Gas Station Form

Full Name

Phone Number

Property Information

Full Property Address

Property size (Lot and building square footage)

Year Built

Month

Day

Year

Last Renovation

Month

Day

Year

Zoning Designation

Photos of Property (Interior and Exterior)

Appraisal or Market Valuation Reports

Fuel Operations

Mobil franchise agreement or owner split agreement (including duration and fees)

Fuel revenue per month (past 12–24 months)

Fuel volume sold per month (past 12–24 months)

Details on maintenance responsibilities (what Mobil covers vs. owner)

Copies of all fuel storage permits and compliance documentation

Environmental & Compliance

Phase I and Phase II environmental reports (soil, underground storage tanks, contamination)

Any past environmental incidents or remediation reports

Health, fire, and safety inspection records

Local, state, and federal compliance certifications

Other Income Sources

Gambling / slot machine revenue, documentation, and operating agreements

Commercial kitchen space

Equipment list and condition

Current or potential lease agreements

Health department permits

Financials

Profit & Loss Statements (past 12–24 months)

Operating expenses, including Utilities, Payroll, Insurance

Repairs/Maintenance not covered by Mobil

Gambling/slot machine-related expenses

Fuel transaction fees (credit/debit card processing)

Tax records (property, business, income)

Legal / Other Considerations

Any liens, encumbrances, or pending legal issues

Franchise restrictions or obligations (Mobil or other vendors)

Pending or past lawsuits related to property or operations

Employee contracts (if any)

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