owner DOB
OWNER 3
Owner %
Owner Full Name
Email
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years at Address
Owner Cell Phone
Social Security #
Owner Drivers License #
Owner Drivers License State
Owner DOB
FINANCIAL INFORMATION
Projected Annual Volume
*
Average Ticket
*
High Ticket
*
What's the highest ticket you've ever run? Add $200
Bank Name
*
Checking Account #
*
Right side of check
Checking Routing #
*
Left side of check
Voided Check (Temporary checks & preprinted checks by the Merchant are unacceptable)
*
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Bank Letter on Bank Letterhead with Current Date will suffice (Must include routing and checking numbers)
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EQUIPMENT/OTHER
# of Terminals (If brick and mortar store-if online put "NA")
*
Auto Batch
Please Select
Yes
No
Auto Batch Time
Tips
Please Select
Yes
No
Business License
*
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Marijuana or Hemp Business License
*
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If Hemp Seed account with no Cannabis, please put in business license again
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Owner 1 Drivers License Front
*
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Owner 1 Drivers License Back
*
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Owner 2 Drivers License Front
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Owner 2 Drivers License Back
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Owner 3 Drivers License Front
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Owner 3 Drivers License Back
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Picture of the outside of Business
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REQUIRED FOR ALL BRICK AND MORTAR LOCATIONS
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*3 months most recent Processing Statements -OR- if a start-up, 3 most recent business or personal bank statements (Full bank statements required)*
*
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If start-up MUST have 3 months owner's personal bank statements
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Special Instructions and/or notes if needed
*Merchant must be current with Secretary of State; Articles of Incorporation/Organization or Doing Business As (DBA) filing for sole proprietorship may be required if unable to validated via public record.
***Please know the bank will do a random site inspection for Brick & Mortar locations as part of the final approval.***
ALL banks that process CBD, D8, D10, Cannabis, Hemp & Kratom require this as part of their due dilligence.
***For Hemp Seed websites, the wording on the site cannot contain "Marijuana" or make medical claims. For now, the only words acceptable are "Hemp & Cannabis".***
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