Charlotte Web Design & Development | Digital Trooper Inc.
Digital Trooper Inc
Digital Trooper Inc.
13850 Ballantyne Corporate Place, Suite 500
Charlotte, NC 28277
Phone: 704-257-4478
Email info@digitaltrooper.com

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1. Business Information (* required field)
Business Name/DBA *
Website
Phone *
Fax
Year Business Opened *
Length of Ownership *
year/s
Ownership Type *
Federal Tax ID *
(as it appears on your tax return)
Tax Filing Name *
(if different, fill in)
State Business Filed *
Business Address *
City *
State/Zip Code *
Mailing Address
(if different from Business Address)
City
State/Zip Code
Contact Name *
Contact Phone (if different from Phone above)
Contact Email *
Prior Business Name
(if current company is less than a year old)
Any prior bankruptcies, business or personal? *
Yes   no
 
2. Owner Information
Owner 1/Partner/Officer Name *
Title *
SSN *
Date of Birth *
Equity Ownership *
%
 
Home Address *
City
State/Zip Code
 
Owner 2/Partner/Officer Name
Title
SSN
Date of Birth
Equity Ownership
%
 
Home Address
City
State/Zip Code
 
3. Trade References (phone company, internet company, cleaning service etc)
Trade Reference Name 1
Contact
Phone
Trade Reference Name 2
Contact
Phone
 
4. Merchant Profile
Method of Sales
(check all that apply)
Online Shop % of sales
Store Front % of sales
Do you have seasonal sales? *
Yes   no
Average Transaction Price *
Maximum Transaction Price *
$
Estimated Average Sales (per month) *
$
Estimated High Sales (per month) *
$
Current Payment Processor (if any)
Reason for leaving