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Name: *
Telephone: *
E-Mail Address: *
Type of business owned:
Years in business:
Years owned by you:
Revenues for prior 3 years:
Profits for last 3 years:
Current investment in the business:
Financial records available for what years:
General geographic location:
Is business easily movable? Yes No
Number of employees, full and part time:
Do you own or rent your business premises?
Monthly lease payments:
When does lease expire?
How active are you in day to day operations?
What are your reasons for considering selling?
Do you have a written business plan? Yes No


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