Franchise Application

Contact Information

Name
Street Address
City, State, Zip Code
Home Phone
Work Phone
E-Mail Address

General Inquiries

Please answer each of the following questions by clicking the button for the best answer:

1. Do you currently own a tax practice? Yes No

2. Are you planning on running your Econotax or Hiring a Manager? Self Run Hire Manager

3. Do you have an EFIN? Yes No

4. Have you ever been convicted of a felony? Yes No

5. Do you have experience preparing taxes? Yes No

6. Do you have experience with computers? Yes No

7. Do you currently have a location in mind? Yes No

Your Background

Tell us a little about you, and your background:

Education

Please describe your educational background, and training you have completed:

Financial Information

Will Econotax be your only source of income? Yes No

Please fill out, or attach a personal financial statement.
Assets:		Notes Owed:
Cash in Checking:		Charge Accounts:
Cash in Savings:		Judgments:
Home Value:		Accounts Payable:
Life Insurance:		Taxes Payable:
Stocks/Bonds:		Brokers Margin:
Automobiles:		Mortgages:
Other Assets:		Other Liabilities:
Total Assets:		Total Liabilities:

Locations You Are Interested In

Street Address
City, State Zip Code

Street Address
City, State Zip Code

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand the if I am accepted as an Econotax franchise, any false statements, omissions, or other misrepresentations made by me on this application may result in the loss of my franchise and its rights granted by Econotax.

Signature
Date