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Buyer Profile & Qualification Form

Bruce Pockrandt
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Buyer Profile & Qualification Form

Please complete this form and return it with your signed Confidentiality Agreement. The information you provide will be held in strictest confidence. Due to the sensitive nature of the Company information, we must pre-qualify interested parties prior to the releasing of Company proprietary details. If you choose not to complete the forms, unfortunately we cannot release the Seller's Company name and detailed information. We would love to be your intermediary in the purchase of a business.

PERSONAL

Name:  

Address:  

City: State: Zip:

Home #: Mobile #:  

Email:  

Are you relocating?

Need E-2 Visa?

Are you currently employed?

Profession?  

Please specify what area(s) of Florida you would be interested in?

  When will you be ready to close on a business?

Types of Business You're Interested in: 

Types of Business You're NOT Interested in:  


FINANCIAL

Down Payment Available:

  Is this Down Payment available now?

Source of Down Payment

Please specify Other on Source of Down Payment   

Preferred Income Amount: Price Range You are Considering:

 

ASSETS

AMOUNT

LIABILITIES & NET WORTH

AMOUNT

Cash

$  

Notes Payable

$  

US Government Securities

$  

Liens on Real Estate

$  

Accounts, Loans, & Notes Receivable

$  

Other Liabilities

$  

Other Stocks and Bonds

$  

 

 

Real Estate

$  

Total Liabilities

$  

Other Assets

$  

 

 

 

 

 

 

Total Assets

$  

NET WORTH

$  

 

The undersigned certifies that this information is true and correct to the best of their knowledge.

Signature                                   

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wpesig-user-profile

Buyer Profile & Qualification Form

Bruce Pockrandt
WP E-Signature logo for digital agreement signing

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