Break Coffee Co Franchise Application

Applicant Information

First name*

Last name*

Email*

Phone number*

Please select citizenship*

Do you have a spouse?*

Yes

Address of Applicant's Primary Residence

Street Address*

Street Address 2

City*

Country*

Postal Code*

Franchise Interest

Territory Interest (Country)*

In what country are you interested in applying for a franchise?

What market(s) are you primarily interested in opening your franchise in? (City/Region)

If your primary market interest is not available, what other market are you interested in? (City / Region)

Principals and Management

How many business partners are exploring this franchise with you?*

A business partner would be anyone who would operate this business with you or provide capital including family members.

Partner 1 - First Name

Partner 1 - Last Name

Partner 1 - Email

Do you already have a business entity set up to acquire a franchise?*

Yes

Timeline

Discovery Day Timeline *

When would you like to schedule a meeting to explore this franchise in person?

If this franchise checks all the boxes for you and you'd like to become a franchise owner, when would you be able to do so? (Please consider any business or personal commitments that may slow down your decision-making process).

Month/Day/Year

Franchise Ownership Timeline*

Pending diligence and approval, how soon are you looking to purchase a franchise?

Employment and Education

Current Employer Name *

Please type "self-employed" if business owner.

Current Position

Education Level

Applicant Capital Overview

How much unencumbered liquid capital do you have available for investment? ($)*

How do you anticipate financing the balance of your investment?*

Cash on Hand

Business Loan / Credit

Income

What is your average monthly income? ($)*

Please include any income from (salary, dividends, distributions, royalties, or other sources of income)

Assets

Please provide an overview of personal assets.

Cash On Hand ($)*

Value of Marketable Securities ($)*

Value of Existing Business Assets ($)*

Other Assets ($)*

Liabilities

Secured Notes Payable To Others ($)*

Unsecured Notes Payable To Others ($)*

Accounts Payable ($)*

Mortgage Debt ($)*

Other Liabilities ($)*

Net Worth

Applicant Questionnaire

How much franchise experience do you already have?

Will this franchise be your sole source of income?*

What interests you about this brand and its industry?

Do you or your partner/partners have business management experience?*

If you do not have any business management experience or multi unit experience, what experience do you have that qualifies you to be approved as a franchisee?*

What percentage of your time will be dedicated to this venture?*

Our goal is for each franchisee to connect with their community and provide outstanding customer service. It's important for each franchisee to partner with their local community in order to achieve this goal.

How are you presently involved in your community?*

What community organization(s) do you maintain a leadership role with?*

Have you, your spouse, or any of your partners listed in this application declared bankruptcy or been charged with a felony in the last 10 years?*

Yes

Legal Statement
By submitting this form: applicant certifies that the information supplied in this Franchise Application and other financial statements made are true and correct. Applicant further agrees to have all information confirmed by an Oakscale representative and understands that submission of this information does not obligate either of the parties to purchase or sell a franchise. By submitting, applicant is digitally dating and signing this form.