Franchise Seller Disclosure Form printable pdf download

Franchise Seller Disclosure Form

FRANCHISE SELLER DISCLOSURE FORM

1. List the persons who will solicit, offer or sell franchises for the Franchisor in this

state. For each person state:

A. Name:

B. Business address and telephone number:

C. Present employer:

D. Present title:

E. Employment during the past five years. For each employment, state the name

of the employer position held, and beginning and ending dates:

2. State whether the person identified in 1 above:

Has an administrative, criminal or material civil action pending against

that person alleging a violation of franchise, antitrust or securities law, or

alleging fraud, unfair or deceptive practices, or any comparable

allegations?

Yes ___

No ___

If you answered Ayes@, please provide:

1. Names of the parties:

2. Forum, nature and current status of the pending action:

3. Case or proceeding identification number:

Had during the 10-year period immediately before disclosure document=s

issuance date been convicted of or pleaded nolo contendere to a felony

charge; or been held liable or enjoined in a civil action involving an

alleged violation of a franchise, antitrust or securities law, or allegations