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Personal Information

Name

Home Address

Unit/Apartment

City

State

Zip Code

Phone Number

Business History

Company Name

Company Address

Unit/Apartment

City

State

Zip Code

Phone Number

Education

Another Education

School Name

Degree

Start Date

End Date

GPA

Real Estate History & Business Experience

No. of years in real estate

Do you operate a real estate company now?

Yes

No

Name of your firm

No. of salespeople

No. of years you have operated the firm

Is your company a:

Sole Proprietorship

Partnership

Corporation

Are you a real estate broker?

Yes

No

No. of years

Have you ever been involved with your local or state real estate board?

Yes

No

If “Yes”, in what capacity?

Personal References (Non-Family Members)

Personal References

Name

Phone

Company

Title

Company Address

Unit/Apartment

City

State

Zip Code

Memberships (civic, business, professional, etc.)

Financial References

Name of personal bank

City

State

Your Goals

How will your experience in business benefit the Sellstate franchise system?

What is your vision for your real estate office?

Financial Data – Assets

Cash

Real Estate Fair Market Value

Stocks, Bonds, etc.

Financial Data – Liabilities

Loans Payable

Real Estate / Mortgages

Unpaid Taxes

Total Assets

Total Liabilities

Net Worth

Note: Prior to approval you may be required to produce a more detailed financial report with a business plan and allow us to obtain a current credit report.

Business Plans

When would you be able to being your venture?

Areas in which you are interested

1st Choice City

2nd Choice City

3rd Choice City

Are there others who would partner with you in this venture?

Yes

No

If “Yes”, please provide:

Name

Relationship

Name

Relationship

Name

Relationship

Additional Information

What do you like most about the Sellstate franchise? – 1)

What do you like most about the Sellstate franchise? – 2)

What do you like most about the Sellstate franchise? – 3)

Support System

Who is your support system? (family, friends, partners, etc.)

May we contact them?

Yes

No

Name

Home Address

Unit/Apartment

City

State

Zip Code

Phone Number

Signature

Date

Upload Document

Drop files here or

Max. file size: 80 MB.

Note: Please upload your resume and an MLS report of your production from the last 2 years.

Protection Of Your Privacy: The information contained in this application is for the sole use of Sellstate Realty Systems Network, Inc. and will not be shared with any other “third-party” except where it is necessary to complete the process of granting a Sellstate franchise.

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