Your Name (required)

Your Email (required)

Phone (required)

Are you presently working with a representative of our company?

Is there a specific business for sale listed by our company that you are interested in currently?

How much money do you have available for the purchase of a business?

What are the sources of these funds (e.g. savings, home equity, 401K/IRA, stocks/bonds, other real estate, and other sources)?

Is there a minimum amount of money you need to receive from a business?

Do you have a total price you are willing to pay for a business?

Where are you looking to buy a business?

Would you be interested in purchasing the real estate in addition to the business if it were available?
YesNo

Would you prefer the business to be relocatable?
YesNo

Does the longevity of a business factor into your decision on whether to purchase it?

Are you planning on working in the business you acquire?
YesNo

Would you consider purchasing a new or existing franchise?
YesNo

Fax Number

Address

Street Address

Address Line 2

City

State
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Zip Code

Country

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 accreditation do you posses that would be an asset in running a business?