Chase Manhattan Business Brokers Non Disclosure

What Business Are You Interested In? Business Name/ Business Ref # *

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Mobile *

Phone *

Email *

Are you a current Owner / Manager / Acquisitions Manager in this particular industry? *

Yes

No

If yes, please note the business / company name.

Is there a current business or property that needs to be sold before the purchase of this business or any business? *

Yes

No

Will there be any partners? *

Yes

No

What is your preferred location? *

What is your preferred industry? *

What is your price range or ROI % expectation? *

What is your time frame of purchase? *

How long have you been searching for your ideal business? *

Upon signing this document, I undertake that at no time will I contact the business, its owners or staff. The information I shall receive will be discussed only to my financial or legal representatives to gain finance or legal advice.

In the event that the possible acquisition contemplated by this Agreement shall not be consummated, neither I/we nor my/our representatives shall use any of the non-public information now or hereafter received or obtained from the vendor (or any related entity) with respect to any of the business or affairs of the business in furtherance or my/our business (except negotiations of this transaction), or the business of anyone else, whether or not in competition with the business, or any related entity ay any time during the period during which I/we receive the material for a period of two years from the date of this agreement.

Any contract must be approved in writing by Chase Manhattan Business Brokers. The information to follow is of a proprietary and confidential nature and shall not be copied, transmitted, or shown in full or part by any person beyond whom it is intended, without the prior consent of both parties.

By proceeding to read this document you are accepting to the above terms and conditions. *

I accept

I dont accept

The Client warrants that all information to the Agent regarding the above information is true and correct. The client shall indemnify and agree to keep indemnified that Agent from and against all cost, claims, losses and/or damage incurred by or suffered by the Agent (including legal cost on full indemnity basis) arising directly from the Client supplying any
incorrect information to the Agent. *

Yes

No