CERTIFICATION + CONFIDENTIALITY STATEMENT

I authorize LS Franchisor LLC and its affiliates (collectively “Company”) to rely on the above information and any supplemental information I might later provide in deciding whether to grant me a franchise. I certify that the foregoing information is true, correct and complete as of this submission. I authorize Company to conduct its own background and credit history checks using whatever resources it may be entitled under applicable law to use. I authorize Company to start an investigative consumer report (including information as to my character, general reputation, personal characteristics and mode of living) and a credit investigation (including obtaining my credit report from Company’s choice of credit reporting agencies). In accordance with the Privacy Act, Freedom of Information Act, Fair Credit Reporting Act and any similar federal, state or local law or regulation, I expressly authorize any past or present employer, law enforcement agency, credit reporting agency, collection agency, bank, brokerage and other financial institution, educational institution, creditor and supplier, and any other person who has knowledge of my character, work, business and educational experience, financial condition, criminal records or other information about me (whether or not contained in this application) to release information to and cooperate with Company in conducting such investigation. I release all persons from liability as a result of their release of true and accurate information in connection with Company’s investigation. I authorize the use of photocopied or faxed copies of my signature to obtain information in connection with Company’s review and investigation of my application. I understand that I have a right to request that Company disclose to me the nature and scope of its investigation and that, if my application is rejected because of information obtained from a consumer reporting agency, I might be entitled under the Fair Credit Reporting Act to the name of the agency or source of information. If I intend to own the franchise with other applicants whom I have identified to Company, I authorize Company to discuss with such co-applicants any information (including any derogatory credit items) that might negatively affect its determination to grant the franchise. I am aware of no facts, circumstances or events (actual or threatened) that I have not disclosed that might make the information contained herein or that I have otherwise provided to Company incorrect, incomplete or misleading. I agree to promptly notify Company of any material change in any of such information and of any events that might have a material impact on the truth, accuracy or completeness of such information. I understand that Company might require additional information in considering my application. During the process of considering whether to grant me a franchise, Company might (at its discretion) provide or grant me access to certain information, and I might receive certain information from other Company franchisees, whether orally, in writing, or in electronic or other form or format, regarding Company’s business and the operation of the Company’s franchised units, including, without limitation, unit development and operating procedures and techniques, financial information, product offerings and formulations, supply sources, actual and proposed advertising and marketing plans and techniques, development plans and processes, unit design and specifications (collectively, the “Information”). By submitting this information, I agree that I will hold all Information in strict confidence, that I will not disclose any Information to any third party without Company’s prior written consent and that I will use the Information only in connection with my exploration of whether to purchase a franchise; provided, that I may disclose the Information to my legal and financial advisors whose duties justify the need to know such Information, if I inform such parties of the confidential nature of the Information and the undertakings herein, and such parties agree in writing to be bound thereby. I agree that I will return or destroy any Information in my possession at Company’s direction.