Quick Summary Franchise Qualifier
Transcription
Quick Summary Franchise Qualifier
2310 W. Victory Blvd Burbank, CA 91506 Office: 818-565-6252 Fax: 818-479-9722 Quick Summary Franchise Qualifier Print Form In order to issue a formal credit approval for franchise financing, we need certain information about you, about your company, and about your franchise project. The purpose of this form is to provide a quick, summary overview so we can determine which type of financing would be best for you. If you have any questions, please feel free to give us a call at 818-565-6252. We're happy to help and look forward to working with you. GENERAL INFORMATION Purpose of Financing Request Total Project Cost Estimated Closing Date Amount Requested Name of Franchisor Franchise Fee Paid? (Y/N) Franchise Contact Location Secured? (Y/N) BUSINESS INFORMATION If you have formed a company, please provide the following. If not, proceed to Ownership Information Below Full Legal Name Company Address Company City State Phone Zip Code Fax Date Formed OWNERSHIP INFORMATION Owner Number 1 Name Title Address City Years at Current Residence State Zip Code Best Phone Number to Reach E-mail Address Currently Employed By Work Phone Position How Long? Annual Salary % Ownership Please summarize your personal credit profile over the last 5 years. Excellent, Good, Average? Owner Number 2 Name Title Address City Currently Employed By Position Annual Salary Years at Current Residence State Zip Code Best Phone Number to Reach E-mail Address Work Phone How Long? % Ownership Please summarize your personal credit profile over the last 5 years. Excellent, Good, Average? Page 1 of 4 2310 W. Victory Blvd Burbank, CA 91506 Office: 818-565-6252 Fax: 818-479-9722 Quick Summary Franchise Qualifier Print Form PERSONAL FINANCIAL INFORMATION Owner Number 1 Personal Cash Flow Annual Income Amount ($) Annual Expenses Personal Balance Sheet Amount ($) Assets Amount ($) Liabilities Salary Mortgage/Rent Cash on Hand Notes to Banks Bonuses & Commissions Property Taxes Securities Other Notes Owed Dividends Annual Taxes Retirement Accts Taxes Owed Real Estate Inc. Installment Loans Real Estate Real Est Mtg Other Income Other Expenses Other Assets Other Liabilities Total Income Total Expenses Total Assets Total Liabilities Amount ($) Owner Number 2 Personal Cash Flow Annual Income Amount ($) Annual Expenses Personal Balance Sheet Amount ($) Assets Amount ($) Liabilities Salary Mortgage/Rent Cash on Hand Notes to Banks Bonuses & Commissions Property Taxes Securities Other Notes Owed Dividends Annual Taxes Retirement Accts Taxes Owed Real Estate Inc. Installment Loans Real Estate Real Est Mtg Other Income Other Expenses Other Assets Other Liabilities Total Income Total Expenses Total Assets Total Liabilities Amount ($) Page 2 of 4 2310 W. Victory Blvd Burbank, CA 91506 Office: 818-565-6252 Fax: 818-479-9722 Quick Summary Franchise Qualifier Print Form GENERAL INFORMATION ABOUT YOUR PROJECT What is your motivation for opening a franchise at this time? How did you select this particular franchise concept? Who will manage the day to day operation of this location? How much of your total family income do you expect to generate as a result of this business? How much equity do you plan to invest in this business? Will you be borrowing any funds in addition to this request? Have you ever owned a business before? Please provide details of that business, such as when you owned it, do you still own it, or if not, how did you dispose of it? Which Owners (and/or Spouses) will continue their existing employment? Page 3 of 4 2310 W. Victory Blvd Burbank, CA 91506 Office: 818-565-6252 Fax: 818-479-9722 Quick Summary Franchise Qualifier Print Form SOURCES & USES OF FUNDS In addition to this financing request, please describe any other sources of funds you will be using. And please describe what those Funds will be used for? List Sources of Funds Source of Funds Amount ($) List Uses of Funds Uses of Funds Cash from Bank Accounts Franchise Fee Cash from Sale of Stocks, Bonds, etc Leasehold Improvements Cash from 401k or other retirements funds Furn, Fixtures & Equip. Cash from Bank Lines, Home equity, etc. Signage Any other Borrowed Funds Point of Sale System Cash from InSource Financing Other Capital Costs Total Sources of Funds Initial Advertising & Marketing Amount ($) Inventory Working Capital Total Uses of Funds Page 4 of 4