Business Buyers 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.

Just complete this form. Click on Submit when ready to send. * Denotes a required field.

*Personal Information*
* Your Name:
Spouse's Name:
* Address:
* City:
* State:
* Zip:
* Home Phone:
Fax:
* Email:
Office Phone-w/ext:	** (will only call with permission and will use discretion)

* Approximate date you will visit Florida?
* Approximate date to move to Florida?
* What area of Florida do you plan to relocate to?
* How long have you been looking for a business acquisition?
* What is your time table for an acquisition?
What are your hobbies and interests?
* Citizenship	US Other
* If you are not a US Citizen, please provide the following information:
Country of Citizenship?
Attorney's Information
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Accountant Information
Name:
Address:
City:
State:
Zip:
Phone:
Email:

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. *Florida Business Broker, Jim Straza*
* How much money do you have available for a down payment?
If an investor is assisting with the purchase, what financial assistance are they willing to offer for a down payment?
* What annual income are you attempting to attain before debt service?
* Is it necessary to sell your current 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 / Experience
* Please give a complete description of your current business background.
Please give the listing # of the business you are interested in.
Please give a brief description of the different types of businesses you would consider .
Please give a brief description of the different types of businesses you would NOT consider .
* Are you currently working with other Business Brokers?	YES NO

Any Comments?