Corporate Office
12141 Wickchester Lane, Suite 100
Houston, TX 77079
(713) 680-1200

CERTIFIED BUSINESS BROKERS RESTAURANTS FOR SALE

Buyer Profile

Prospective Buyer Profile & Financial Statement

Please fill out the form below as completely as possible. All information you provide is used only by CBB. This site is SSL protected and this page is CAPTCHA encrypted for your additional security.

Date:

CBB Broker Name (if applicable):

First Name:

Last Name:

Email:

Primary Phone Type:

Primary Phone Number:

Other Phone:

Street Address

City

State:

Zip

Company (if representing one):

Company Website

Business Phone

Street Address

City

State

Zip

What is your time frame for buying a business?

How long have you been looking for a business?

Current Occupation:

Describe work and business experience:

Education

Who will manage the business you purchase?

Are you married?

How many children do you have?

Spouse Name and Occupation:

Will your spouse or other family members work in the business?

If you have a business partner, please provide name and phone number here:

Have you ever obtained Government Financing?

Have you ever declared Bankruptcy?

Are you party to any lawsuits?

Are there any outstanding judgments against you?

Minimum income requirement:

Geographic Preferences:

Other Requirements:

Business Type of Interest (select all that apply):

If Other, please specify:

Cash available for a down payment:

Real Estate Value (Home):

Retirement Accounts (401K, IRA):

Real Estate Value (Other):

U.S. Government Securities:

Other Asset (1):

Accounts & Notes Receivable:

Other Asset (2):

Cash Surrender Value of Life Insurance:

Publicly Traded Stocks & Bonds:

TOTAL ASSETS:

Notes Payable to banks:

Accounts & Notes Payable:

Loans on Real Estate (Home):

Loans on Real Estate (Other):

Other Liability (1):

Other Liability (2):

TOTAL LIABILITIES:

NET WORTH:

Source of contact with CBB:

If referred, by who:

Please enter the characters that you see:

Buyer Profile

Prospective Buyer Profile & Financial Statement

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