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Boarding-Application

The document is a Merchant Account Application and Agreement for Deyaar Group LLC, detailing business and contact information, processing details, and ownership structure. It includes specifics on transaction amounts, fees, and compliance requirements, as well as a questionnaire regarding the merchant's operations and sales methods. The application is signed by Ibrahim Gharib, the CEO, who holds 100% ownership of the company.

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0% found this document useful (0 votes)
17 views

Boarding-Application

The document is a Merchant Account Application and Agreement for Deyaar Group LLC, detailing business and contact information, processing details, and ownership structure. It includes specifics on transaction amounts, fees, and compliance requirements, as well as a questionnaire regarding the merchant's operations and sales methods. The application is signed by Ibrahim Gharib, the CEO, who holds 100% ownership of the company.

Uploaded by

q9hv97qmcv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

MERCHANT ACCOUNT APPLICATION AND AGREEMENT V1.

INTERNAL USE ONLY


Merchant # Reseller

Josh Lundberg

BUSINESS INFORMATION
CORPORATE / LEGAL NAME FEDERAL TAX ID NUMBER
Deyaar Group LLC XXXXXXXXX

LOCATION ADDRESS CITY STATE ZIP


1309 Coffeen Avenue STE 1200 Sheridan Wyoming 82801

MERCHANT NAME (DBA OR TRADE NAME) Information same as above corporate / legal
Deyaar Group

LOCATION ADDRESS CITY STATE ZIP


1309 Coffeen Avenue STE 1200 Sheridan Wyoming 82801

CONTACT INFORMATION
BUSINESS PHONE FAX NUMBER BUSINESS EMAIL WEBSITE ADDRESS
+1 928-255-6824 info@deyaar-group.com

PROCESSING INFORMATION
AVERAGE TRANSACTION AMOUNT MAXIMUM TRANSACTION AMOUNT MONTHLY VOLUME AMEX MONTHLY VOLUME
$8500 $45000 $200000 $20000

DESCRIBE YOUR PRODUCT/SERVICE: MCC/SIC CODE:


Deyaar Group LLC is a U.S.-registered company esta 7299

PAYMENT CARD INDUSTRY DATA SECURITY STANDARD: MUST PROVIDE COPY OF SELF ASSESSMENT QUESTIONNAIRE. IF APPLICABLE, MUST PROVIDE CERTIFICATE OF COMPLIANCE.
MERCHANTS HAVE 90 DAYS AFTER BOARDING TO BECOME PCI COMPLIANT BY PROVIDING SAQ AND/OR SCAN, OR WILL BE CHARGED NON-COMPLIANCE FEE.

ENTITY TYPE
INDIVIDUAL / SOLE PROPRIETOR PARTNERSHIP CORPORATION GOVERNMENT LLC NON-PROFIT (MUST PROVIDE 501C LETTER) PUBLICLY TRADED PA/PC

YEARS IN BUSINESS: 0 STOCK SYMBOL (IF PUBLICLY TRADED COMPANY):

LOCATION
BUILDING TYPE: SHOPPING CENTER OFFICE BUILDING INDUSTRIAL BUILDING RESIDENCE
MERCHANT: OWNS RENTS
AREA ZONED: COMMERCIAL INDUSTRIAL RESIDENTIAL
SQUARE FOOTAGE: 0-500 501-2,500 2,501-5,000 5,000-10,000 10,000+

PRINCIPALS
PLEASE LIST ALL PRINCIPALS WHO, DIRECTLY OR INDIRECTLY, THROUGH ANY CONTRACT, ARRANGEMENT, UNDERSTANDING, RELATIONSHIP OR OTHERWISE, OWN 25 PERCENT OR MORE OF
THE EQUITY INTERESTS OF THE LEGAL ENTITY LISTED IN THIS APPLICATION:

