Franchise Application

Complete the secure online form below or download and print a PDF application. Fax completed applications to: (914) 576-7669. Please note: Each owner, partner, member and shareholder associated with the purchase of the franchise must complete a Franchise Application.

    Franchise Application   cili

    What source drove you to this website to apply today?*

    First Name

    Last Name

    Social Security Number

    Date of Birth

    Residence Address*

    City

    State/Province

    Zip Code

    Home Phone*

    Cell Phone

    Work Phone

    Email Address*

    Are You Married?*

    YesNo

    If 'Yes', please list spouse name:

    Partners:Will you have other owners/partners?*

    YesNoI don't know

    If 'Yes', who are they?

    Each of these individuals must submit
    a separate, completed application.

    Are you:

    please answer employment questions below

    EmployedSelf Employed

    UnemployedRetired

    Name of Company/Employer

    Type of Business

    Position

    Total Liquid Assets Available (A)*

    (e.g. cash, stocks, bonds, mutual funds)

    $100,000 cash available required for each unit

    Total Tangible Assets (B)*

    (e.g. house, car, business, etc.)

    Total Assets (C)*

    (Add A to B)

    Total Liabilities (D)*

    Total Net Worth (E)*

    (Subtract D from C)

    Total $500,000 for each unit

    Have you ever filed for bankruptcy protection?*

    YesNo

    If yes, identify discharge date

    Have you even been convicted of a felony?*

    YesNo

    Are you or anyone in your immediate family a partner or owner (partial
    or otherwise) of a restaurant?*

    YesNo

    If yes, list name of business and family relationship

    Are you or anyone in your immediate family employed by a restaurant?*

    YesNo

    If yes, list name of employer and family relationship

    Are you a U.S. Citizen?*

    YesNo

    If no, what country?

    I understand that if financing is required to open my Maui Tacos
    franchise it is my sole responsibility to obtain the financing*

    YesNo

    I understand that the acceptance of this Franchise Application by Maui Tacos International or any of its affiliates (collectively "Maui Tacos") does not constitute the grant of a franchise. I understand that Maui Tacos grants franchises only by executing written franchise agreements. By signing below, I authorize Maui Tacos and its assigns to start an investigative consumer report (including information as to my character, general reputation, personal characteristics and mode of living) and credit investigation based on the information voluntarily provided by me and warrant that all information provided is true and accurate. I understand that I have a right to request that Maui Tacos make a complete and accurate disclosure of the nature and scope of such investigation. Maui Tacos may obtain my credit report in connection with this application. This is my authorization to credit reporting agencies, bank(s), creditors and suppliers to release to Maui Tacos, and to Maui Tacos to release to such parties, all information requested regarding my depository, loan or other credit information including, without limitation, financial information, by telephone or in writing as part of the normal credit evaluation process. I release my bank(s), creditors, suppliers and Maui Tacos from all liability with respect to the release of any such requested information. Authorization is granted to use photo or fax copies of my signature to obtain information. If I am requesting that Maui Tacos make a credit determination based on my creditworthiness combined with any co-applicants, I authorize Maui Tacos to discuss any derogatory credit items with such co-applicants. I understand that Maui Tacos may, at any time, require that I sign an updated application or provide updated information.

    I accept the above terms.*

    If you do not accept all terms, your application will not be fully processed.

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