Pizza & Sandwich Quest

Company Information

Company Name (dbs):

Store #: Phone#: Fax#:
Mailing Address: Location Address: E-mail address:
FEIN: Contact Person: Contact Person Phone #:

Building Information:

Age of building: Number of floors: Sq. Feet:
Construction: Frame
Masonry
Non-Combustible
Sprinkler
 Yes    No
Alarm
 Yes    No
Building Update: Plumbing  Yes    No Year: 
Roof  Yes    No Year: 
Electrical  Yes    No Year: 
Building is:  Free Standing
 Part of shopping center
List other tenants:
Mortgage Co. Info: Landlord Info:

Miscellaneous Information

Total # of employees: Full Time: Part Time:
Estimated Payroll: Delivery: Inside:
Annual Sales: Delivery: Carry Out:
Replacement Value of: Building (if required): Contents:
Improvement: Computers:

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***PLEASE PROVIDE THE PAST 4 YEARS' CURRENT VALUE LOSS RUNS. THANK YOU***