BUSINESS SIGN-UP
To register for an Deb™ Membership account, you will need the Required Documents List below so you can complete a Deb Business Account Application. Save the documents on your computer before beginning the application. If you need assistance with the questions or requirements while completing this application, please contact the person who referred you to Deb™ or contact us directly via phone 831-232-9663 or email @ Support@paywithdeb.com, you may also visit this link to create a new account. www.paywihtdeb.com/newmerchant.
REQUIRED DOCUMENTS LIST
A copy of the front and back of a government-issued ID for the Business Contact, Application Signer (if different), all Beneficial Owners, all Beneficial Owners with Significant Authority or Managers.
A copy of the last two Business Tax Forms filed with the IRS. If the business is less than two years old, provide a copy of the last two Personal Tax Forms filed with the IRS by the business owner(s).
A copy of evidence that the business is currently registered to use a Doing Business As (DBA or Trade) name.
A copy of all business registration documents with a municipality, i.e., city, county, state, province, etc. showing that the business is registered in “good standing.”
A copy of business creation or proof of ownership document.
A copy of documents related to revocation of any business license.
Current bank account information, bank name, address, phone number, routing, and account numbers. No documents are required for this item, just the information.
Current and projected sales revenue with the prior two months’ revenue reports.
Chain of Custody document(s) for any legacy cash being deposited into an Deb™ account.
Letter from CPA verifying legacy cash being deposited into an Deb™ account.
ATM Service Provider Contract (if applicable).
Name, email address, phone number for any investors who will open an Deb™ account so that they can fund your Deb™ business account And all eCommerce businesses must provide three months of statements showing transaction settlements.
Business Member Application
If you need assistance with the questions or requirements while completing this application, please contact the person who referred you to Deb™ or contact us directly via phone 831-232-9663 or email @ Support@paywithdeb.com, you may also visit this link to create a new account. www.paywihtdeb.com/newmerchant.
IMPORTANT INFORMATION ABOUT OPENING A NEW Deb™ Business Solutions account. To help the United States Government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What does this mean for you? When you open an account, we will ask for your name, residence address, date of birth, and an identification number, such as a Social Security Number, which Federal law requires us to obtain. We will also ask to see your driver’s license or other government-issued identifying documents that allow us to identify you. Deb Privacy Policy may be found here. We appreciate your cooperation.
If you are completing this application on the website, please tab from field to field to complete the application.
Today's Date (mm/dd/yyyy)*(required)
Click on date on calendar
Time Started*(required)
Referred to Deb™ by*(required)
This is the person or business that sent you a link to this eXPO Business Member Application. If you were not told what to put in this field, please include the email address where the link came from here.
Application Number
A1000
Please write this number down for future reference during the onboarding process.
Business Legal Name*(required)
I am the Sole Owner/Manager of This Business
Yes or No
CONTACT PERSON INFORMATION
All information in this section is required unless otherwise noted.
Full Name of Person Completing This Application*(required)
First, MI, Last
Title or Relationship to Business*(required)
Email Address*(required)
By providing your email address, you agree that Deb may use it to send you updates on your application status and servicing messages, and you agree to receive information electronically about our products, services, and offers from Deb.
Social Security Number
For ID verification-If you do not have a Social Security number: Refer to identification requirements given to you and provide the required ID information below.
Work Phone Number*(required)
Date of Birth*(required)
Citizen of (Country)*(required)
Country(ies) where citizenship is held
Cell Phone Number*(required)
Full Residence Address*(required)
Address Line 1
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
ID Type*(required)
Driver License, Other Gov't-Issued ID
Government-Issued ID Document Number*(required)
Country of Issuance*(required)
Upload Contact Person's Gov't. Issued ID Here*(required)
Upload
or drag files here.
I am the Only Owner and Controlling Manager of This Business*(required)
YesNo
Number of Beneficial Owners of This Business*(required)
I Have Declared Personal Bankruptcy
YesNo
Questions or Comments About the Information Given in This Section
App Business Application Fields
Business Details
Legal Business Name
Business Founded Date
Business Address 1
Business Address 2
Business City
Business State
Business Postal Code
Business Authorized User Information
First Name
Middle Name
Last Name
Date of Birth
(MM/DD/YYYY)
Address 1
Address 2
City
State
Postal Code
Authorized User Contact Information (Valid cell phone number required for account use, Carrier rates may apply.)
Please use the following Formatting: +1xxxxxxxxxx
Cell Phone Number
+1
Government Issued ID Information
Government Issued ID Number
Government Issued ID Date
(MM/DD/YYYY)
Government Issued ID Expiration Date
(MM/DD/YYYY)
Supporting Documents (Photo or Scan of Government Issued ID) (OPTIONAL)
Government Issued ID - Front
No file chosen
Government Issued ID - Back
No file chosen
Add Additional Document
eXPO Account Details (You will need this to access your account)
Email Address
Password
Confirm Password