BUYER REGISTRATION FORM Step 1 of 3 33% We respect your privacy. This information is for NRP agents only and will not be shared with or sold to any other person or entity.Your Personal InformationFirst Name(Required)Last Name(Required)Phone(Required)Email Address(Required) Address(Required) City State / Province / Region What markets are you looking to buy in?(Required) Asheville Charleston/HHI Charlotte Columbia Greenville Savannah Myrtle Beach/Wilmington Greensboro Type of Restaurant I’m Searching For?(Required) Baker/Cater Bar/Club Breakfast/Lunch C-Store/Grocery Deli/Pizza Fast Food Fine Dining Full Service Space for Lease Liquor Store Liquor License For Sale Real Estate Pub/Tavern Sports Bar Quick Service Other Current Annual Income(Required)Foodservice Industry Experience?01 - 22 - 56 - 1010 -15more than 15Owned & Operated a Foodservice Business Before? Yes No How Long Have You Been Looking?Just starting0-3 months3-6 months6 months – yearYear +List of Businesses Previously or Currently OwnedPlease send this info to my advisorSelect AgentGeorge BuellTony D’OnofrioJay KennedyTom StenzelChef John MalikMike GradyMandy ColemanTim HagarTheresa FaulknerWill WilliamsAnthony DereshNeil HawverDoug JohnsonScott LeeSherman WaltersI have no agent yetThis field is hidden when viewing the formAgent Email George BuellThis field is hidden when viewing the formAgent Email TonyThis field is hidden when viewing the formAgent Email JayThis field is hidden when viewing the formAgent Email TomThis field is hidden when viewing the formAgent Email Mike GradyThis field is hidden when viewing the formAgent Email Chef JohnThis field is hidden when viewing the formAgent Email Mandy ColemanThis field is hidden when viewing the formAgent Email Tim HagarThis field is hidden when viewing the formAgent Email Anthony DereshThis field is hidden when viewing the formAgent Email Theresa FaulknerThis field is hidden when viewing the formAgent Email Neil HawverThis field is hidden when viewing the formAgent Email Doug JohnsonThis field is hidden when viewing the formAgent Email Scott LeeThis field is hidden when viewing the formAgent Email Sherman WaltersThis field is hidden when viewing the formAgent Email No AgentCommercial leases typically require a personal guaranty from both you and your spouse. I understand this:(Required) Yes Net Worth StatementAssetsTotal Liquid Assets Available for Down Payment(Required)Total Market Investments (401K, IRA, Stocks, Securities)(Required)Total Real Estate Market Value (Personal & Investment Properties)(Required)Total Autos, Home Furnishings, Other Assets(Required)Notes Receivable(Required)Value of Other Business Entities(Required)LiabilitiesReal Estate Mortgage BalancesAuto Loans OwedPersonal Loan and/or Credit Card Balances (Non-Real Estate)Business Debt Balances (SBA loans, Bank Loans, Etc)
