Common Contracts

ATM Operator Agreement & Application

Atm Operator Agreement • November 17th, 2011 • California

• Contract Type
  Atm Operator Agreement
• Filed
  November 17th, 2011
• Jurisdiction
  California

LOCATION INFORMATION ATM OPERATOR INFORMATIONExisting operators do not fill this section 1. Name of Location (Legal Name) 11. ATM Operator Principal First Name 12. Principal Last Name 2. Name of Location DBA (Doing Business As) - If same as above write SAME 13. ATM Operator Principal Home Street Address 3. Physical street address of Location City State Zip 4. City State Zip 14. ATM Operator Principal Social Sec # 15. ATM Operator Principal Date of Birth 5. Location Phone Number 6. Location Fax Number 16. ATM Operator Principal "FULL" Legal Name (If same as above, write SAME) 7. Business Tax ID Number 17. Any other names which you are or have been known by? 8. Type of Business❑ Sole Proprietor ❑ Partnership ❑ LLC ❑ Corporation 18. Are you on parole or probation?❑Yes ❑No 19. Have you ever been convicted of a felony?❑Yes ❑No 9. Merchandise / Services sold 20. Are there any other persons / entities that own or control [10%] or more of business?❑Yes ❑No 21. If the answer to #20 was yes, s