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Credit Card Processing Form

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1 Step 1

Name

Business Name

Website (if applicable)

Email

Phone

Do you currently accept credit cards?

Yes No

Is this a new or existing business?

NewExisting

How many years have you been in business?

Projected monthly credit card volume?

Industry?

Do you have a retail location?

YesNo

Do you have an online store?

YesNo

Currently what is your primary method of processing?

RetailInternetMail Order/PhoneNA

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Easy Doc Filing, LLC, and its employees, agents, and representatives, are not affiliated with the Internal Revenue Service (“IRS”) or any other governmental or regulatory body or agency. Easy Doc Filing, LLC provides paid services to obtain Federal Tax Identification Numbers from the IRS. As a “Third Party Designee,” pursuant to IRS Form SS-4, Easy Doc Filing, LLC prepares and submits applications for an Employer Identification Number (“EIN”) to the IRS on behalf of its clients. Easy Doc Filing, LLC does not verify EIN application submissions and is not responsible for the accuracy of the information provided. Any individual may obtain and submit his or her own EIN application at no cost through the official IRS website at www.irs.gov Easy Doc Filing, LLC may derive revenue from the partnerships we have entered with, and/or our promotional activities may result in compensation paid to Easy Doc Filing, LLC. Fundbox makes capital available to businesses through business loans and lines of credit made by First Electronic Bank, a Utah chartered Industrial Bank, member FDIC, in addition to invoice-clearing advances, business loans and lines of credit made directly by Fundbox.

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