Franchise Application

FRANCHISE APPLICATION

PFS as of 2016 - 2017

First Name *

Last Name *

Address *

City *

State *

Phone Number *

Email *

How long at present address? *

Current Employment

How Long Employed?

ASSETS

LIABILITIES

Cash on hand Savings & Checking accounts *

Notes Payable to Bank(s) *

Certificates of Deposits *

Notes Payable to Others: *

Stocks/Bonds/Mutual Funds *

Current Debt, Credit Cards, Accounts *

Accounts & Notes Receivable *

Real Estate Mortgages Payable - Home *

Real Estate Owned - Home *

Real Estate Mortgages Payable - Other *

Real Estate Owned - Other *

***

Automobiles/Boat *

Cash Surrender-Life Insurance *

Retirement Funds IRA's/401K *

Other Liabilities *

Other Assests *

Total Net Worth *

Subtract Liabilites from Net Worth

Total Assests *

WHAT ITEMS WILLYOU CONVERT TO CASH (IF NECESSARY TO MEET THE INITIAL CASH REQUIREMENTS? *

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