Credit Card Processing Application
Complete all applicable fields
1. Business Information
Business legal name
DBA / trade name
Federal Tax ID / EIN
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business phone
Format: (000) 000-0000.
Fax
Format: (000) 000-0000.
Business email
example@example.com
Legal entity
Corporation
LLC
Sole proprietor
LLP
LP
Date business started
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Length of ownership
Years at location
Number of locations
Business for sale?
Yes
No
Describe business / industry
Business property
Rented
Owned
Landlord / mortgage company name
Landlord / mortgage company phone
Format: (000) 000-0000.
Monthly rent / mortgage payment ($)
2. Payment Processing Information
Currently accepts credit cards?
Yes
No
No, might be interested
Current payment processor
Current POS system / software
Average monthly card volume ($)
Monthly processing fees ($)
Monthly POS / equipment cost ($)
Current rate (% + per transaction)
Average transaction amount ($)
Largest transaction amount ($)
Payment methods (check all that apply)
In person
Online
Phone / mail
Current processing contract / equipment lease?
Yes
No
Unsure
Equipment / software needed or issues with current setup
Continue to page 2 for owner information and signatures.
ARK CAPITAL | Payment Processing Application
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PAYMENT PROCESSING APPLICATION
3. Owner & Co-Applicant Information
Principal owner - Full legal name
First Name
Last Name
Principal owner - Home address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Principal owner - SSN
Principal owner - Date of birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Principal owner - Ownership (%)
Principal owner - Cell phone
Format: (000) 000-0000.
Principal owner - Email
example@example.com
Co-applicant (if applicable) - Full legal name
First Name
Last Name
Co-applicant (if applicable) - Home address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Co-applicant (if applicable) - SSN
Co-applicant (if applicable) - Date of birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Co-applicant (if applicable) - Ownership (%)
Co-applicant (if applicable) - Cell phone
Format: (000) 000-0000.
Co-applicant (if applicable) - Email
example@example.com
4. Authorization & Signatures
By signing below, the business and principal owner(s) certify that the information and documents submitted with this application are true, correct, and complete. They authorize Ark Capital and its payment processing partners to review and verify the information provided to evaluate this application and contact them about payment processing services. Any required credit authorization, pricing, equipment terms, and merchant processing agreement will be provided separately.
Applicant signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Co-applicant signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
DOCUMENTS TO INCLUDE
Three most recent complete merchant processing statements, if currently processing; current POS/software or equipment invoice, if available. Include the signed application. Picture ID, business license, and banking documents may be requested during onboarding.
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