Worldpay Integrated Payments Merchant Processing Agreement MERCHANT APPLICATIONMerchant Processing Agreement • June 5th, 2019
Merchant Business Information Application Type: □ Never Accepted Cards □ Processor Change □ Ownership Change Merchant Business Legal Name: Williamson County(as shown on your business income tax return) Business Name:(DBA/Outlet Name) Business Website: Federal Tax ID #:(as shown on your business income tax return) Year Business Established: Type of Goods or Services Sold: Year Acquired by Current Owner: Address: Mailing Address(if different from physical address) Address: Physical Address (no PO Boxes) City: City: State: TX State: Zip: Zip: Phone Number: Phone: Fax: Fax: IRS Reporting Verification. Payment settlement entities are required to report to the Internal Revenue Service the amount of reportable payment card transactions. Annually in January, you will receive a 1099-K providing details of your previous year reportable payment card transactions with a copy being filed electronically directly with the IRS. THE BUSINESS INFORMATION MUST MATCH IRS RECORDS, AND SHOULD AG