Name of Company:
1) Address(es) of the Company’s business location(s):
2) Approximate square footage of each location?.
3) What are the Company’s normal operating days and hours?
Explain the Company’s primary product(s)/service(s). Please include approximate percentage of all revenues received from each.
4) What types are the Company’s primary customers (e.g., consumer, industry, government)?
5) Please give the name and location of the Company’s 3-5 major customers/clients, together with the approximate percentage of the Company’s total business obtained from each:
6) What approximate percentage of the Company’s total business and revenues come from within the:
7) With respect to customer turnover, typically how long does a new customer remain a customer? Only 1 Sale 1 Year 1-3 Years 3-5 Years 5-7 Years Longer - Specify
8) Who are the Company’s three major competitors?
9) What are the major strengths and major weaknesses you have versus these competitors?
10) What is the low, high and average of the following:
11) What is the approximate fair market value of the fixed assets in their present condition?
12) Are there any future imminent changes known or anticipated which will impact the business?
13) Name of person completing the form
14) Contact Phone
15) Contact Email
