SELLER’S QUESTIONNAIRE Business Legal Name Operating as (O/A): Business Physical Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d’IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Business Telephone:(1) Business Fax: Business Website: Owner 1 – Name Phone 1 Email 1 Owner 2 – Name Phone 2 Email 2 Owner 3 – Name Phone 3 Email 3 Lawyer’s NameFirstLast Lawyer’s Phone Accountant’s Name(1)FirstLast Accountant’s Phone Type of Business: (Ex: Restaurant, Sheet Metal Manufacturer Type of EntitySelect valueIncorporationPartnershipSole Proprietor Year Started Describe in general terms what the business does and its history: Total square footage of the business facility: Total Years you Owned: Reason for Selling:: Minimum Basic Monthly Rent/Lease: $ Additional Monthly T.M.I: $ Current Monthly Cheque Amount: $ Renewal Option (s):Select valueYESNO What does the facility consist of? (Ex. Equipment, Patio, office, reception area, workshop, basement, etc.) What is the condition of the equipment & facility and are any upgrades required? Are there any landmarks near the facility? (Ex. Close to highway, schools, casinos, shopping malls, etc.) Any future developments near the facility? If yes, please specify: Is the person filling the form the Owner?Select valueYESNO Is this a family run business?Select valueYESNO If yes, please list owner(s) & family members, their role in the business if they draw a wage / salary. List the Names of all owners, include the dates joined and Salaries as well as whether they work full time or not? Names of Owners who will stay on with New Ownership? Can the business operate successfully if the owner was replaced and a manager was hired instead? Are you willing to train the new owner?Select valueYESNO If yes, for how long? Please state the minimum & ideal Characteristics, Qualifications, Skill Sets, anything you deem Important that the Buyer should posses to run the business. What are the operational Hours of the Business How many employees (other than owners & family members) are there? Please list them Describe the sales Cycle – cyclical or seasonal? Are there high Describe the low periods during the year? List any special permits or licenses required to operate the business? What are the key factors that contribute to the success of the business? Who are the company’s major competitors? Discuss any pending litigation or lawsuits against the company (if applicable): ate the strengths and weaknesses of the company specific to the company and NOT the industry or the general economyStrengthsWeaknesses State the opportunities and threats surrounding the industry NOT specific to the company but specific to the industry or the general economy:Opportunities (Mandatory, Important to be filled)Threats Describe the “typical” or targeted customer or customer bases. What is the split of residential vs. commercial customers (%)? How loyal are customers? Do you have annual or long term contracts? When was the Valuation Conducted? Have you conducted a business valuation?Select valueYESNO What was the Value? $ Minimum expected price in mind? $ We are trying to establish what the true profitability of the company is, so that a fair asking price can be determined. In order to do so, we want to exclude any non-recurring (one-off), personal or discretionary expenses that a new owner may not need/wish to spend. Please note, this is the most important section of the questionnaire; the more accurate the answers below, the more accurate the valuation. When is your financial year end? What kind of Statements?Select valueNTRAuditedNo Staements Do you have 3 years of financials?Select valueYESNO For Which Years do you have Financial Statements Do you have 3 years of tax returns?Select valueYESNO For which 3 years do you have Tax Returns? hat is the gross income for the aforementioned three years:Year 1Value$Year 2Value$Year 3Value$ What annual growth rate do you expect for the company in the future?Year 1%Year 2%Year 3% Is business inventory included in the business sale?Select valueYESNO What is the approximate value of the inventory Included? $ ACKNOWLEDGMENT AND SIGNATURESBy signing below, I hereby acknowledge that I have completely read and fully understand the ARBB Seller Questionnaire form. I also affirm the truth of the aforesaid statements.SELLER(S): NameFirstLast Name 2FirstLast Date Date 2 SignatureClear Signature 2Clear Upload Supporting docsSubmitReset
