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MERCHANT PROCESSING APPLICATION AND AGREEMENT (Page 3 o 3)
<br />DBA Name: Indian River County
<br />CHEDULE (cont'd)
<br />Loc. 1
<br />of
<br />Pricing MethodA
<br />MasterCard/
<br />Visa/Discover
<br />Ntwk/PayPal
<br />2 -Tier
<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 />MasterCard/Visa/
<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 />%
<br />.45 %
<br />MasterCard/Visa/Discover Ntwk/PlNless 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 />%
<br />.45
<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•Qualified 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/PlNless POS
<br />Authorization & Return Transaction Fee
<br />(10A, 10D, 002, 006, 131,135, 10J, 016, 788, 11P)
<br />$
<br />$ •21
<br />Non-Qual Surcharge Fee(30D)
<br />(excluding Card/Payments Organization pass-throuh
<br />fees, and any Interchange rate difference)
<br />Applies to Non -Qualified MasterCard, Visa, Discover
<br />Ntwk/PayPal, and/or Signature Debit Transactions.
<br />Rewards Cards Surcharge Rate (20N)
<br />%
<br />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 ion 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 />Swlped/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
<br />+ $ per transaction (24B)
<br />(8) AGREEMENT APPROVAL
<br />By signing below I certify that: (A) 1 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, 1 understand that the Interchange Qualification Matrix and American Express OptBlue° Guide and Your
<br />Payments Acceptance Guide are available at www.businesstrack.cont 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 them, the information in the Agreement, Application and all credit and financial information obtained from third parties about
<br />Merchant and me personally (1) in connection with Bank's determination whether to accept 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.
<br />I further acknowledge and agree that Merchant will not use the Merchant Account and/or the Services for Illegal transactions, for example, those prohibited by the Unlawful Internet Gambling
<br />Enforcement Act of 2006 and Regulation GG, or for processing and acceptance of transactions In certain jurisdictions pursuant to 31 CFR Part 500 et seq. and other laws enforced by the Office
<br />of Foreign Assets Control (OFAC).
<br />Notice Regarding the USA Patriot Act: The Bank compiles with section 326 of the USA Patriot 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 your Merchant Processing Agreement.
<br />Merchant's Authorized Representative:
<br />Signature TD Bank, N.A.
<br />Print Name: Date:
<br />Title: 0 President 0 Vice President 0 Member L.L.C. 0 Owner 0 Partner
<br />0 Other:
<br />Signature
<br />Print Name: Date:
<br />Title: 0 President 0 Vice President 0 Member L.L.C. 0 Owner 0 Partner
<br />0 Other:
<br />Signature Date:
<br />TD2008 is
<br />(9) PERSONAL GUARANTEE
<br />In exchange for TD Bank N.A.'s ("Bank") acceptance of the Merchant Processing Application and Agreement ("MPA") the undersigned ("Guarantor") (A) 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) with or without actual notice of changes, and (iii) during and after the term of
<br />the MPA; (B) individually and severally, hereby agree to be bound by all terms and provisions of this MPA to the same extent and in the same manner as the Merchant; (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 that Bank Is acting in full reliance of the 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 Guarantor and not the Merchant; and (G) this 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: Signature: 35
<br />, an individual an individual
<br />May 2018 Manual MPA - CAP # 48360
<br />
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