Get Atm Operator Agreement And/or Atm Source Of Funds Provider Declaration Agreement

Filling out the ATM Operator Agreement And/or ATM Source Of Funds Provider Declaration Agreement online can streamline your application process. This guide provides clear, step-by-step instructions to help you navigate through each section of the form with ease.

Follow the steps to successfully complete the agreement online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Select the appropriate applicant role(s) by checking the box for either ATM Operator, ATM Source of Funds Provider, or both.
3. In Section A, provide the terminal deployment location details: enter the name of the location, physical address, city, state, zip code, and location phone number. You will also need to input your business tax identification number and the type of business.
4. Still in Section A, specify the merchandise or services sold where the terminal is deployed and provide the financial institution number.
5. Move to Section B and fill in the deployed terminal information: the terminal identification number and the processor of the deployed terminal.
6. If you are applying as an individual, complete Section C with your personal information, including your first and last name, home address, social security number, date of birth, driver's license or passport information, and percentage of ownership held.
7. For the applicant with prior names or criminal history, answer the relevant questions regarding previous names and criminal convictions.
8. If you represent a company, complete Section D with the company’s legal name, address, and federal employer identification number. Provide details for each principal of the company, including name, ownership percentage, address, date of birth, and social security number.
9. In Section E, carefully read and acknowledge the application declaration, which states that all information provided is true and correct.
10. Finally, in Section F, review the agreement terms between the ATM Operator/ATM Source of Funds Provider and Indian River Merchant Services, ensuring that you understand the obligations and regulations involved.
11. Once all sections are completed, save your changes, and you can download, print, or share the form as needed.

Complete your documents online today for a more efficient process.