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Personal Financial Statement


Our Application for Franchise Consideration consists of a Personal Questionnaire and a Financial Statement
If you are considering a partnership, each partner will need to complete the Application for Franchise Consideration.  
You will receive a copy of the completed application in a PDF format after you click the “Submit” button. 
We will review your application and schedule a call with you to go over it together and discuss financing options if needed and next steps. 
Thank you for your continued interest in Apricot Lane Boutique!


    Personal Financial Statement

    Apricot Lane Boutique Logo
  • Section 1. Cash on Hand & in Banks (Checking & Savings)

  • Section 2. Stocks & Bonds (Combined)

  • Section 3. Real Estate

  • Section 4. Notes Payable to Banks & Others

  • Assets

  • Liabilities

  • Source of Income

  • Credit Release

    I hereby give my full consent to Country Visions, Inc, its agents, sub-agents or associates to request and obtain information, on my business and myself with regard to my personal and/or business credit history, both present and past history and any information relating to same. This is to be used for the purpose of establishing my current and past position and financial creditability. This is for the use and review only by Country Visions staff and those owner(s) and representatives of the commercial property I am interested in leasing.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

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