Franchise Pre-Qualification Form

Franchise Pre-Qualification Form

Franchise Pre-Qualification Form


Fields marked with * are mandatory.


Personal Information
First Name : Last Name : Date : Email : Gender : MaleFemale US Citizen : YesNo Present Address : Preferred Phone : State / Province : City : Country : Best Time To Call : Zip / Postal Code : Country : Age : Marital Status : SingleMarried


Assets and Liabilities
ASSETS LIABILITIES Cash on Hand & in Banks ($) : Mortgages ($) : Marketable Securities ($) : Notes Payable ($) : Accounts / Notes Receivable ($) : Other Liabilities ($) : Retirement Plans ($) : Description : Real Estate ($) : Total Liabilities ($) : Personal Property ($) : Total Net Worth ($) : Business Holdings ($) : Description : Total Assets ($) :


Real Estate 1
Address : Date Purchased : Original Cost : Present Value : Mortgage Balance :


Annual Sources of Income
*Salary ($) : Investment ($) : Real Estate Income ($) : Other ($) : Description : Total ($) :


Specific Data
When would you be ready to invest in your franchise if you were approved ? : What skills/experience do you have that will help you be successful in this business ? : Have you ever gone through bankruptcy? : YesNo Who will be responsible for the daily operation of your store? : Amount of cash available for investment? : Would this business be your sole income source? : YesNo


City/State of Interest
Preference 1 : Preference 2 : *Preference 3 :


Please list the three main questions you have about this business opportunity
Question1 : Question2 : Question3 : Captcha ( Enter the text you see in the image below ) Captcha