Gelinas & Company | Business Appraisals

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Title*	Mr Mrs Ms Dr
First Name*
Last Name*
Title or Relationship to Business Entity*	Owner (sole proprietor) President Vice President Partner Potential Buyer Potential Investor CPA or Accountant Attorney Other
Business Legal Name*
Doing Business As
Business Address*
City*
State*
Zip*
Business Legal Entity*	C-Corporation S-Corporation LLC Partnership Sole Proprietorship
Years in Business*
State of Incorporation or business formation*
Total Number of Partners/Shareholders*
Description of Business*
Where are your customers located?*	International National Regional In-state Metro-area Local/county Other
Business Web Site
Purpose of Appraisal*	Preparing to Sell Business Planning to Buy Business Partner/Shareholder Buy-out Buy/Sell Agreement Partial Sale of Business Business Reorganization ESOP Incentive Stock Option Plan Divorce Dissenting Shareholder Other Litigation Estate Taxes Gift Taxes IRS Workout Spin-off IPO Charitable Donation Fairness Opinion Retirement Planning Succession Planning Other
Address to Send Completed Appraisal Report*	Same as business address
City*
State*
Zip*
Please provide your own personal email address and private telephone number so that we may contact you discretely, if necessary.
Email Address*
Phone*
How did you hear about us?*
Other
Additional Comments