Onramp Merchant Processing Application

Merchant Processing Application

Complete each section, upload the required documents, and review all entries before submitting.
Submission Details
Application Date

MonthDayYear
Date
Submission Type
Internal Reference / Merchant Account ID
Business and Entity Information
Legal business name
DBA / trading name
Entity type
Tax ID / EIN
Business start date

MonthDayYear
Date
Ownership structure
Industry / merchant category
Website
Years in business
Other entity-level details
Addresses and Contacts
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing address is the same as business address
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Contact Name

First NameMiddle NameLast Name
Primary Contact Title
Primary Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email
example@example.com
Location and Lease Details
Business Location Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Location Type
Property Status

Other
Landlord/Lessor Name

First NameMiddle NameLast Name
Landlord/Lessor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Landlord/Lessor Email
example@example.com
Lease Term / Expiration
Monthly Rent Amount
Fulfillment and Inventory
Fulfillment method(s) used

Other
Products or services sold
Primary inventory storage location
Inventory storage and handling details
Do you use drop-shipping or third-party fulfillment?
Shipping and fulfillment approach
Inventory or fulfillment underwriting notes
Owners, Officers, and Beneficial Ownership
- Full Name
  
  First NameMiddle NameLast Name
- Title / Role
- Ownership Percentage
- Ownership Type
- Date of Birth
  
  MonthDayYear
  Date
- Residential Address
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
  example@example.com
- Government ID Provided
- Government ID Type
- Government ID Number
- Upload Identity Verification Document
  
  Cancelof
- Full Name
  
  First NameMiddle NameLast Name
- Title / Role
- Ownership Percentage
- Ownership Type
- Date of Birth
  
  MonthDayYear
  Date
- Residential Address
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
  example@example.com
- Government ID Provided
- Government ID Type
- Government ID Number
- Upload Identity Verification Document
  
  Cancelof
- Company History
- Prior Company Names
- Prior Addresses
- Prior Ownership Changes
- Any prior bankruptcy or insolvency proceedings?
- Any prior litigation, claims, or regulatory actions?
- Years at Current Location
- Years Under Current Ownership
- Settlement Bank Information
- Settlement Account Holder Name
  
  First NameMiddle NameLast Name
- Bank Name
- Account Type
- Bank Routing Number
- Bank Account Number
- Voided Check or Bank Letter Upload
  
  Cancelof
- Bank Authorization Signature
- Ecommerce Technology and Fraud Tools
- Website URL
- E-commerce Platform / Shopping Cart
- Payment Gateway / Processor
- Web Hosting Provider
- SSL Secured Website
- Fraud Prevention Tools Used
  
  Other
- Recurring Billing or Subscription Payments
- Additional E-commerce Technology or Fraud-Prevention Details
- Processing Volumes and Tickets
- Annual Sales Volume
- Annual Transaction Count
- Monthly Processing Volumes
- Average Ticket
- Maximum Ticket
- Seasonality and Channel Mix
- Seasonality Description
- Months of Peak Business
- Card-Present Transactions (%)
- Card-Not-Present Transactions (%)
- Mail Order / Telephone Order Transactions (%)
- Channel Mix Total (%)
- Prior Processing History
- Previous processor name
- Merchant ID (MID) with previous processor
- Processing start date
  
  MonthDayYear
  Date
- Processing end date
  
  MonthDayYear
  Date
- Reason for changing processors
- Prior processing issues
  
  Other
- Additional prior processing disclosures
- Refunds, Chargebacks, and Mitigation
- Refund policy in place
  
  Other
- Typical refund timeframe
- Total chargebacks in the past 12 months
- Chargeback ratio, if known
- Chargeback mitigation tools and procedures
  
  Other
- Reserve or holdback terms
  
  Other
- Underwriting explanation or additional details
- Required Document Uploads
- Business Formation Document
  
  Cancelof
- Tax Registration Document
  
  Cancelof
- Bank Verification or Voided Document
  
  Cancelof
- Processing Statement
  
  Cancelof
- Government Issued ID for Principal Owner
  
  Cancelof
- Electronic Consent
- Consent to electronic records and signatures
- Authorization and acknowledgments
- Electronic signature
- Business-Principal Signatures
- Signature of Business Principal 1
- Printed Name of Business Principal 1
  
  First NameLast Name
- Title of Business Principal 1
- Date Signed by Business Principal 1
  
  MonthDayYear
  Date
- Personal-Guarantee Signatures
- Printed Name
  
  First NameMiddle NameLast Name
- Date Signed
  
  MonthDayYear
  Date
- Personal Guarantee Signature
- Guarantor Acknowledgment
Should be Empty:

Merchant Processing Application

Submission Details

Business and Entity Information

Addresses and Contacts

Location and Lease Details

Fulfillment and Inventory

Owners, Officers, and Beneficial Ownership

Company History

Settlement Bank Information

Ecommerce Technology and Fraud Tools

Processing Volumes and Tickets

Seasonality and Channel Mix

Prior Processing History

Refunds, Chargebacks, and Mitigation

Required Document Uploads

Electronic Consent

Business-Principal Signatures

Personal-Guarantee Signatures