1. PRINCIPAL NAME:
FIRST LAST SSN % OWNERSHIP TITLE
ibrahim Gharib XXX-XX-XXXX 100 CEO

ADDRESS CITY STATE ZIP


1309 Coffeen Avenue STE 1200 Sheridan Wyoming 82801

EMAIL PHONE NUMBER

deyaar.groupdz@gmail.com +1 928-255-6824

DRIVERS LICENSE NUMBER AND EXP DATE DATE OF BIRTH

313928157 / 2035-05-09 1995-05-08

Page 1 of 5
MERCHANT ACCOUNT APPLICATION AND AGREEMENT V1.7

2. PRINCIPAL NAME:
FIRST LAST SSN % OWNERSHIP TITLE

ADDRESS CITY STATE ZIP

EMAIL PHONE NUMBER

DRIVERS LICENSE NUMBER AND EXP DATE DATE OF BIRTH

3. PRINCIPAL NAME:
FIRST LAST SSN % OWNERSHIP TITLE

ADDRESS CITY STATE ZIP

EMAIL PHONE NUMBER

DRIVERS LICENSE NUMBER AND EXP DATE DATE OF BIRTH

4. PRINCIPAL NAME:
FIRST LAST SSN % OWNERSHIP TITLE

ADDRESS CITY STATE ZIP

EMAIL PHONE NUMBER

DRIVERS LICENSE NUMBER AND EXP DATE DATE OF BIRTH

CONTROLLING PERSON
COMPLETE THE FOLLOWING INFORMATION FOR ONE INDIVIDUAL WITH SIGNIFICANT RESPONSIBILITY FOR MANAGING THE LEGAL ENTITY LISTED IN THIS APPLICATION, SUCH AS: AN EXECUTIVE
OFFICER OR SENIOR MANAGER (E.G., CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, MANAGING MEMBER, GENERAL PARTNER, PRESIDENT, VICE PRESIDENT,
TREASURER); OR ANY OTHER INDIVIDUAL WHO REGULARLY PERFORMS SIMILAR FUNCTIONS. IF APPROPRIATE, AN INDIVIDUAL LISTED UNDER THE SECTION ABOVE MAY ALSO BE LISTED IN THIS
SECTION.

IS THIS INDIVIDUAL ALREADY LISTED IN THE PRINCIPAL SECTION. (If No, please complete the next section) NO YES

FIRST LAST SSN % OWNERSHIP TITLE


ibrahim Gharib XXX-XX-XXXX 100 CEO

ADDRESS CITY STATE ZIP


1309 Coffeen Avenue STE 1200 Sheridan Wyoming 82801

EMAIL PHONE NUMBER

deyaar.groupdz@gmail.com +1 928-255-6824

DRIVERS LICENSE NUMBER AND EXP DATE DATE OF BIRTH

313928157 / 2035-05-09 1995-05-08

GENERAL INFORMATION
HAVE MERCHANT OR OWNERS / PRINCIPALS EVER FILED: BUSINESS BANKRUPTCY PERSONAL BANKRUPTCY NEVER FILED
IF YES, PLEASE EXPLAIN:

DOES THIS BUSINESS CURRENTLY PROCESS CARDS? NO YES


IF YES, CURRENT PROCESSOR:

HAVE MERCHANT OR OWNERS / PRINCIPALS EVER BEEN TERMINATED FROM ACCEPTING BANKCARDS FOR THIS BUSINESS OR ANY OTHER BUSINESSES? NO YES
IF YES, PLEASE EXPLAIN:

Page 2 of 5
MERCHANT ACCOUNT APPLICATION AND AGREEMENT V1.7
WHICH PAYMENTS WOULD YOU LIKE TO ACCEPT? (CHECK ALL THAT APPLY.)
VISA, MASTERCARD, DISCOVER AMERICAN EXPRESS OPTBLUE® AMERICAN EXPRESS ESA#: PIN DEBIT EBT - EBT FNS NUMBER:

NOTES:

* See, Merchant Agreement, Section 46 for details regarding participation in American Express OptBlue.

By checking this box, Merchant opts out of receiving future commercial marketing communications from American Express.
Note that you may continue to receive marketing communications while American Express updates its records to reflect your choice. Opting out of commercial marketing
communications will not preclude you from receiving important transactional or relationship messages from American Express.

