Please complete the form below to receive additional information about our Franchise Opportunity.

Prospective Franchisee Evaluation Form


Must be completed in its entirety

Please provide the following contact & general information: 
We will maintain strict confidentiality

Name:
Contact Phone # :

 E-mail Address :
Mailing Address :
No P.O.Box     

 Apt. or Suite # :

 City:

 State:

 Zip:

License Status:

   

Total years Licensed:

   
If a Broker, How long licensed as a   Broker?    
Average # of residential homes you have sold each year for the past 3 years:   
Do you currently own your own office ?     If yes, how many agents do you have ?
Have you ever owned your own office ?     If yes, please give brief history
Have you ever owned a Franchise ?    if yes, please give brief history 
                
Do you currently or have you ever operated your real estate business from your home office ?  
City / Area of interest ?  
Program interested in :   
How soon are you interested in beginning this  venture ? 
How do you plan on pursuing this venture?  
What are your current available funds for this venture ?   
Level of interest :  
How would you rate your credit ?   
What do you estimate your net worth to be ? ( Assets minus Liabilities )   
How did you hear about us ?   
Please add any additional comments, information or questions.
By submitting this form, I declare that the information I have provided is true to the best of my knowledge.

By submitting this form with your telephone number you are consenting for this website's authorized representatives to contact you even if your name is on the Federal "Do not call List"

Thank you for submitting your information. We will be in contact with you by phone or email.

The communications made through this Web site should not be construed as an offer to sell a HomeBased Realty franchise in any jurisdiction in which the franchise must be registered before it is offered and sold, nor are such communications directed by or on behalf of HomeBased Enterprises Inc.. (or anyone acting with HomeBased Enterprises Inc's. knowledge) to the residents of such jurisdictions. No HomeBased Realty franchise will be sold to any resident of any such jurisdiction until the offering has been registered and the required Uniform Franchise Offering Circular has been delivered to the prospective franchisee, in compliance with applicable law. Nothing in this disclaimer should be construed as a waiver of any applicable exemption provisions that may be available to HomeBased Enterprises Inc. HomeBased Enterprises Inc. is an equal opportunity employer. Each HomeBased Realty office is independently owned and operated."THESE FRANCHISES HAVE BEEN REGISTERED UNDER THE FRANCHISE INVESTMENT LAW OF THE STATE OF CALIFORNIA. SUCH REGISTRATION DOES NOT CONSTITUTE APPROVAL, RECOMMENDATION OR ENDORSEMENT BY THE COMMISSIONER OF CORPORATIONS NOR A FINDING BY THE COMMISSIONER THAT THE INFORMATION PROVIDED HEREIN IS TRUE, COMPLETE AND NOT MISLEADING."