Atm Operator Agreement Sample Contracts
ATM Operator Agreement and/or ATM Source of Funds Provider Declaration AgreementAtm Operator Agreement • June 8th, 2022
Section A Terminal Deployment Location [Requires completion] 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information [Requires completion] 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual or a Sole Proprietor 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) 17. Applicant Home or Mobile Phone Number Section D Applicant is a Company (Partnership, LLC, Corporation, Financial Institution) 18. Company Legal Name as stated o
Standard Contracts
ATM Operator Agreement and/or ATM Source of Funds ProviderAtm Operator Agreement • June 5th, 2020
When you become a customer, we will ask for your name, address, date of birth, and other information that will allow us and our sponsor bank, Metabank, National Association (“Bank”), to identify you. We may also ask to see your driver’s license or other identifying documents.
ATM Owner/Operator Agreement TermsAtm Operator Agreement • September 14th, 2022
Recitals: Bank is a sponsoring member of certain debit card networks. ATM Owner / Operator has arranged with ISO to own and / or operate an ATM pursuant to the contract entered into between ISO and ATM Owner / Operator (“ATM Transaction Processing Agreement”). Bank provides sponsorship for ISO and ISO’s customers into certain electronic fund transfer networks (“Debit Networks”). Therefore, the parties agree as follows:
ATM Operator Agreement and/or ATM Source of Funds Provider Declaration AgreementAtm Operator Agreement • February 12th, 2013
Section A Terminal Deployment Location 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) 17. Applicant Drivers License (Passport) Issuance Date 18. Applicant Drivers License (Passport) Expiration Date 19. Applicant Drivers License Number (Passport Number) 20. Applicant Drivers License Issuing State (Passport Issuing
ATM Operator Agreement and/or ATM Source of Funds Provider Declaration AgreementAtm Operator Agreement • September 11th, 2013
Section A Terminal Deployment Location [Requires completion] 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business (Sole Proprietor, Partnership, LLC, Corporation, Financial Institution) 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information [Requires completion] 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual or a Sole Proprietor 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) Section D Applicant is a Company (Partnership, LLC, Corporation, Financial Institution) 17. Applicant Company (legal) Name 18. Applicant Company Physical Street Add
ATM Operator Agreement and/or ATM Source of Funds Provider DeclarationAtm Operator Agreement • January 8th, 2020
What this means for you: When you become a customer, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
ATM Operator Application/AgreementAtm Operator Agreement • September 22nd, 2010
ATM ACCOUNT SET-UPAtm Operator Agreement • August 21st, 2012 • California
Item Description Qty Ordered Unit Price Total Price ATM Model: Topper: Sign Package: Welcome Kit: Programming: Other: Billing Equipment TotalTerms: Lease Tax % Visa MasterCard AMEX Check / Money Order Sub-Total Name on CC EXP. Date ShippingCredit Card # InstallationTOTAL
ATM Operator Application/AgreementAtm Operator Agreement • September 22nd, 2010
ATM Operator Agreement and/or ATM Source of Funds Provider Declaration AgreementAtm Operator Agreement • August 25th, 2015
Section A Terminal Deployment Location 1. Name of Location (Doing Business As) 2. Physical Street Address of Location 3. City, State, Zip of Location 4. Location Phone Number 5. Business Tax ID Number of merchant 6.Type of Business Financial Institution 7. Merchandise/Services Sold where terminal is deployed 8. Financial Institution Number (FI#, FDIC, NCUA, ASI) Section B Deployed Terminal Information 9. Terminal Identification Number 10. Processor of deployed terminal Section C Applicant is an Individual 11. Applicant First Name 12. Applicant Last Name 13. Applicant (Home) Physical Street Address 14. Applicant (Home) City, State, Zip 15. Applicant Social Security Number 16. Applicant Date of Birth (mm/dd/yyyy) 17. Applicant Drivers License (Passport) Issuance Date 18. Applicant Drivers License (Passport) Expiration Date 19. Applicant Drivers License Number (Passport Number) 20. Applicant Drivers License Issuing State (Passport Issuing Country) 21. Percentage of Ownership held by App
ATM Operator Agreement (1 Page) ATM Account Set Up (1 Page) ATM Operator Agreement & Application (2 pages) Copy of ID & Voided Check Form (1 Page) Equipment Order Form (Agent Use Only) ATM Set Up Form (Agent Use Only) ATM Extended Warranty Form (Agent...Atm Operator Agreement • November 21st, 2011
ATM Operator Application & AgreementAtm Operator Agreement • April 1st, 2011
THIS AGREEMENT is by and between The Bancorp Bank (Sponsor Bank, Bank) located at 6100 S Old Village Place Ste. 200 Sioux Falls, SD 57108, the Agent of the Sponsor Bank identified above, the Merchant and the ATM Operator(s)*.
ATM Operator Agreement and/or ATM Source of Funds Provider DeclarationAtm Operator Agreement • January 8th, 2020
What this means for you: When you become a customer, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
ATM Operator Agreement & ApplicationAtm Operator Agreement • November 17th, 2011 • 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
