Franchise Application

THE INFORMATION YOU FURNISH IN THIS FORM IS NOT BINDING AND IN NO WAY OBLIGATES YOU OR Whispr Innovations TO PURCHASE OR SELL A FRANCHISE. ITS PURPOSE IS TO PROVIDE OUR COMPANY WITH THE PERTINENT INFORMATION NEEDED TO EVALUATE YOU AS AN APPLICANT. THE COMPANY WILL HOLD THE ANSWERS SUPPLIED IN THIS APPLICATION IN STRICT CONFIDENCE. THE INFORMATION AND REFERENCES PROVIDED HEREIN WILL NOT BE VERIFIED WITHOUT YOUR WRITTEN AND/OR ORAL AUTHORIZATION.

First Name

Last Name

Phone Number

Street Address

City

State

ZIP Code

Assets

Basic financial asset information

Cash on Hand & In Banks

Stocks, Bonds & Securities

Loans owed to you (Due w/in 1 yr)

Real Estate: (present value)

Businesses Owned

Any other assets

Liabilities

Basic liability information

Notes payable to bank

Notes payable to individuals

Total credit card debt

Vehicle Loans

Home Mortgage

Other Mortgages

Student Loans

Any other debts

Net Worth

Assets minus Liabilities

Total Assets

Total Liabilities

Assets - Liabilities = Net Worth

Amount Available to Invest

Source of Capital

Date

Business Background

Tell us a little about your business experience

Present Employer

Title

Length of Employment

Annual Salary

Responsibilities

Will you be leaving this employment to open your business?

Any other source of income?

Total Combined Income

Have you ever owned your own business?

What type of business?

How long operated?

How did you become interested in this business?

When would you like open?

Whats your primary reason(s) for going into your own business?

What would you consider your strengths in owning your own business?

What would you consider your primary concerns in owning your own business?

In which geographical area would you like to open your business?

Agree

I agree to receive communication and marketing messages from Whispr Innovations at the email and phone number provided above. Message frequency varies, data rates may apply and I can reply STOP to opt-out at any time. Text HELP for help.

Franchise Application

Assets

Liabilities

Net Worth

Business Background

Overview

Services

Contact Info

Address

Phone

Email