Seller Information
Part I, II, and III.
Seller Agreement
“Sole And Exclusive Right To Sale”
Date Of Contract: _________, 2012
Listing #: L12000
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| Call me and we can fill in this form over the phone - Will only take about 15 0r 20 minutes |
| Company Information |
| Business Legal Name: |
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| Owner or President Legal Name:Business Phone:
Fax Line: |
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| Cell Phone: |
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| Cell phone #2 |
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| Email Address: |
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| Federal ID Number: |
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| Business Address: |
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| Business Address City: |
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| Counties Currently servicing: |
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| Type Of Business: |
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| Required Licenses: |
[ ] City: [X ] State: [ ] Sales Tax:[ ] Other |
| Do you have a Dunn & Bradstreet Listing? may we verify it? |
| Owner or Stockholder’s Information |
| Representative’s Capacity: |
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| Legal Name of Seller: |
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| Partner or (Wife) : |
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| Alternate Home Address: |
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| Alternate City Address: |
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| Direct All Mail To: |
[ ]Business Address [ ] Alternate Home Address |
| Home Phone: |
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| Home Fax: |
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| Home Email: |
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| Company Website: |
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| Sale Price Of Business What you Think is a Fair Sale Price |
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| (A) |
Purchase Price For Business Sale: $ 0000 |
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Thousand & No/100- Dollars |
| (B) |
Down Payment Negotiable (Negotiable) |
| (C) |
Seller Will Carry A Secure Promissory Note For: Negotiable At % Interest |
| (D) |
Additional Terms: |
| (E) |
Other: |
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| Your Business Name |
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| NO LITIGATION PENDING |
| X |
(Signature On File) |
Date: |
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Seller’s Signature XX |
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NO PAST DUE TAXES PENDING |
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| X |
(Signature On File) |
Date: |
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Co-Sellers Signature XX |
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| A + Business Brokers, Inc. |
| 17193 NW 242nd Street |
| High Springs, Fl 32643 |
| 1-386-454-3333/Fax: 1- 386-454-4522 |
| Broker: Allencwoodward(Signature) |
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| Schedule A |
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| 14. |
Data from the portfolio checklist information and any financial shall be called schedule “A” of this listing agreement. |
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| [ ] |
Check here if there is additional information attached from other sources. |
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| A. |
Three Years Federal Tax Returns: |
See Tax Returns |
| B. |
Company Financial Formation: |
See Part III |
| C. |
Chemical Supplier’s Name and Phone Number: |
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| Schedule B |
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| 15. |
Information from the checklist, all equipment, fixtures, and all other items included in the sale shall be called schedule “B” of this listing agreement. |
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| A. |
List of all equipment, including office equipment that will go with the business. (See appraisal, if one). see list |
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| [ ] |
Check here if there is additional information attached from other sources. |
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| Description Of Equipment |
Serial # |
Value Today |
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See list |
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2. |
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3. |
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| B. |
List of all vehicles, trailers or other mobile equipment: see list |
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| C. |
List of accounts: |
(At Closing) |
| D. |
List of accounts receivable, if any. |
(Belongs to Seller) (At Closing) |
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List all Vehicles Here see list |
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Make vin # size aid new value now |
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| List all Vehicles Here |
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Make |
VIN # |
Size |
Paid New |
Value Now |
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| Schedule C |
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| 16. |
The business appraisal information, if there is one, shall be called schedule “C” of this listing agreement. None |
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| [ ] |
Check here if there is not an appraisal… |
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| Schedule D |
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| 17. |
Seller agrees if the business is a corporation, signature must have a corporation seal on the signature and seller must complete schedule “D”. |
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| [ ] |
Check here if there is no corporation. |
Initial: |
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| Date of Resolution: |
| A meeting of the board of directors and/or stockholders of the corporation was held in the corporate offices and the following resolution was adopted. “Be it resolved that the President, ______________ be authorized to execute any and all documents necessary for the sale of the assets of the business known as: ____________________ |
| signature as follows: allencwoodward(signature) Example |
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| X |
President (Signature On File) |
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Corporate Representative, Title |
| X |
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Corporate Representative, Title |
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| Above Signed are Officers of the Corporation. |
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| X |
(Signature On File) |
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Name and Title |
| X |
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| *If Additional Signatures Are Required By The Articles Or Bylaws Of The Corporation. |
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Part II – Buyer Questions
Listing #:L101000
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| A. Business Structure |
| How long has your company been in business? |
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| How long has your company been incorporated? |
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| Please list stockholders of the corporation and % owned: |
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50 %50% |
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100% |
| Do you pay estimated quarterly taxes? |
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| List any associations you belong? |
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| Do you have a City and County Occupation License? |
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| What is the name of your insurance company and how long have you been with your current company? |
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| Has your company had any claims in the last 5 years? |
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| Can your company show all tax forms from the last 3 years? |
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| Do you have a Written Business Plan in place? If Yes, Please include a copy. |
[ x ] Yes [ ] No |
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| In what Categories are you Certified? |
[ ] Pest Control |
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[ ] Sub Termite |
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[ ] Lawn and Ornamental |
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[ ]Dry Wood Termites (Fumigation) |
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[ ] Wild Life |
| In which States are you Certified? |
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| B. Services |
| Explain the majority of your services: |
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| Does your company provide monthly pest control services? |
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Describe treatments: |
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| Does your company provide every other month pest control services? |
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Describe treatments: |
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| Does your company provide quarterly pest control service? |
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Describe treatments: |
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| Does your company provide Semi Annual pest control service? |
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Describe treatments: |
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| Does your company provide annual pest control service? |
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Describe treatments: |
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| Does your company provide other types of services, other than the ones described above? |
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| Is flea control an additional cost? |
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| Are carpenter ants an additional cost? |
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| What is your retreat policy? |
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| Do you do single or one time treatments? |
[ ] Yes [ ] No. Describe: |
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If so, what is the warranty? |
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| Do you charge extra for any services provided for your regular accounts? |
