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Please take your time and answer each question. We look forward to working with you!

your name:

phone number:

e-mail address:

what type of product/service do you market/sell?

what is the form of the organization (LLC, PC, etc)?

how long have you been in business?

what are the sales and profits for the prior three years, year three being the most recent (please enter as follows : Y3=$... , Y2=$..., Y1=$...) ?

how much debt does the business have?

how long have the present owners owned the business?

what investment capital is required to own the business?

what methods does the company use to sell and distribute the products?

who are the typical customers?

how can the business grow?

what are the obstacles and avantages experienced by the company?