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MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 3of3)
<br />DBA Name: Indian River County
<br />Loc. 1 of
<br />(7) FEE SCHEDULE (cont'd)
<br />Pricing MethodA
<br />MasterCard/
<br />Visa/Discover
<br />Ntwk/PayPal
<br />2-Tler
<br />MasterCard/
<br />Visa/Discover
<br />Ntwk/PayPal
<br />3 -Tier
<br />Transaction Fees
<br />(Applies to MasterCard/Visa/Discover Ntwk/PayPal 2 -Tier
<br />and
<br />MasterCard/Visa/Discover Ntwk/PayPal 3 -Tier ONLY)
<br />MasterCardNisa/
<br />Discover Ntwk/
<br />PayPal/American
<br />Express OptBlue•
<br />Discount Rate
<br />Interchange
<br />Plus
<br />Qualified Discount Rates
<br />MasterCard/Visa/Discover Ntwk/PayPal
<br />Credit Discount Rate (800, 804, 170)
<br />%
<br />%
<br />MasterCard/Visa/Discover Ntwk/PayPal Credit
<br />Trans Fee (001, 002, 005, 006, 015, 016) $
<br />y
<br />.45
<br />MasterCard/Visa/Discover Ntwk/PINIess POS
<br />Signature Debit Discount Rate" (850, 854, 964, 27P)
<br />%
<br />%
<br />MasterCard/Visa/Discover Ntwk Signature Debit
<br />Trans Fee (130, 131, 134, 135, 787, 788, 18C) $
<br />q
<br />.45 oh,
<br />American Express OptBlue• (84A)
<br />.45 %
<br />Mid -Qualified Discount Rates (Does not apply to MasterCard/Visa/Discover/PayPal 2 Tier)
<br />MasterCard/Visa/Discover Ntwk/PayPal
<br />Credit Discount Rate (810, 814, 990)
<br />%
<br />MasterCard/Visa/Discover Ntwk/PayPal Credit
<br />Trans Fee (611, 612, 615, 616, 717, 718) $
<br />MasterCard/Visa/Discover Ntwk
<br />Signature Debit Discount Rate" (870, 874, 968)
<br />%
<br />MasterCard/Visa/Discover Ntwk Signature Debit
<br />Trans Fee (140, 141, 144, 145, 791, 792) $
<br />Non-Qualtfied Discount Rates
<br />MasterCard/Visa/Discover Ntwk/PayPal
<br />Credit Discount Rate (820, 824, 994)
<br />%
<br />%
<br />MasterCard/Visa/Discover Ntwk/PayPal Credit
<br />Trans Fee (621, 622, 625, 626, 721, 722) $
<br />MasterCard/Visa/Discover Ntwk
<br />Signature Debit Discount Rate* (880, 864, 978)
<br />%
<br />%
<br />MasterCard/Visa/Discover Ntwk Signature Debit
<br />Trans Fee (150, 151, 154, 155, 795, 796) $
<br />"Fees do not apply If Bundled Debit is chosen
<br />MasterCard/Visa/Discover Ntwk/PINIess POS
<br />Authorization & Retum Transaction Fee
<br />(10A, 10D, 002, 006, 131, 135, 10J, 016, 788, 11P)
<br />$
<br />$ .21
<br />Non-OuaI Surcharge Fee(30D)
<br />(excluding Card/Payments Organization pass-throuh
<br />fees, and any Interchange rate difference)
<br />Applies to Non-Quall ied MasterCard, Visa, Discover
<br />Ntwk/PayPal, and/or Signature Debit Transactions.
<br />Rewards Cards Surcharge Rate (20N)
<br />%
<br />A Interchange Rates are variable and are determined by how your transactions clear. Please see your Interchange Rate Schedule, Interchange Qualification Matrix and American Express OptBlue° Guide
<br />for Interchange Rates & Dues/Assessments and qualifica lon criteria as of he date of this Application. The Interchange Rates and Dues/Assessments are subject to change. American Express OptBlue•
<br />has Program Pricing which Is not Interchange and which is subject to change.
