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Non-Disclosure Agreement
and
Confidential Purchaser's Profile

(online version)


Please fill out the following form and upon completion send the form electronically by pushing the "I AGREE" button. A copy of the completed form will be sent to your email address and to National Business Brokers, Ltd. This information will remain strictly confidential and will not be released, sold, rented or licensed to any third party without the consent of the originator.

Please be advised that although we have endeavored to create a secure and reliable web site, the confidentiality of any communication or data transmitted to us via Email cannot be guaranteed. When disclosing personal information, please be mindful of the fact that it is potentially accessible to the public, and consequently, can be collected and used by others without yours or our consent. Accordingly, we have no responsibility or liability for the security of personal information transmitted via the Internet. If you are concerned, you can download these forms in .pdf format for printing, complete them, and either mail or fax them to us.




 
PERSONAL INFORMATION


Purchaser's First/Last Name:    
Purchaser's Email Address:
Purchaser's Street Address:
Purchaser's City, State, Zip:    
Purchaser's Home Number:
Purchaser's Work Number:
Fax Number:
Purchaser's Date Of Birth:
 



Non-Disclosure Agreement

Potential Purchaser as a principal/employee/officer and/or direct authorized agent hereby acknowledges that the identity of Sellers and confidential information of Sellers and their businesses, including but not limited to, records, studies, and trade practices, trade secrets, and employee information will be disclosed to me by National Business Brokers, Ltd. These disclosures will be given in SECRECY AND CONFIDENCE and used for the sole purpose of assessing the prospective purchase of a business through National Business Brokers, Ltd.THE SELLER IS HEREBY DESIGNATED AS A THIRD PARTY BENEFICIARY TO THIS AGREEMENT.

I agree not to disclose any of the confidential information given in connection herewith, either directly or indirectly, to third parties except such limited third parties as are necessary to assess the prospective purchase of a business or to complete the same; provided that I shall ensure that all such third parties preserve all confidential information shared with them. I also agree not to use, or permit or assist others to use, directly or indirectly, any such information to the detriment of the business, and I agree not to circumvent National Business Brokers, Ltd., in any transaction. Further, I agree not to contact the Seller, his employees, suppliers and/or customers of the business directly, and to channel all correspondence, negotiations, inquiries, investigation, and purchase offers, if any, directly through National Business Brokers, Ltd., unless specifically authorized in writing to negotiate directly with the Sellers.

I acknowledge that any breach of this Non-Disclosure Agreement, directly or indirectly, shall be deemed irreparably harmful to National Business Brokers, Ltd., and Seller, and that all remedies at law or equity will be available to National Business Brokers, Ltd., and Seller for any such breach or threatened breach. I agree that this Non-Disclosure Agreement will be governed by the laws of the State of Colorado. In the event National Business Brokers, Ltd. and/or Seller must commence legal action to enforce the provisions of this agreement, I agree to pay all fees, expenses, and interest, at the maximum allowable by Colorado Law, including reasonable attorney fees, which National Business Brokers, Ltd., and/or Seller may incur. Any actions commenced to enforce or interpret this Agreement shall be brought in the State of Colorado.

It is understood that this Agreement applies to any information supplied by National Business Brokers, Ltd., verbally or in writing whether supplied prior to or after the date hereof.

This also acknowledges that the undersigned buyer(s) have been advised that National Business Brokers, Ltd., is acting as a Transaction Broker.




 
PURCHASER'S PROFILE


Occupation:
Reason for acquiring a business:
Have you ever owned a business before?
If yes, what type of business:
Desired date to take possession:
Preferred geographical location:
Type of business preferred:
How long have you been looking for a business:
Prior business experience:
Education:
Will anyone else assist you in the acquisition decision?
If yes, who:
Have you have been in contact with a Broker in our office, if so who?
What business or businesses are you inquiring about?
 



Financial qualifying information must be provided in order to receive any additional information. The information we receive is not shared with the seller because we are TRANSACTION BROKERS, we are not working as "Seller’s Agents" as the majority of other licensed and unlicensed business brokers operate. As TRANSACTION BROKERS, it is our responsibility to treat all parties fairly and honestly but not to put either party at a disadvantage in the transaction. If we were dealing with you as a Seller’s Agent we would be bound to disclose this information to the Seller and we would feel the same apprehension in releasing this information as you may at this time. As an alternative to providing us with this basic financial information, you can provide us with the name and phone number of your banker who can verify your ability to purchase or obtain financing for the business or businesses for which you have an interest.



 
FINANCIAL SUMMARY


Total Assets:
Total Liabilities:
Net Worth (Assets minus Liabilities):
Amount of money you've allocated for a down payment:
Source of your down payment:
Is your down payment available today?:
If not, when?
How much have you allocated for working capital?
What is your present salary?
What is your expected income needs?
Additional Information We Should Know:
Banker's Name:
Banker's Phone Number:
 

BY RE-ENTERING YOUR DATE OF BIRTH, POTENTIAL PURCHASER AGREES TO THE FOREGOING TERMS AND CONFIRMS THE ACCURACY OF THE INFORMATION SUBMITTED.

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