Confidential Buyer Information Form
The information contained in this form will be held in strict confidence. PBBA is required by fiduciary responsibility to our sellers to qualify prospective buyers. We have obtained extremely confidential information on businesses offered (including tax returns, financial statements, etc.) and this information can only be shared with those who are financially qualified. Additionally, a completed Buyer Information Form will enable PBBA to focus on your business interests. We will respect your need to confidentially when calling your work or cell phone number.
* First Name:
* Last Name: MrMrsMs
* Address:
* City:
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* ZIP:
* Daytime Phone #:
Evening Phone #:
Fax #:
* Email Address:
Business Interests Check areas of interest, you may specify in box Check All ConstructionDistribution/WholesaleFinancialHospitalityManufacturingMedicalOtherProfessionalProperty ManagementRetail/Store FrontServiceTransportation
Yes No Do you check email regularly?:
Yes No Does anyone else view your emails?:
Yes No Do others view your faxes?:
How did you hear about us?:
What is your time frame?:
Expertise, past experience, current occupation?:
Are there any constraints regarding business purchase?(i.e.: must sell home, must sell business, family commitments)
Are there any other businesses you are interested in?
Company I am most interested in: