Valuation Order Form

Full Name of Primary Contact *

Company Name *

Phone Number *

Address

(this will appear on your invoice)

Address Line 1 *

Address Line 2

City/Suburb *

State *

Post Code *

Email address *
A copy of your order form will be emailed to this address.

How did you hear about us? *

Business Name *

Business Address

my business address is the same as my invoice address

Business website address

Business type *

What is the purpose of the valuation? *

What type of valuation do you require?

( ^{^}for valuation of multiple share classes, please contact us for a tailored quote)

—Please choose an option—Enterprise valuation (business)Equity valuation (shares-one class only^)Unsure

Does the business operate from premises owned or leased? *

—Please choose an option—ownedleased

Estimated value of business or asking price? *

Estimated value of stock? (if applicable)

How many years has the business been established? *

How many employees does the business have? *

Please advise the number of business owners currently working in the business and their working arrangements? *

If the profit & loss statement includes a wage to the owner(s), please complete this table outlining amounts paid and estimated market rate remuneration for all owners.

What do you consider are the strengths of the business? *

What do you consider are the weaknesses of the business? *

What do you consider are the opportunities of the business? *

What do you consider are the threats of the business? *

Please provide any other additional information about the business you think may be relevant:

Any other comments you would like to add:

Profit & Loss (P&L) Statement for the past 3 years

Balance Sheet for the past 3 years

Interim P&L and Balance Sheet for the current year (if available)

Budgets or forecasts for future years (if available)

Most recent business Tax Return (if available)

Stock Listing

Depreciation Schedule (if the business has substantial plant & equipment) or listing of Plant & Equipment

Any other relevant documents:

Please invoice me for Fast Track Priority Service. I acknowledge Fast-Track Priority Service offers the quickest possible service at the time BIZVAL receives a completed order form, necessary documentation and full payment.

If confirmed, the surcharge will appear on your invoice.