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Business Buyer Information Form

Business Buyer's Information Sheet

A good match of business and acquirer is one of the keys to success. To find a suitable business acquisition for you we need the following information.

All of this information will allow me to better assist you and will be kept totally confidential until you allow me to release it to sellers that would match your criteria and request your information on the buyer.


Please complete the form below, an. click on Submit when ready to send.
* Denotes a required field.

Personal Information

* Your Name:
* Your Spouse' s Name:
* Address:
* City:
* State:
* Zip:
* Home Phone:
Fax:
* E-mail:
Office Phone:
(will only call with permission)
Approximate date of next FL visit:
Approximate date of FL move:
To what area of FL do you plan to relocate?
How long have you been looking for a business to acquire?
What is your preferred time table for an acquisition?
What are your hobbies and interests?
* Citizenship: US      Other
* If your citizenship is NOT US, in what country are you a citizen?

Accountant's Information

Name:
Address:
City:
State:
Zip:
Phone:
E-mail:

Attorney's Information

Name:
Address:
City:
State:
Zip:
Phone:
E-mail:

Financial Information

Once we start the search process, we will need financial information on you (and your investor if one is assisting). A credit report will be required and in some cases depending upon the size of the acquisition a financial statement will be requested. Please remember, a seller will be sharing their financial information with you, therefore we have an obligation to make sure there is a financial match with both the buyer and seller. In the meantime, please complete the following.

How much money do you have available for a down payment?
If an investor is assisting with the purchase, what are they willing to contribute to the down payment?
What annual income do you wish to achieve before debt service?
Is it necessary to sell your existing business prior to purchasing a new business? Yes     No
Is it necessary to sell your current residence prior to purchasing a new business? Yes     No

Business Interests and Experience

Please give a complete description of your current business background:
Please give the listing numbers of any businesses in whinch you are interested:
Please provide a brief description of the types of businesses you would consider:
Please provide a brief description of some of the types of businesses ytou would NOT consider:
Are you currently working with other business brokers? Yes     No
Please provide any additional comments that may help us assist you in finding the right business for you to purchase:

 

 
 
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Phone: 239.985.4039 • Fax: 866.855.9934 • Cell: 239.989.3269
8695 College Parkway, Suite 248, Fort Myers, FL 33919 • Lic. #2993747