Franchise Request /

Personal Data - Step 1

This request for consideration will help us evaluate your qualifications to be awarded a Tacone® Franchise. This is not an application. Should you qualify, we will request additional information. This form is to be completed by each proposed partner. Please be sure to complete all steps.

All fields are required

Name

Address

City

State

ZIP Code

Business Phone

Home Phone

Best Time To Call

Years At Address

Birth Date

Marital Status SingleMarried

Have you ever declared bankruptcy Yes No

Have you ever been convicted of a felony? Yes No

Are you current in your (and your business) tax obligations? Yes No

Have you ever been sued? Yes No

Were you or your business ever subject to a tax lien? Yes No

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