Company Sellers International

Company Sellers International would love to provide further information for each and every listing that you have interest in. For us to do so, each Seller requires that we get a Buyer Profile and Non-Disclosure Statement completed before disclosing information about their business. Please answer each question below, and agree to the Non-Disclosure Statement. We will then be able to discuss any information that you need on any of our current listings. Plus, once you are in our confidential buyer database, we will be able to contact you anytime that new listings come in matching your requirements.

CONTACT INFORMATION

Buyers Name:	Spouse/Partner:
Address:	Work Phone:	- -
City:	Cell Phone:	- -
State:	Home Phone:	- -
Zip:	Fax:	- -
E-Mail:

BACKGROUND INFORMATION

What do you do now?

Types of businesses you have owned :

Please provide a summary
of your background :

What is motivating you to own your own business?

Check all that you might have interest in:

	Retail		Services
	Distribution		Restaurants
	Markets		Manufacturing
	New Franchises		Taverns
	Fast Food		Liquor Stores
	Other

What states/regional areas
are you interested in?

What types of businesses
DON'T you want?

What types of businesses would you consider owning?

How many months have you been looking?

What have you
looked at?

Which specific business(es)
are you inquiring about?

If it had good potential, would you consider a turnaround business?
Yes No

Many buyers are best suited to buy a franchise (proven systems, training, brand recognition) Would you be interested in hearing more about available franchise businesses?
Yes No

Company Sellers International often comes across passive investment opportunities in middle-market companies of all industries. Would you be interested in hearing about these investment opportunities as they come available?
Yes No

FINANCIAL INFORMATION

Total Net Worth:

How much capital (before loans) can you come up with
in the next 30 days?

Source of capital?

Cash:

Home Equity:

HIRA/401k/Pension:

Other :

Description:

Minimum ANNUAL income needs first year?

Who, other than yourself, will be involved in the purchase decision and/or operation?

How much time will you have to operate the business?

When we find a business that suits you, how many weeks before you can take possession?

ADDITIONAL COMMENTS:

NON-DISCLOSURE AGREEMENT

-
Our agreement with the Seller requires that we obtain a Non-Disclosure and evidence of financial ability before disclosing the name and location of his/her business. This information will be kept confidential.

In consideration of the broker, Company Sellers International (“Broker”) providing the information on businesses for sale, I/we understand and agree:

1.	(a) That any information provided on any business is sensitive and confidential, and that its disclosure to others may be damaging to the businesses and their owners.
	(b) Not to disclose, for a period of three years from the date I/we sign this Non-Disclosure Agreement, any information regarding these businesses to any other person who has not also signed this Agreement, except to secure the advice and recommendations of my business advisors (accountants, attorneys, etc.). “Information” as used in this Agreement shall include the fact that the businesses are for sale, plus any other data provided.
	(c) Not to contact the business owners or their landlords, employees, suppliers or customers except through Broker. All correspondence, inquiries, offers to purchase and negotiations relating to the purchase or lease of any business presented by Broker will be conducted exclusively through Broker.
	(d) Not to circumvent or interfere with Broker’s contract with the Seller in any way, I/we understand that if I/we interfere with Broker’s contract right to its fee from Seller, I/we may be personally liable to Broker for payment of the Seller’s fee. We understand that should I/we become a manager or otherwise connected with any of the businesses shown or offered to me/us for sale, or should I/we buy, trade, lease or exchange any of the businesses disclosed to me/us, then a fee will be due to Broker. I/we understand that if I/we make the purchase through Broker, I/we will not be liable for the fee to paid by Seller to Broker.
2.	That all information regarding businesses for sale is provided by the Seller or other sources and is not verified in any way by Broker. Broker has no knowledge of the accuracy of said information and makes no warranty, express or implied, as to the accuracy of such information. Understanding that, I/we shall make an independent verification of said information prior to entering into an agreement to purchase any business. I/we agree that Broker is not responsible for the accuracy of any of the information I/we receive or fail to receive, and I/we agree to indemnify and hold Broker and its agents harmless from any claims or damages which may occur by reason of the inaccuracy or incompleteness of any information provided to me/us with respect to any business I/we might purchase.
3.	That should I/we enter into an agreement to purchase a business, I/we will provide a financial statement and a personal and business history, and I/we authorize the Seller to obtain through standard reporting agencies financial and credit information about me/us or the companies I/we represent.
4.	That Broker is not an agent for me/us, but is a representative for the Seller and any fees to be paid to Broker will be by the Seller or other representatives of the Seller upon sale, trade, lease or transfer of Seller’s business or property.

I/we acknowledge that I/we have received an exact copy of this Agreement and that I/we have read this Agreement carefully and fully understand it.
	Yes - I/We Agree No - I/We Do Not Agree

	Upon submission, you will receive via email a copy of your completed Buyer Profile and Non-Disclosure Statement.