🚀 Join the Innovation Wave!

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    Personal Data

    Experience (most current first)

    Business Interests

    Education

    Other Information

    Preferred location:

    Financial Information

    *Note: When completing Liability values, type the minus sign first (i.e. "-400")

    Assets Liabilities*
    Cash on hand / in banks Notes payable to banks – secured *
    Listed Securities (Stocks / Bonds) Notes payable to banks – unsecured *
    Retirement Funds: RRSP’s / 401K / IRA’s Notes payable to others
    TFSA (Canada Only) Real Estate Mortgages Payable
    Accounts and Notes Receivable due Unpaid income tax
    Real Estate Owned Other debts
    Automobiles / Personal Property
    TOTAL ASSETS TOTAL LIABILITIES*
    TOTAL NET WORTH

    Current Monthly Loan Payments (car loans, credit cards, lines of credit, etc.)

      Lender Address Description Payment Amount
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    Credit References

      Company Name Address Phone Number Account Number
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    Bank References

      Bank Name Branch Phone Number Account Number
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    Personal References (no relatives please)

      Name Address Phone Number
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    Signature

    Your signature on this form indicates approval for the use of the information provided for our own internal use only, which includes authorization to conduct any credit checks we feel necessary to verify the contents of this CPR and your Franchise Application. You acknowledge that Launchlife International and its franchises have many criteria for selecting who receives its Confidential Franchisor Disclosure Document and who actually receives a franchise, and that Launchilife International Inc. reserves the right to reject any request or application without providing reasons for such rejection.

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