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Application + Instructions

Effective November 16, 2021

MERCHANT COST FORGIVENESS PROGRAM

Second - MCF 4508SS

SBA-LynxPayment-MCF 4508SS

A BUSINESS OWNER MAY USE THIS FORM ONLY

Notice: The Merchant Cost Forgiveness Second (MCF-4508SS) ended on June 21, 2022.

SBA Lynx Payment also offers additional Refund Merchant Authorization Fee.

Qualification Form

MERCHANT COST FORGIVENESS PROGRAM

Second Application Form 4508SS

Revised November 16, 2021

Control No.: 4508-SSF-PL
Expiration Date: 06/21/2022

Purpose of this form:

The purpose of this form is to collect information about the Small Business Applicant ("Applicant") and its principles. This form is to be completed by the Applicant and all individuals identified below and submitted to SBA LYNX PAYMENT.

SBA Lynx Payment is working to ensure fair and equitable access to its programs and will soon provide additional reporting on how the Agency is working to meet these goals. All the information is provided voluntarily by Business Owners to SBA Lynx Payment.

Business Legal Name

DBA or Tradename if applicable

Business Phone

Email Address

Business TIN (EIN, SSN, ITIN)

Business Owner SSN (If applicable)

Business Owner Name

Primary Contact

MCF-First MID Number (If applicable)

MCF-First Term (If applicable)

Total Amount Credit Card Processing Fee Wasted

Second Requested Forgiveness Term

Business License

Upload File

Applicant ID

Upload File

Voided Cheque

Upload File

Check one:

Sole proprietor

Partnership

Corporation

LLC

Independent contractor

Organization

Business Average Monthly Income

Less than $10,000

From $10,000 to $20,000

From $20,000-$60,000

Over $60,000

Reason for applying Merchant Cost Forgiveness

Current merchant service high rate

Bad customer service

Business Start Date (MM/DD/YYYY)

All Versions

Version S

Version I

Version H

Version G

Version F

Version D

Version C

Version B

Version A

| Effective: 2021-12-01

| Effective: 2021-07-21

| Effective: 2021-05-09

| Effective: 2021-04-08

| Effective: 2021-03-06

| Effective: 2021-01-20

| Effective: 2020-12-30

| Effective: 2020-12-08

| Effective: 2020-11-11

Download.pdf

PROCESSING PROGRAM

Eliminate up to 100% of your processing fees!

Are you ready to completely eliminate your credit card fees? We’ve created a way for you to collect 100% of your sales revenue by passing through a Cash Discount Fee to customers paying with checks, credit, or debit cards

COLLECT 100% OF
YOUR REVENUE

The Cash Discount "Freedom of Fees" Program is a way for you as a merchant to offset some or all of your current merchant service fees without increasing your overall rates.

ELIMINATE MONTHLY PROCESSING FEES

It is a method of implementing a service fee to all customers while giving a discount to those who pay with cash. Your posted rates now become the rate for those who pay with cash.

INCENTAVIZE MORE
CASH PAYMENTS

Those customers who pay with cash avoid the services fee and all others will see a line item added to their receipt. And they are willing to pay by cash.