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Confidential Request

For Franchise Consideration

This is not a contract. This confidential request for franchise consideration form does not obligate you in any way and does not constitute an offer of a franchise by Woodcraft Franchise, LLC.

Personal

Date of Application:
M: D: Y:
Name:

First: Middle:

Last:

Date of Birth:
M: D: Y:
Email Address:
Current Address:
City:
State:
Zip:
How Long?

Previous Address:
City:
State:
Zip:
How Long?
Social Security Number:
Telephone Numbers (Day/Eve.):
Day:
 
Evening:
U.S. Citizen:
Marital Status
Number of Dependents?/Ages:



References

Please List Three Professional/Character References

Name:

First: Middle:

Last:

Occupation:
Years Known:
Address:
City:
State:
Zip:
Phone Number:




Name:

First: Middle:

Last:

Occupation:
Years Known:
Address:
City:
State:
Zip:
Phone Number:





Name:

First: Middle:

Last:

Occupation:
Years Known:
Address:
City:
State:
Zip:
Phone Number:




 

Education:

Please List All Education You Have Received, Include: High School, College, Military, or Special Training

High School:
Name, City, State

Date of Graduation:
College/ University:
City: State:
Dates of Attendance:
Date of Graduation:
GPA:
Major/Minor Fields Of Study:
Degree Earned:





College/ University:
City: State:
Dates of Attendance:
Date of Graduation:
GPA:
Major/Minor Fields Of Study:
Degree Earned:

 

Military Branch/Special Training:
Dates Of Service:
Emphasis of Study:

 

Experience

Please Give a Complete Record of Your Experience, Beginning With Most Recent/Current Employer

Name of Employer:
Address:
City:
State: Zip:
Position/Title & Duties:
Supervisor name & Title:
Dates of Employment:
Reason for Leaving:
Starting Salary:
Ending Salary:

Name of Employer:
Address:
City:
State: Zip:
Position/Title & Duties:
Supervisor name & Title:
Dates of Employment:
Reason for Leaving:
Starting Salary:
Ending Salary:



Name of Employer:
Address:
City:
State: Zip:
Position/Title & Duties:
Supervisor name & Title:
Dates of Employment:
Reason for Leaving:
Starting Salary:
Ending Salary:


Franchise Information

What is most attractive to you about owning your own Woodcraft Supply retail store?
  How did you first hear about Woodcraft Supply?
  If qualified, when would you be ready to invest in a franchise?
  Please list the two or three city/state areas (in order of preference)in which you would be interested in opening a franchise.

  Will you have a partner/ If so, please give full name, address, and telephone number.
  In what other business(es) do you and/or your partner have an investment interest?
  Will you be an owner-operator, an investor, or both?
  Do you plan on pursuing other business interests while operating your franchise? If yes, please explain.
  Will you work in the business full-time or part-time? Full-time: Part-time:
  Will your spouse be active in the franchise? Yes: No:
  What is your current interest or involvement in woodworking?
  Please rate your woodworking skill.
  Are you a defendant in any legal suits or actions? If yes, please explain.
  Have you ever filed bankruptcy? If yes, please explain.

Financial Information

Assets  
Cash $
See Schedule 1
   
Accounts, Notes, & Loans Receivable $
See Schedule 2
   

Life Insurance, Cash Surrender Value
Do not deduct loans.

$
See Schedule 3
   
Marketable Securities $
See Schedule 4
   
Non-Marketable Securities $
See Schedule 5
   
Real Estate
Total present market value.
$
See Schedule 6
   
Other Assests $
See Schedule 7
   
Total Assets 
Add column totals
$


 

Liabilities and Net Worth
Notes and Loans Payable to Banks

$
See Schedule 8
   
Notes and Loans Payable to Others
Include credit cards.
$
See Schedule 9
   
Loans Against Life Insurance $
See Schedule 3
   
Taxes and Assessments Payable
IRS, Real Estate, Personal Property
$
Mortage Balance Total $
See Schedule 6
Other Liabilities
Itemize on a seperate sheet.
$

 


Total Liabilities
Add column totals
$
Net Worth
Total assets minus total liabilities
$




Annual Sources of Income
Most Recent 12 Month Period

 
Earned (Salary, Commissions, Fees, Etc. $
Rents Received $
Other Income $
Interest & Dividends Received $
Bonus Payments $

 


Total Gross Income
$


 

Schedule 1: Cash

Please list all bank checking and savings accounts.

Name and Location of Bank Type of Account Current Cash Balance

Names on Accounts

Totals    

Schedule 2: Accounts, Notes, and Loans receivable

Please list largest amounts owed to you.

Name and Address of Debtor Remaining Loan Balance Age of Debt Nature of Debt Description of Security Held

Payment Schedule

Totals        

Schedule 3: Life Insurance

Person Insured Beneficiary Insurance Company Type of Policy Face Amount of Policy Total Cash Surrender Value Total Loans Against Policy Amount of Yearly Premium Is Policy Assigned?
Totals        

Schedule 4: Marketable Securities

Description of Security Registered in Name of: Cost Present Market Value Income Received Last Year To Whom Pledged
Totals      

Schedule 5: Non-Marketable Securities

Description of Security Registered in Name of: Cost Present Market Value Income Received Last Year To Whom Pledged
Totals      

Schedule 6: Real Estate

Street Address Dimensions or Acres Improvements Consists of Mortage Balance Due Dates and Amounts of Payments Present Market Value
Totals      

Schedule 7: Other Assets

Automobiles/Furnishings Present Market Value Collectibles/Misc. Present Market Value
Totals Totals

Schedule 8: Notes and Loans Payable To Banks

Address of Debtee Original Loan Amount Loan Balance Nature of Debt Description of Security Held Amount of Payment
Totals        

Schedule 9: Notes and Loans Payable To Others

Address of Debtee Original Loan Amount Loan Balance Nature of Debt Description of Security Held Amount of Payment
Totals        

Fair Credit Reporting Act Pre-Notification

This is to inform you that as part of our procedure for processing your application for a franchise, an investigative report may be made whereby information is obtained through personal interviews with third parties, such as business associates, financial sources, friends neighbors, or others with whom you are acquainted. This inquiry includes information as to your character, general reputation, personal characteristics, and mode of living, whichever be applicable. You have the right to make a written request within a reasonable period of time for a complete an accurate disclosure of additional information concerning the nature and scope of the investigation.

I understand that the information I am receiving from Woodcraft Franchise LLC is highly confidential, and in being made available to me will be held in strict confidence. I will not disclose or use any data business materials, techniques, methods, systems of operation, procedures, policies, standards, criteria, customers, suppliers or other information whatsoever in conjunction with this franchise without the prior written consent of Woodcraft Franchise LLC.

In submitting the foregoing application and statement the sender guarantees its accuracy with the intent that it be relied upon in granting a franchise and extending credit to the sender and warrants that he/she has not knowingly withheld any information that might affect his/her credit risk, and the sender expressly agrees to notify Franchisor immediately in writing of any material change in his/her financial condition whether application for further credit is made or not and in the absence of such written notice, it is expressly agreed that the Franchisor in granting a franchise or credit may rely on this statement as having the same force and effect as if delivered upon the date additional credit is requested or existing credit is extended or continued.

The sender certifies that each part of the application and financial statements hereof and the information inserted herein has been carefully read and is true and correct.