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Franchise Application

& General Information

Sunoco, Inc. (R&M)

Type of Facility Interested In: (If interested in more than one type of franchise, indicate 1st and 2nd choice.

Are you applying for a specific location? Yes □ No □

□Ultra Service Center

□Convenience Store

□Traditional Bay Station

□Other_____________

Instructions (Please Print Clearly In Black Ink)

If yes, Duns # ______________

Area Mktg. Mgr. ____________________________________________

Div. Mktg. Mgr. _____________________________________________

Please complete the following application by truthfully providing all the information requested. All the information you provide will be held in strict confidence by Sunoco. Completing this application does not obligate you or Sunoco in any way. Failure to complete the application or providing untruthful information will make the application invalid.

Applying For

□ Sole Proprietorship

□ Partnership (Each partner must provide separate application.)

□ Corporation Name: ______________________

Name (if determined) ____________________________

□ Federal Tax Payer I.D. No. ________________

Personal

Your Name – Last

First

Date of Birth

Social Security No.

| | | | | | | |

Current Address – Number & Street

No. Years At This Address

City, State, ZIP

Previous Address – Number & Street

City, State, ZIP

No. Years At This Address

Phone Number ( )

E-mail address

Have you ever been

Have you ever filed for

U.S. Citizen?

Do you have Permanent Resident status in the U.S.?

convicted of a felony?

bankruptcy?

□ Yes

□ No

□ Yes

□ No

□ Yes

□ No

□ Yes

□ No

Education

School and Location

Number of

Graduated?

Year

Course or Major

Years Attended

High School

□

Yes

□

Technical School

□

Yes

□

College

□

Yes

□

Post-Graduate

□

Yes

□

Describe any additional training in sales, management, or retailing you have had.

“I submit the following information as my complete and true personal financial condition as of the date shown below. I expressly authorize any past or present employer or any person who has personal knowledge of my character, work experience or criminal records to release this information to Sunoco. I understand that Sunoco is relying upon all the information within this application as a material change in any of the above information or any subsequent information provided to Sunoco. In addition, I release all persons from liability as a result of true, accurate information.”

Signature of Applicant	Date

Occupational History

•Complete for past 7 years including periods engaged in independent business

•If you currently own /operate service stations(s) or convenience store(s), complete this section and the Petroleum Industry Experience section below.

Current Employer (Or Last)

	From	Company Name & Address		Phone Number		Monthly Income
				(	)	$
	To			Last Position		Type of Position (See Recap Below)
1

	Name of Supervisor		May We Contact?		Reason For Leaving
			□ Yes □ No
			Previous Employment

	From	Company Name & Address		Phone Number		Monthly Income
			(		)	$
	To			Last Position		Type of Position (See Recap Below)
2

	Name of Supervisor			Reason For Leaving

	From	Company Name & Address		Phone Number		Monthly Income
			(		)	$
3
3	To			Last Position		Type of Position (See Recap Below)

	Name of Supervisor			Reason For Leaving

	From	Company Name & Address		Phone Number		Monthly Income
			(		)	$
4	To			Last Position		Type of Position (See Recap Below)

Name of Supervisor

Reason For Leaving

Occupation Recap (Last 7 Years)

Type		Number of Years				Number of Years
Type	Owned/	Mechanic/	Cashier/	Type	Owned/	Mechanic/	Cashier/
		Mechanic/	Cashier/			Mechanic/	Cashier/
		Technician/	Clerical			Technician/	Clerical
	Managed	Technician/	Clerical		Managed	Technician/	Clerical
	Managed	Assistant Mgr.	Attendant		Managed	Assistant Mgr.	Attendant
		Assistant Mgr.	Attendant			Assistant Mgr.	Attendant
Convenience				Engineering
store with gas

Service Station				Manufacturing
with gas

Retail Business				Accounting
(Non-Petroleum
C-stores)

Garage Without				Other (Specify)
Gas

Sales

Other (Specify)

Petroleum Industry Experience - Sunoco or Competitor (To Be Completed in Addition to the Above)

Currently			Own	Operate		Brand	Address ( indicate Duns # Also if Sunoco	Number of	Monthly Volume
Involved								Years	(Gallons)

□	Yes	□	Yes	□	Yes
□	No	□	No	□	No
□	Yes	□	Yes	□	Yes
□	No	□	No	□	No
□	Yes	□	Yes	□	Yes
□	No	□	No	□	No
□	Yes	□	Yes	□	Yes
□	No	□	No	□	No

General Information


How did you find out about Sunoco franchise opportunities?					□ Sunoco Dealer or Franchisee (Name)
□	Newspaper______________________					Duns #_______________ City___________________
□	Radio (Station)___________________				□	Business Broker (Name)____________________________________
□ In Store Display (Address)___________________					□	Friend (Name)___________________________________________
□ Placement Director (Company Name)________________					□	Other (Specify)
Have you ever applied for a Sunoco, Atlantic or APlus Franchise?							If yes, please provide details, (where, when)
□	Yes	□	No
Are you applying for a specific site?							If yes, address			Distance from you
□	Yes	□	No							Primary residence	miles
□	Yes	□	No
County of your primary residence							Other counties of interest

Are you willing to relocate if another side becomes available?							If yes, please specify the areas you		would be willing to relocate to
□	Yes	□	No
Do any of your relatives operate a service				How Many?				Brand(s)?
station or convenience store?
□	Yes	□	No
Are you associated with any local community organizations or trade groups? List.
□	Yes	□	No

List any hobbies, community activities, special interests, or other information you deem pertinent.

Preliminary Financial Information

Note: If this portion of the application process is approved, a detailed Financial Application, Trading Area Review and Business Plan will be provided for you to complete when a facility becomes available in your local marketing area (as determined by Sunoco). These items must be fully and satisfactorily completed and forwarded to Sunoco for approval.

Total Income For Past 12 Months

		Statement of New Worth

Assets				Liabilities
Amount in IRA, 401k, Retirement Accounts	$		Accounts, Notes & Loans Receivable		$

Cash in Bank (Not including IRA, 401k, Retirement)			Real Estate Mortgages Payable

Securities / Bonds			Other Debts or Obligations

Accounts, Notes & Loans Receivable

Real Estate

Other (Automobiles, Personal Property, Etc.)

Total Assets	$		Total Liabilities		$

Total Net Worth (Total Assets – Total Liabilities)					$

Funds From Above Available For Sunoco Franchise					$

If Additional Funds Are Required, Indicate Source(s) and Amount(s) Available

Source		Institution			Amount

Second Mortgage				$

Personal Loan				$

Business Loan				$

Other				$

*Notification Status Of This Preliminary Franchise Application Will Be Provided Within 10 Working Days After Receipt Of This Completed Application.

Question	Answer
Form Name	Franchise Application Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	franchise form pdf, franchise application template, franchise form sample, franchise form format

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