1. Franchise Interest *

Which franchise are you interested in acquiring?

2. Full Name *

Please provide your full legal name.

3. Email Address *

Your preferred email address for communication.

4. Phone Number *

5. Current Address *

Please provide your current residential address

6. Professional Background *

Please provide your current residential address

7. Financial Status *

Please provide an overview of your financial status, including any relevant assets or liabilities.

8. Previous Business Experience *

Have you ever owned or operated a business before? If yes, please provide details.

9. Investment Capacity *

What is your estimated investment capacity for acquiring a franchise?

10. Why do you want to acquire this franchise? *

Please explain your motivation for acquiring this specific franchise.

11. References

Please provide at least two professional references.

12. Additional Comments

Is there anything else you would like us to know?

13. Do you currently own a business?

14. When would you like to start your business?

15. Where would you like to locate your business?

Please write the City, State/Province, Zip/Postal Code

16. What is your employment status?

17. Have you ever filed for Bankruptcy?

Yes

18. Current Company/Employer

19. City

20. Province/State

21. Nature of Business

22. Date

23. Highest Level of Education?

24. Have you ever been convicted of an indictable or hybrid offense?

Yes

25. Are you or any one in your immediate family currently under any form of non-competition agreement that limits your right to operate any business?

Yes

26. If yes, list name of company or employer and relationship

27. Will you have Partners?

Yes

28. If yes then what's your Partner Name ?

29. % of Ownership

30. What is the partner's involvement status?

31. How much Liquid Cash are you willing to invest?

32. Amount of Investments / RRSPs/ 401K /Funding you are willing to invest.

33. How much is the value of your current Vehicle(s)?

34. How much is the value of your current Real Estate?

35. How much is the total value of your Current Assets?

36. Please state your Annual Household Expenses.

37. How much do you owe on your Credit Cards?

38. How much do you owe on your Loans/Payable?

39. How much do you owe on your Real Estate Mortgages?

40. Please share the value of Other Liabilities

41. Total Liabilities

42. Applicant Signature

Clear

Date