Research Gold Star
What Is A Gold Star Chili Franchise?
The Gold Star Chili Franchise Story
How Is Gold Star Different?
What Are My Startup Costs?
Gold Star’s Training & Support
What Makes A Great Gold Star Location?
How Gold Star’s Marketing Builds Business
Available Franchise Markets
Gold Star Franchise Reviews By Gold Star Franchise Owners
Gold Star Awards
Meet The Gold Star Franchise Executive Team
Gold Star FAQ
Request Franchise Information
Franchise Application
Franchise News
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In The News
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Franchise Application
First Name
*
Last Name
*
Home Phone
*
Business Phone
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Business Name of Applicant
*
Date of Birth
*
MM slash DD slash YYYY
Are you a US Citizen?
*
Yes
No
Drivers License # or State ID#
*
Drivers License State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Do you have the funds necessary to open a Gold Star Franchise?
*
Yes
No
Are you a defendant in any lawsuits or legal action?
*
Yes
No
Are you a Veteran?
*
Yes
No
Have you ever filed bankruptcy or are you in the process of filing bankruptcy?
*
Yes
No
Have you ever been convicted of a felony or misdemeanor (other than traffic violations)?
*
Yes
No
Assets
Cash on Hand & in Banks
Savings Accounts
IRA or Other Retirement Account (Describe in Section 5)
Accounts & Notes Receivable (Describe in Section 5)
Life Insurance-Cash Surrender Value Only (Describe in Section 8)
Stocks and Bonds
Real Estate
Automobiles (Describe in Section 5, and include Year/Make/Model)
Other Personal Property (Describe in Section 5)
Other Assets (Describe in Section 5)
Total
Liabilities
Accounts Payable
Notes Payable to Banks and Others
Installment Account (Auto)
Installment Account (Auto) Mo. Payments
Installment Account (Other)
Installment Account (Other) Mo. Payments
Loan(s) Against Life Insurance
Mortgages on Real Estate
Unpaid Taxes (Describe in Section 6)
Other Liabilities (Describe in Section 7)
Total Liabilities
Net Worth
Total
Section 1: Source of Income
Salary
Net Investment Income
Other Income (Describe below)
*Alimony or child support payments should not be disclosed in "Other Income" unless it is desired to have such payments counted toward total income
Real Estate Income
Description of Other Income
Contingent Liabilities
As Endorser or Co-Maker
Legal Claims & Judgements
Provision for Federal Income Tax
Other Special Debt
Section 5: Other Personal Property and Other Assets
(Describe, and, if any is pledged as security, state name and address of lien holder, amount of lien, terms of payment and, if delinquent, describe delinquency.)
Section 6: Unpaid Taxes
(Describe in detail as to type, to whom payable, when due, amount, and to what property, if any, a tax lien attaches.)
Section 7: Other Liabilities
(Describe in detail)
Section 8: Life Insurance Held
(Give face amount and cash surrender value of policies – name of insurance company and Beneficiaries.)
Consent
*
I authorize the SBA/Lender/Surety Company to make inquiries as necessary to verify the accuracy of the statements made and to determine my creditworthiness.
By signing this form, I certify under penalty of criminal prosecution that all information on this form and any additional supporting information submitted with this form is true and complete to the best of my knowledge. I understand that SBA or its participating Lenders or Certified Development Companies or Surety Companies will rely on this information when making decisions regarding an application for a loan or a surety bond.
*
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Print Name
*
Date
*
MM slash DD slash YYYY
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Research Gold Star
▼
What Is A Gold Star Chili Franchise?
The Gold Star Chili Franchise Story
How Is Gold Star Different?
What Are My Startup Costs?
Gold Star’s Training & Support
What Makes A Great Gold Star Location?
How Gold Star’s Marketing Builds Business
Available Franchise Markets
Gold Star Franchise Reviews By Gold Star Franchise Owners
Gold Star Awards
Meet The Gold Star Franchise Executive Team
Gold Star FAQ
Request Franchise Information
Franchise Application
Franchise News
▼
Blog
In The News
Request Information