Seller Form
Seller Form
Phone number:
Please designate the time you are available.
AM:
PM:
I can have the following documents available for you:
Tax returns:
Yes
No
Financial Statements:
Yes
No
Estimate of Inventory Value:
Yes
No
Estimated Value of Fixed Assets:
Yes
No
Equipment Lease:
Yes
No
Premises Lease:
Yes
No
Years in Business:
Profitable:
Yes
No
Number of Owners:
Number of Employees:
Annual Sales $
Ready to Sell:
Now
3 Months
Longer
First Name:
M/I:
Last Name:
Title:
Organization:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
Home Phone:
FAX:
E-mail:
URL:
Corporate Headquarters
8191 College Pkwy • Suite 301 • Fort Myers, FL 33919
Phone: 239-425-0677 • Fax: 239-425-0678
Brokers:
Steve Rietbergen
•
Bob Pockrandt
Associates:
Bill Kamerer
•
Troy Wolfe
•
Bruce Pockrandt
Berto Silva
•
Rainer M Drygala
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