Franchise Application

1. Personal

2. Financial Statement

3. Prospective Franchise Questionnaire

Applicant Name (First, MI, Last) (*)

Email address

Applicant Social Security # (*)

Applicant Phone Number (*)

Applicant Home Address (*)

Do you Own or Rent your home? (*)

Number of years at current address (*)

If you RENT, please enter Name & Phone Num of your Current Landlord:

Are you a US Citizen? (*)

If you are NOT a US citizen, do you have permanent resident status? (*)

Dependents (please list their names and ages):(*)

Business References — Please provide the Name and Phone for two unrelated persons who have done business with you or worked with you. (If you have no business references, please provide two unrelated personal references who know you well.)(*)

Education - Please list your highest degree earned, or years of study completed and the school(s) you attended.(*)

Employment History - Please list the Company Name, Your Position/Duties, Years Employed, and Contact Information of your most recent employer (if less than 2 years at most recent employer, please also list your previous employer)(*)

May we contact the employer you listed above?(*)

Assets: Cash on Hand / Banks(*)

Assets: Stocks / Bonds value(*)

Assets: Real Estate value(*)

Assets: Automobile fair market value (FMV)(*)

Assets: Other Vehicles fair market value (FMV)(*)

Assets: Life Insurance Cash Surrender value(*)

Other Assets/Investments (describe/value)(*)

Total Asset Value(*)

Monthly Mortgage Payments - please list name of Bank(s)(*)

Liabilities: Monthly Rent Payments(*)

Liabilities: Monthly Car Payment(*)

Liabilities: Other Vehicles Loan Payments(*)

Liabilities: Monthly Credit Card Payments(*)

Liabilities: Other Loan Payments(*)

Liabilities: Other Debts (please describe)(*)

Total Balance of Debts(*)

Net Worth(*)

Income: (TO BE MAINTAINED AFTER BUYING FRANCHISE), if any: Describe source and amount monthly:(*)

PROSPECTIVE FRANCHISE QUESTIONNAIRE - Applicant and Co-Applicant answer these questions together. Please make note of any answer that may be different for the Co-Applicant.

Why do you want to purchase our Franchise?(*)

Which cities / areas are you interested in?(*)

Which other franchise organizations did you look at seriously?(*)

Do you intend to be a full/part time owner operator, or maintain a manager for the franchise?(*)

Do you intend to employee family members, and if so how many?(*)

Have you ever owned a franchised business before? If YES, which franchise and where was it located?(*)

Have you ever owned a similar business? If YES, please describe the business.(*)

Have you ever worked in a similar business? If YES, please describe the business and your position.(*)

Why do you think you would make a good franchise owner?(*)

If you own any business ventures now, do you intend to maintain ownership in those ventures? If YES, please describe and explain.(*)

How did you find out about our franchise opportunity?(*)

How long do you think you might own the franchise?(*)

Were you interested in purchasing an existing franchise, or a new franchise?

Apart from the funds to purchase and open the franchise, do you have sufficient other resources to support you and your family for at least several months or more, until the franchise begins to make a profit? Please describe.(*)

CERTIFICATION: The undersigned in making this Application to Crimson Coward hereby represent(s) and assert(s) that all information furnished in this entire application is true and correct to the best of my/our knowledge and belief. I/We fully understand that Crimson relies upon all statements made herein by Applicant(s) and agree that any falsehoods or misstatements may, at Crimson Coward's option, constitute cause for revocation or termination of any Agreements entered into with Crimson Coward immediately upon notification to the undersigned after discovery by Crimson Coward. PLEASE WRITE THE FULL NAME(S) AND THE DATE the Applicant (and Co-Applicant if applicable) submitted this application.(*)

CREDIT AUTHORIZATION: The undersigned are requesting credit of Crimson Coward and authorize Crimson Coward to investigate their financial status. We voluntarily authorize Crimson Coward or its affiliate/designee to obtain a consumer credit report and/or to check our consumer credit as needed, on an ongoing basis as it related to my application for ownership of and license to a Crimson Coward franchise, pursuant to a franchise agreement with Crimson Coward and we hereby authorize any agency or third party contacted by or on behalf of Crimson Coward to furnish the above information. PLEASE WRITE THE FULL NAME AND THE DATE the Applicant (and Co-Applicant if applicable) submitted this application.(*)

PLEASE INCLUDE COPIES OF YOUR DRIVER’S LICENSES AND RECENT BANK STATEMENTS SHOWING CASH AND STOCK/INVESTMENT VALUES