The Application Form Paradise Bakery Page 2
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1
2BUSINESS INFORMATION
1.
Who recommended or how did you hear about us? _________________________________________________________________
2.
Have you ever owned a franchise? __________________If yes, give name of franchise organization: ___________________________
3.
Are you still involved with this franchise? _____________If not, please give details: _________________________________________
4.
Describe your multi-unit restaurant experience (use additional sheets if necessary): __________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
5.
Will you devote full time to this business? ____________If not, who will manage this business? ______________________________
6.
Will this managing person have an equity investment? _______________________________________________________________
7.
When will you be able to open your business? _____________________________________________________________________
8.
Do you regard this franchise as a Career or Investment (circle one)?
9.
Capital available to invest (describe) _____________________________________________________________________________
10. Are you applying as an Individual, Partnership or Corporation (circle one)?
11. Do you have a business plan (if yes, please attach a copy)? ____________________________________________________________
12. Describe your leadership and management style: ____________________________________________________________________
___________________________________________________________________________________________________________
13. Do you have specific background and/or experience that you would like us to consider during our evaluation? ____________________
Explain ____________________________________________________________________________________________________
14. Have you ever filed for bankruptcy? _______________
If yes, please give date and details: ________________________________
REFERENCES AND FINANCIAL INFORMATION
Bank Reference:
1. ____________________________________________________________________________________________________________
Name
Address
Acct #
Contact
Phone
2. ____________________________________________________________________________________________________________
Name
Address
Acct #
Contact
Phone
Business Reference:
1. ____________________________________________________________________________________________________________
Name
Address
Occupation
Phone
Years Known
2. ____________________________________________________________________________________________________________
Name
Address
Occupation
Phone
Years Known
Personal Reference:
1. ____________________________________________________________________________________________________________
Name
Address
Occupation
Phone
Years Known
2. ____________________________________________________________________________________________________________
Name
Address
Occupation
Phone
Years Known
Assets:
Current date ________
Liabilities and Net Worth
Current date ________
Cash on Hand (unrestricted in banks)
Notes payable to Bank
Savings, Funds and certificates, etc.
Notes payable to others
Accounts and Loans receivable
Loans against life insurance
Accounts payable
___________
Home – Fair Market Value (Location
)
Other real estate
Mortgages payable on real estate
Life insurance (cash surrender value)
Home
Other stocks and bonds
Other
Equity in business ventures – liquid
Other liabilities
(Note 1)
(Note 2)
Other assets (itemize)
Total Liabilities
$
(Note 1)
TOTAL ASSETS:
$
TOTAL NET WORTH (assets minus liabilities)
$
Note 1. If you own a majority interest in a business, please
Note 2. Please list guarantees and/or other contingent liabilities:
attach copies of financial statements for current and prior years.
_____________________________________________________
Applicant please read and sign:
The undersigned certifies that the information supplied on this personal financial statement and any financial information submitted on other forms is true
and correct. Processing of this application will not begin until information is complete and submitted.
Date: _____________________________ Signature: __________________________________________________________________
“This advertisement is not an offering. An offering can only be made by a prospectus filed first
with the Department of Law of the State of New York. Such filing does not constitute approval by the Department of Law.”
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