Informal business valuation

First name

Last name

Email

Phone

Address

Company name

Business Owner Name

Number of years in business

Total number of employees

Do you plan on changing the business organization form in the near future?

What is your estimate of the value of your business

Have you had a formal appraisal? When was it done? What was the value?

What is your projected revenue growth?

What percentage of your business is recurring?

What percentage of your sales comes from your top three customers?

What would be the impact on revenues and profits if the owner(s) leave?

No impact

Decline minimally

Significant decline

Plummet

Attach the most recent three years of the following: Income statement/profit and loss statement, Balance Sheet, Company tax returns Also, if prepared, please attach these documents:Cash flow statements, Statements of owner's net, Appraisal

The purpose of this information is to assist the business owner in the furtherance of their planning. A formal appraisal would be needed to establish the value for tax purposes or prior to a transfer.

Transferring your business

Are you planning on retiring

Yes

No

What does your ideal exit plan from your business look like?

What specific plans have you made for the continuation of your business?

Have you designated successor management?

If the business is to be retained....

Who could manage the business tomorrow?

How will spouse/family receive income from the business?

Will additional cash in the business be needed to smooth out the transition?

If the business is to be sold...

Do you have a written plan to transfer your company ownership?

If yes, what is the agreed upon price?

How current is your plan?

How was the valuation determined?

How is the plan funded?

If the business is to be transferred...

When and who will you transfer management control to?

When and who will you transfer ownership to?

If the business is to be liquidated...

What price would liquidation bring?

What arrangements have you made, if any, to make up the difference between this and the fair market value of your business?

Protecting your business

What would happen to your business if...

Something happened to your key employees (sick, leave or die)?

You couldn't come back to work (die or disabled)?

In the event of you or another owner’s disability, would additional funds be needed to help the business pay for normal operating expenses?

Yes

No

How much $

How long?

Do you currently have a plan in place to pay for these expenses?

Salary Continuation

At owner's disability, will salary/draw be continued?

Yes

No

How much $

How long?

At a key employee's disability, will salary be continued?

Yes

No

How much $

How long?

At another employee's disability, will salary be continued?

Yes

No

How much $

How long?

Current or desired employee benefit plans

Does the business have any of the following plans in place for owners? Employees? Please explain.

Retirement plans (e.g., 401(k), SIMPLE, SEP):

Disability income

Long term care

Other:

Business owned life insurance

Please list details such as: Name of insured, Insurance compay, Type of policy, Insurance benefit, Cash value benefit, Annual premium, Policy loans

Total life insurance benefits in force

Protecting your family

What would happen to your family if...

You couldn't work in your business?

When you retire, become disabled or die, what do you want to happen to your business interest?

When a partner/owner retires, dies, or becomes disabled, do you want to buy their interest?

Yes

No

Do you feel you and your family are financially prepared if something happens to you?

What amount of money would provide your family an adequate standard of living should something happen to you?

In the event of your death, what percentage of your monthly income should be provided for your family’s continuing income needs?

Detail current life insurance in-force

Please inculde name of insured, insurance company, type of policy, insurancce benefit, cash value benefit, annual premium, beneficiaries

Total life insurance benefits in-force

In the event of your death, would you like your children’s college education to be partially or fully funded?

Yes

No

What impact would being out of work due to an injury or illness have on your family’s financial future?

Percentage of income to replace

Current disability income insurance in force

Detail insurance holder, insurance company, individual or group policy, monthly benefit, elimination period, benefit period, COLA rate

Retirement Planning

What are your thoughts or concerns about your retirement?

At what age do you plan to retire?

At what age will you begin to collect social security?

Are you currently saving for retirement?

Please list out your professional advisors. Provide name, phone, email, address

Includes Attorney, Accountant, Banker, Insurance Agent, Financial Advisor

Solutions LLC

Fact Finder Form

Informal business valuation

Transferring your business

Protecting your business

Protecting your family

Solutions LLC