CONFIDENTIAL FRANCHISE PRE-QUALIFICATION QUESTIONNAIRE

Affordable Business Concepts, LLC matches qualified buyers with credible franchise opportunities in their desired location. Your information coupled with our market knowledge and industry relationships will help us to identify the franchise opportunities both new and existing that meet your goals. It will also determine your pre-qualifications for franchise ownership in the various industries.

Take a few minutes to complete our franchise pre-qualification confidential questionnaire. Completing this questionnaire does NOT obligate you to any franchise or any franchise to you. If you have any questions regarding the completion of this form contact us toll free at 1-866-388-3576.

First Name *

Last Name *

Street *

City *

State or Province,Country *

Zip or Postal Code *

Email *

Cell Phone *

Home Phone *

Business Phone

Fax

Country of Citizenship *

Desired Location *

Purchase Time Frame *

Date *

Spouse’s Name *

Is Spouse Employed? *

Yes No

Business Partner(s) Name(s) *

Rent or Own a home *

Rent Own a Home

Highest Education (level) *

Education Major *

Credit Score *

Are you Currently Employed? *

Yes No

Describe Position Held *

Full or Part Time Ownership in New Business? *

Amount in your Retirement Funds (401K + IRA)? *

Amount to Invest in a new Business Opportunity *

Net Worth *

What specific Franchises or types of Industries, interest you ? *

Select Franchised Model: Home Based, Mobile, Office or Retail. *

Are you interested in Multiple Units? *

What Franchises have you already considered? *
(Specify their names)

Net Worth Calculator (Estimate to nearest dollar)

Assets

Cash in Bank

Cash In Savings

Stocks, Bonds, Mutual Funds

Total Retirement (IRA+ 401K)

Primary Home Market Value

Other Real Estate Market Value

Business Value

Money Due You

Other Assets

Liabilities

Total Credit Cards Debt

Total Auto Loans Debt

Total Student Loans Debt

Home Equity Line of Credit

Primary Mortgage Debt

Second Mortgage Debt

Other Real Estate Debt

Total Account Charge Debt

Other Debts

Total Assets

Total Liabilities

TOTAL NET WORTH = Assets – Liabilities:$

Affordable Business Concepts, LLC respects your privacy. Your information will never be shared, rented or sold to any 3rd parties. The information you submit is only provided to franchise opportunities for which you have requested additional information.
By clicking the submit button you certify that all of the information stated herein is a true and correct representation of your personal and financial condition. It is understood that the purpose of this questionnaire is to compile general information so we may help you and that is in no way binding upon either party.