Business Opportunities Questionnaire

Please complete the following details as far as possible to help us respond to your needs. All information supplied is confidential.

About you and your family

Full Name

 Date of Birth   Married     Single  Divorced 
Criminal Record  No      Yes
Name of Spouse Date of Birth
No. children 
Name    Date of Birth      Accompanying you  (tick if yes)
Name    Date of Birth      Accompanying you 
Name    Date of Birth      Accompanying you 
Name    Date of Birth      Accompanying you 

Contact information

Street Address
Address (cont.)
City/Town
County
Postal Code
Mobile Phone
Home Phone
FAX
E-mail

Your Links with Florida

Have you been to Florida before?   Yes    No Number of visits Next visit  Where
Do you have friends or relatives there?   Yes    No  Where about?
When do you wish to move to Florida?   6 months 12 months   18 months      Why?
Do you have any concerns?  

Employment and Education

Are you a graduate?  Yes    No      Degree  BA   BSc    Phd    Other

 Do you or your spouse have any special qualifications or skills?

 Are you - Employed Self Employed   Retired   Your Occupation

                                                                                                Spouse               

If self employed
 

How long trading? Number of employees? Is business saleable? Yes   No Amount?

Could the business continue after re-location? Yes     No

Brief CV

Hobbies
Do you have a preference business type?

Financial Information

Are you a home owner?   In UK - Yes    No      In Florida Where?
How much do you wish to invest?     What do you estimate your net worth to be?
Do you require Visa advice? Yes   No  Do you already have a B1/B2 Visa? Yes  
How did you find out about us?

Any other remarks or comments that might help us help you.

Copyright © 2004 Contempo Florida Business Brokers LLC. All rights reserved.
Revised: November 08, 2006