Paya Application

Business Legal Name*

Exact name on bank account

Tax ID (EIN, 9 digits)*

Website URL*

Business Address*

Business Phone*

Contact Person Name*

Contact Person Phone*

Contact Person Email*

Owner Name*

Owner Email*

Owner Phone*

% of Ownership*

Must own 25% of more of the company

SSN*

This is needed for a credit check

Owner Address*

Average Transaction Amount*

Maximum ACH Amount Per Transaction*

What might be the maximum dollar amount you might receive from a customer?

ACH Transactions Per Month*

Estimated Monthly ACH Volume*

Voided Check or Bank Letter

Bank Statement (1 month)

Upload a current processing statement or business license or utility bill

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