TPI Adv ACH v2.0 Form

ACH DEPOSIT REQUEST FORM & REPORT

TEAPIOCA INTERNATIONAL. Version 2.0.0
ROYALTY-SUBJECTED AMOUNT CALCULATOR v2
YesNo
ROYALTY-SUBJECTED AMOUNT CALCULATOR README

The Royalty-Subject Amount Calculator will help you to determine the total amount which subjects to royalty
- Net Sales: Net Sales amount from the POS Sales Recap Report
- Sales Tax Percentage: Default Tax % from the POS Sales Recap Report
- Loyalty: Loyalty amount from the POS Sales Recap Report
- Chargeable Discounts: The total of the discounts which have the name with the suffix of '-F' from the Discounts Report
Royalty-Subjected Amount = (Net Sales + (Chargeable Discounts + (Chargeable Discounts * (Sale Tax Percentage/100)) - Loyalty

Royalty-Subjected Amount Calculator*

Rows	Amount
Net Sales
Loyalty
Chargeable Discounts

Royalty-Subjected Amount
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ACH DEPOSIT REQUEST FORM & REPORT

Please fill out the following form for each reporting period (from Monday to Sunday). You are required to submit this form to Teapioca International by 9:00am on the Wednesday after the end of the reporting period to avoid late fees. Failure to make timely and accurate reports may result in a default under your Franchise Agreement.
1 . Store Information
Store ID *
Plaza Name *
For Example: Scofield Farms
Email*
A copy of the submission will be sent to this email
Business Entity name*
2 . ACH Week

- Please select the ACH Week. ACH Week starts from Monday until Sunday.
Week Begin Date*

MonthDayYear
Date
Week End Date*

MonthDayYear
Date
3. Amounts

- Please enter the required amounts below.
- Royalty(%): The Royalty Percentage of the location
- National Marketing (%): The National Marketing percentage.
- POS License(s): By default, the Intranet Fee includes 1 POS License. If the location has multiple POS Licenses, set the appropriate number of POS Licenses.
Please Enter Royalty (%)*
Please Enter National Marketing (%)*
NoYes
Please Enter The Total Number of POS Licenses*
If you have additional license(s), please change the value. The default is 1. This is total licenceses
Number Of POS License Total
4. Totals

- The totals below are calculated based on the entered amounts

- Royalty-Subjected Amount is from the calculation from the previous page.
Royalty-Subjected Amount
Royalty TOTAL
National Marketing TOTAL
Intranet Fee Amount
5. ACH Total

- Please review the ACH TOTAL below
Total Fees to ACH
6. Upload Proofs

- Check the checkbox to certify and upload the local advertising expenditure or 500K in Sale
Upload the proof of your local advertising expenditure

Cancelof
Upload the proof of 500K in Sales

Cancelof
7. Sign, Review & Submit

I certify that the information that I have provided to Teapioca International is true and correct. I hold Teapioca International harmless for any damages arising from the verification of this or other information I have provided.
Signature*

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ACH DEPOSIT REQUEST FORM & REPORT