(*) = Required.
Company represented by a Broker? Yes No
If the company is not represented by a Broker and you were approached by a Broker with a potential buyer, would you be willing to pay a contingency fee at a negotiated rate?*
Yes No
Other location description (optional)
Examples: Southwest part of the state/province, Tri-Cities area, DFW area, North Chicago area, Orange County, Upstate New York, Downtown Seattle, Cleveland suburb, etc.
Industry Questions (Complete only areas that apply)*
IT % IT Solutions % Light Industrial % Clerical % Engineering % Medical % Legal % Financial % Graphics % All % Other % description
Temporary Percentage of total business %
Average Number of Temps on billing weekly
Average Percentage of markup on Temps %
Number of Clients
Percentage Contingency % Percentage Retained %
Number of worksites
No Yes Maybe
Minimum Down Payment:
Yes | Value: No | If "NO," what are the Lease Terms?
$ Furniture, Fixture & Equipment (Value)
$ Accounts Receivable (Value)
$ Accounts Payable (Value)
$ Debt To Assume (if applicable) (Value)
Other Assets (value and description)
Ex: Temp and Temp to Perm Staffing, Established Temp/Leasing, Temp Staffing with 3 locations.
Long enough to ensure a smooth transition.
Negotiable. May remain with the company based upon mutually agreeable terms and conditions.
None. The owner will leave once the sale is completed.
Number of months
Other - Describe
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