Applicant Personal
Email address
Applicant Name (First, MI, Last)
Do you have a Co-Applicant? If YES, the Co-Applicant must answer ALL the questions below marked as "Co-Applicant" Yes No
Applicant Phone Number
Applicant Social Security #
Applicant Home Address
Do you Own or Rent your home? Rent Own
Number of years at current address
If you RENT, please provide the Name and Phone number of your Current Landlord :
Are you a US Citizen? Yes No
If you are NOT a US citizen, do you have permanent resident status? Yes No
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? Yes No
APPLICANT'S FINANCIAL STATEMENT (spouses can combine numbers for this section)
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:
BELOW IS THE CO-APPLICANT SECTION. The Co-Applicant must answer ALL the questions. Applicants may skip to the PROSPECTIVE FRANCHISEE QUESTIONNAIRE section.
Co-Applicant Name
Co-Applicant Email Address
Co-Applicant Phone Number
Co-Applicant Social Security #
Co-Applicant Home Address
Do you Own or Rent your home? Rent OWn
Number of years at current address
If you RENT, please provide the Name and Phone number of your Current Landlord :
Co-Applicant, are you a US Citizen? Yes No
If you are NOT a US citizen, do you have permanent resident status? Yes No
Co-Applicant Dependents (please list their names and ages):
Co-Applicant 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.)
Co-Applicant Education - Please list your highest degree earned, or years of study completed and the school(s) you attended.
Co-Applicant 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? Yes No
CO-APPLICANT FINANCIAL STATEMENT (only necessary if different than Applicant's Financial Statement) Applicants may skip to the PROSPECTIVE FRANCHISEE QUESTIONNAIRE section.
Co-Applicant Assets: Cash on Hand / Banks
Co-Applicant Assets: Stocks / Bonds value:
Co-Applicant Assets: Real Estate value:
Co-Applicant Assets: Automobile fair market value (FMV)
Co-Applicant Assets: Other Vehicles fair market value (FMV)
Co-Applicant Assets: Life Insurance Cash Surrender value
Co-Applicant Other Assets/Investments (describe/value)
Co-Applicant TOTAL ASSET VALUE
Co-Applicant Liabilities: Monthly Mortgage Payments - please list name of Bank(s)
Co-Applicant Liabilities: Monthly Rent Payments
Co-Applicant Liabilities: Monthly Car Payment
Co-Applicant Liabilities: Other Vehicles Loan Payments
Co-Applicant Liabilities: Monthly Credit Card Payments
Co-Applicant Liabilities: Other Loan Payments
Co-Applicant Liabilities: Other Debts (please describe)
Co-Applicant TOTAL BALANCE OF DEBTS
Co-Applicant NET WORTH
Co-Applicant 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 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 worked in a franchised business before? If YES, which franchise and what was your position?
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
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