SALES METHOD (MUST EQUAL 100%)


IN PERSON 0 % MAIL/PHONE 100 % E-COMMERCE 0 %

Card-present (i.e swiped, dipped, NFC, etc.) Card-absent Card-absent, Internet based

BANK ACCOUNT INFORMATION (ATTACH VOIDED CHECK)


ROUTING NUMBER: ACCOUNT NUMBER:
091311229 XXXXXXXXXXXXXXXX

BANK ACCOUNT FOR*: Debits (such as fees & chargebacks) Deposits (such as payouts) OTHER (describe):
*If no selection is made, then the Bank Account listed will be used for Debits and Deposits

MERCHANT QUESTIONNAIRE (PLEASE PROVIDE ALL APPLICABLE INFORMATION)


A. FOR ALL MERCHANTS
i. PLEASE DESCRIBE YOUR REFUND/RETURN POLICY

We do not offer refunds once the service has been confirmed and the transaction has been completed. However, in case of any dispute or
dissatisfaction, we are committed to resolving the issue amicably and professionally. All services are custom-based and handled case-by-case.

ii. PLEASE LIST EQUIPMENT AND/OR SOFTWARE USED TO PROCESS CARDS (POINT-OF-SALE, TERMINAL, PAYMENT GATEWAY, ETC.)

Payment Gateway

B. FOR CARD-NOT PRESENT MERCHANTS (E-COMMERCE & MOTO)


i. INVENTORY MAINTAINED:

ON-SITE OFF-SITE (I.E. WAREHOUSE). IF SO, PROVIDE ADDRESS null, null, undefined, null, United States

3RD PARTY FULFILLMENT CENTER. IF SO, PROVIDE FULLY EXECUTED FULFILLMENT AGREEMENT SERVICE ONLY (NO PRODUCTS SOLD)

ii. ARE THERE ANY OTHER COMPANIES INVOLVED IN SHIPPING OR FULFILLING PRODUCT/SERVICE (I.E. FULFILLMENT CENTER)?

NO YES. IF SO, PROVIDE FULLY EXECUTED FULFILLMENT AGREEMENT

iii. DO YOU OFFER RECURRING AND TIME-EXTENDED SERVICES (SUBSCRIPTIONS, MEMBERSHIPS, RECURRING PLANS, ETC.)? IF YES, PLEASE DESCRIBE AND INCLUDE DURATION

N/A

iv. CUSTOMER PROFILE (ESTIMATE THE PERCENTAGE OF SALES IN EACH CATEGORY – MUST ADD UP TO 100%)

INDIVIDUAL CONSUMERS: 90 % BUSINESSES: 10 % GOVERNMENT: 0%

v. CUSTOMER LOCATION PROFILE (ESTIMATE THE PERCENTAGE OF EACH CARDHOLDER’S LOCATION – MUST ADD UP TO 100%)

LOCAL: 0% NATIONAL: 10 % INTERNATIONAL: 90 %

vi. HOW LONG AFTER CHARGING THE CUSTOMER IS THE PRODUCT FULFILLED OR DOES THE SERVICE BEGIN?

WITHIN: 24 HOURS 2 DAYS 3-10 DAYS 11-30 DAYS 31-90 DAYS 90 + DAYS

vii. HOW LONG AFTER THE TIME OF ORDER DOES THE CARDHOLDER RECEIVE THE PRODUCT OR SERVICE?

WITHIN: 24 HOURS 2-5 DAYS 6-10 DAYS 11+ DAYS

viii. IS THE CARDHOLDER CHARGED AT:

TIME OF ORDER UPON SHIPMENT

ix. DO YOU HAVE A RETAIL LOCATION (FOR MOTO/INTERNET MERCHANTS)? IF YES, PLEASE CONFIRM PHYSICAL ADDRESS

Same as DBA

x. HOW DO YOU ADVERTISE (INTERNET, MAGAZINES, TV, ETC.)? LIST ALL THAT APPLY:

Internet, Referrals

xi. IS YOUR BUSINESS SEASONAL?

