As authorized representative of __________________ [Franchisor], I certify as follows:

1. On __________________, (the "Registration Date"), the U.S. Small Business Administration ("SBA") listed _______________________ [franchise program] on its Franchise Registry as complying with SBA’s franchise eligibility guidelines.
    
2. This registration followed SBA’s review of a package of documents (the "Franchise Documents") that Franchisor requires its franchisees to sign in order to participate in _______________________ [franchise program].
    
3. The following Material Changes (changes to the Franchise Documents related to SBA’s eligibility guidelines that require a change to the worksheet responses) have been made to the Franchise Documents since the Registration Date or the date of the last re-certification:
    

Document

Section

Page

 

 

 

4. I have submitted to SBA’s contractor, FRANDATA, a copy of this certification together with a revised Worksheet, a complete set of the current Franchise Documents, and a redlined set of the Franchise Documents indicating all revisions since the Registration Date or the date of last re-certification.

Authorized Representative of _______________________ [Franchisor]