Sole Proprietorship
Single Member LLC
BUSINESS INFO
Website URL
Business Type
Determines MCC Code
Business Name
As represented on tax records
Tax ID
Federal Tax Identification Number/EIN issued by the IRS
Approximate Annual Spend
Date of Incorporation
ONE REPRESENTATIVE
First & Last Name
Date of Birth
Must be 18 or older
Address
Email
Phone
Full SSN
________________
Photo ID Upload
Only collected (later) if submitted representative can’t be verified
BANK ACCOUNT
To receive payouts, US banks only
Accountholder Name
Account Type
Individual or Company
Routing Number
ACH routing number
(not wire routing number)
Account Number
Must be a checking account
Multi Member LLC
Private Partnership Private Corporation Unincorporated Association
BUSINESS INFO
Website URL
Business Type
Determines MCC Code
Business Name
As represented on tax records
Tax ID
Federal Tax Identification Number/EIN issued by the IRS
Address
Phone
Approximate Annual Spend
Date of Incorporation
ONE REPRESENTATIVE
First & Last Name
Date of Birth
Must be 18 or older
Address
Email
Phone
Full SSN
Title
Owner or Executive?
If Owner, can add up to 3 more Owners If Executive, can and add up to 4 Owners
________________
Photo ID Upload
Only collected (later) if submitted representative can’t be verified
OWNERS
25% or more business ownership
First & Last Name
Date of Birth
Must be 18 or older
Address
Email
Phone
Full SSN
________________
Photo ID Upload
Only collected (later) if submitted representative can’t be verified
BANK ACCOUNT
To receive payouts, US banks only
Accountholder Name
Account Type
Individual or Company
Routing Number
ACH routing number
(not wire routing number)
Account Number
Must be a checking account
Incorporated
Unincorporated
BUSINESS INFO
Website URL
Business Type
Determines MCC Code
Business Name
As represented on tax records
Tax ID
Federal Tax Identification Number/EIN issued by the IRS
Address
Phone
Approximate Annual Spend
Date of Incorporation
ONE REPRESENTATIVE
First & Last Name
Date of Birth
Must be 18 or older
Address
Email
Phone
Full SSN
Title
Owner or Executive?
If Owner, can add up to 3 more Owners If Executive, can and add up to 4 Owners
________________
Photo ID Upload
Only collected (later) if submitted representative can’t be verified
BANK ACCOUNT
To receive payouts, US banks only
Accountholder Name
Account Type
Individual or Company
Routing Number
ACH routing number
(not wire routing number)
Account Number
Must be a checking account
Governmental Unit Government Instrumentrality Tax Exempt Government Instrumentrality
BUSINESS INFO
Website URL
Business Type
Determines MCC Code
Business Name
As represented on tax records
Tax ID
Federal Tax Identification Number/EIN issued by the IRS
Address
Phone
Approximate Annual Spend
Date of Incorporation
ONE REPRESENTATIVE
First & Last Name
Date of Birth
Must be 18 or older
Address
Email
Phone
Full SSN
Title
Owner or Executive?
If Owner, can add up to 3 more Owners If Executive, can and add up to 4 Owners
________________
Photo ID Upload
Only collected (later) if submitted representative can’t be verified
BANK ACCOUNT
To receive payouts, US banks only
Accountholder Name
Account Type
Individual or Company
Routing Number
ACH routing number
(not wire routing number)
Account Number
Must be a checking account
BUSINESS INFO
Website URL
Business Type
Determines MCC Code
Approximate Annual Spend
Date of Incorporation
ONE REPRESENTATIVE
First & Last Name
Date of Birth
Must be 18 or older
Address
Email
Phone
Full SSN
BANK ACCOUNT
To receive payouts, US banks only
Accountholder Name
Account Type
Individual or Company
Routing Number
ACH routing number
(not wire routing number)
Account Number
Must be a checking account
What is a financial representative?
Typically this is the owner(s) of a for profit business. For non-profit organizations, this is typically a board member such as a president, secretary, treasurer, etc. who is responsible for or oversees the finances of the organization.
Why can’t a PO Box be used for the address?
We need a physical address to ensure the organization/business is located and performing business within the United States.
Why does the financial representative need to provide a full SSN and date of birth?
Do you perform a credit check with the SSN?
No, it is only used for OFAC background checks.
Can personal information be safely provided and stored with JustiFi?
Yes, JustiFi is PCI-DSS and SOC 2 compliant. This means that we follow the highest standards per the payment card industry for keeping card data safe, and cybersecurity compliance to ensure all of your data is stored securely.