The Greene Turtle Franchise Business Application

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Preliminary Request for Consideration | Business Application

The following is an electronic confidential The Greene Turtle Business Application. Once submitted, the application is sent through a secure server where only our Vice President of Franchise Development can view it. We may ask you for verification of reported assets as your process progresses.

Thank you for taking the time to complete this application.

* Indicates required field

Personal Information

Last Name*

First Name*

Middle Name

Birth Date*

Telephone Number*

Current Address*

Current City*

Current State*

Current Zip*

Current Address How Long?*

Marital Status*

Full Name of Spouse

Occupation of Spouse

Names & Ages of Dependent Children

Applicant's Franchise Plans

Will the Franchise be Owned and Operated by Yourself or a Group?

Please Explain Fully

Amount of Capital Available for this Business

Describe Fully

Territory For Which Application Made

Would You Consider Any Other Areas?

Which Area(s)?

Education

Name of School

Dates of Attendance

Grade Average or Standing

Diploma or Degree

Date of Graduation

Name of School

Dates of Attendance

Grade Average or Standing

Diploma or Degree

Date of Graduation

Business & Experience Record

Have you ever been in business for yourself?

Name & Address of Employer

Position, Titles & Duties

Employment Start Date

Employment End Date

Supervisor's Name & Title

Reason for Separation

Beginning Salary

Ending Salary

Physical Condition

General Physical Condition

Date of Last Physical Exam

List any physical impairments or chronic illnesses which may preclude certain types of activity

Explain

Income

Year

Earned (salary, commissions, fees, etc.)

Interest Received

Rents Received

Other Income

Explain

References

Please list three professional & character references

Please list three credit references

Name and Address

Checking

Savings Account

Contingencies

Do you have any contigent liabilities?

Are you a defendant in any suits or legal actions?

Confidential Financial Statement

Cash on Hand & Unrestricted in Banks

U.S. Government Securities

Accounts & Loans Receivable

Notes Receivable, Not Discounted

Notes Receivable, Discounted with Banks, Financial Companies, etc.

Life Insurance, Cash Surrender Value (Do not deduct loans)

Other Stocks & Bonds

Real Estate

Automobiles Registered in Own name

Asset

Value

Notes Payable to Banks, Unsecured Direct Borrowings Only

Notes Payable to Banks, Secured Direct Borrowings Only

Notes Receivable, Discounted with Banks, Finance Companies, etc.

Notes Payable to Others, Unsecured

Notes Payable to Others, Secured

Loans Against Life Insurance

Accounts Payable

Interest Payable

Taxes & Assessments Payable

Mortgages Payable on Real Estate

Asset

Value

No. 3 Life Insurance

Name of Person Insured

Name of Beneficiary

Type of Policy

Face Amount of Policy

Total Cash Surrender Value

No. 4 Other Stocks & Bonds

Face Value (Bonds) No. of Shares (Stocks)

Description of Security

Registered in Name Of

Cost

Present Market Value

Income Received Last Year

To Whom Pledged

No. 5 Real Estate

Description or Street No.

Mortgages or Leins

Present Market Value

Year

Amount

Description or Street No.

Mortgages or Leins

Present Market Value

Year

Amount

Description or Street No.

Mortgages or Leins

Present Market Value

Year

Amount

Description or Street No.

Mortgages or Leins

Present Market Value

Year

Amount

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