Name(Required) First Last Email(Required) Home PhoneMobile PhoneOffice PhoneLinkedIn Languages spoken other that EnglishFirm NameWebsite URL Firm Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code License type and designationYears in accounting and typeBrief background of accounting experience including types of clientsFinancial informationHow do you plan to finance the acquisitionAre you willing to use bank financing(Required)Select from availableYesNoMy credit score is estimated at(Required)Cash on handSecurities - stock / bonds, etc.Real estate (total equity)Other assetsExplain other assetsBackground InformationHave you filed for bankruptcy in the past 7 years(Required)Select from availableYesNoHave you had any disciplinary action by an authoritative body(Required)Select from availableYesNoHave you ever defaulted on an SBA loan(Required)Select from availableYesNoHave you ever been convicted of or pled guilty to a felony for which the record has not been sealed or expunged(Required)Select from availableYesNoHave you acquired a practice before(Required)Select from availableYesNoDo you currently own a firm(Required)Select from availableYesNoWhen would you hope to close the purchase(Required)Where would you service the client base after closing(Required)Why does this opportunity appeal to you(Required)What is your perceived strategy for operating the practice(Required) Δ
