Capital Business Solutions
Seller Questionnaire
$______ASKING PRICE $______DOWN PAYMENT
______
TYPE OF BUSINESS
To assist Capital Business Solutions in securing a buyer for my business, the following information is true and accurate and may be presented to all prospective buyers.
1. Business Name ______
2. Business Address ______
3. Business Phone Incl. Area Code ______
4. Owners (s)' Name ______
5. Owner(s)' Address ______
______
6. Owner(s)' Phone Number ______
7. Corporation ______Partnership ______DBA ______
8. Years Present Owner(s) ______
9. Year Business Started ______
10. Reason for Selling ______
______
11. What is seller going to do when business is sold?______
______
12. Will seller sign a non-compete clause? Yes______No______
13. For How Long? ______How Many Miles?______
14. Gross Sales:20 ______to 20 ______
20 ______to 20 ______
20 ______to 20 ______
15. Owner(s)' Salary ______
16. Net Profit20 ______to 20 ______
20 ______to 20 ______
20 ______to 20 ______
17. Principal Product or Service?______
______
18. Union Shop? Yes___ No___
19. If Yes, which Union(s)? ______
20. Expiration of Contract? ______
21. Copy of Contract on File? Yes___ No___
22. Name of Union Rep. ______
23. Do employees know business is for sale? Yes ___ No ___
24. Owner will train for ______weeks at no cost.
25. Salable Inventory included at cost in sale price: ______
A. Raw Materials ______
B. Work in Progress______
C. Completed Work______
26. How is cost calculated? ______
27. Are vehicles included in sale price? ______
Model and Year ______
28. Market Value of Furniture, Fixtures, and Equipment included in sale price: ______
29. Equipment List Attached Yes___ No ___
30. Long Term Contracts Yes___ No___
31. If Yes, with Whom? ______
32. Will key employees stay with new owner? Yes___ No ___
33. Is office computerized? Yes___ No ___
34. Seating Capacity ______35. Parking Capacity ______
36. Owner's opinion of the best way to improve business. ______
______
______
37. Condition of Building. ______
______
38. Condition of Furniture, Fixtures, and Equipment ______
______
39. Best Time to Show Business ______
40. Hours Open :______
41. Are recipes/trade secrets included in sale? Yes____ No ____
42. Is the business name included in the sale? Yes____ No____
43. Is the business phone number included in the sale? Yes___ No___
44. How are employees paid? ______
45. Number of employees: Full Time ____ Part Time _____
46. Key Employees Position Salary
______
______
______
______
47. Name of Accountant ______
Address of Accountant ______
Phone Number of Accountant ______
48. Name of Lawyer ______
49. Address of Lawyer ______
50. Phone Number of Lawyer ______
51. Name of Landlord ______
52. Address of Landlord ______
53. Phone Number of Landlord ______
54. Original Terms of Lease ______
55. Remaining Years of Lease ______at $ ______
56. Is lease assignable? ______
53. Is landlord aware business is for sale? ______
54. Average Receivables ______
55. Average Payables ______
56. Approximate Working Capital ______
57. Approximate Closing Costs:
A. Sales Tax on Furniture, Fixtures and Equipment (FF&E)______
B. Deposit on Electric ______
C. Deposit on Gas ______
D. Deposit on Phone ______
E. Deposit on Building ______
F. Deposit on Insurance ______
G. Escrow Tax______
H. License ______Cost ______
I. License ______Cost ______
J. Attorney Fee ______
58. Total Closing Costs ______
59. Is real estate property included in sale price? Yes______No ______
A. Location______
B. Approximate Dimensions______
C. Material Structure______
D. Appraised Value______
E. Date of Appraisal______
F. Appraiser______
G. Assumable Mortgage______
H. Mortgage Held by ______
60. On display but not included in sale ______
______
______
61. Owner will carry mortgage? Yes____ No ____
At ___% for ___ years at $ ____ per month
______
Agent Owner
______
Date Owner