Information Request

A. Neumann & Associates, LLC
65 First Avenue - Postal Box 500
Atlantic Highlands, New Jersey 07716-0500
Phone: (732) 872-6777
Fax: (732) 872-6669

management@neumannassociates.com

For a detailed reply, please fill in information below

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Profile (Confidential)

*I am a interested in a
Sale of my Business
Valuation of my Business
Financing
Tax Referral
Purchase of a Business

Name:*
Organization:
Address 1:*
Address 2:
City:*
State/Prov:*	AB AL AK AS AZ AR BC CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MB MI MN MS MO MT NB NE NV NH NJ NL NM NT NY NC ND NS NU MP OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VT VI VA WA WV WI WY YT
Zip
Preferred Phone:*
Email:*
Type of Business:
Years in Business:
LY Gross Revenue:
# of Employees:
Tax Returns Available?:	Yes No
Was a valuation done in the past?	Yes No
What is your timeframe to buy/sell:
Comments: