Division of Sihle Insurance Group
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Application Form

Application Form

E&O Application

  • Gross Revenue by Type of Businesses Sold

  • What types of businesses are you selling? Please use the next 4 sections to select all businesses that apply. If the types of industries you are brokering exceeds 4, then indicate that in the notes section below the "4th Business Sold" section.
  • 1st Business Sold

  • 2nd Business Sold

  • 3rd Business Sold

  • 4th Business Sold

  • Historical Gross Revenues

  • Let us know what your business brokerage accrued in the last 3 years with annual sales, commissions, & other fees.
  • List the percentage of revenues from the following transaction types

  • Average/Maximum Value of Transaction

  • Please provide the following information on key employees, principals, partners

  • Please list five largest deals in past three years

 

Verification