AD FRANCHISE APPLICATION
Noble Roman's, Inc.
One Virginia Avenue, Suite 800 Indianapolis, Indiana 46204
317-634-3377 800-585-0669 317 -636-3207 (fax )

The completion and submission of this application does not obligate either the Applicant or Noble Roman's, Inc. This application must be completed by each party who will have an interest in the proposed venture.

PERSONAL INFORMATION

Applicant Name: Co-Applicant Name:
Address: Address:
City /State,Zip      / Bus,Phone / / City /State,Zip      / Bus,Phone / /
Home Phone /Social Security No. / Date of Birth ()/ / Home Phone /Social Security No. / Date of Birth ()/ /
Cell Phone/ Fax Number/ E-Mail Address / / Cell Phone/ Fax Number/ E-Mail Address / /

Do you intend to operate and manage this business on a daily basis yourself?  Yes   No 
If not, who will be responsible for managing and operating the business?     (submit resume)
Relationship to you of proposed manager   

EMPLOYMENT HISTORY

Applicant's Current Employer:

From to Present

Co-Applicant Current Employer:

From to Present

Position:

From to

Position:

From to

Previous Employer:

From to

Previous Employer:

From to

Position:

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Position:

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Previous Employer:

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Previous Employer:

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Position:

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Position:

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Previous Employer:

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Previous Employer:

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Position:

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Previous Employer:

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Position:

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Add Additional Pages If Needed

Describe any prior restaurant experience and indicate Applicant or Co-Applicant:

EDUCATION

Applicant's Schools Attended: Co-Applicant's Schools Attended:
High School attended:
Graduated Y / N Year:
High School attended:
Graduated Y / N Year:
College Attended:
Major(s):
Degree(s) earned:
College Attended:
Major(s):
Degree(s) earned:
Other Education: Other Education:

PREVIOUS BUSINESS OWNERSHIP

(Complete this section if you have ever owned a business - attach extra page if required.)

Applicant:
Legal Business Name:
Co-Applicant:
Legal Business Name:
Owned from: to: Owned from: to:
Type of Business: Type of Business:
Owned from: to: Owned from: to:
Type of Business: Type of Business:
Other Business Ownership: Other Business Ownership:

PERSONAL REFERENCES

(Do not list employers, employees or relatives)

Applicant Personal Reference #1:
Name:
Co-Applicant Personal Reference #1:
Name:
Address: Address::
PHone: () PHone: ()
Occupation: Occupation:
Years Known: Years Known:
Applicant Personal Reference #2:
Name:
Co-Applicant Personal Reference #2:
Name:
Address: Address::
PHone: () PHone: ()
Occupation: Occupation:

CREDIT AND INVESTMENT QUESTIONS

Applicant Co-applicant Joint
1. Have you ever filed for Bankruptcy?
    a. If yes, when? Please attach detailed explanation
2. Have you ever sued or been sued? If yes attach explanation.
3. Were you or a business you owned ever subject to a tax lien?
4. Cash Available for Investment
5. Amount of Financing Available
6. When are you ready to invest?

FINANCIAL INFORMATION

ASSETS Applicant Co-Applicant LIABILITIES   Applicant Co-Applicant

Cash on hand and in banks
Investment Accounts (non-retirement)*
Retirement Accounts

Real Estate Owned **
Accounts, loans, notes due to you
Automobiles & other vehicles
Other Personal Property
Cash Surrender Value of Life Ins.
Book Value of Business Ventures
Personal Property
Other Assets
Total Assets:

Notes payable to banks - Auto
Bank Notes payables - Secured
Bank Notes payables - Unsecured
Real Estate Mortgages**
Unpaid income tax

Other unpaid tax
Margin due to brokers
Life Insurance Loans

Credit Cards

Other Debts
Total Liabilities:
Net Worth: (Assets - Liabilities)

* Please complete this section for all securities you own - attach additional sheet if necessary

# shares or bond face value Description Where Held Current Value Pledged? Yes/No Owner Applicant / Co-Applicant / Joint

** Please complete this section for all Real Estate you own - attach additional sheet if necessary

Property A Property B Property C
Type of Property
Address
Date Purchased
Original Cost
Present Market Value
Mortgage Holder
Mortgage Balance
Monthly Mortgage Payment
Second Mortgage Balance

** If you answered yes to any of these questions, attach a detailed explanation

(Are any significant changes expected in the next 12 months? Yes No (If yes, attach explanation)

OTHER INFORMATION

Location Preferences (listed in order of preference):
Address (if you have a site selected):
Will Applicant be sole owner? Y / N (If no list other(s) and submit Franchise Application:

By signing below, the Applicant and Co-Applicant acknowledge and agree that:

Approval of Applicant, Co-Applicant and/or Operator is in the sole discretion of Noble Roman's, Inc.

Noble Roman's, Inc. does not promise or guarantee the financial performance of any location or franchisee. Your decision to invest in Noble Roman's Pizza and Tuscano's Subs Franchises is solely based on your independent research, analysis and assessment. Noble Roman's, Inc. is not liable for any representation made by a Noble Roman's, Inc. employee or Area Developer with respect to real estate, financial projections, or performance.

Applicant and Co-Applicant hereby grant permission to Noble Roman's, Inc. to conduct all background investigations that Noble Roman's, Inc., in its sole judgment, deems appropriate, including, but not limited to, criminal history investigation, credit history investigation, confirming dates of employment, confirming educational history, checking personal, banking, financial and professional references. Applicant and Co-Applicant hereby grant permission to Noble Roman's, Inc. to contact all persons and companies listed as references or employers.

Applicant and Co-Applicant warrant that all information contained in this Franchise Application is true and accurate. Information contained herein and information obtained through investigation as described above shall be used and relied upon by Noble Roman's, Inc. in evaluation of this Franchise Application. Any material misrepresentation, whether deliberate or unintentional, may be grounds for Noble Roman's, Inc. to terminate any Franchise Agreement subsequently entered in to by the Parties.

Approval of this Application does not grant Applicant or Co-Applicant any Franchise rights. Franchise rights are only granted upon execution of a Franchise Agreement signed by all Parties and payment of Franchise Fees.

Applicant and Co-Applicant acknowledge and warrant that they have read and that they understand and agree to all of the above.

FAIR CREDIT REPORTING ACT NOTICE AND AUTHORIZATION TO RELEASE FINANCIAL INFORMATION

The undersigned authorize:

I hereby acknowledge a receipt of an exact copy of the above Notice and Authorization.

Applicant's Signature:

Applicant's Social Security Number: - -

Co-Applicant's Signature:

Applicant's Social Security Number: - -

Date Signed:

Date of Birth: - -

Date Signed:

Date of Birth: - -