Seller Intake Form

Fields marked with * are required.

First Name*

Last Name*

Phone*

Email*

Business Name*

Business Location

City*

State*

Industry*

Revenue (Gross Sales) - Last 12 Months*

Under $500k$500K-$1M$1M-$1.5M$1.5M-$2.5M$2.5M-$5M$5M-$10M$10M+

Is your business Profitable?*

YesNo

Owner Benefit / SDE (or EBITDA) – last 12 months*

Not ProfitableUnder $50k$50k–$100k$100k–$250k$250k–$500k$500k–$1M$1M+Not Sure

How many employees do you have?*

I'm the only employee5-1010-2020-5050-100

Years in Business*

<22–56–1010+

Real Estate?*

Lease OnlyOwn Building (May sell/lease)Not Sure

Reason for Selling*

RetirementBurnout/Ready for changeHealth/FamilyRelocationPartner disputePursuing other opportunityMarket timing

Timeline to sell*

ASAP0–6 months6–12 months12–24 months2+ yearsJust exploring

Desired Asking Price*

How Did You Hear About FRB*

🔒 Your information is kept strictly confidential.