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  Your Name:   Company:  
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  Address:   Address 2:  
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Please enter information about your paractice:

 
Professional Registration
 & Licensing:
RIA
 
RIA Representative
 
Registered Representative
 
Insurance Professional
 
Other (describe below)
 
 
Type of Practice:
Fee-Only
 
Fee & Commission
 
Commission Only
 
Other (describe below)
 
 
Years in Business:
   
Assets Under Management:
   
Assets Under Advisory:
   
Annual Revenue:
   
Recurring Revenue:
   
Non-Recurring Revenue:
   
Est. Overhead Expense %:
   
No. of Employees:
 
Reasons for Sale:
Retirement
 
Career Change
 
Unplanned Change
 
Burnt-Out
 
Other (describe below)
 
 
Partial Book Sale:
Yes / No
   
Targeted Selling Price:
   
Targeted Down Payment %:
   
Additional Objectives:
 
 
   
 

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