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Request for Consideration

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

Current Employer
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Dates, From:
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Dates, To:
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Address
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May we check your references?
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Type of Business
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Last Position Held
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City
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State
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Zip
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Contact Person
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Have you ever owned/operated a Business?
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Business Name
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Do you have a Federal ID number? (*)
Please choose whether you have a Federal ID number or not
If Yes, please provide
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Address
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Nature of Business
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Years in Business, From:
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Years in Business, To:
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Position Held
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References

Name
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Address
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Affiliated with you
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Phone
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General Information

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

Name
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Association
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Address
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Phone
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Partner Percentage
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City
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State
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Zip
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Current Occupation and/or Employer
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Name
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Association
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Address
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Phone
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Partner Percentage
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City
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State
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Zip
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Current Occupation and/or Employer
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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
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Spouse Salary (if required to qualify)
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Dividends and Interest
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Real Estate Income
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Other Income
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Total Annual Income, From:
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Total Annual Income, To:
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Total Annual Income $
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Cash
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Savings
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Certificates of Deposits
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Marketable Securities
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Non-Marketable Securities
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Loans Receivable
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Real Estate Owned
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Personal Property
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Other Assets
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Total Assets
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Accounts Payable
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Notes Payable Secured
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Notes Payable Unsecured
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Real Estate Mortgages
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Other Debts
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Other Debts
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Other Debts
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Total Liabilities
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Total Net Worth
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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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