YES NO

IF YES, WHICH MONTHS?


JANUARY FEBRUARY MARCH APRIL MAY JUNE
JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER

Page 3 of 5
MERCHANT ACCOUNT APPLICATION AND AGREEMENT V1.7

FEE SCHEDULE (SCHEDULE A)


TRANSACTION PRICING
Interchange Plus Pricing OTHER FEES
Pass Through Interchange Plus Percentage: 0.00000 % Authorization Fee $ 0.25000 Batch Fee $ 0.35000
Transaction Fee $ 0.00000 Chargeback Fee $ 45.00000
Tiered Pricing
Monthly Dashboard
Qualified Rate Mid-Qual Surcharge* Non-Qual Surcharge* $ 0.00000 Retrieval Fee $ 25.00000
Access Fee
Percentage: 3.95000 % Percentage: 0.95000 % Percentage: 2.35000 %
Voice Authorization/IVR
$ 0.00000 AVS Transaction Fee $ 0.10000
*Rate will be added to the Qualified Rate. Fee
Monthly Minimum Fee $ 45.00000 Monthly Fee $ 49.00000
Rate Flat Rate Surcharge Dual Pricing
Application Fee $ 0.00000 Other Include Fee Type & Billing Method (One time, monthly, etc.)

Visa/MasterCard/Discover Offline Debit: Pass-through Network Fees Annual Fee $ 119.00000 $ 0.00000 Fee Type: Billing Method: One Time
Percentage: % Percentage: %
Monthly PCI Fee $ 5.95000 $ 0.00000 Fee Type: Billing Method: One Time
American Express
POS HARDWARE
American Express (OptBlue) Percentage: 0.00000 %
Purchase: $ + tax & shipping Equipment Billable to: Merchant Reseller
EBT & PIN Debit
Non-Billable programs: Terminal Placement Program* Stage Only (VAR/Reprogram)
EBT Rate PIN Debit Rate: Pass-through Network Fees
Percentage: 0.00000 % Percentage: 0.00000 % *The undersigned Merchant agrees to pay shipping & handling on the initial shipment of the designated
Authorization Fee: $ 0.00000 Authorization Fee: $ 0.00000 equipment below. Upon request of termination of services prior to the completion of the 36 month equipment
commitment, the undersigned Merchant agrees to return all provided equipment to ISO within seven (7) days or
If no pin-debit fees are filled in, the default rate of 0.85% + $0.35/trans will be subjected to the debit for the amount of $500 as cost of provided terminal and $200 for the cost of the
will be assessed to the account if actual PIN-debit transaction are provided pinpad. Further, Merchant will be charged for equipment in the event it is returned in damaged
processed. condition. For the Terminal Placement Program, there will also be a fee of $20-$30, based on the equipment,
which shall be charged monthly per terminal, in addition to any other fees which may apply.

Special Pricing or Exception Notes Merchant is responsible for any local Sales or Use Tax on the cost of the equipment and will be debited separately
Pass through bin fees once equipment is shipped. If the above is blank, the Merchant will be billed

Terminal Type: Authorize.net

SERVICE PROVIDER FEES


Per Trans
Gateway Wireless POS System Setup Fee Monthly Fee Other Fee
Fee
$ 0.00000 $ 0.00000 $ 0.00000 $ 0.00000 $ 0.00000 $ 2.35000 $ 0.95000

Per Trans
Gateway Wireless POS System Setup Fee Monthly Fee Other Fee
Fee
$ $ $ $ $ $ $
Please list any other service providers:

