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Name of Seller/Broker

Cell #

### - ### - ####



Company

Home #

### - ### - ####



Position

Office #

### - ### - ####



Address

Fax #

### - ### - ####



City

E-mail address



State

Website



Zip Code

-











Listing is...

Location ?


Other







Gross revenues (if foreign please convert to US Dollars) estimated for the current fiscal year and actual results for the last two years. Please identify each year:




1 Fiscal Year





2 Fiscal Year





3 Fiscal Year











Net Income/EBITDA (if foreign please convert to US Dollars) estimated for the current fiscal year and actual results for the last two years:




1 Fiscal Year





2 Fiscal Year





3 Fiscal Year











What kind of revenue growth does the seller project for each of the next three years?




Estimate











Some of our Buyers do not participate in daily management. Is there a competent management team in place post-transaction to operate the business for not less than three years?















Is the owner of the business willing to remain involved (with an acceptable compensation package) in the business for at least one or two years after the sale (or longer if interested)?















Is this a total sale (100%) or will they sell part of the business and retain some level of equity ownership in the business?















For what price would the owner consider selling the business?





example: 250, 000.00











From the list below, choose what would be included/excluded in a sale of the business?





Furniture




Fixtures and Equipment


Inventory


Other please specify







Will the business be sold clear of all debt or does the seller wish the buyer to assume existing debt?















If debt is to be assumed then what is the debt and what is the amount?





example: 250, 000.00











Some of our buyer(s) use stock in their deal structure. Should one of them have interest in this as an acquisition candidate; is there interest from the seller to discuss a proposal that might include a cash and/or stock offer?













If no, please tell us what type of deal structure or offer they are looking for?












Are the financial statements audited or CPA prepared?













Does the company have an Executive Summary or a full business plan?















Business Description: Why would an investor want to acquire this company? Please explain briefly any of the following reasons: technology/know-how, patents, brand names, customer list, unique products, can be grown into a nationwide or international company, other expansion plans or unique aspects of the company.







Details




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