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Understanding Your PaymentSolutions Statement 2016 Elavon Inc. Elavon is a registered trademark in the United States and other countries. All rights reserved. This document is prepared by Elavon as a service forits customers. The information presented is general in nature and may not apply to your specific situation. PMT-QRG-1622-US-Feb-16
Payment Solutions Statement page 2Welcome to your new Payment Solutions Statement. The new format isdesigned to make it easier for you to understand your monthly transactionactivity. Your statement includes: A summary overview of your account activity A funding section, including deposits and withdrawals A fees section including card brand, interchange, payment solutions andadditional service fees A section that provides information on chargebacks and adjustments.Icons clearly identify each section, accompanied by a helpful, short definition.Let’s take a closer look at each section.
Payment Solutions Statement Payment Solutions Statement7300 Chapman HighwayKnoxville, TN 379201EActivity PeriodMM/DD/YYYY – MM/DD/YYYYPage 1 of 1DBA:JOHN M DOE, INC.332 MINNESOTA STREETST PAUL MN 55101-1234XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXAccount Number: 9999999999999999Store Number: 9999999999Chain: 99999For customer service, please call 1 -999-999-9999ACCOUNT t:2Amount:954.55Amount:(380.80)FeesTotal deposits to your account 4,746.48 Deposits posted to acct # XXXXXXXXXX9999 Adjustments posted to acct # XXXXXXXXXX9999 Chargebacks posted to acct # XXXXXXXXXX9999 Fees posted to acct # XXXXXXXXXX9999Card Brand: 21.32Interchange: 146.20Payment Solutions: 119.15Additional Services: 94.13Payment network associated feesFees charged by issuing banksFees we charge youEquipment or services (not on chart)Total Fees:ACCOUNT ACTIVITY SUMMARYThis section provides a high-leveloverview of your transaction activity,as well as: Account information Chargeback, adjustment and feeinformation Total deposits to your account A pie chart the clearly breaksdown fees by type Definitions for each feeFEES News for You 380.80NEWS FOR ef # X-99999-99999-99999-9999999999page 3
Payment Solutions Statement FUNDING ACTIVITY DETAILThis section provides additional information about money deposited orwithdrawn from your bank account. Detail includes date, reference number,a description of the fund event and deposit and withdrawal totals.Payment Solutions StatementActivity PeriodFor customer service please call 800-334-1941 05/01/2015 – 05/31/2015Page 2 of 4DBA: ACE-KAUFFMAN STAMP & STEAccount Number: 0000000010793966Chain: 00000FUNDING Money deposited or withdrawn from your bank accountDATEREFERENCE ON PAYMENTADJUSTMENT - OTHERADJUSTMENT – TRANSACTIONTRANSACTION PAYMENTCHARGEBACKSTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTRANSACTION PAYMENTTOTAL BILLING AL 6,777.58NET FUNDING 4,746.48WITHDRAWAL(1,650.30)(380.80)( 2,031.10)page 4
Payment Solutions Statement page 5FEE ACTIVITY DETAILAdditional information on fees assessed to your account, including: card brand,interchange, payment solutions and additional service fees.Payment Solutions StatementActivity Period05/01/2015 – 05/31/2015Page 3 of 4DBA: ACE-KAUFFMAN STAMP & STEAccount Number: 0000000010793966Chain: 00000CARD BRAND FEES Payment network associated feesCARD BRANDFEE AMOUNTDISCOVER CARD ASSOC FEESMASTERCARD CARD ASSOC FEESVISA CARD ASSOCIATION FEES0.064.9016.36TOTAL 21.32INTERCHANGE AND PAYMENT SOLUTIONS FEES Fees for processing transactionsDESCRIPTIONSALES VOLUMEPROCESSING FEES - CREDIT CARDS5,966.14ITEM COUNT87FEE AMOUNT265.35 265.35TOTALADDITIONAL SERVICES FEES Taxable equipment and services feesDESCRIPTIONRUSH NEXT DAY AIRTOTALTAXABLE FEETAX40.003.06FEE AMOUNT43.06 43.06DefinitionsCard Brand Fees – Paymentnetwork associated feesInterchange and PaymentSolutions Fees – Fees forprocessing transactionsAdditional Service Fees –Taxable equipment andservices fees
Payment Solutions Statement page 6ADDITIONAL SERVICES FEES, CHARGEBACKS AND ADJUSTMENT DETAILSee detailed information on non-taxable fees, chargebacks and adjustments.Payment Solutions StatementActivity PeriodDBA: ACE-KAUFFMAN STAMP & STEAccount Number: 0000000010793966Chain: 00000For customer service please call 800-334-1941NON-TAXABLE FEES05/01/2015 – 05/31/2015Page 4 of 4Additional Services FeesDESCRIPTIONFEE AMOUNTREPORTING & SUPPORT PACKAGE 1PCI MONTHLYSTATEMENT MAILING FEEAUTHORIZATIONS FEES12.997.005.0026.08TOTAL 51.07CHARGEBACKS When your customer or issuing bank disputes a transactionCard NumberChargeback ReasonXXXXXXXXXXXX1122 NO CARDHOLDER AUTHORIZATIONXXXXXXXXXXXX3344 INCORRET TRANSACTION AMOUNTXXXXXXXXXXXX5566 FRAUD-CARD ABSENT ENVIORNMENTCase ID #112233445566778899001234567890TOTALChargeback Amount Chargeback 5Original Date04/26/1504/24/1504/30/15( 1,650.30)ADJUSTMENTS Charges or refunds for errors or rejectsCard NumberAdjustment ReasonXXXXXXXXXXX3344 BAD CARD NUMBERADJ RIS NON-SUFFICIENT FUNDSTOTALReference #0728951236551624624852Adjustment Date05/02/1505/01/15Adjustment AmountAmAm 429.87524.68 954.55DefinitionsAdditional Service Fees –Non-taxable equipment andservice feesChargeback – When yourcustomer or issuing bankdisputes a transactionAdjustments – Charges orrefunds for errors or rejects
5/4/2015 512400000077065 transaction payment 393.46 5/13/2015 513300000000108 transaction payment 1,489.63 5/13/2015 513300000164641 transaction payment 544.90 5/18/2015 513800000076615 transaction payment 663.03 5/19/2015 513900000156143 transaction payment 208.26 5/20/2015 514000000164573 transaction payment 270.95
