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Nashville:  (615) 557-4296
(800) 588-7001
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Business Evaluation


Please complete the following information:

Company Information
Company Name
Required
First Name
Required
Last Name
Required
Primary Phone Number
Required
E-Mail Address
Required
Nature of Business
Optional
Type of business entity:
Optional



State
Required
Number of Employees
Optional
Number of Owners
Optional
How many years has the business been operating?
Optional
Annual growth percentage:
Optional
Business tax rate (Enter owner's tas rate if business is taxed as a flow-through organization.):
Optional
Do you have a buy-sell agreement?
Optional

If so, provide a copy of the agreement.
Optional
To whom do you intend to sell?
Optional



Names, phone numbers and addresses of the following professional advisors:
Attorney:
Optional
Accountant:
Optional
Banker:
Optional
Three full years of income statements and balance sheets, OR
Optional
Three full years of company tax returns
Optional
Additional Information
How did you hear about us?
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Additional Comments
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Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.  Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company.  If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

   
         Main Office:   9700 Westland Dr, Suite 102, Knoxville, TN 37922
Nashville Office:   c/o Industrious, 1033 Demonbreun St, Suite 300, Nashville, TN 37203
 
This website is intended to stimulate dialogue about your protection and does not alter or interpret your insurance policies. Always refer to your policy for details about your coverage.