CHEF CREOLE FRANCHISE CORP.

CONFIDENTIAL FRANCHISE APPLICATION

This application, when completed, is an essential part of evaluating your background and ability to purchase a Chef Creole franchise business. Please print or type and give specific answers to all questions. All answers are held in strictest confidence. The completion of this form does not obligate you in any way or manner. If more than one individual will be part of a group purchasing the franchise, each proposed member of the group must fill out this application and sign it.

Please give present or last position first and provide the last 5 years of work/business history; attach an additional sheet if necessary.
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If yes, please identify all partners:
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PERSONAL REFERENCES
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Please provide the financial information set forth in the schedules on the next section:
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Yearly Income
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Personal Balance Sheet
Assets
Liabilities
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Access to Capital
* Chef Creole Franchise Corp. reserves the right to request confirmation from parties named above to verify fund availability.
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The information supplied by me/us on this application is true to the best of my/our knowledge.
In connection with this application for a franchise with Chef Creole Franchise Corp. (“Chef Creole”), Applicant(s) hereby authorizes Chef Creole or its agents, to contact any present or past employer, school, financial institution, law enforcement agency, reference or any other person, firm or corporation.

Applicant(s) authorize and request any of the firms or persons contacted to provide all information concerning them, and hereby release said firms, institutions and their agents and employees from all liability and responsibility for releasing this information. Applicant(s) understand such reports may contain information concerning their credit history or criminal history. Applicant(s) agrees to restrict the use of this information only to the evaluation of Applicant(s) application for a Chef Creole franchise. With respect to any credit report pertaining to Applicant(s) credit history that is obtained in connection with this application, the permission granted herein to obtain a copy of Applicant(s) credit report shall be on-going, should Applicant(s) become a Chef Creole franchisee, and shall relate to any legitimate purpose associated with Applicant(s) status as a Chef Creole franchisee.

Applicant(s) is willing and requests that a photocopy of this Authorization be accepted with the same authority as the original. Applicant(s) further authorizes Chef Creole Franchise Corp, or its agents, to release to prospective financial sources such financial and other information concerning Applicant(s) in their files as may be requested.

Notice: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into a binding contract); or because all or part of the applicant’s income derives from any public assistance program or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning creditors is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

WITH THIS AUTHORIZATION INCLUDE A COPY OF THE APPLICANT’S DRIVERS LICENSE AND SOCIAL SECURITY CARD (if no social security card is available, provide a copy of the first page of such person’s last filed tax return).

By signing below, Applicant(s) agrees to keep all Confidential Information disclosed by the Chef Creole Franchise, Corp. strictly confidential and shall not use any Confidential Information for any purpose other than to determine whether to proceed as a Chef Creole franchisee. Applicant(s) agrees to limit access to Confidential Information to its legal advisors and/or business consultants. Applicant(s) agree not reproduce or transcribe Confidential Information. The term “Confidential Information” means: (a) the Chef Creole Franchise Disclosure Document and exhibits; and (b) any information in written, electronic or other tangible form communicated that is identified as confidential or proprietary or that, based on its nature and the circumstances surrounding its disclosure or receipt, a reasonable person would understand is proprietary or confidential (including Chef Creole Franchise Corp’s franchise business, advertising and marketing strategies, geographical locations, vendors, contacts, and websites, and client lists).
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APPLICANT: