Request for Consideration

All information supplied by you will be treated in a strictly confidential manner. Neither the request for, nor the furnishing of, information supplied shall create any obligation or liability whatsoever on the part of the person offering such information to Wausau Homes, Inc.

Incomplete Applications may not be considered

Download PDF of Request for Consideration

Online Application

Personal Information

Full Name: (*)	Please type your full name.
Date of Birth:	Invalid Input
Social Security Number:	Invalid Input
Address:	Invalid Input
City:	Invalid Input
State:	Invalid Input
Zip:	Invalid Input
E-mail: (*)	Invalid email address.
Daytime Phone:	Invalid Input
Evening Phone:	Invalid Input
Fax:	Invalid Input
US Citizen:	yesno Invalid Input
Marital Status:	singlemarriedother Invalid Input
Number Of Dependants:	Invalid Input
Name of Spouse:	Invalid Input
High School:	Invalid Input
College:	Invalid Input
Please list your markets of interest:	Invalid Input
How did you first become aware of the Wausau Homes, Inc. Premier Builder Business Opportunity?	Invalid Input
How soon can you start?	Invalid Input
What other types of businesses are you looking at?	Invalid Input
How long have you been looking?	Invalid Input
What are your strengths based on your business experience?	Invalid Input

Business Background Information

Current Employer	Invalid Input
Dates, From:	Invalid Input
Dates, To:	Invalid Input
Address	Invalid Input
May we check your references?	yesno Invalid Input

Type of Business	Invalid Input
Last Position Held	Invalid Input
City	Invalid Input
State	Invalid Input
Zip	Invalid Input
Contact Person	Invalid Input

Have you ever owned/operated a Business?	yesno Invalid Input
Business Name	Invalid Input
Do you have a Federal ID number? (*)	yesno Please choose whether you have a Federal ID number or not
If Yes, please provide	Invalid Input
Address	Invalid Input
Nature of Business	Invalid Input
Years in Business, From:	Invalid Input
Years in Business, To:	Invalid Input
Position Held	Invalid Input

References

Name	Invalid Input
Address	Invalid Input
Affiliated with you	yesno Invalid Input
Phone	Invalid Input

General Information

Have you ever filed bankruptcy or for protection from creditors in the past seven years?	yesno Invalid Input
If yes, please state date and details	Invalid Input
Have you or your business had any judgments or liens filed against you in the past seven years?	yesno Invalid Input
If yes, please state date and details	Invalid Input
Have you ever convicted of a felony or misdemeanor (other than a minor traffic violation)?	yesno Invalid Input
If yes, please state date and details	Invalid Input
Have you or any member of your family ever been affiliated with or employed by Wausau Homes or any of its builders or trade partners?	yesno Invalid Input
If yes, please state dates and details	Invalid Input
Explain briefly your motivation for owning your own business	Invalid Input
Will you devote your full time to this business?	yesno Invalid Input
If not, give your intentions as to the division of your time.	Invalid Input
Will any other family member be directly involved in the daily operation of this business?	yesno Invalid Input
If yes, list who and in what capacity.	Invalid Input
What are your income expectations from this business? $	Invalid Input

Other Parties with a Financial Interest in this Business

Name	Invalid Input
Association	Invalid Input
Address	Invalid Input
Phone	Invalid Input
Partner Percentage	Invalid Input
City	Invalid Input
State	Invalid Input
Zip	Invalid Input
Current Occupation and/or Employer	Invalid Input
Name	Invalid Input
Association	Invalid Input
Address	Invalid Input
Phone	Invalid Input
Partner Percentage	Invalid Input
City	Invalid Input
State	Invalid Input
Zip	Invalid Input
Current Occupation and/or Employer	Invalid Input

Source of Funds

Prior to approving this application, you must provide copies of statements for verification of your cash investment funds from your financial institution(s). Cash investors with no ownership and management interest in the dealership must submit a letter of commitment stating how much they are contributing, where the funds are coming from and their anticipated participation level. Partners, shareholders and anyone who will have any ownership interest in the dealership must complete a separate application.

Annual Income/Net Worth

Salary	Invalid Input
Spouse Salary (if required to qualify)	Invalid Input
Dividends and Interest	Invalid Input
Real Estate Income	Invalid Input
Other Income	Invalid Input
Total Annual Income, From:	Invalid Input
Total Annual Income, To:	Invalid Input
Total Annual Income $	Invalid Input
Cash	Invalid Input

Savings	Invalid Input
Certificates of Deposits	Invalid Input
Marketable Securities	Invalid Input
Non-Marketable Securities	Invalid Input
Loans Receivable	Invalid Input
Real Estate Owned	Invalid Input
Personal Property	Invalid Input
Other Assets	Invalid Input
Total Assets	Invalid Input

Accounts Payable	Invalid Input
Notes Payable Secured	Invalid Input
Notes Payable Unsecured	Invalid Input
Real Estate Mortgages	Invalid Input
Other Debts	Invalid Input
Other Debts	Invalid Input
Other Debts	Invalid Input
Total Liabilities	Invalid Input
Total Net Worth	Invalid Input

Terms and Conditions

* Use of marketable securities as part of your cash investment source indicates that you are prepared to liquidate these securities upon the approval of your application.

** The assets you indicate that are designated for your personal cash investment (in addition to funds committed by any additional investors) must be equal to or greater than the amount you have indicated as your portion of the source of funds.

Thank you for your Request for Consideration. All information supplied by you will be treated in a strictly confidential manner. You understand that the personal information and financial statements submitted to Wausau Homes, Inc. are material to your evaluation as a potential Wausau Homes Builder, and are therefore certified by you as true substance and correctly given. The undersigned hereby authorizes Wausau Homes, Inc., to undertake such investigation and verifications as deemed necessary to substantiate the facts herein supplied. Wausau Homes is not obligated to award any authorizations and that the decision to enter into any agreement is solely that of Wausau Homes. You release Wausau Homes from any an all liability associated with Wausau Homes consideration of this Request for Consideration.

In order to be considered by Wausau Homes, you must agree to all of the terms provided above and show your acceptance by clicking on the electronic acceptance button where indicated. We will acknowledge receipt of your Request for Consideration by email and if it is approved will email you of this fact and follow-up with written agreements.

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