Franchise form 112233445566 APPLICANT'S PERSONAL DATAAPPLICANT'S NAME* First Middle Last Social Security # Date of Birth* MM slash DD slash YYYY Marital Status* Single Married Spouse’s Name* Address* Home Address City State ZIP Home Phone*Mobile Phone*Business Phone* Email* Number Of Dependents*May we contact your business number ?* Yes No Best time to contact you ?* Morning Afternoon Evening Any CO-APPLICANT'S PERSONAL DATAAPPLICANT'S NAME First Middle Last Social Security # Date of Birth MM slash DD slash YYYY Marital Status Single Married Spouse’s Name Address Home Address City State ZIP Home PhoneMobile PhoneBusiness Phone Email Number Of DependentsMay we contact your business number ? Yes No Best time to contact you ? Morning Afternoon Evening Any Relationship of Co-Applicant to Applicant Spouse Financial Partner Operating Partner Other If other ,Describe EDUCATION HISTORY (Indicate the highest level of education completed)Education History Of ApplicantHIGH SCHOOL* SOME COLLEGE* ASSOCIATES DEGREE* UNDERGRADUATE DEGREE* GRADUATE DEGREE* PhD* SPECIFIC DEGREE EARNED* COLLEGE/ UNIVERSITY NAME* Education History Of Co-ApplicantHIGH SCHOOL SOME COLLEGE ASSOCIATES DEGREE UNDERGRADUATE DEGREE GRADUATE DEGREE PhD SPECIFIC DEGREE EARNED COLLEGE/ UNIVERSITY NAME APPLICANT’S EMPLOYMENT HISTORY (Please list most recent or current employment first)DATE* MM slash DD slash YYYY COMPANY* POSITION* ANNUAL INCOME* Date MM slash DD slash YYYY COMPANY POSITION ANNUAL INCOME Date MM slash DD slash YYYY COMPANY POSITION ANNUAL INCOME CO-APPLICANT’S EMPLOYMENT HISTORY (Please list most recent or current employment first)DATE MM slash DD slash YYYY COMPANY POSITION ANNUAL INCOME DATE MM slash DD slash YYYY COMPANY POSITION ANNUAL INCOME DATE MM slash DD slash YYYY COMPANY POSITION ANNUAL INCOME HOW DID YOU FIRST LEARN ABOUT THE YOLANDA’S TACOS FRANCHISE OPPORTUNITY?(Please check all that apply)* Through the Internet Franchise Consultant/Broker From a Friend From a Franchisee Client of Yolanda’s Tacos Franchise Magazine Advertisement Representative Other Name of site:* Consultant / Broker Network* Friend’s name:* Franchisee’s name* Yolanda’s Tacos Franchise Location:* Name of magazine:* Name of representative:* Please describe:* INTENTIONS AND EXPECTATIONS AS A FRANCHISE OWNERAre you a U.S. Citizen?* Yes No If no, are you authorized to work in the United States?* Yes No After the franchise has been awarded, will you continue to work at your current place of employment?Applicant* Yes No Co-Applicant: Yes No Who will operate your Yolanda’s Tacos Franchise Business?* Applicant Co- Applicant Hire Branch Manager Name, if known: In what city and state/province would you prefer to open the Franchised Business?Choice #1:* Choice #2:* Choice #3:* How soon would be able to operate the Yolanda’s Tacos Franchised Business?* Do you own a franchise at this time?* Yes No (If yes, please list)* Add RemovePlease describe what has sparked your interest in owning your own business.* Assuming this is the right franchise, what is your ideal ownership situation? Manage the manager, owner operator, husband and wife team?* Do you desire to own a single territory or multi-territory development?* Do you own or have you owned in the past any non-franchised businesses?* Yes No (If yes, what kind and how long?)* Please rank your core competencies in the order of confidence and career experience: (1-low, 5-high)Marketing*Select12345Sales*Select12345Customer Service*Select12345Staff Management*Select12345Finance*Select12345Administration*Select12345What is your current credit score?*How much income do you need or expect from your business? Year 1, Year 2, Year 3 and beyond?* What businesses have you looked at buying (if any) prior to speaking with Yolanda’s Tacos?* Have you spoken with any other franchisors recently or completed any online information requests or applications?* What are the top 3 things that are most important to you in the ideal business opportunity? (i.e. helping others, enjoyment, passion, life experience, lifestyle, cost of entry, ease of operations, potential to build equity and wealth, retirement, build a business/asset to sell, time commitment, proximity to home, work/life balance, net profit)* How committed are you to owning your own business? (Select a number with 10 being the highest)*Select----12345678910 FUNDING (It is not necessary to list spouses finances separately. Please attach current financials statements if available.) Assets Of ApplicantCash and Money market accounts Investment stocks, bonds, mutual funds Retirement funds, IRA’s Company profit sharing and saving plans Market value of real estate Auto (market value) Cash value of life insurance Account and notes receivable Value of ownership interest in other business(s) Other assets Other assets TOTAL Assets Of Co-ApplicantCash and Money market accounts Investment stocks, bonds, mutual funds Retirement funds, IRA’s Company profit sharing and saving plans Market value of real estate Auto (market value) Cash value of life insurance Account and notes receivable Value of ownership interest in other business(s) Other assets Other assets TOTAL Liabilities Of ApplicantMortgages Auto loans Unpaid taxes Loans due others Credit card balances (combined) Other liabilities Other liabilities Other liabilities TOTAL Liabilities Of Co-ApplicantMortgages Auto loans Unpaid taxes Loans due others Credit card balances (combined) Other liabilities Other liabilities Other liabilities TOTAL NET WORTH (Assets minus liabilities) FUNDING (It is not necessary to list spouses finances separately. Please attach current financials statements if available.)Monthly Expenses Of ApplicantHome Auto Living Credit cards Rent Utilities Insurance (home and life) Vehicles/ boats Other – Please describe: TOTAL Monthly Expenses Of Co-ApplicantHome Auto Living Credit cards Rent Utilities Insurance (home and life) Vehicles/ boats Other – Please describe: TOTAL SOURCES OF INCOME (list all income to continue after being awarded a Yolanda’s Tacos Franchise. Annual totals.) Income Of ApplicantPension/Social Security* Continuing salary* Real Estate* Alimony* Interest* Additional Income 1 (please list)* Additional Income 2 (please list)* TOTAL CONTINUING INCOME* Income Of Co-ApplicantPension/Social Security Continuing salary Real Estate Alimony Interest Additional Income 1 (please list) Additional Income 2 (please list) TOTAL CONTINUING INCOME FUNDING CONTINUEDCheck one:* I plan to use my own financial source I would like direction regarding financial sources List*Where will the capital come for the start-up?AmountSource Add RemoveIf you own a home do you plan to borrow against it?* Yes No If yes, what dollar amount?* I/we certify that the information I/we have provided on this application is complete and correct. It is understood and agreed that any misrepresentation by me/us on this application will be sufficient cause for cancellation of this application and/or other legal remedies on behalf of Your Franchise Company Name. I/we hereby authorize Your Franchise Company Name. or its authorized agents to validate any of the above information and I/we authorize the release of such information to Your Franchise Company Name. or its authorized agents. I hereby release from liability Your Franchise Company Name. and its agents for seeking to validate such information.
