PRIOR TO GETTING QUALIFIED, WE REQUIRE THIS FORM BE FILLED OUT. ALL CATEGORIES MUST BE FILLED OUT WITH ACCURATE INFORMATION OR WE WILL NOT BE ABLE TO RESPOND.

First Name

Last Name

Cell Phone

E-mail

How did you here about us

Current Employment

Credit Score

Time frame you are looking to invest Time frame you are looking to invest 30 Days 60 Days 90 Days 6 Months 1 Year Over 1 Year

Amount you are looking to invest Amount you are looking to invest $30,000 $60,000 $90,000 $120,000 $150,000 $200,000 $300,000 $400,000 $500,000 $750,000 $1,000,000 $1,500,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000 $10,000,00 $15,000,000 $20,000,000 $50,000,000 $100,000,000+

Type of business Type of business BAR LEASE NIGHTCLUB LEASE BAR REAL ESTATE + BUSINESS NIGHTCLUB REAL ESTATE + BUSINESS

What do you prefer? What do you prefer? BUILD & FLIP RESIDUAL INCOME

How many partners would you bring into this venture? How many partners would you bring into this venture? JUST ME 2 3 4 5+

How would you fund this project? How would you fund this project? I HAVE THE FINANCE READY TO GO I HAVE AN INVESTOR I WILL APPLY FOR A LOAN

How involved would you want to be? How involved would you want to be? SILENT PARTNER MONTHLY MEETINGS/CONFERENCE CALLS SILENT PARTNER BI WEEKLY MEETINGS/CONFERENCE CALLS SILENT PARTNER WEEKLY MEETINGS/CONFERENCE CALLS HANDS ON WITH THE OPERATOR

How many liquor licenses & leases require you do not have a criminal record. do you have a criminal record? How many liquor licenses & leases require you do not have a criminal record. do you have a criminal record? Yes No

Have you ever owned a nightclub or bar? Have you ever owned a nightclub or bar? Yes No

What cities/states do you prefer to open this business?

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