This comprehensive checklist outlines the essential identification, asset, income, liability, and contingent documentation required for GLOM Global franchising applications. Completing and submitting all applicable items ensures a thorough and efficient underwriting review.

I. Identification and Contact Information

• [ ] Applicant's / Borrower's Full Name
• [ ] Business Name of Applicant / Borrower
• [ ] Business Phone Number
• [ ] Residence Phone Number
• [ ] Residence Address (Street, City, State, Zip Code)
• [ ] Social Security Number(s) (Required for all signing parties)

II. Asset Documentation

Cash and Bank Accounts

• [ ] Bank Statements: Official statements for all checking and savings accounts showing balances as of the designated "As of" date.

Retirement Accounts

• [ ] Retirement Statements: Current value statements for IRA, 401(k), 403(b), SEP IRA, or other retirement accounts.

Accounts & Notes Receivable

• [ ] Receivable Documentation: Detailed ledger or records for all outstanding accounts or notes receivable, specifying debtor names, amounts, and payment terms.

Life Insurance

• [ ] Policy Statements: Official statements reflecting current cash surrender value.

Stocks and Bonds

• [ ] Brokerage Statements / Certificates: Documentation for all listed stocks and bonds detailing:
  • [ ] Name of Securities
  • [ ] Number of Shares / Units
  • [ ] Cost Basis
  • [ ] Current Market Value
  • [ ] Date of Quotation / Exchange

Real Estate

• [ ] Ownership Documents: Property deeds or legal ownership records.
• [ ] Valuation Reports: Recent appraisal or market analysis for each property establishing present market value.
• [ ] Mortgage Statements: Recent statements for all existing property mortgages (if applicable).
• [ ] Purchase History: Documentation verifying original purchase cost and acquisition date.

Other Personal Property & Assets

• [ ] Valuation Records: Appraisals or legal ownership documents for significant non-public assets (e.g., jewelry appraisals, fine art valuations, private business equity).
• [ ] Pledged Collateral Agreements: If pledged as security, submit loan agreements detailing lien holders, original/current balance, terms, and delinquency status.

III. Income Documentation

Salary & Earned Income

• [ ] Pay Stubs: Recent pay stubs covering the last 2–3 months.
• [ ] Tax Filings: W-2 forms or personal tax returns for the last 2 consecutive years.

Net Investment Income

• [ ] Investment Statements: Brokerage statements, dividend statements, and interest earnings records.

Real Estate Income

• [ ] Rental Documentation: Fully executed lease agreements, rent rolls, or Schedule E from recent federal tax returns.

Other Income Sources

• [ ] Business / Distribution Records: Schedule K-1s, business Profit and Loss (P&L) statements, or other supporting documentation. (Note: Alimony, child support, or separate maintenance income need only be disclosed if you wish to have it considered for qualification).

IV. Liability Documentation

Accounts Payable

• [ ] Creditor Invoices: Current statements or invoices from creditors.

Notes Payable to Banks and Others

• [ ] Promissory Notes & Loan Agreements: Comprehensive agreements for each note including:
  • Original Balance & Current Balance
  • Payment Amount & Frequency
  • Collateral Details (if secured)
  • Name and Address of Noteholder(s)
• [ ] Recent Statements: Latest billing statements for each note payable.

Installment Accounts (Auto & Other)

• [ ] Installment Statements: Recent loan statements for auto loans and major installment debts showing current balances and monthly obligations.

Life Insurance Loans

• [ ] Policy Loan Statement: Statement from the insurance carrier showing outstanding policy loan balances.

Mortgages on Real Estate

• [ ] Mortgage Statements: Most recent statements for all real estate encumbrances.

Unpaid Taxes

• [ ] Taxing Authority Statements: Documents detailing tax type, total amount owed, due date, and any tax liens attached to property.

Other Liabilities

• [ ] General Debt Statements: Recent statements for credit cards, personal loans, or other significant obligations.

V. Contingent Liabilities

• [ ] Legal Claims & Judgments: Legal documentation, court orders, or settlement paperwork regarding pending claims or judgments.
• [ ] Co-Signed & Endorsement Liabilities: Documentation regarding any co-signed loans, guarantees, or financial endorsements.

VI. Supporting Attachments & Summary Table

• [ ] Schedules & Continuation Sheets: Any additional documentation or schedules used to detail Sections II through V, clearly marked, referenced, and signed.

Documentation Summary Schedule

Section	Category	Primary Document Required	Status (Complete / Pending)
I	Identification	Government ID / SSN / Contact Form
II	Assets	Bank, Retirement, Stock & Deed Statements
III	Income	Pay Stubs, Tax Returns (2 Yrs), K-1s
IV	Liabilities	Mortgage, Auto Loan & Credit Statements
V	Contingent Liabilities	Legal Claims & Co-Signed Agreements

Underwriting Compliance Note: Providing clear, accurate, and current documentation across each of these specified categories ensures the completeness and speed of your personal financial evaluation for GLOM Global

By submitting this application, I acknowledge and authorize Glom Global Franchising LLC and its designated agents or affiliates to:

1. Obtain my consumer credit report and/or business credit report from one or more credit reporting agencies for the purpose of evaluating my application for franchise financing, qualification, or partnership consideration.
2. Verify my employment and income history, as well as other financial or professional information provided in this application.
3. Conduct a background check, including but not limited to verification of my identity, criminal record, and prior business or credit activity.
4. Contact any references, employers, financial institutions, or other entities deemed necessary to verify accuracy of the information submitted.

  I understand that this authorization will remain valid for the duration of my application process and, if approved, may extend for the purpose of ongoing compliance and verification. I further acknowledge that:

• A non-refundable $100 application fee will be charged to cover administrative and third-party verification costs.
• Variable fee ($1-$100) may be applicable depending on city and state for Criminal and Civil Background check.
• Providing false, incomplete, or misleading information may result in denial of my application or termination of any pending approval.
• All information obtained will be used solely for business evaluation purposes and handled in accordance with applicable federal and state privacy laws.

  By signing or submitting this application electronically, I consent to the collection and use of my personal and financial information as described above.