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Interview Franchisee by hjb19770

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									    FOR INTERNAL USE ONLY
LOCATION:
Received:
Phone Interview:
Franchisee Calls:
Personal Meeting:
UFOC Delivered:
Receipt Page:
Credit Report:
Cash Verification:
Approval:


Candidate Profile                                                               Today’s Date_______________
The purpose of this Candidate Profile is to provide general information to help us evaluate your qualifications for
being awarded a Marble Slab Creamery franchise. This does not commit you in any way to a Marble Slab Creamery
franchise. Should you qualify and a mutual interest develops, we will request additional information.

Please Print
Name: __________________________________ Social Security #: _____________________________________
Spouse: _________________________________ Social Security #: _____________________________________
Street Address ________________________________________________________________________________
City: _________________________________ State: ______________ Zip Code: __________________________
Email address________________________________

Business Phone: _______________________        Best time to call: _________________________________________
Home Phone: _________________________          Best time to call: _________________________________________
Marital Status: ________________________       No. of Dependents: ___________________ Ages: _______________
Date of Birth: _________________________       Spouse DOB: ____________________________________________

Employment History
Your Current Business or Employment: _____________________________ Position: _______________________
Responsibilities (please attach resume if available):
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Spouse
Current Business or Employment: ________________________________ Position: _______________________
Responsibilities (please attach resume if available):
_____________________________________________________________________________________________
_____________________________________________________________________________________________

How did you become aware of our franchise opportunity?
_____________________________________________________________________________________________

What role will you play in the business? _______________________________________________________

Business and Management Goals                                                       Yes                     No
Do you plan to devote your full time to this business?
Will your spouse be active in the business?
Will this business be your primary source of income?
Have you ever owned a business?
If yes, what type?
Financial Statement (as of today’s date)

Assets                                                             Liabilities

Cash on hand or in bank             $                              Installment Notes & Contracts             $

Home                                                               Real Estate Loans

Stocks and Bonds                                                   Bills Payable

Real Estate                                                        Other

Autos                                                              Total Liabilities                         $                       (B)

Personal Property
                                                                   Total Assets (A)                          $
Retirement, 401(K), IRA, etc.
                                                                   Total Liabilities (B)
Other
                                                                   Net Worth (Subtract B from A)
Total Assets                        $                       (A)

Please describe in detail (use separate sheet if necessary) from what sources and in what dollar amounts your initial
and ongoing capital requirements will come.



Please provide the name of your bank, the bank address, and loan officer.



Geographic area in which I prefer to own a franchise:

What annual income do you feel you must                    1st year $              2nd year $                3rd year $
realize:

Your present annual salary range (in thousands):         $20-40         $40-60         $60-80         $80-100          over $100

Have you ever filed for bankruptcy?                      Yes            No

Have you ever been convicted of a felony?                Yes            No


Personal and professional goals:




Everything that I have stated in this profile is correct to the best of my knowledge. I understand that Marble Slab Creamery, Inc.
will retain this profile whether or not I am approved. I also authorize Marble Slab Creamery, Inc. to contact my bank, check my
background and obtain a credit report on me, personally.


Signature:                                                                          Date:

                                              Marble Slab Creamery, Inc.
                                   3100 S. Gessner, Suite 305 • Houston, Texas 77063
                                         (713) 780-3601 • Fax: (713) 780-0264
                                          E-Mail: marbleslab@marbleslab.com
                                                  www.marbleslab.com

								
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