Nextera Payments Processing Application 1Consent2Basic Information3Business4Ownership5Revenue6Option Information Lets create your account.Signing up with Nextera Payments is fast and free. Begin your journey to Safe and Secure Business Payments and AutomationConsent(Required) I agree to the Nextera Systems E-Sign Consent and Privacy Policy View E-Sign and Privacy PolicyBasic InformationName(Required) First Last Email(Required) Enter Email Confirm Email Phone Legal Business Name with Applicable DBA(Required)Please enter your Legal business name as it appears on your IRS Tax return. Business Type(Required) LLC Partnership Corporation Sole Proprietor Federal Employer Identification Number (EIN#)(Required) Industry Select your Business Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Ownership InformationPrimary Applicant Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Social Security Number (SSN)(Required) Your SSN is used for verification of identity only.Date of Birth (DOB)(Required) Secondary OwnershipThe below information needed only when the Primary owner owns less than %50 of the company, otherwise, leave secondary ownership empty.Secondary Applicant Name (If Applicable) First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Secured InformationSocial Security Number (SSN) Your SSN is used for verification of identity only.Date of Birth (DOB) Existing Business Annual Revenue Please provide your Annual Revenue amount for the prior year for Existing BusinessesNew Business Projected Revenue Please provide the projected Annual Revenue for your new Business Check UploadThe upload of a voided check is optional here however, it will be required during the underwriting process and your application will not be completed until a voided check is send. Please speak to your Nextera account representative for further information.Voided Check Drop files here or Select files Accepted file types: jpg, gif, heic, png, pdf, Max. file size: 100 MB, Max. files: 2. PLEASE UPLOAD A CLEAR IMAGE OF A VOIDED CHECK FOR BANK DEPOSITS – YOUR ACCOUNT CANNOT BE CREATED WITHOUT THIS.Post Custom Field EmailThis field is for validation purposes and should be left unchanged.
