Buyer Pre-Qualifier Form

INFORMATION TO BE KEPT CONFIDENTIAL AND USED FOR NO OTHER PURPOSE-THE MORE DETAIL THE BETTER SO PLEASE TAKE YOUR TIME

To set a meeting with a broker and/or seller, seller requires to have some background on you and/or your company to provide additional information or time.

First Name *

Last Name *

Your Personal LinkedIn URL: *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

What business/s did you contact us about?

Please give description of the listing of interest. *

If this business does work out to be of interest, what verticals might you be interested in? *

If you have owned a business before please provide information about that venture. *

The reason I am interested in buying a business: *

The reason I want to buy a business at this time: *

Have you been convicted of a felony? *

Yes

No

Amount of free cash flow desired? *

What is your background and current employment? *

Annual income needed? *

What is your current salary or compensation? *

You must have at least one item.

What is your approximate age? *

You must have at least one item.

Have you ever had a judgement against you? *

Yes

No

Have you ever declared personal bankruptcy? *

Yes

No

If you have a retirement plan of any kind would you be interested in broker making an introduction so that you may use some or all of these funds to buy business? *

Yes

No

Are you interested in working in the business day-to-day or hire General manager or Promoter within? *

When are you planning to buy a business? *

Now

3-6 mo.

Over 6 mo.

How long have you been looking for a business? *

Who will help you run the business? *

How will you finance your total investment? *

Have you pre-qualified with a bank? *

My FICO score is approximately? *

If you are planning to use a SBA or Conventional Loan would you like broker to make introduction to a banker that is familiar with the business your are interested in? *

If you have been pre-qualified by a bank you can send qualifier letter from bank to bruth@glbainc.com. *

Estimated Personal Financial Statement

(Strictly Confidential)

Assets *

	Your Response:
Available Cash	Your Response:
Real Estate Value	Your Response:
IRA & 401K	Your Response:
Other Assets	Your Response:
Total Assets	Your Response:

Liabilities *

	Your Response:
Notes Payables	Your Response:
Credit Card Balances	Your Response:
Real estate Mortgages	Your Response:
Other Liabilities	Your Response:
Total Liabilities	Your Response:

Please articulate more about why this listing may be a good fit for you? Describe any skill sets you or your partner bring to the table. The more information you can supply here the better plus email if you have it your resume to bruth@glbainc.com *

What would you like as the next step in this process to be before you submit your qualifications? *

Broker to upload confidential data such as tax returns, financials etc for further diligence.

Schedule a meeting with broker. Click schedule link below

Schedule a call with broker and seller. Click schedule link below

An incognito site visit.

!!! BE SURE YOU GO TO THE BOTTOM AND CLICK SUBMIT !!!

Your Signature: *

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