Name *
E-mail Address *
Today's Date: *
Your Mailing Street Address: *
Your Mailing City, State and Zip: *
Voice Phone: *
Fax:
Note Relationship: *
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Owner
Agent
Broker
Finder
Power of Attorney
Other, explained in Comments below.
Note Property Street Address: *
Note Property City, State and Zip: *
Business Name Now: *
Business Name Before Note: *
Business Age in Years: *
Business Type: *
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Retail
Wholesale
Manufacturing
Distributor
Real Estate Developer
Restaurant
Service
Agency
Professional Practice
Consultancy
Contractor
Internet Only service or product provider.
Internet and Physical Location service or product provider.
Other (Describe in Comments section below).
Business Description: *
Business Sale and/or Note Transaction, By: *
Business Franchise: *
Business Sale Asset Values---EQUIPMENT. *
Business Sale Asset Values---INVENTORY. *
Business Sale Asset Values---GOODWILL. *
Business Sale Asset Values---REAL ESTATE. *
Business Sale Asset Value--INTELLECTUAL PROPERTY.
Business Premises Type: *
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Office Building
Restaurant Building
Commercial
Mall
Industrial
Mixed Use
Other, explained in Comments below.
Business Premises Condition: *
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Excellent and Code Compliant
Excellent and Not Totally Code Compliant
Very Good
Average
Needs Repair
Needs Remodel
Ready for Development
Under Development
Other, (Describe in Comments below).
Business Premises Ownership: *
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Payor Owned, including land and is part of Note Security.
Payor or Note ownner Owned, including land and is Not part of Note Security.
Payor Owned without land and is part of Note Security.
Payor or Note owner Owned without land and is Not part of Note Security.
Lease that expires after Note Term.
Lease that expires before Note Term.
Rented, month to month.
Mutiple locations. Varied ownership or lease options.
Other, described in Comments below.
# of Months Remaining on Existing Business Premises Lease
Business Premises Renewal Terms: *
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N/A. Payor Owned with Land.
N/A. Payor Owned with Long-Term Land Lease.
One Year Lease Renewal Option.
Multiple One Year Lease Renewal Options.
Three Year Lease Renewal Option.
Multiple Three Year Lease Renewal Options.
Five Year Lease Renewal Option.
Multiple Five Year Lease Renewal Options.
Ten Year Lease Renewal Option.
Monthly Renewal Option.
Must Move at End of Use Term.
Other, explained in Comments below.
Business Sale Transaction $ Amount: *
Business Sale Transaction Date: *
Business Sale Transaction Down Payment: *
Business Sale Down Payment in Cash: *
1st Lien/Note Original Principal Amount: *
2nd Lien/Note Original Principal Amount: *
3rd Lien/Note Original Principal Amount: *
Total of all Liens/Notes Original Principal Amount: *
Note Creation: *
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From Sale of Whole Business
From Sale of Part of Business
From Re-Finance of Business
From Developmental Financing
From Re-Developmental Financing
From Re-Capitalization of Business
From Partnership Sale
From a Contract (I explain in Comments below)
From Bankruptcy Financing
Other (I explain in Comments section below.)
Note Creation Date: *
Note for Sale Business Debt Position: *
Note Current Principal Balance $ Amount: *
Note Interest Rate: *
Note Terms: *
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Fully Amortized with equal payments.
Fully Amortized over the Note Term with varying payment amounts.
Interest Only with Balloon Payment.
Set $ Payment with Balloon Payment.
Payments based on Events.
Payments based on Business Activity.
Other (as I explain in Comments section below.)
Current Note Payment $ Amount: *
Note Payment Period: *
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Weekly
Every Two Weeks
Monthly
Every Two Months
Quarterly
Every Six Months
Annually
Following Business Achievement of Goal(s). Explained in Comments below.
Other, Explained in Comments below.
Note Term in Months: *
1st Payment Due Date: *
Next Payment Due Date: *
# of Payments Made: *
# of Payments Remain: *
# Note Payments Late: *
Note Balloon Amount: *
Note Balloon Due Date: *
Note Payor Personal Guarantee: *
Note Payor Personal Guarantee Collateralized Assets (Assets outside the Business). If none, enter 0: *
Description of Note Security: *
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All Assets described in the Bill of Sale, Asset Sale Agreement, Settlement Statement or Other Asset Sale Document.
All Stock or Equity in the Selling Corporation, Partnership or LLC.
Other, (as I describe in Comments section below).
Note Payor Current ThreeCredit Scores *
Corporation/Partnership Credit Rating: *
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AAA
AA
A
BBB
BB
B
CCC
CC
C
Unknown
Not Applicable
Note Payor is a: *
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Individual(s)
Partnership
Corporation
Both a Corporation and Individuals
LLC
Both an LLC and Individuals.
Institution
Other (I explain in Comments section below.)
Note Payor Operates the Business: *
Note Payor Occupation: *
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Experienced in similar business
1st time similar business operator
Serial Business Owner
Licensed Professional
Developer
Builder
Franschisor
Franchisee
Investor
Speculator
Executive
Administrator
Educator
Other, explained in Comments below.
Note Sale Desire: *
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Want to Sell the Whole Note for Cash.
Want to Sell a Portion of Note for Cash. Portion described in Comments below.
Want to Sell a combination of Cash for Payments and Cash for Balloon. Described in Comments below.
Other, explained in Comments below.
Is this a Simultaneous Business Sale and Note Sale? *
Comments about Note, Property, Business, Payor or any other information you think we should know: *
How did you find us?
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Google
Yahoo
MSN
Referred by a Friend
Clicked a link in an Article
Clicked a link in another Web Site
Other
What Keywords did you use to find us?
