Application Form

The information you provide will be held in the strictest confidence and completion of this form in no way constitutes any actual or implied obligation on the part of NOT1BUG Franchising, LLC. or the applicant. We encourage you to share any relevant information and include/attach anything that you find will make your candidacy stand out as a potential franchisee. We want the very best and most dedicated people to be a part of the NOT1BUG Franchising system. If you are planning to have a business partner or investor, he/she should complete a separate application form and hand it in along with yours. Thank you again for your interest in NOT1BUG Franchising, LLC!

About Yourself

Required fields indicated by *

*Full Name:

*Home Address:

Previous Address (If at current address less than 3 years):

*Phone Number:
May we contact you here? YesNo May we contact you here?YesNo

*Email:
May we contact you here?YesNo May we contact you here?YesNo

*Date of Birth: *Citizenship: *SSN:

Name of last educational institution attended and Degree/Diploma received:

Will there be any other active partners in this business?YesNo

Name of Partners:

PLEASE NOTE: If you do have a partner/s, a separate application form will be needed to be submitted for each partner

How did you become interested in NOT1BUG Franchising, LLC?

Have you done business with NOT1BUG Franchising, LLC? YesNo

Are you an existing franchisee? YesNo

Other:

Employment History

Present Employer
Employment Dates:


May we contact your present employer? YesNo

Previous Employer 1
Employment Dates:


May we contact your present employer? YesNo

Previous Employer 2
Employment Dates:


May we contact your present employer? YesNo

Other Information

Have you ever been self employed? YesNo

Have you or any company you have owned declared bankruptcy? YesNo
Have you ever been involved in any type of civil litigation or criminal offence?YesNo

From a business perspective, what would you say are your greatest:

List any hobbies, community activities or special interests:

Your Interests and Commitment

Please specify which geographic areas you are interested in by order of preference:

What are your expectations by owning a Not 1 Bug Brand Franchise?

What annual income after expenses do you hope to generate from your business?

How much time will you spend at your franchise? FullPart
If you have partners in the business, will they be active in the day‐to‐day operations? YesNo
Will friends, family or associates be helping you? YesNo
If so, who are they?

How will they help?

Your Abilities

Why do you think you will succeed as a NOT1BUG Franchisee?

Why are you interested in a NOT1BUG Franchise?

Given that the success or failure of your business is primarily your responsibility, what would you do to promote your business?

Please provide an example where you have hired, trained and/or motivated staff or why you believe you will be a strong manager of people.

Financials

(All information provided is strictly confidential and will be treated as such)n Form

AssetsLiabilities
Cash:Bank Loan (car, line of credit, etc.):
Securities:Notes Payable:
Stocks/Bonds:Home Mortgage:
Notes and Loans Receivables:Credit Card Balance:
Home (Market Value):Other Real Estate Loans:
Other Real Estate:
Value of Business:
Other Assets:Other Liabilities:
Total Assets:Total Liabilities:

Credit card(s) or margin of credit held and limit(s):
Credit 1: Limit:

Credit 2: Limit:

Credit 3: Limit:

Salary:Rent/Mortgage:
Spouse's Salary:Utilities:
Car Expenses:
Other Income:Other Expenses:
Total Monthly Income:Total Monthly Expenses:

Which specific assets do you intend to use to meet the cash requirements?
1. 3.

2. 4.

Other Comments:

References

Financial References:

Other References:

Comments:

I hereby certify that all information provided in this application is true and correct as of the date below. I authorize NOT1BUG Franchising, LLC. or its affiliates of agents to conduct any necessary credit and/or background checks. I understand that any false information or consequential omission contained in this application would be cause for immediate terminations of any subsequent agreement reached between myself and NOT1BUG Franchising, LLC.

The submission of this application does not obligate me or NOT1BUG Franchising, LLC. in any way or manner.

*Full Name: *Date:
*Address:

Confidentiality and Non­Disclosure Agreement

NOT1BUG Franchising, LLC. agrees to provide to the undersigned applicant pertinent confidential and proprietary documents and information relating to NOT1BUG Franchises.

The undersigned agrees that this and any subsequent information received will be held in the strictest confidence and only used for the sole intention of evaluating a NOT1BUG Franchising. LLC. franchise opportunity. The undersigned further agrees this information shall only be made available to his/her financial and legal advisors, and then only under the terms and conditions that are set forth herein.

In the event that it is determined that there is no interest in pursuing a NOT1BUG Franchising, LLC. franchise, all documents and information provided shall be returned to NOT1BUG Franchising, LLC.

*Full Name: *Date:
*Address: