I. PERSONAL DATA
Name:
Spouse or Partner:
Street or PO Box Address:
City, State, Zip:
Phone #:
Fax #:
Email Address:
II. BACKGROUND
Have you owned a Business before?	Yes No
If yes, which type?
If yes, how long?
What is your present occupation?
How long have you been looking for a business?
What are your geographical parameters?	SE PDX SW PDX Greater PDX area SW WA Other:
III. SKILLS
Please mark each that apply	Business Management Accounting Marketing/Sales Advertising Good with People
IV. OTHER BUSINESS INTERESTS
Please mark each that apply	Food and Food services, catering Restaurants-Full service Restaurant & Bar with Lottery Other food operations (Specify) Manufacturing Automotive Service Industry Dry Cleaning and laundry Other (Specify)
V. FINANCIAL POSITION
Down Payment available	$
Source of Down Payment
Are you pre-qualified with a lender?	Yes No
If yes, which one
If no, would you like assistance in locating one?	Yes No
If yes, which type of lending?	Bank SBA Home Equity Other:
Do you have an updated Financial statement and resume available?	Yes No
VI. COMMENTS OR MESSAGE
WHEN YOU SEND THIS CBP TO NORWEST BUSINESS SALES, YOU WILL THEN RECEIVE A NON-DISCLOSURE AGREEMENT FOR ELECTRONIC SIGNATURE. WHEN IT IS RECEIVED, A FULL BUSINESS PROFILE WITH BE SENT TO YOUR E-M ADDRESS. THANK YOU FOR YOUR COOPERATION.

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