Seller Information
Part I, II, and III.
Seller Agreement
“Sole And Exclusive Right To Sale”
Date Of Contract: _________, 201_ Listing #: L12_ _ _
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Call me and we can fill in this form over the phone – It will only take about 15 0r 20 minutes
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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 #:L12_ _ _
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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. |
[ ] 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 #:L12_ _ _
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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 last year – (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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– |
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– |
Fumigation Revenue Dry Wood Termites |
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– |
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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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– |
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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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(C) Other |
Type Of Service |
Annual Sales |
Number of Customers |
% of Gross Sales |
$ volume per service |
Lawn & Ornamental |
– |
– |
– |
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Other |
– |
– |
– |
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Other |
– |
– |
– |
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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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