BUYER PROFILE

Whether you FORMALLY or INFORMALLY Qualify your Buyers, it is a MUST DO step which will save you a lot of time and eliminate a lot of RISKS.

The simple form below is only a starting place. You will want to know who you are working with someone who has the capacity and the will to complete a purchase of your company. If you cannot verify these elements, do you really want to show them everything you do and have learned about your business in the last 20+ years?

QUALIFYING BUYER PROFILE

(Please print or type all information on the form.)

BUYER'S NAME_______________________________________________________________________

COMPANY___________________________________________________________________________

OTHER CONTACT____________________________________________ TITLE___________________

ADDRESS____________________________________________________________________________

CITY_____________________________________________STATE___________ZIP________________

TEL: ( ) - ____________________ FAX ( ) - _________________________

EMAIL: __________________________ MOBILE ( ) - ______________________

ACQUIRER WILL BE:

_______ “C” CORPORATION ________ “S” CORPORATION

_______ INDIVIDUAL ________ PARTNERSHIP

(Please indicate other principals who are or will be over 10% owners in the acquiring entity.)

NAME _______________________________________________________________________________

NAME_______________________________________________________________________________

FINANCIAL DATA:

SOURCE OF EQUITY FUNDS AVAILABLE FOR THIS ACQUISITION

______Personal Savings Amount $_______________________

______Securities Investments Amount $_______________________

______Corporate Cash Reserve Amount $_______________________

______Leverage of Other Investments Amount $_______________________

CURRENT BANKING RELATIONSHIP ______________________________________

ANTICIPATED BANK OR OTHER SOURCE OF ANY REQUIRED DEBT CAPITAL NEEDED TO COMPLETE THE ACQUISITION

BANK________________________________________________________________________________

OTHER______________________________________________________________________________

(Please attach a current corporate balance sheet or a personal financial statement.) Thank you.