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Franchise Application Form

Thank you for your interest in Pestmaster Services Franchise opportunities. The completion and submission of this form places no continuing obligation on either Pestmaster Services, or the applicant. It will provide confidential information we need to determine if you are qualified to start the process of becoming a Pestmaster Services Franchise. This application form is not intended as an offer to sell, or the solicitation of an offer to buy a franchise. We offer franchises solely by means of our Franchise Disclosure Document (FDD). Certain states and foreign countries have laws governing the offer and sale of franchises. If you are a resident of one of these states or foreign countries, we will not offer you a franchise unless and until we have complied with all applicable legal requirements in your jurisdiction. Please attach additional pages as necessary. False or misleading statements on this form are grounds for terminating the application process and/or grounds for terminating your franchise, should you be granted one. This is not an employment contract or franchise agreement.

* = required fields

Please fill out all fields below:.

Personal Data (for all persons involved in ownership of business)

First Name *

Middle Initial *

Last Name *

Are you a US Citizen? *

If No, are you eligible to own a business in the US? ?

Street Address *

City *

State/Province/Region *

Suite, Bldg, Apt #

Postal/Zip Code *

How long at current address? *

If less than one year please list previous past 3 years:

Primary Phone / Cell # *

Primary Contact Email *

If married: Spouses Name

Business Street Address (if applicable)

City

State/Province/Region

Postal/Zip Code

How much net annual income would you like to make from this franchise? *

Business and Employment History

Applicants current employment status: *

Current Position Held:

How Long?

Past Jobs (please list all in past 10 years)

Recent Job #1

From:

To:

Employer:

Position:

Salary:

Recent Job #2

From:

To:

Employer:

Position:

Salary:

Recent Job #3

From:

To:

Employer:

Position:

Salary:

What type of management experience do you have? *

Spouses current employment status: *

Position Held:

How Long?

Present Employer

Title

Job Responsibility

Do you have any pest control industry experience? *

If , please explain and list all current licenses in the state you are applying for:

Have you ever owned a franchise or your own business? *

If yes, what type of business?

Will this franchise be your sole source of income? *

If no, please explain:

Have you ever failed in business, filed bankruptcy or compromised with creditors? *

If yes, please give specifics:

Are you currently or have you ever been involved in any lawsuits? *

If yes, please give specifics:

Have you ever been convicted of a crime? *

If yes, please give specifics:

Education and Experience

Please indicate each level your complete and if you graduated:

High School:

Graduated:

College:

Graduated:

Major:

Masters:

Graduated:

Major:

PhD:

Graduated:

Major:

Your education and special skills (a personal resume is preferred):

Attach a File (optional)

Financial Information

Will you require financing from a third party? *

Source:

Do you plan to apply for Pestmaster Services in-house financing (up to 50% of franchise fee)? *

Assets

List and describe all current assets.


Amount ($)
Cash (all Financial Institutions)
Life Insurance CSV
Retirement Accounts
Marketable Securities
Accounts and Loans Receivable
Auto (Estimated current value)
Auto (Estimated current value)
Real Estate Market Value
Business Interests
Other Assets
(A) TOTAL ASSETS
(C) NET WORTH (A MINUS B)

Liabilities & Net Worth

List and describe all current liabilities, including any amounts for alimony and child support.


Amount ($)
Bank Loans
Mortgages and Real Estate
Credit Cards list card limits ONLY (itemize each below)
Other Obligations (itemize each below)
(B) TOTAL LIABILITIES
If you are personally supporting any contingent obligations not listed above (e.g. co-signer, guarantor. endorser), please indicate the details below, including the amount of the obligation.
Annual Income
Primary Applicants Gross Income (salaries & wages)
Commissions and Bonuses
Dividends & Interest
Rental Income
Other Income (itemize each below)
Spouse's Gross Income
Other Income (itemize each below)
TOTAL INCOME
Annual Expenditures
(Estimated) Mortgage/Rental Payments
(Estimated) Real Estate Taxes
(Estimated) Federal / State / Local / Provincial Income Taxes
(Estimated) Insurance Premiums
(Estimated) Credit Cards
(Estimated) Consumer Loan Payments
(Estimated) Alimony, Child Support & Maintenance
Other Expenses (itemize each below)
(Estimated) Home Utilities
TOTAL EXPENDITURES

Please indicate total amount and source of fund allocated to invest

Do you currently have a source of financing or any investor/associates who would join you in this venture? *

If yes, give particulars:

Business Plan Please attach your business plan if available

Attach a File (optional)

Please list your preferences for locations if granted a Pestmaster Franchise:

Location 1:

Location 2:

Location 3:

If that area is not available, are there other areas of interest? Please list:

Location 1:

Location 2:

Location 3:

If granted a Pestmaster Services Franchise, when will you be available to open a location?

If granted a Pestmaster Services Franchise, when will you be available for training?

Do you intend to work full or part time?

If part-time do you agree to hire a full-time licensed manager?

What is your business objective? (Why do you want to become a Pestmaster Services Franchisee?

How did you become interested in a Pestmaster Services Franchise ?

Please explain your understanding of franchising:

Comments: Please tell us anything else you think is relevant, such as family business history, your personal business objectives, and what your most significant contribution would be to this business:

Click the link below to download our Background Check Application. Please print, complete the forms, sign and email back to dcampos@pestmaster.com

Download Application

I am submitting this franchise information to obtain further information about the Pestmaster Services Franchise System. I understand that neither Pestmaster Services nor I are under any obligation whatsoever. Should I proceed with my investigation of the Pestmaster Services Franchise opportunity, my signature constitutes my approval for you to make a routine check and conduct such other searches, to include a credit and background check, as you may consider appropriate. The undersigned warrants that this information is true and correct and that Pestmaster Services may consider this statement as true and correct until a written notice of change is given to Pestmaster Services by the undersigned.

Signature *

By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

Date

***This form is not to be construed as an offer of a franchise, a commitment or binding agreement on either party.
All information provided will be kept strictly confidential. Pestmaster Services insists that all information provided you be kept confidential.