Please complete and electronically sign by clicking on the signature line.
INDIVIDUAL BUYER PROFILE |
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| Name: Buyer Name | |
| What types of businesses would you be interested in? | |
| What types of businesses would you not have an interest in? | |
| The reason I am interested in buying a business: | |
| The reason I want to buy a business at this time: | |
| What is your background and current employment? | |
| Owned a business before? | |
| When? Type? | |
| Declared personal bankruptcy? | |
| When? Explain: | |
| Had a judgment against you? | |
| When? Explain: | |
| Are you interested in... | |
| Working in the business day-to-day | |
| A “Cash” Business | |
| A Home-Based Business | |
| A National Franchise | |
| A Relocatable Business | |
| A Turnaround/Distressed | |
| When are you planning to buy a business? | |
| Annual Income Needed? | |
| How long have you been looking for a business? | |
| Who will help you run the business? | |
| How will you finance your total investment? | |
| How is your credit? | |
| ASSETS | |
| Cash on Hand and in Banks | |
| U.S. Government Securities | |
| Accounts, Loans, and Notes Receivable | |
| Cash Surrender Value of Life Insurance | |
| Value of Businesses Owned | |
| Other Stocks and Bonds | |
| Real Estate Value | |
| Automobile(s) Value | |
| Other Assets (Itemize) | |
| Total Assets | |
| LIABILITIES AND NET WORTH | |
| Notes Payable | |
| Liens on Real Estate | |
| Other Liabilities | |
| Total Liabilities | |
| Total Net Worth | |
| ANNUAL SOURCE(S) OF INCOME | |
| Salary | |
| Dividends and Interest | |
| Bonuses and Commissions | |
| Real Estate Income | |
| Other Income | |
| Total Income* | |
| The undersigned certifies that this information was provided by him/her and is true and correct. Duran Advisors will not release this information to the Seller or anyone else without the expressed written consent of the undersigned. | |
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Signature:______________________________ |
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Name:*
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