Q1 Brokers

Name of Buying Entity *

Directors (Please insert Full Names of all Directors of Buying Entity if buying in a Company Name.) *

ABN *

Mailing Address *

Suburb *

State *

Post Code *

Mobile *

Email *

Solicitor Details

Solicitor's Firm

Contact Person

Mailing Address

SUBURB

State

POSTCODE

Phone

Mobile

Accountant Details

Accountancy Firm

Mailing Address

Suburb

State

Postcode

Phone

Mobile

OFFER DETAILS

NAME OF BUSINESS BEING PURCHASED * (The Business includes the goodwill, fixtures, fittings, furniture, chattels and the plant and equipment, industrial and intellectual property, work-in-progress (if any), and stock-in-trade, permits, licences, and other assets of the Business.)

PURCHASE PRICE (excluding Stock at Value) * (excluding Stock at Value, and Work in Progress which will be paid in addition to the Purchase Price)

MINIMUM STOCK AT VALUE TO BE PAID IN ADDITION TO THE PURCHASE PRICE * (Please note that a Stocktake will be completed prior to Date of Completion unless otherwise agreed between the parties. Insert "N/A" if no stock is to be purchased in addition to the Purchase Price.)

MAXIMUM STOCK AT VALUE TO BE PAID IN ADDITION TO THE PURCHASE PRICE * (Please note that a Stocktake will be completed prior to Date of Completion unless otherwise agreed between the parties. Insert "N/A" if no stock is to be purchased in addition to the Purchase Price.)

Deposit *

(Amount must be equivalent to 10% of Total Purchase Price)

Is the contract subject to finance? *

(Yes/No)

Yes No

Is the contract subject to due diligence? *

(Yes/No)

Yes No

Lease Requirements *

New Lease Assignment of Lease Not Applicable

Is the contract subject to trial of gross sales? *

(Trials are only available for retail based operations to confirm the Average Turnover of the Business via Till Tape readings. Trials will not be permitted until the Contract is unconditional.)

Yes No N/A

Date of Completion *

Other Conditions

PLEASE UPLOAD DRIVER LICENCE OR PASSPORT AS PROOF OF IDENTIFICATION *

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Signature *