Financial Seller Figures

FINANCIAL SELLER FIGURES

This Financial Seller Figures statement sets forth the principal financial figures and disclosures furnished by Seller for purposes of the proposed transfer of assets or equity described below. Seller represents and warrants that the information supplied herein is accurate and complete to the Seller’s knowledge as of the Effective Date identified below, subject to the ordinary course adjustments and accounting conventions described in the Certifications and Adjustments sections.

Transaction and Parties

Seller Name:

Buyer Name (if known):

Business / Assets Subject to Transfer:

Effective Date (figures as of):

Summary of Financial Figures

Revenues (Trailing 12 months): $

Gross Profit (Trailing 12 months): $

Net Income (Trailing 12 months): $

Adjusted EBITDA (last 12 months): $

Statement of Assets and Liabilities

Cash and Cash Equivalents: $

Accounts Receivable (gross): $

Allowance for Doubtful Accounts: $

Inventory (at cost): $

Prepaid Expenses: $

Current Assets Total: $

Property, Plant & Equipment (net): $

Other Non-Current Assets: $

Total Assets: $

Accounts Payable: $

Accrued Liabilities: $

Short-Term Debt: $

Long-Term Debt: $

Other Liabilities: $

Total Liabilities: $

Calculation Summary & Adjustments

Net Working Capital (per schedule): $

Proposed Purchase Price (if applicable): $

Estimated Adjustments (detail in Notes): $

Supporting Documents Checklist

Financial statements (balance sheet, income, cash flow)

Trial balance / general ledger extract

Accounts receivable aging schedule

Inventory listing and valuation support

Tax returns (most recent 2–3 years)

Bank statements (most recent 3 months)

Fixed asset register and depreciation schedules

Certifications, Representations and Limitations

By executing below, Seller certifies, on behalf of itself and its authorized representatives, that:

1. To the Seller’s knowledge, the figures and schedules provided in this statement are materially correct and prepared in accordance with the accounting basis indicated below.
2. Unless disclosed in writing in the Notes section above, there are no material liabilities, commitments or contingent obligations of the business not reflected in these figures as of the Effective Date.
3. These figures are provided for purchaser evaluation purposes and do not constitute an audited opinion unless expressly stated; adjusted or audited figures may be provided under separate cover.
4. Seller shall promptly notify Buyer of any material change in the underlying facts or additional information that would render these figures materially inaccurate prior to closing.
5. Seller acknowledges that Buyer may rely on these figures in negotiating transaction terms; Seller agrees to indemnify Buyer for material, willful misrepresentations subject to the terms of any definitive agreement.

Generally Accepted Accounting Principles (GAAP)
Cash basis
Other (describe in Notes)

Authorization to Verify

Seller Representative Name:

Representative Title:

Privacy and Use

The financial figures and supporting documents delivered under this statement are confidential. Recipient will use such information solely for the evaluation of the proposed transaction and will limit dissemination to those advisors and representatives who have a need to know and who are bound to maintain confidentiality. Seller retains all proprietary rights in the financial schedules except as otherwise provided in a separate confidentiality agreement.

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