<br />Swiped/Non-Swiped
<br />(If selected, the discount rates below apply to all card types and brands accepted other than petroleum)
<br />Swiped or Dipped
<br />Transactions
<br />of gross transactions (23Z)
<br />+ $ per transaction (24C)
<br />Non -Swiped or Non -Dipped % of gross transactions (24D)
<br />Transactions + $ per transaction (24B)
<br />(8) AGREEMENT APPROVAL
<br />By signing below I certify that: (A) I am an owner, partner, officer or other Authorized Representative of the entity Identified In this Application as the Merchant; and (B) that I am duly authorized
<br />to enter Into agreements on behalf of the Merchant; (C) the federal taxpayer Identification number and corresponding filing name provided are correct; (D) the statements made and agreed to In
<br />this Application are true, complete and accurate, and may be relied upon as current unless changed or updated In accordance with the Notice provisions of the Agreement; (E) I can read and
<br />understand the English language; (F) I have received and read a copy of the Merchant Application and Agreement consisting of (i) Sections 1-9 of this Application, (ii) the General Terms and
<br />Conditions, (iii) Confirmation Page and (iv) Interchange Rate/Fee Schedule. Further, l understand that the Interchange Qualification Matrix and American Express OptBlue• Guide and Your
<br />Payments Acceptance Guide are available at yvww.businesstrack.con3 upon Merchant Account approval and the signature below is for the entire contents of the listed documents.
<br />In addition by signing below on behalf of myself as an Individual, and the Merchant on whose behalf I am signing I: (A) authorize TD Bank N.A. ("Bank"), to Investigate, verify and receive all
<br />credit and financial Information, including consumer and business credit reports, about the Merchant and me personally from all references, Including banks and credit reporting agencies,
<br />which are hereby released to provide that information from time to time. B) authorize Bank and the applicable Card/Payments Organizations, and Its and their Affiliates, third party
<br />subcontractors and/or agents to use, disclose, and share amongst'tQQi��+iI atlon In the Agreement, Application and all credit and financial information obtained from third parties about
<br />Merchant and me personalty (i) in connection with Bank's detelttrr'Ijrltdn et r/tFjticeept this Application and enter into this Agreement, (ii) to maintain the Agreement and Merchant Account,
<br />and (iii) for any other uses permitted by law. V . ' • '-. �
<br />1 further acknowledge and agree that Merchant will not u$e,(he•Mer nt Accountt tI%,orthe Services for illegal transactions, for example, those prohibited by the Unlawful Internet Gambling
<br />Enforcement Act of 2006 and Regulation GG, or for procasslAg an /Mance Ansa&ions in certain jurisdictions pursuant to 31 CFR Part 500 et seq. and other Taws enforced by the Office
<br />of Foreign Assets Control (OFAC).
<br />• cn
<br />Notice Regarding the USA Patriot Act: The Bank complies 'Mtn sect n' 26 oft�,_ SAAatdot Act. The Law requires us to verify certain information, including your name, legal address, date of
<br />birth, Social Security or tax ID number, while processing our Merchnt" ro esteing Agr ISlent.
<br />Merchant's • ed Representatiye-•
<br />Si nature' "V G7v T�i.rt. TD Bank N.A.
<br />9 .irk} .V`?; `f '
<br />Print Name? Bob- Solari, Chairman•':9cQ ,� • 06/18/7019
<br />Titiei -O P--- ,-, ..,- „__. .. e ❑ Partner
<br />0 ( Attest: Jeffrey R. Smith, Clerk of
<br />Signature Circuit Court and Comptroller
<br />Print Nam' a
<br />Title: 0 F
<br />BY 4 /t4 (_►�
<br />Date:
<br />er 0 Partner
<br />Signature Date:
<br />APPROVED AS TO FORM
<br />ID LEGAL SUI-FICiENC
<br />In exchange for TD Bank N.A.'s ("Bank") acceptance of the Merchant Processing Application and Agreement ("MPA") the undersigned antor" ) unconditionally and irrevocably guarantees
<br />the full payment and performance of Merchant's obligations (i) as they now exist or as modified by the parties, (ii) withwt1j�thout mal moll. f �i gggs, arld (iii}•dnring9and after the tern of
<br />the MPA; (8) Individually and severalty, hereby agree to be bound by all terms and provisions of this MPA to the samxtenf. ant; (C) waives notice of
<br />Merchant's default; (D) shall indemnify the Bank for any and all amounts due from the Merchant; (E) warrants, with knowledge Db : -n 'w,t,n ,� q� same and that this is a
<br />Personal Guarantee of payment and not of collection; (F) acknowledges that Bank, may proceed In law directly against the Gu�er y•Y�f , 'Ti Ali Is a continuing personal
<br />guarantee and shall not be discharged or affected for any reason.
<br />Guarantor agrees that: (A) it has received and reviewed a complete copy of the Application and Merchant Processing Agreement and agrees to be bound by its terms; (B) Bank may investigate,
<br />verify and receive all credit and financial information and references about me from all references, including banks and consumer reporting agencies, which are hereby released to provide that
<br />Information from time to time; (C) that Bank may use such credit reports in connection with establishing and maintaining Merchant's account and Agreement; and (D) that Bank may share my
<br />credit and financial information for any use permitted by law.
<br />Signature:
<br />Signature:
<br />an individual an Individual
<br />May 2018 Manual MPA - CAP # 48360
<br />
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