Company Name:

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Email Address:

Website:

Day Phone:

Evening Phone:

Cell Phone:

Preferred Method of Contact:

One of our goals in requesting this information is to educate Joe and Sandy Camp about you and to prepare Joe Camp, our CEO, for a productive phone call with you. The more information we have the better, so resumes, etc., help a lot. Most parties find it best to include their spouse or entering partner in these calls to ensure proper communication with all decision makers.

Please tell us about your educational and work related experience:

Education:

Hobbies:

Two of my family’s goals with the business acquisition are:

1:

2:

Would your spouse or a third party partner be involved with you?

If so, please explain:

Spouse's Name:

Spouse's Occupation:

When would you like to get started as the owner of your new venture?

Liquid Capital
Available to Invest:

My Credit Score is
Approximately:

Preferred City:

Preferred State:

Available for Conference Call…

Date:

Time:

Personal Financial Statement

The financial statement and your credit history are used to assure the seller and third party lender that you are indeed qualified financially to buy his/her business which leads to a much better initial meeting and substantial sharing of confidential information.

Please NOTE that part of our services includes our assistance in arranging third party lending which includes necessary lines of credit.

Please enter a zero rather than leaving a field empty for the required fields. ***

Please know these forms are confidential. If we have failed to ask a question that is important to you, please provide that information below. We are proud of our service to others and wish to help you accomplish your goals.

Notes, Concerns,
Questions, etc:

Non-Disclosure Agreement

I for myself  ***  (name) agree to retain in confidence and to require my professional representatives, agents and/or advisors to retain in confidence any information provided to me by Networks Inc., dba BizAdvocates.com (Consultant) in respect to any business represented for sale or other purposes. Such “confidential” information might include financial statements, cost and expense data, production data, trade secrets, secret processes and formulae, plans, technology, marketing and customer data, sources of goods and materials, or the fact that the business is for sale. I agree not to use any information provided to me for competitive purposes or for the start up of a business. I also agree not to contact the Seller, Seller's employees, customers, suppliers or lenders except through Consultant.

As a customer, I understand; that all information is provided by the Seller; that I will hold Consultant harmless from any claims resulting from its use and consultant is not an agent for me but represents the Seller. I am apprised that Consultant is not NASD registered Broker/Dealer and offers no securities for sale.

I understand, unless otherwise apprised, that Consultant has a sole and exclusive right to represent agreement with the Seller. I agree to submit all communications through Consultant, i.e., requests for information, letters of intent, offers to purchase, etc. The Seller has hereby designated a third party beneficiary to this agreement.

I understand and agree that Consultant has a contract with the Seller for payment of its retainers and other fees and agree not to circumvent, interfere or do damage to that contract, and that Consultant, having a financial interest, may obtain financial information about myself or the entity I represent through standard credit reporting agencies in the future with my written consent.

Additional Comments: