Business Valuation Form
Please fill out the following questions regarding your business as it stands currently. This information will help us evaluate the intrinsic/intangible value of your business and a potential EBITDA multiple range it may sell in.
I look forward to working with you! 
-Jacob Belt, Commercial Real Estate Advisor and Business Broker 
eXp Commercial Realty | jbelt@jacobbelt.com | 401-265-6091
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Email*
Company Name*
Contact Name*
Contact Title*
Contact Number*
Which describes your business plan?*
Clear selection
Which best describes the outlook for your industry and target customer base? *
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Which best describes your management team & leadership? *
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If a key operational leader, or employee, walked away today, *
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Which best describes your company’s financial reporting and tracking?
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Which best describes your ability to obtain financing? *
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Which best describes your company’s legal agreements and counsel? *
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Does your company have any threatened or pending litigation? *
Clear selection
Which best describes how people find your business? *
Clear selection
What marketing channels does your company currently use? Check all that apply.
What % of your revenue is from your top customer? *
Clear selection
Which best describes your sales team and strategy? *
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Which best describes the company culture? *
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Which best describes your employees and labor supply? * 

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Which best describes your company’s equipment & technology? *
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Are all important processes and procedures documented and easily accessible? *
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What is the trend in net income over the last 3-years? *
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Does your business have debt? * 

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How profitable is your business? (net profit margin) *
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How many years have you been in business? *
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If you stopped working today, your business would… *
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Which best describes your industry *
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What are your company’s key challenges at the moment? Check all that apply. *
Does your business own any real estate? *
Clear selection
Has anyone offered to purchase your business or real estate in the past? *
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Your company’s total revenue over the last 12 months? *
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How many hours do you spend working on your business per week? *
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Estimate your Earnings before Taxes, Interest, Depreciation, and Amortization in the past 12 months?
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