The Qualified Rate & Pass Thru Interchange Plus programs include all Visa, MasterCard, and Discover Cards, unless otherwise noted. ISO shall apply a wholesale fee of
0.20% to all American Express transactions for Merchants in the American Express OptBlue Program, and such wholesale fee shall be in addition to the rates set forth
above where applicable. American Express shall deduct a fee from each Charge from Merchant submitted to American Express by Bank or ISO for settlement (“Wholesale
Fee”). The Wholesale Fee is not interchange. To pass through MasterCardʼs annual Acquirer License Fee, assessments for MasterCard transactions will be charged the
current Acquirer License Fee. Card Brand & network fees are passed through at the rates established by the Card Brands. Chargeback reversal fee is $10 per occurrence.
ACH Reject Fee is $35 per occurrence. Annual IRS Reporting Fee is $1.95 annually and charged the first month. PCI non-compliance is $25 per month. Arbitration Fee is
$25 per occurrence. If a Transaction type that is not covered or included in the Merchant Agreement, such as PIN DEBIT or EBT, is submitted, ISO shall process and settle
such Transaction, and shall assess fees consistent with other pricing in your Merchant Agreement. Merchant is responsible for providing any documentation necessary
related to same.

MERCHANT ACCEPTANCE AND AGREEMENT


By executing this Merchant Application on behalf of the merchant described above (the “Merchant”), the undersigned individual(s): (i) represent(s) and warrant(s) that all information contained
in this Merchant Application is true, correct and complete as of the date this Merchant Application is signed, and that such individual(s) have the requisite corporate power and authority to
complete and submit this Merchant Application. Further, the signors hereof acknowledge and agree that the information provided herein is for the purpose of obtaining or maintaining a
merchant account with the bank identified below (“Bank”) on behalf of Merchant; and authorize Bank and/ or ISO to investigate the Merchant and each person listed on this Merchant
Application, including, without limitation, obtaining credit information from credit bureaus and reporting agencies, and other information at Bank and/or ISOʼs discretion, for which Merchant
grants explicit and continuing permission including through third parties. Merchant further acknowledges receipt of the Merchant Agreement, incorporated herein by reference and available at
the link below (the Merchant Application together with the Merchant Agreement and any attachments, schedules, addenda or amendments thereto, shall be referred to as the “Agreement”), and
agree, on behalf of the Merchant to be bound by the terms and conditions of the Agreement upon approval of this Merchant Application and issuance of a merchant account number. Merchant
understands that this Agreement shall not take effect until the Merchant Application has been approved and a merchant number is issued. Further, Merchant understands that Merchantʼs
information may be used to ensure continuity of services provided to you hereunder and explicitly consents to same, including, without limitation, by moving your services to a different
sponsoring financial institution and/or back-end processors.

MERCHANT: (Legal Name of Business):


Deyaar Group LLC

PRINCIPAL 1: (Signature of Principal/Owner): DATE: PRINCIPAL 2: (Signature of Principal/Owner): DATE:

PRINCIPAL 3: (Signature of Principal/Owner): DATE: PRINCIPAL 4: (Signature of Principal/Owner): DATE:

ISO (Maverick Bankcard, Inc.) (Signature): NAME AND TITLE:

BANK (Signature): NAME AND TITLE:

