Colbert Ball

Thank you for your interest in the CB Tax Franchise Systems, LP ("Colbert/Ball Tax Service") system. The following will outline the process and steps that are required to be considered for a Colbert/Ball Tax Service Franchise:

Complete the following Request For Consideration form and Territory Request form and return to Colbert/Ball Tax Service by mail - Colbert/Ball Tax Service, 2616 South Loop West, Suite 405, Houston, Texas 77054, Attention: Franchise Sales, or fax - 713-660-6301.
A separate Request For Consideration form should be completed by each applicant.
Upon receipt, we will review and evaluate your application and, if approved, provide you a Franchise Disclosure Document (FDD).
We may provide you with a FDD in hard copy or electronic format. If the FDD is furnished electronically, it will be provided in a Portable Document Format (PDF) file. You must use the Adobe Acrobat program in order to open and view this type of electronic file.
Upon receipt of the FDD, please complete and sign the final two pages of the document entitled 'Receipt.' Once completed and signed, return one copy to the address indicated above.
It is recommended that you review the Colbert/Ball Tax Service FDD with your attorney and business advisors.

Under no circumstances does the submittal of your application to Colbert/Ball Tax Service or its subsequent review and processing imply, in any manner, our intention to offer you a Franchise. You are not accepted as a olbert/Ball Tax Service Franchisee unless and until you and Colbert/Ball Tax Service execute a Franchise Agreement. Colbert/Ball Tax Service does not guarantee the financial performance of any Franchisee or business. The decision to become a Colbert/Ball Tax Service Franchisee and to open a Colbert/Ball Tax Service must be based upon your independent research and analysis.

First Name required	Last Name required	Gender Male Female
Home Phone required	Mobile Phone	>Work Phone
Home Address required	Email Address required	Date of Birth required
City required	State required	ZIP Code required
Marital Status Married Single	Spouses Full Name

How many years have you been at the above address? required

Do you currently rent or own your home? Rent Own

Are you a citizen of the United States of America? Yes No

Will your spouse be active in this franchise buisness? Yes No

High School and City, State	Year	Graduated Yes No
College and City, State	Year	Degree
Trade School or Correspondence School	Year	Degree
Tax Training or Other Training	Year

Present Employer
required

Title / Position

Dates Employed

Do you plan to devote time to this business venture? Yes No

If not, who will be managing it?

Do you plan to have business partners? Yes No

If yes, please identify all partners and their ownership interests

Name	Primary Number	Email Address	Percent Interested %
Name	Primary Number	Email Address	Percent Interested %

Automobile(s)		Accounts payable
Cash in checking account		Brokers margin accounts
Cash in savings account		Charge accounts
Cash in value life insurance		Home mortgage
Listed stocks and bonds		Interest payable
Other assets		Judgements
Other real estate		Notes
Profit sharing/401K		Other liabilities
Real estate home		Real estate payable
Your present business		Taxes payable
TOTAL ASSETS		TOTAL LIABILITIES
Assets minus liabilities		Liquid assets available to invest

Where would you obtain additional liquid capital if needed?

Would this business be your only source of income? Yes No

Have you ever been convicted of a felony? Yes No

If yes, please explain

Are you now, or have you ever been party to any lawsuit -- either as defendant or plaintiff? Yes No

Have you or any company you have owned or managed ever filed bankruptcy, reorganized due to insolvency, gone out of business or compromised a debt? Yes No

How did you hear about Colbert/Ball Tax Service?

required I hereby certify that all the above information I have supplied is true and correct to the best of my ability and understand that Colbert/Ball Tax Franchise Systems must rely upon this information in assessing my qualifications. I understand that the information provided will be kept in the strictest confidence and that this request for consideration is not deemed to be a contract and is in no way binding on Colbert/Ball Tax Franchise Systems or myself. To further evaluate my qualifications, I hereby authorize Colbert/Ball Tax Franchise Systems to order and obtain a credit report and conduct a background investigation.

If a Franchise Consultant from Colbert/Ball Tax Service assisted you, please enter their name: