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Tms Merchant Change Form

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250 views1 page

Tms Merchant Change Form

Uploaded by

api-257017808
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FAX INSTRUCTIONS

Please complete the form below and fax it to:


Fax: 888-415-0052
Attn: Merchant Services
or email to:
[email protected]
MAILING INSTRUCTIONS
Please complete the form below and mail it to:
Merchant Services
21650 Oxnard Street
Suite 1200
Woodland Hills, CA 91367
Merchant information to be changed check all that apply:
DBA Mailing Address Physical Address Phone Add Contact
Merchant Number
(Required)
Current DBA Name
(Required)
MERCHANT INSTRUCTIONS
REQUIRED INFORMATION
DBA CHANGE REQUEST
LEGAL BUSINESS NAME CHANGE REQUEST
MAILING ADDRESS CHANGE REQUEST
PHYSICAL ADDRESS CHANGE REQUEST
BUSINESS PHONE AND CONTACT CHANGE REQUEST
REQUIRED AUTHORIZATION
Authorized Signers Name Authorized Signature Date
(Required, Please Print) (Required) (Required)
MERCHANT ACCOUNT INFORMATION CHANGE FORM
New Business Phone
Old Legal Name:
New Legal Name:
(You will be required to update your
application documents to process
this change. We will provide these
documents after receiving this request.)
New DBA Name
Note: If your Type of Ownership is changing from what was indicated on your original application
(i.e. sole proprietorship -> partnership, etc.) you may be required to submit a new application for this change to be processed.
Old Mailing Address
New Mailing Address
Old Physical Address
New Physical Address

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