Financial Disclosure

Date*

Name of Principle*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Cell Phone*

Email*

To become a franchisee of GFC, the total investment is at least $125,000.00. This includes initial fees and start-up equipment and materials. An itemized breakdown of the equipment and product costs will be presented later in the process. Due to this financial obligation, it is imperative that GFC assess basic background information and financial standing of all potential franchisees.

Have you filed for bankruptcy?*

Yes
No

Date*

Have you had any arrests or convictions?*

Yes
No

If "Yes", please describe*

What is your citizenship?*

US
Canadian
Other

Other Citizenship*

Assets

Cash*

Value Personal Home*

Investment Real Estate*

Stocks, Bonds, Options*

401K, 403B, IRA*

Other Assets?*

Yes
No

Other Asset 1

Other Asset 1 Amount

Other Asset 2

Other Asset 2 Amount

Other Asset 3

Other Asset 3 Amount

Liabilities

Total Credit Card Debt*

Mortgage Value Personal Home*

Mortgages Investment Real Estate*

Real Estate Equity Loans*

401K, 403B, IRA Loans*

Other Debts?*

Yes
No

Other Debt 1

Other Debt 1 Amount

Other Debt 2

Other Debt 2 Amount

Other Debt 3

Other Debt 3 Amount

In submitting this financial statement, I guarantee its accuracy with the intent that it be relied upon by Garage Floor Coating Franchise System, Inc. in verifying financial strength. I attest to having no known obligations, direct or contingent, which have not been included herein, and I have not knowingly withheld any material information of an adverse nature. I agree to notify GFC immediately, in writing, of any unfavorable change in my financial condition.

Name

This field is for validation purposes and should be left unchanged.

Please fill out the form below, once submitted we will be in touch shortly. Thank you for your interest in starting a GarageFloorCoating.com Franchise!

Assets

Liabilities

CORPORATE OFFICE

GarageFloorCoating.com