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Northern Pacific Asset Management

Business Valuation Consultation

Please complete this form to initiate your business valuation consultation. Your responses help our team understand your company and its valuation needs—so we can deliver a thorough and accurate assessment.

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Section 1 of 6

Business Valuation Checklist

Gathering and preparing data is a crucial step in completing a proper and accurate valuation. Additional requested information will be tailored to the purposes and needs of your valuation—whether it's for the sale of the business, tax purposes, divorce, or other reasons.

The following list contains essential information to have on hand for your valuation, to ensure an accurate estimate of the business value:

📊
Category 1
Tax & Financial Statements
4 items
  • Federal Tax Returns for the last three fiscal years
    Forms 1065, 1120, 1120S or Schedule C
  • Most recent interim and fiscal year-to-date financial statements
    Detailed balance sheet and income statements
  • Balance sheets for the last three fiscal years
  • List of One-Time / Non-Recurring / Non-Operating Revenues, Expenses, Gains and Losses
💰
Category 2
Ownership & Compensation
4 items
  • Schedule of Compensation Paid to each owner and family member for each year
    W-2 and 1099 amounts
  • Schedule of all Personal Expenses paid by the business for each year
  • Schedule of owner perquisites and benefits
  • Ownership structure and percentage interests
⚖️
Category 3
Legal & Corporate Documents
5 items
  • Articles of Incorporation / Operating Agreement / Partnership Agreement
  • Buy-Sell Agreement (if applicable)
  • Lease agreements (real estate and equipment)
  • Loan and credit facility agreements
  • Pending or threatened litigation documents
📋
Category 4
Operations & Planning
5 items
  • Completed Fact Finder
  • List of major customers and revenue concentration
  • List of key employees and management team
  • Business plan or strategic plan (if available)
  • Industry reports or market analysis (if available)
You don't need everything ready to begin this form — but having these documents accessible will help your advisor deliver the most accurate and thorough valuation.
Section 2 of 6

Company Profile

Reason for Valuation
How did you hear about us?
Section 3 of 6

Growth

Please provide us with your estimate in percentage format
The Long Term EBITDA margin is calculated by dividing EBITDA by total revenue for each year of measurement, then identifying the average EBITDA margin over that period. This margin reflects the percentage of revenue that remains as profit after all operating expenses (excluding interest, taxes, depreciation, and amortization) are paid.
Do you have intellectual property, including trade secrets or patents?
Section 4 of 6

Operations

Do you have life, disability, or key person insurance coverage and risk management program designated to cover the business value?
Do you rent or own?
Is the property owned by this entity?
Is the property owned by a 2nd entity with common ownership?
Is rent paid to an independent 3rd party?
Is rent paid to an entity that you own or are affiliated with?
Section 5 of 6

Other Planning Concerns & Objectives

Generating adequate capital to run and grow my business
Identifying key people we cannot afford to lose
Retaining key employees and managers
Identifying, eliminating, and strengthening vulnerabilities
What's the business worth today and how can we grow value?
Reviewing & Updating Buy-Sell Agreement
Ensuring that my partners have enough liquidity to buy out my shares
Identifying the best time and way to start winding down
Eliminating concerns about my or my partner's surviving spouse running the business
How can I turn business assets into personal financial security?
Protecting skills of key executives and employees
Planning for business succession
Increasing the perceived value of employee benefits
Maintaining a comfortable lifestyle through retirement years
Minimizing Income Tax & Capital Gains Tax
Positioning as many of my assets for my family as I can while minimizing Estate & Gift Tax
Creating a legacy that will help to keep my children and grandchildren productive
Protecting my family’s assets from creditors and litigation
Reviewing current investment portfolio
Diversifying large single stock and stock option positions, or other liquid assets
Reviewing insurance coverage & policies
Ensuring that family members with special needs are well cared for
Protecting the value of my assets using hedging techniques
Optimizing the use of loans to maximize net worth
Involving my children and grandchildren in philanthropic pursuits
Beginning or adding to my art collection or dealing with other collectibles
Do you feel you have...?
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Section 6 of 6

Consent & Submission

Review the disclosures below, provide your electronic signature, and submit.

Data Protection & Privacy

At Northern Pacific Asset Management, LLC., we deeply value the trust you place in us by sharing your personal and confidential information. This statement is a concise overview of our comprehensive Privacy Policy, tailored to the context of your interaction with this form.

Key Aspects of Our Privacy Approach:

1. Personal Information Handling

In line with our Privacy Policy, we collect personal information such as contact details, financial and commercial information, internet or electronic activity data, and other identifiers. This information is essential for offering and providing our services, operating our business, and ensuring compliance with legal obligations.

2. Purposeful Data Utilization

The information you provide is used to understand and meet your financial needs, facilitate transactions, improve our services, and maintain the security of our networks and systems. We do not sell your personal information for third-party promotional purposes.

3. Data Security Measures

Secured with AES-256-bit encryption. Your data is transmitted directly to Northern Pacific Asset Management.

4. Disclosure and Sharing of Information

Consistent with our Privacy Policy, we may disclose personal information to service providers, business partners, and governmental authorities as necessary for business operations, legal compliance, and service provision.

5. Your Privacy Rights

You have rights regarding your personal information, including the right to access, update, and request deletion. Our practices align with federal and state laws, including the California Consumer Privacy Act (CCPA), ensuring your right to non-discrimination in services.

6. Ongoing Updates and Transparency

Our Privacy Policy may be updated periodically. We commit to keeping you informed of any significant changes and encourage you to review the policy regularly.

For a full understanding of how we manage and protect your personal information, we encourage you to review Osaic Wealth, Inc. detailed Privacy Policy.

If you have any questions or concerns regarding the handling of your data, please do not hesitate to contact our customer service team. Trust and transparency are the pillars of our relationship with you.

Thank you for your trust in Northern Pacific Asset Management, LLC.

Legal Disclosure

This form is provided for informational purposes only and does not constitute investment, legal, or tax advice. The information you provide will be used to facilitate your advisory discussion and does not create or modify any advisory agreement. All investments involve the risk of potential investment losses and no strategy can assure a profit. Please consult with a qualified professional for specific legal, tax, or accounting advice. Northern Pacific Asset Management and Osaic Wealth do not provide tax or legal advice.

Thank You!

Your business valuation consultation form has been submitted successfully. Our team will review your information and prepare for your consultation.

A confirmation will be sent to the email you provided. If you need to make changes, please contact your advisor directly at (832) 559-3771.

Northern Pacific Asset Management
CityCentre One · 800 Town & Country Blvd, Suite 500 · Houston, TX 77024
(832) 559-3771 · www.northernpacific.us
Securities and investment advisory services offered through Osaic Wealth, Inc., member FINRA / SIPC, and SEC Registered Investment Advisor. Northern Pacific Asset Management and Osaic Wealth are separately owned and other entities and/or marketing names, products or services referenced here are independent of Osaic Wealth.
Please see website for additional information and disclosures: www.northernpacific.us
This site is published for residents of the United States of America, is for informational purposes only and does not constitute an offer to sell or solicitation of an offer to buy any security or product that may be referenced herein. Persons mentioned on this website may only offer services and transact business and/or respond to inquiries in states or jurisdictions in which they have been properly registered or are exempt from registration. Not all products and services referenced on this site are available in every state, jurisdiction or from every person listed.
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