| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Cell Phone:: |
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| Email: |
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| What best discribes your restaurant, Check all that apply: |
Profitable |
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A turnaround restaurant situation |
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A closed restaurant |
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Franchise Restaurants |
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Restaurant and Real Estate |
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Restaurant Only with Lease |
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Asset Sale - Negative Cash Flow |
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| Business Name:: |
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| Business Address:: |
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| Do you currently have your Restaurant For Sale? |
Yes No |
| For Sale Buy Owner or Broker? |
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| What kind of restaurant do you have? |
Upscale/Fine Dining Restaurant |
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Bar-B-Q Restaurant |
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Pizza Restaurant |
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Italian Restaurant |
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Sports Bar Restaurant |
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Asian Restaurant |
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Mexican Restaurant |
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Cafe / Diner |
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Deli / Sandwich Restaurant |
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Franchise Restaurant |
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Catering Service |
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Take Out/Delivery Only Restaurant |
| Other: |
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| How many employees do you have (Full and Part Time)? |
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| Day and hours of operation? |
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| Est. Dollar Value of all Furniture, Fixtures and Equipment? |
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| Monthly Gross Income? |
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| Monthly Food Cost? |
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| Monthly Payroll? |
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| Monthly Utilities? |
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| Is the business profitable? |
Yes No |
| Cash Flow (Seller's Discretionary Earnings)? |
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| Would you consider owner financing? |
Yes No |
| Are there ways this business could grow? |
Yes No |
| Year Business Established? |
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| Years you have owned the business? |
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| Building Size (appox sq. ft.) |
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| Monthly Rent/Lease Payment? |
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| Monthly CAM? |
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| Is the Lease Assignable? |
Yes No |
| Lease Term and remaining months? |
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| Do you have three years of Federal Income Tax Returns - If not how many years do you have? |
Yes No |
| Do you have three years of Profit and Loss Statements - If not how many years do you have? |
Yes No |
| Any loans, liens or jugments? |
Yes No |
| Do you have an appraisal if so how much is your business worth? |
Yes No |
| How much do you think your business is worth?: |
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| How soon would you like to sell your business? |
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| Your reason for selling? (Very Important) |
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