Business Information

Type of Business:

Location Address: City:State:

Assets:

Equipment:Inventory:Goodwill:

How long at this location:Franchise (Yes or No):Business Location Leased or Owned:

If leased, please describe expiration and renewal Options:

Additional information about the business (years in business, number of employees, location, gross income, customer base, etc.):

Seller Contact Information

Name:

E-mail:Phone:

Note information

Date of sale:     Selling price:     Date of note:     Note amount:

Terms (in months):       Interest rate:       Balloon amount:      Balloon date:

Down payment:Payment amount:Number of payments paid:Next payment date:

Balance:          

Additional information about the payor (qualification to pay) and the note: