denotes required fields.
First Name
Last Name
Phone Number
Email Address
Are you presently working with a representative of our company? Yes No
Please Choose the name of the repreesentative you are working with.
Is there a specific business for sale listed by our company that you are interested in currently? Yes No
Please specify any listings of interest below.
How much money do you have available for the purchase of a business? (Dollars)
What are the sources of these funds (e.g. savings, home equity, 401K/IRA, stocks/bonds, other real estate, and other sources)? (Dollars)
Is there a minimum amount of money you need to receive from a business? Yes No
What is this amount? (Dollars)
Do you have a total price you are willing to pay for a business? Yes No
What state are you looking to buy a business in?
Please select exact counties below that you would consider (Hold Ctrl for multiple selections)
Which of the following industries would you consider? (Hold Ctrl for multiple selections)
Does the type of location (e.g.: mall or business park) of the business factor into your descision on whether to purchase it? Yes No
What type of location would you prefer?
Would you be interested in purchasing the real estate in addition to the business if it were available? Yes No
Would you prefer the business to be relocatable? Yes No
Does the longevity of a business factor into your decision on whether to purchase it? Yes No
What age business do you require?
Are you planning on working in the business you acquire? Yes No
Would you consider purchasing a new or existing franchise? Yes No
Fax Number
Address
City
State
Postal Code
Please explain briefly any previous ownership you have had.
Please explain briefly your objectives in purchasing a business.
Are you currently employed and what is your employment background?
Please explain briefly your educational experience.
What skills, licenses, memberships, or accreditations do you posses that would be an asset in running a business?
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