I certify that the enclosed information as given is correct and complete.   This application does not guarantee or constitute the granting of a franchise from FSC Franchise Co., LLC, it is however understood that the applicant supplies the information contained herein to the best of their knowledge and ability, and the company relies on this information in assessing the desirability and qualification of each applicant.
            Applicant Personal Information:
                
                
                
                
                
                
                
                
                
                
                
                
               
                
                
                
                
                                
                
                
                
                
                
        
                
                Have you lived outside the US in the last 5 years?
                
                
               
                Applicant Education/Military:
                
                
                
                
                
                
                Previous Employer/Business Experience:
                
                
                
                
                
                
                
                Previous Employer/Business Experience:
                
                
                
                
                
                
                PERSONAL FINANCIAL STATEMENT
                I MAKE THE FOLLOWING STATEMENT OF ALL MY ASSETS AND LIABILITIES ON:
                
                
                
                
                
ASSETS:
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                LIABILITIES:
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                TOTAL ASSETS MINUS TOTAL LIABILITES = NET WORTH:
                
                
                
                MONTHLY INCOME AND EXPENSES
                SOURCE OF MONTHLY INCOME
                
                
                
                
                
                
                
                
                MONTHLY EXPENSES
                
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
         Tell us about you and why you want to own a Brass Tap
         
          
          
          
           
          
     
     
                
                
                By signing below, I certify that the enclosed information as given is correct and complete. This application does not guarantee or constitute the granting of a franchise from FSC Franchise Co., LLC, it is however understood that the applicant supplies the information contained herein to the best of their knowledge and ability, and the company relies on this information in assessing the desirability and qualification of each applicant. In connection with discussions and evaluation of a possible FSC Brands franchise opportunity, we may disclose non-public, proprietary and/or confidential information (whether in oral, visual or written form) that would reasonably be deemed confidential in nature, whether or not it is marked or otherwise designated as “confidential” (“Confidential Information”). By signing below, I agree that I shall use the Confidential Information only for evaluating the possible Brass Tap franchise opportunity and I shall never use the Confidential Information for any other purpose or disclose the Confidential Information to any other person.