Business Note Quote

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Seller’s Name:
   How did you find out about us?
   
Phone:
  
   
Fax:
  
       
BUSINESS INFORMATION
Exact Name of Business:
  
       
Type of Business:
  
 
       
Is Operation a Franchise:
 Yes      
No
       
Street Address:
  
City:
       
State:
  
Zip:
       
Business Location is Owned by Payor  
Leased by Payor and expires:  
       
         
Terms of lease renewal options:      
         
Is note signed by a corporation? Yes      
No
         
If so, is the note personally guaranteed? Yes      
No
         
If note is not signed by a corporation, is it directly signed by an individual?   Yes  
No
         
Is there a signed Security Agreement with UCC-1 recorded at the time of the note creation?   Yes  
No
         
BUSINESS SALE   FINANCIAL PERFORMANCE
Date of Sale:
  
Annual Revenues:
   
 
Selling Price:
  
Less Annual Expenses:
   
 
Down Payment:
  
Net Operating Budget:
       
1st Lien:
   PAYOR/GRANTOR
    Most recent FICO:
2nd Lien:
      
      SSN:
NOTE INFORMATION      
Date of Note:
   Qualifications for this business:
       
Amount:
   Payment History:
       
Term of Months:
   BROKER CONTACT INFORMATION
   
Name:
Payment Amount:
      
   
Company:
Balloon Amount:
  
 
   
Email:*
Balloon Date:
  
 
   
Phone:
Interest Rate:
      
     
Due Date 1st Payment:
      
       
# of Pmts Paid:
      
       
# of Pmts Left:
      
       
Next Pmt Due:
      
       
Balance: