Connecting You To Better Living®

Confidential Request for Consideration

Print Version

Nexus Franchise, LLC evaluates all prospects. Please complete all sections of this form and return it

immediately by fax to 401-352-5852 or scan and email to Franchise@NexusPropertyManagement.com. Your information will be

held in the strictest of confidence and neither party will be under any obligation. This is NOT a contract. Please print or type

your responses. Thank You

All fields are required

PERSONAL INFORMATION
U.S. CITIZEN
U.S. CITIZEN
EDUCATION
BUSINESS HISTORY
PRESENT EMPLOYMENT
MAY WE CONTACT
PRIOR EMPLOYMENT
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$
MAY WE CONTACT
Business section
INTERESTS & HOBBIES
FINANCIAL
DO YOU OWN OR RENT YOUR HOME
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$
DO YOU HAVE A FINANCING SOURCE?
ASSETS
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$
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$
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$
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$
$
$
LIABILITIES
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$
$
$
$
$
$
$
$
$
INCOME – SELF
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$
$
$
INCOME – SPOUSE
$
$
$
$
GENERAL
DO YOU PLAN TO OPERATE THE BUSINESS YOURSELF
DO YOU INTEND TO HAVE A PARTNER

Applicant: Please Read & Sign

It is understood that the purpose of this questionnaire is for information only and is in no way binding upon Nexus Franchise, LLC or the applicant. It is, however, understood that the applicant supplies this information contained herein to the best of his or her knowledge and ability and that Nexus Franchise, LLC relies on this fact in assessing the desirability and qualifications of the applicant. This application may require Nexus Franchise, LLC to complete credit and other background checks on all applicants.

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