Laserfiche WebLink
201310 Merchant Application SBS Pass Through <br />CONFIDENTIAL <br />VISA/MC/DISCOVER <br />Pass through pricing: 0.0000 % DISCOUNT on SALES + $ 2-00000 per item on gross items (SALES plus Credits) <br />Visa Rewards, Visa Signature, Visa Premium, MasterCard World, MasterCard Enhanced, MasterCard Premium and Discover Premium cards will he assessed an <br />additional to the applicable rate tier. Please review the Rate Descriptions online at www.tsystransactionsummary.com or contact TMS at 800.228.2443 <br />for additional information on which interchange programs qualify. <br />Merchant Setup $ 0.00 perMID <br />Authorizations $ 0.0350 per V /MC /Disc/OnePoint Auth <br />"at' <br />Excessive Electronic $ 0.0000 per V/M °/Disc Auth over 100% <br />Monthly Maintenance S 0.00 perMID <br />Authorizations of SALES & per OnePoint Auth <br />Minimum Discount Billing $ per month/MID <br />Non V /MC/Disc /OnePoint Authorizations $ 0.0350 each <br />Chargebacks $ 5.00 each <br />Voice Authorizations $ 0.6500 each <br />Retrievals $ 5.00 each <br />Voice AVS $ 1.99 each <br />Batch Capture $ 0.00 each <br />Paper Statement []Yes [Z No $9.95 per month/MID <br />Insufficient Funds Fee $35 per unsuccessful debit of <br />Wireless Monthly $ perdevice <br />DESIGNATED Account <br />Wireless Set Up $ peadevice <br />OTHER $ <br />Annual Seasonal $ per MID <br />OTHER $ <br />Regulatory and Compliance $ 1.00 per month/MID <br />ATM /DEBIT ❑Yes ❑No <br />PCI VALIDATION <br />Setup$ per MID <br />PCIValidation$ 45.00 per year /MID OR$ 3.75 per manth/M ID <br />Transactions S each <br />PCI Non - validation: $ per month/MID if MERCHANT is not validated for compliance with <br />Monthly per MID $ <br />TMS's vendor, beginning 75 days after signing, <br />Network Fees Pass thru <br />Card Compromise Assistance Plan (CCAP) <br />CCAP Fee (PCI Validated): $ 7.95 per month/MID, if MERCHANT is validated for PCI Compliance with TMS's vendor. <br />CCAP Fee (PCI Non- Validated): $34 ^95 per month/ MID, if MERCHANT is not validated for PCI Compliance with TMS's vendor, beginning 75 days after <br />signing. This program is not being offered by Bank. Bank has no responsibility or liability under this program. <br />Account Closure Fee: If the AGREEMENT is terminated early during the INITIAL TERM or any RENEWAL TERM for any reason otter than set out in para- <br />graph 5.1, 5.2A, or 5.2.11, then MERCHANT agrees to pay TMS an account closure fee (`ACCOUNT CLOSURE FEE") in accordance with the following: $399 <br />per MID during the first 12 months of the INITIAL TERM; $299 per MID during the second 12 months of the INITIAL TERM; $199 per MID during the third <br />12 months ofthe INITIAL TERM; $149 per MID during any RENEWAL TERM. MERCHANT agrees that the ACCOUNT CLOSURE FEE shall also be due to <br />TMS in accordance with this schedule if MERCHANT discontinues submitting SALES for processing during the INITIAL TERM or any RENEWAL TERM of <br />the AGREEMENT. MERCHANT agrees that this fee is a not a penalty, but rather a reasonable estimation of the actual damages TMS would suffer if TMS were <br />to fail to receive the processing business for the then current term. Paragraph references and capitalized tens not defined in this paragraph are defined in the <br />at tched Tenns and Conditions. Pursuant to Section 4.1 of the Tens and Conditions the INITIAL TERM shall be for 3 years. <br />TMS EQUIPMENT/SOFTWARE <br />Brand/Model MONEfRA Brand /Model Brand/Model <br />Equipment Option OWNS Equipment Option Equipment Option <br />Fee $ 0.00 Quantity 1 Total $ 0,00 Fee $ Quantity _Total $ Fee $ Quantity _Total $ .0 <br />Payment Option OWNS Payment Option Payment Option <br />OWNS N <br />Software Vendor Payment Application Version <br />ASSOCIATIONFEES <br />Visa Zero Floor Limit: I Visa Base 11: <br />$0.1039 per transaction without corresponding authorization $O.OD14 per MasterCard gross transaction 1$0,0023 per Visa transaction <br />MC Acquirer License Fee: 0.0075% ofgross MC SALES dollar volume <br />The following fees will be passed through at Association's rate: Interchange, Assessments, MasterCard Network Access Brand Usage Fee, Visa Exception <br />Item Fee, Visa Network Acquirer Processing Fee, Visa International Acquirer Fee (including High Risk), Visa Partial Authorization Non - participation Fee, Dis- <br />cover International Processing Fee, Discover International Service Fee, Discover Data Usage Fee, MasterCard AVS Card Present Fee, MasterCard Account Sta- <br />tus Fee, MasterCard AVS Card Not Present Fee, Visa International Service (including cash advance), Visa Misuse, MasterCard Cross Border (US /Non -US /Puerto <br />Rico), MasterCard Processing Integrity, Visa Debit Transaction Integrity, Visa Fixed Acquirer Network Fee, Discover Network Authorization Fee, MasterCard <br />CVC2 Transaction Fee, All Other Applicable Association Fees. <br />FUNDSTRANSFER: <br />In accordance with the terms set out in the Terms and Conditions, transfer funds will be made to /from the account set forth in the enclosed voided check or bank <br />letter. ]Standard 0/ Premium ❑DDA El <br />I5Yb Merchanl501uuons, LLC is a registered agent of First National Bank of Onhaha, 1620 Dodge Street, Omaha, NE 68197 800 -853- 86 <br />V/ Merchant Initials: X <br />2of4 A <br />