RoboThink Franchise Application Form

Confidential Application Form

Thank you for your interest in a RoboThink Franchise. The completion and submission of this form places no continuing obligation on either RoboThink, llc. or the applicant. It will provide confidential information we need to determine if you are qualified to start the process of becoming a RoboThink Franchise.

Personal data (for all persons involved in ownership of business)

First Name

Last Name

Home Address

If married, Spouse’s First & Last Name

Home Phone

Business Address

Date of Birth

Number of Children

Mobile Phone

Citizenship

Business and employment history

Applicant’s Current Employment Status

Organization

Position Held

How long?

Others

Spouse’s Current Employment Status

Organization

Position Held

How long?

Other

Have you ever owned a franchise or your own business?

If yes, please write the type of business

Have you ever failed in business, filed bankruptcy or compromised with creditors?

Are you currently or have you ever been involved in any lawsuits?

If yes, give particulars

Have you ever been convicted of a crime (except traffic demeanors)?

If yes, give particulars

Education and experience (for all parties involved in ownership of business)

Please indicate last year you completed and if you graduated

High School

College

University

Masters

PhD

Graduated

Major

Please write about your education and special skills (a personal resume is preferred)

Financial information (sources of annual income)

A. Assets

Cash (All Financial Institutions)

Retirement Accounts

Marketable Securities

Accounts & Loans Rec.(Itemize)

Amount

Auto (Make & Year)

Real Estate Market Value

Business Interests

Other Assets

Amount

A. TOTAL ASSETS

B. Liabilities

Bank Loans

Mortgages on Real Estate

Credit Cards (Itemize)

Amount

Other Obligations (Itemize)

Amount

B. TOTAL LIABILITIES

C. NET WORTH (A minus B)

Note: If you are personally supporting any contingent obligations not listed above (e.g. co-signer, guarantor, endorser), please indicate the details below, including the amount of the obligation.

Business Plan

How did you hear about RoboThink?

Please list your preference for locations if granted a RoboThink franchise.

If granted a RoboThink franchise, when would you be available to open a location?

Do you intend to work full or part time?

If part time, how many hours per week will you devote to this business?

What is your business objective? Why do you want to become a RoboThink franchisee?

I am submitting this Confidential Application Form to obtain further information about the RoboThink franchise system. I understand that neither RoboThink nor I are under any obligation whatsoever. Should I proceed with my investigation of the RoboThink franchise opportunity, my signature constitutes my approval for you to make a routine check and conduct such other searches, as you may consider appropriate. The undersigned warrants that this information is true and correct and that RoboThink may consider this statement as true and correct until a written notice of change is given to RoboThink by the undersigned.

Signature (name)

Date

Confidential Application Form

Personal data (for all persons involved in ownership of business)

Business and employment history

Education and experience (for all parties involved in ownership of business)

Please indicate last year you completed and if you graduated

Financial information (sources of annual income)

A. Assets

Accounts & Loans Rec.(Itemize)

Other Assets

B. Liabilities

Credit Cards (Itemize)

Other Obligations (Itemize)

Business Plan

Please list your preference for locations if granted a RoboThink franchise.

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