PRELIMINARY FRANCHISE APPLICATION

Transcription

PRELIMINARY FRANCHISE APPLICATION
Sonny’s Franchise Company
201 North New York Avenue 3rd floor
Winter Park, FL 32789
Phone: (407) 660-8888
Fax: (407) 660-1285
Email: [email protected]
Date Submitted
PRELIMINARY FRANCHISE APPLICATION
Before filling out the following application, please be sure you meet the following criteria. Only applicants that can meet
the minimum requirements advance to the next phase in the franchise process. Minimum Liquid Capital $500,000.00.
SECTION 1 - Individual Information (please type or print)
Name
Address
Last
First
Street
Date of Birth
Middle
City
Marital Status
Spouse’s Name
State
Employer
Type of Business
Business Address
Business Phone
Position
Salary
Other Income
Spouse’s Occupation
Home: Rent
Zip
No. of Dependents
Own
How Long?
Last Former Residence
Are you a citizen of the USA?
Yes
No
If no, what country?
Languages Spoken Fluently
Military Service
From
To
Branch of Service
Rate or Rank
Type of Discharge or Current Status
Have you ever been convicted of a felony or misdemeanor (other than a minor traffic violation)?
Yes
No
If yes, please state details
EDUCATION
Name & Address
Year Graduated
Major or Degree
High School
College
Graduate School
Special Awards or Honors
FORMER EMPLOYERS Please list below last four employers, starting with last one first.
Employer Name & Address
Dates Employed
Salary
Position
Reason for Leaving
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SECTION 2 - Financial Information
ASSETS SOLELY OWNED
Please list only those assets not jointly owned.
$
Cash (See Sched. 1)
ALL LIABILITIES AND NET WORTH
Please list all liabilities, joint or otherwise.
Notes Payable to Banks, Unsecured (See Sched. 1)
U.S. Government Securities
Notes Payable to Banks, Secured (See Sched. 1)
List Stocks and Bonds (See Sched. 4)
Notes Payable to Others, Unsecured
Unlisted Stocks and Bonds (See Sched. 4)
Notes Payable to Others, Secured
Accounts and Loans Receivable (See Sched. 3)
Notes Receivable, Discounted
Life Insurance - Cash Value (See Sched. 3)
Loans Against Life Insurance (See Sched. 3)
Real Estate (See Sched. 5)
Mortgages Payable on Real Estate (See Sched. 5)
Automobiles
Accounts Payable
Other Assets (Itemize)
Interest Payable
$
Taxes and Assessments Payable
Other Liabilities
Total Liabilities
Net Worth
TOTAL ASSETS SOLELY OWNED
$
JOINTLY OWNED ASSETS
Please summarize here; itemize in Sched. 6
Cash
TOTAL OF ALL LIABILITIES AND NET WORTH $
SOURCE OF INCOME
You need not disclose income from alimony, child support, or maintenance
payments, unless you wish it to be considered as income.
Salary
Accounts, Mortgages, and Loans Receivable
Bonus and Commissions
Stocks and Bonds
Dividends
Real Estate
Real Estate Income
Other Assets (Itemize)
TOTAL JOINTLY OWNED ASSETS
TOTAL OF ALL ASSETS
$
Other Income (Itemize)
$
TOTAL INCOME
$
PERSONAL INFORMATION
Business or Occupation
Age
Partner or Officer in any other venture?
Dependents
Have you ever taken bankruptcy, made a composition settlement, or are you a defendant in any legal action?
Yes o
No o
If yes, please state details
Do you have any contingent liabilities as co-maker, on leases or contracts, or Federal Income Tax Liability?
Yes o
No o
If yes, please state details
Do you have a will? Yes o
No o
If yes, who is named as your executor?
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NO.1 Banking Relations
Please list all bank accounts including savings, not jointly owned, and all loans, joint or otherwise.
Name & Address of Bank
Cash Balance
Amount of Loan
NO.2 Accounts, Loans, and Notes Receivable
A list of the largest amounts owing to me.
Name & Address of Debtor
Amount Owing
Age of Debt
Maturity of Loan
Description of Nature of Debt
How Endorsed, Guaranteed, or Secured
Description of Security Held
Date Payment Expected
NO.3 Life Insurance
Attach schedule if necessary.
Owner of Policy
Name of Beneficiary
Name of Insurance Company
Face of Policy
Total Cash
Surrender Value
Total Loans
on Policy
Policy Assigned
NO.4 Stocks and Bonds
Attach schedule if necessary.
