Your Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Business Name*Are you presently working with a representative of our company?*---Kevin A. NeryRidgway J. CrouchNeil J. CorkumJustin GrolleyAdam J. BradshawIs there a specific business for sale listed by our company that you are interested in currently?*---19895 - Long Established Home and Biz Cleaning Co.19893 - Automotive Service and Repair w/RE19894 - Unique Gift Shop w/RE19890 - Medical Billing Co. w/Real Estate19889 - Electronic Manufacturing Co.19891 - Popular RI Restaurant w/RE19892 - Laundromat/Wash & Fold Business19888 - Specialty Fastener Distributor19886 - Niche Printing Company – Seller Extremely Motivated!19885 - Award-Winning Hospitality Co. w/Real Estate19884 - The Ski House19883 - Recreational Boating Service Center w/Storage19882 - Established Fitness Studio19880 - Home Improvement Contractor – Price Reduced!19877 - Landmark Bar w/Real Estate19878 - Oil Burner Service Company19836 - Airport/Corporate Transportation Company19875 - Veterinarian Clinical Practice19860 - Wedding and Specialty Bakery – Award-Winning19841 - Roofing Contractor w/Real Estate19863 - Precision Castings/Foundry/Machining w/RE19866 - Wholesale Seafood Company19868 - High Profit Cape Home Improve Co.19870 - Specialty Metals and Machining Co. w/Real Estate19873 - Industrial Automation Company19896 - Specialty Auto Repair w/REHow much money do you have available for the purchase of a business?*What are the sources of these funds (e.g. savings, home equity, 401K/IRA, stocks/bonds, other real estate, and other sources)?*Is there a minimum amount of money you need to receive from a business?*Do you have a total price you are willing to pay for a business?*Where are you looking to buy a business?*Would you be interested in purchasing the real estate in addition to the business if it were available? Yes No Are you planning on working in the business you acquire? Yes No Would you consider purchasing an existing franchise? Yes No Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please explain briefly any previous business ownership you have had.Please explain briefly your objectives in purchasing a business.Are you currently employed and what is your employment background?Please explain briefly your educational experience.What skills, licenses, memberships, or accreditations do you posses that would be an asset in running a business?Solve the following calculation:*Please verify that you are human Δ