Application Form for Funds

Thankyou for

your time!!!

NET INCOME (LOSS)

OPERATING PROFIT

OTHER LIABILITIES

TOTAL ASSETS

Amount: Owners are looking for

Principal Name

FINANCING EXPENSES

ANUAL SALES

TOTAL EQUITY

BANK DEBITS

Financing

Strategic partner

Joint Venture

Transaction owners are looking for:

Other uses

Working capital

Buy out shareholders

Buildings

Bank debt payment

Adquire Machinery/Equipment

Application funds:

USES OF THE MONEY

Owner Name

Country

Stat/Prov

Code

Fax

Celular

Phone

City

Address

Industry Name

Your E-Mail