Personal Information

Current Job or Business Ownership Information

Have you or any of your family members ever owned a business?
Are you interested in investing or operating a franchise?
Do you presently or have you ever owned a franchise business?
How many franchise units are you interested in?

In what geographical areas would you like to own and operate a LeSoie franchise?

Ownership Preferences

On a scale from 1 to 3 with 1 being outstanding and 3 being poor, how would you rate yourself in the following business skills?

Would you want to be involved in your business?
When would you like your LeSoie franchise to open?
How would you rate your family's support of your starting a new business?

Other Financial Data

Cash Available for Down payment in a Business
Do you plan to have a partner?
Do you plan to have investors?
Have you or your spouse ever been involved in a personal or business bankruptcy?
Are you or your spouse under any criminal investigation?
Have you or your spouse ever been convicted of a crime?
Are you or your spouse currently involved in any pending lawsuits?
Are you or your spouse subject to any civil judgments?

Financial Information

Assets (USD) Liabilities (USD)
Cash (checking and savings) Installment Credit Card Debts
Investments Automobile(s) Debt
Stocks, Bonds, CDs Other Accounts Payable
Accounts and Notes Receivable Mortgage(s) Payable on Real Estate
Real Estate Owned (Market Value) First Mortgage(s)
Home Home Equity Line of Credit
Other Secured Loans
Total Vehicle(s) Value Other Liabilities & Debts
List Year and Make per vehicle Notes Payable: Payee Below
Personal Property and Furniture Banks
Retirement Accounts
Pension/ Live
Other Assets -- Itemize
Total Assets Total Liabilities

(Total Assets - Total Liabilities)

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Privacy Statement

The above information is obtained to ensure our offering matches your budget and business acumen. Except for the purpose of assessment as described in this statement, we will not disclose your personal information outside of LeSoie and its controlled subsidiaries and affiliates without your consent. We occasionally hire other companies to provide limited services on our behalf, such as handling the processing and delivery of mailings, providing customer support, hosting websites, processing transactions, or performing statistical analysis of our services. Those service providers will be permitted to obtain only the personal information they need to deliver the service. They are required to maintain the confidentiality of the information and are prohibited from using it for any other purpose. We may access or disclose information about you, including the content of your communications, in order to: (a) comply with the law or respond to lawful requests or legal process; (b) protect the rights or property of LeSoie or our customers, including the enforcement of our agreements or policies governing your use of the services; or (c) act on a good faith belief that such access or disclosure is necessary to protect the personal safety of LeSoie employees, customers or the public. We may also disclose personal information as part of a corporate transaction such as a merger or sale of assets.