Buyer Registration

The decision to buy a business is a serious one, and we can help you on your behalf!

To receive announcements of new acquisition opportunities please register your acquisition criteria with us and provide us with your contact information.

Your Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
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?*
Current Employment?*
Position?*
Have you ever owned a business?*
- Yes
- No
If yes, please describe the type of business and your percentage ownership*
Do you expect to devote full time to the business?*
- Yes
- No
Do you know you may be able to gain access to your 401K/IRA without incurring penalties or taxes?*
- Yes
- No
Assuming you find a business, how much cash down payment do you have available before borrowing additional funds?*
What are the sources of these funds (e.g. savings, home equity, 401K/IRA, stocks/bonds, other real estate, and other sources)?*
If you have other sources for cash investment, please explain and estimate amount available
Have you ever filed for bankruptcy?*
- Yes
- No
How much do you expect to make annually from the business you acquire?*
Do you have a total price you are willing to pay for a business?*
How soon could you close on the purchase of a business?*
Type(s) of business are you interested in:*
Where are you looking to buy a business?*
Assets
Cash on Hand and in Banks:*
Stocks and Bonds (non-retirement accts) / Other:*
Real Estate:*
401K, IRA or SEP IRA:*
Total Assets:
Liabilities and Net Worth
Real Estate Loans:*
Credit Card Debt:*
Other Liabilities:*
Total Liabilities:
Net Worth
Buyer Signature*
Date
MM slash DD slash YYYY
Please verify that you are human

Buyer Registration

The decision to buy a business is a serious one, and we can help you on your behalf!

Assets

Liabilities and Net Worth

Sam Goldenberg & Associates

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