Face Value or Number of Shares
Description of Security
Registered in Name of
Present Market Value
To Whom Pledged
NO.5 Real Estate
Attach schedule if necessary.
Description or Street Number
Title in Name of
Improvements
Consist of
Mortgages or Liens
Amount
of Payments
Assessed Value
Present
Market Value
Are Taxes
Current
NO.6 Jointly Owned Property
Attach schedule if necessary.
Assets
Value
Name of Joint Tenant
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SECTION 3 - Restaurant Operator’s Information
If this franchise will be held in the name of a corporation, please provide the following information:
Name
Address
Corporate Name
President
Vice President
Treasurer
Secretary
Directors
Please attach corporate financial statement.
PERSONAL REFERENCES
Name two persons who have known you at least two years. Please do not list former employees or relatives.
Name & Address
Position
Phone
Years Known
FOOD SERVICE EXPERIENCE/ASSOCIATION
Are you related to any officer, director, employee or franchisee of Sonny’s?
If yes, please state name, relationship, and position held
Yes o
No o
Are you or your employer providing products, goods or services to Sonny’s?
If yes, please state details
Yes o
No o
Do you now or have you ever owned or had an interest in a food service operation?
If yes, please state details
Yes o
No o
LOCATION PREFERENCES
BUSINESS PLAN
I intend to develop Sonny’s as a:
o Free standing unit land and building
o Remodel of existing operation
o Strip center
o Leased operation
o Other
I plan to operate the business as a:
o Owner/Operator
o Investor absentee owner
o Investor active owner
List hours per week
o Other
I hereby authorize you to make investigations of my credit, character and ability and to contact anybody, whether or not listed
above, including former employers, in order to obtain personal information about me. I release all such persons from any liability or
damages that may incur as a result of such an inquiry or the furnishing of such information. I also certify that the information on this
statement is true and complete as of the
day of
.
day
Signature
month
Date
year
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PLEASE READ AND SIGN BELOW
I understand that by providing the information contained herein, no continuing obligation is placed on me or
Sonny’s Franchise Company, who will rely on this information to determine my qualifications to enter into a
Franchise Agreement and I certify that this is a complete and accurate representation of my personal and
financial condition as of the date shown below. I understand that whether or not I am granted the opportunity
to become a Sonny’s Franchisee may in part or whole be determined on the information obtained on me.
For the purposes of entering into a business arrangement, I authorize Sonny’s Franchise Company or an
authorized agent to conduct any reasonable investigation necessary to verify any of the information
contained in this questionnaire, including my assets, liabilities, financial position, credit history and character.
I further authorize Sonny’s Franchise Company or an authorized agent to conduct any necessary credit and
background checks, and to contact anyone, whether or not listed herein, including credit reporting agencies,
and my present and past employers, in order to obtain information about me. I authorize the release of such
information to Sonny’s Franchise Company or an authorized agent, and I release all such persons from any
liability or damages that may be incurred as a result of said inquiry or the furnishing of such information. In
addition, upon request, I will provide true copies of my personal/business (and, if applicable, my spouse’s)
federal and state income tax returns as filed for the last three years.
I understand that Sonny’s Franchise Company or its authorized agent may, at its discretion, re-verify this
information prior to the effective date of any agreement we may enter into, and any material
misrepresentation, or my failure to promptly notify Sonny’s Franchise Company of any material changes in
this information, will be adequate grounds for Sonny’s Franchise Company to rescind any agreement(s) we
may enter into.
I understand that this profile does not constitute an approval for a Franchise Agreement by Sonny’s Franchise
Company. I am advised that until such time as I receive a Franchise Agreement executed by a duly authorized
officer of Sonny’s Franchise Company, I should not make any plans for job severance or relocation.
Signature
(Applicant)
Date
Signature
(Spouse)
Date
NOTE: No qualification profile will be processed without the required signature(s).
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Date
Gentlemen:
You are hereby authorized and directed to furnish any and all financial information, including bank account
information to:
SONNY’S FRANCHISE COMPANY
Attention: Franchise Development
201 North New York Avenue 3rd floor
Winter Park, FL 32789
Also, please list the amount of any indebtedness to you.
Financial Institution
Address
Account Number
Type of Account
Balance
Indebtedness
I do hereby give my permission for you to disclose to Sonny’s Franchise Company all information regarding
me including all information concerning my bank accounts, loans, and all other financial transactions with
your financial institution.
Sincerely,
Signature
(Print Name)
Signature
(Print Name)
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