Business Declaration Form

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Business Declaration Form

Business Info

Business Name
Industry
Description
Address
Phone
Email

Legal Info

Year of Establishment
Length of Current Owner(s)
Legal Structure
No. of Partners
No. of Employees
Is Business generating Profit?
Reason for Selling

Infrastructure

Size of the Premises
Length of Lease
Legal Structure
No. of Partners
Does the Business have tangible Assets?
Do you have Audited Financial?

General Expenses Break Up

Cost of Revenue
Payroll
Lease Amount
Communication
Utilities
IT
Maintenance
Insurance
Misc.
Total

Assets & Liabilities	List of Item	Value of Item
Capital Assets
Operating Assets
Equipment
Automobiles
Inventory
Furniture & Fixtures
Accounts Receivables
Securities & Deposits
Contractual / Recurring Revenue
Customer Data Base

Accounts Payable
Financing
Liens

Financials	Year 1	Year 2	Year 3
Revenue
Cost of Revenue
Gross Profits
Operating Expenses
Payroll
General Expenses
Total Expenses
Net Profit before Tax
Tax
Net Profit

Business History & Background

Business Model

Remarks

Owner Declaration: I hereby certify that all the information provided here is true and based on the facts.

Owner Name:
Date:
Owner Signature: