It’s time to be a boss.

Confidential Questionnaire

Step 1 of 4
Personal Information
Name & Age
Address
Contact Information
Step 2 of 4
Business Data
Current Position: Self
Current Position: Spouse
Extra information
Preferred Area(s)
1.
2.
3.
Step 3 of 4
Financial Data
Assets
LIABILITIES
Net Worth
Extra information
FINANCING

The following information is requested because any affirmative answers may have a direct bearing on your ability to obtain financing for starting a new business.

Step 4 of 4
Business Ownership Preferences
Information
Preferred Hours to work
Extra information

All of the information stated herein is a true and correct representation of my personal and financial condition. It is understood that the purpose of this questionnaire is to compile general information And that it is in no way binding upon either party. This is not a contract.

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