Please take a moment to complete the form below to the best of your ability in order to receive complete information concerning the businesses of your choice. Note: This information will only be used by Sunbelt Business Advisors of West Michigan. Your information will not be sold to third parties.

You can also download our Buyer Profile Form in PDF format to complete and fax to Sunbelt West Michigan.

Buyer profile for: Full Name Email Home Address City State Zip Telephone Numbers: Home: Cell:   Work: Other: How did you first hear about us? If Internet, which website?

Background information: Are you currently employed? Yes No If so, what industry and postition? Please give a brief description of your responsibilities: (Plan to prepare and submit a formal Resume for consideration) Please list the industries in which you have worked and the positions you've held: Does your spouse work? Yes Full-Time Part-Time No If so, what industry and postition? Have You Every Owned Or Operated A Business? Yes Full-Time Part-Time No If Yes to the above question, please explain: University Or College(s) Attended Type Of Degree Major Year Graduated Post College? Yes No If so, degree Other special education or training Why are you looking for a business opportunity? What is your timeframe to purchase? Immediate No Hurry How long have you been looking? Would you work in the business: Full-Time Part-Time Place a check mark beside each business category that interests you:   Manufacturing   Any business that can be relocated   Computer/Hi Technology/Sciences   Services:Postal, copy centers, tax prep, etc   Distribution   Retail   Absentee Ownership   Restaurant/Fast Food   Turnaround Situations   Gas Stations/Mini Marts/Car Washes   New or Existing Successful Franchises   Dry Cleaning   Any business which receives cash payments   Home based Business List 3 things that are important to you about any business you may consider buying: Geographic Location Desire How far from your home are you willing to drive one way to the business you will buy? If you reside outside Michigan and have inquired about a Michigan based business, what are your relocation plans and timeframe? Additional information that you think may help us locate a desirable business opportunity for you:

Financial Information What is your current annual income? What are your income expectations the first year of owning your own business? Have you every filed for bankruptcy? Yes No Had a forclosure? Yes No Had a judgement filed against you? Yes No   Is there any reason you might be declined a loan for a business acquisition? Will anyone advise you in the review of business records and the decision to purchase any business? What is are the downpayment amount and the source of funds that you are prepared to substantiate at the time of making an offer? Downpayment: $ Source of Funds: Do you have a financial partner or any other personal source of investment capital? Yes No If Yes to the above, please explain Do you have additional income sources? Yes No If Yes to the above, please explain

Net Worth: ASSETS Cash In Checking Accounts $ Cash In Savings Accounts $ Marketable Stocks and Bonds $ IRAs, Retirement Plans, 401K's $ Life Insurance Cash Surrender Value $ Real Estate (Home) $ Real Estate (Other) $ Automobile(s) $ Your Own Business $ Appraised Collectables $ Money Due You $ Other Assets (Describe) $ $ TOTAL ASSETS $ LIABILITIES AND NET WORTH Notes payable to banks $ Notes payable to finance companies $ Real Estate Indebtedness $ Automobile(s) Indebtedness $ Owing on life insurance $ Charge accounts $ Credit Cards $ Taxes Payable $ Other Liabilities (Describe) $ $ TOTAL LIABILITIES $ NET WORTH (total assets minus total liabilities) $ TOTAL INVESTMENT $

Signature: Full Name Last Four Digits of SSN Date Note: The State of Michigan regards a full name and last four digits of a signer's Social Security Number as a valid electronic signature

 

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