Page 4 of 5
MERCHANT ACCOUNT APPLICATION AND AGREEMENT V1.7

PERSONAL GUARANTEE
In consideration of Bankʼs and ISOʼs acceptance of this Agreement, the undersigned Principal (“Guarantor”) (jointly and severally if more than one) unconditionally guarantees the performance
of all obligations of Merchant to Bank and ISO under the Agreement, and payment of all sums due there under, and in the event of default, hereby waives notice of default and agrees to
indemnify Bank and ISO for all funds due from Merchant pursuant to the terms of the Agreement. Guarantor waives any and all rights of subrogation, reimbursement or indemnity derived from
Merchant, and further waives any and all rights or defenses arising by reason of any modification or change in the terms of the Agreement whatsoever, including, without limitation, the renewal,
extension, acceleration, or other change in the time any payment or other performance there under is due, and / or any change in any interest or discount rate or fee there under. Guarantor
acknowledges and agrees that Bank and ISO may proceed directly against Guarantor without first pursuing or exhausting remedies available against Merchant. To the fullest extent permitted by
law, Guarantor waives all rights and defenses available to Guarantor respecting Bank and ISO’s enforcement of this guaranty. In the event that Guarantor is a natural person, this guaranty shall
survive the death of such Guarantor and be binding on such Guarantor’s heirs and estate, without any diminution of the rights of the rights of Bank and ISO with respect to the guaranty. Without
limiting any of the foregoing, Guarantor agrees that his or her liability under this guaranty will not be limited or canceled because (a) this Agreement cannot be enforced against Merchant; (b)
Bank and ISO make changes or modifications to this Agreement; (c) Bank and ISO release any other Guarantor or Merchant from any obligation under this Agreement; (d) any Applicable Law
affects the rights of Bank and ISO under this Agreement; or (e) any other event occurs that may affect the rights of Bank and ISO against Guarantor or Merchant under this Agreement.
Guarantor confirms that Guarantor, collectively or individually, is a party to the Agreement, and unconditionally and specifically authorizes Bank and ISO or their authorized agents, to debit any
overdue fees, costs, chargebacks, assessments (sometimes called fines, fees, or penalties), expenses or obligations under the Agreement and / or any contractual relationship with Bank and ISO
from any personal checking account or other account owned or controlled by Guarantor, and further to report any default hereunder on Guarantorʼs personal Credit Bureau Report. Guarantor
agrees to pay all costs and expenses of whatever nature, including attorneysʼ fees and other legal expenses, incurred by or on behalf of Bank in connection with the enforcement of this
Guaranty.

PRINCIPAL/GUARANTOR 1: DATE: PRINCIPAL/GUARANTOR 2: DATE:

PRINCIPAL/GUARANTOR 3: DATE: PRINCIPAL/GUARANTOR 4: DATE:

BANK DISCLOSURE: Member Bank Information


The merchant account number (“MID”) assigned to Merchant indicates which Bank accepted Merchant’s offer to procure the Services:

258 Southhall Ln., Ste. 400 42 Main St. 1901 Oakcrest Ave., Ste. 9A 7690 N. Palm Ave., Ste. 101 3750 Westwind Blvd., Ste. 210

Maitland, FL 32751 Hudson, MA 01749 Roseville, MN 55113 Fresno, CA 93711 Santa Rosa, CA 95403

(800) 584-0015 (800) 508-2265 (651) 636-9654 (559) 439-0200 (800) 939-9942

MID Prefix. starts with MID Prefix. starts with 3011 MID Prefix. starts with 7011 MID Prefix. starts with 2011 MID Prefix. starts with 8011
2099/3099/4011/5011

IMPORTANT BANK RESPONSIBILITIES

1. A Visa Member (meaning, a financial institution that is a member of Visa’s network) is the only entity approved to extend acceptance of VISA products directly to a Merchant.
2. A Visa Member must be a principal (signor) to the Merchant Agreement.
3. The Visa Member is responsible for educating Merchants on pertinent VISA Operating Regulations with which Merchants must comply.
4. The Visa Member is responsible for and must provide settlement funds to the Merchant.
5. The Visa Member is responsible for all funds held in reserve that are derived from settlement.

IMPORTANT MERCHANT RESPONSIBILITIES

1. Ensure compliance with cardholder data security and storage requirements. (To review these requirements, go to www.visa.com)
2. Maintain fraud and chargebacks below thresholds.
3. Review and understand the terms of the Merchant Agreement, which is attached hereto and available for viewing at the following link:
https://dashboard.maverickpayments.com/legal/merchant-agreement/v1.7
4. Comply with VISA Operating Regulations.

The responsibilities listed above do not supersede terms of the Merchant Agreement and are provided to ensure the Merchant understands some important obligations of each party and that the
VISA Member – the Bank - is the ultimate authority should the Merchant have any problems.

PRINCIPAL 1: DATE: PRINCIPAL 2: DATE:

PRINCIPAL 3: DATE: PRINCIPAL 4: DATE:

Page 5 of 5

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