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| Does your company leave bills or are they mailed? |
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| Explain your annual pest control program. (If in use now) |
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| How many one time accounts do you have? |
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What is the total of their annual volume? |
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Can you substantiate their consistency? |
[ ] Yes [ ] No |
| How many of your accounts have an annual volume over 5% of your total sales? |
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What is their total volume per year? |
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| C. Advertising Information |
| What phone books are you listed in? |
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| What is the monthly cost for each? |
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| What are your phone numbers? |
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| List any other advertising contracted for over a year and how long. |
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| Do you do Radio advertising? |
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| Internet Advertising |
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Email: |
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Website: |
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| List any other advertising? |
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| How much do you spend monthly on advertising? |
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| D. Chemicals |
| What are the basic types of chemicals you use? |
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Insecticides: |
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| Who is your major supplier? |
Target spec products |
| Do you use any restricted chemical? |
[ ] Yes [ ] No |
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If yes, list the name of the ones used: |
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How many accounts are monthly and what kind of customers are they? |
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Every other month? |
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Quarterly? |
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Semi-annually? |
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Annually? |
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| What percentage of your accounts are set upon a specific day and time? |
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| E. Customers |
[ ]Yes [ ] No, |
| How many customers does your company have? |
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| Can you give an average of the longevity of your customers? |
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Number Of Customers Over 8 Years: |
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Number Of Customers Over 5 Years: |
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Number Of Customers Over 3 Years: |
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Number Of Customers Over 1 Year: |
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| When was the last time your company gave a price increase? |
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| Does your company have any chemically sensitive accounts? |
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Please List And Give Number. |
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| F. Production |
| Do you have quotas for technicians? |
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| Do you have Saturday or after hour accounts? |
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| What is your daily start time and finish time? |
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| Do you have larger accounts that need more than one technician to accomplish the services? |
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If yes, how many? |
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| What geographic area does your company cover? |
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List by County Name and State: |
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| Are routes broken down according to location? |
[ ] Yes [ ] No |
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| G. Employees must have 1 for each employee |
| How long with company? |
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| Average monthly salary? |
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| Describe how you calculate their pay commission: |
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| Average hours worked per week? |
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| Employment History: |
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| Education: |
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| Driving Record: |
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| Does this employee take his truck home? |
[ ] Yes [ ] No |
| Attitude: |
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| Benefits Offered, Hospitalization, Vacation: |
[ ] Yes [ ] No |
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If yes, please explain |
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| Do you have a Non Compete Agreement or a Non Solicitation Agreement with this employee? |
[ [ ] No |
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Does it include an assignment clause? Please include a copy or a blank copy. |
[ ] Yes [ ] No need a copy |
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Part III – Company Financial Information
Listing #:L100000
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| A. Annual Net Revenue So Far This Fiscal Year. |
| For Last Complete Fiscal Year: |
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| 12 Months Previous: |
$ |
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| Please include a “Profit & Loss Statement” for the volume so far this fiscal year |
| (*Net revenue is total “sales” after credits and adjustments) |
| (FIGURES shown below are the best estimate we were able to determine of actual totals and percentages. See Attached printouts from actual business services. |
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| (A) Pest Control Annual Revenue % Of Total For 2010 – (estimated if necessary) Complete Year |
| Pest Control Service |
Annual Sales |
Number of Accounts |
% of Gross Sales |
$ volume per service |
| Residential Monthly Service Customers |
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| Residential Bi-Monthly (Every Other Month) |
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| Residential Quarterly Service Customers |
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| Semi Annual Service Customers |
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| Annual Service Customers |
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| Commercial Customers (P.C. Only) |
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| P.C. Miscellaneous Revenue (One time, etc.) |
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| Subtotal Pest control Revenue |
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| (B) Termite (Includes all Wood Destroying Organisms) |
| Termite Service |
Annual Sales |
Number of Customers |
% of Gross Sales |
$ volume per service |
| Treating Revenue |
- |
- |
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| Fumigation Revenue Dry Wood Termites |
- |
- |
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- |
| Clearance Letters |
- |
- |
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| Annual Renewal Revenue |
- |
- |
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| Bait Monitoring |
- |
- |
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- |
| Miscellaneous Termite Revenue |
- |
- |
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| Other |
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- |
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| Other |
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- |
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| Sub Total Termite |
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- |
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- |
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| (C) Other |
| Type Of Service |
Annual Sales |
Number of Customers |
% of Gross Sales |
$ volume per service |
| Lawn & Ornamental |
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- |
- |
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| Other |
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- |
- |
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| Other |
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- |
- |
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| Sub Total Other |
- |
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| Total Annual Revenue |
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= 100% |
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| B. Business Pricing |
| Asking Price: $ (What you would sell your business for today?) |
| Please state the price you are asking for your Company. |
| A. |
Price : $ |
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| How is this price determined? |
| B. |
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| Business Price Includes: |
| C. |
1.2. |
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| Any Property included in sale? |
| D. |
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| Please add any additional information you would care to tell us, such as : Brief history of company; reason for selling; examples of literature or point of sale material you use; anything your company does that you are especially proud of etc. |
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| D. litigation |
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| I hereby certify to the best of my knowledge, there is no pending litigation as of this date. Exceptions as follows (if any). None |
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| X |
______________________________ |
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Owner Or Corporate Officer Seal |
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Date |
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| I certify all information stated in this buyer profile is true and correct to the best of my knowledge. |
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| X |
___________________________ |
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Signature and Title |
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Date |
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