<H1>Suisse Privee et Cie Holdings ExtremeDEALMATCH (tm) System Deal Financials Entry Form</H1>

Suisse Privee et Cie Holdings - Welcome to the Suisse Privee et Cie Holdings ExtremeDEALMATCH (tm) System

Either Paste Your Actual & Projected 3 Year Financials into the message box below and/or fill in Forms below : Income Statement, Balance Sheet, Cash Flow Statement, Key Measures, & Assumptions for Buy/Sell/Combined Transactions. Form may also be used to provide Personal Statement of Net Worth as applicable. All responses are strictly confidential and will not be released without your prior email approval to any party.

First Name:
Middle Name:
Last Name:
Organization:
Street Address 1:
Street Address 2:
Apartment#:
City:
State/Province:
Zip/Postal Code:
Country:
Phone(s):
Fax:
E-mail:
HomePage WWW: Beeper:
Response Method: None Respond by E-mail Respond by Surface Mail Please callCustomer Status: None Current Client Potential Client
ENTER DEAL FINANCIAL PROFILE: Select Options as Appropriate

DEAL CURRENCY:
CURRENCY NAME:

END YEAR :
NAME ENTITY:
ACTUAL FINANCIAL STATEMENTS (3 YEARS)
BUYER SELLER COMBINED
ACTUAL INCOME STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
Net Revenues:
Cost Sales :
Gross Profit:
Total OpsExp:
Salary/Wages:
Occp Expens:
Oper Expens:
Total Op Exp:
Oper Profit:
Intst Expens:
Net Income :
END YEAR :
PROJECTED FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
PROJECTED INCOME STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
Net Revenues:
Cost Sales :
Gross Profit:
Total OpsExp:
Salary/Wages:
Occp Expens:
Oper Expens:
Total Op Exp:
Oper Profit:
Intst Expens:
Net Income :
END YEAR :
NAME ENTITY:
ACTUAL FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
ACTUAL BALANCE SHEET STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
ASSETS :
TotCurAssets:
TotPropEquip:
TotOthAssets:
Total Assets:
LIABILITIES :
TotCurLiabil:
TotalLTDebt :
TotalSHequty:
Total Liabil:
Balanced?Y/N:
END YEAR:
PROJECTED FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
PROJECTED BALANCE SHEET STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
ASSETS :
TotCurAssets:
TotPropEquip:
TotOthAssets:
Total Assets:
LIABILITIES :
TotCurLiabil:
TotalLTDebt :
TotalSHequty:
Total Liabil:
Balanced?Y/N:
END YEAR :
NAME ENTITY:
ACTUAL FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
ACTUAL CASH FLOW STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
Cash Inflow :
Cash Outflow:
OpCashSurp :
CashBalance :
TotalNewFund:
FundsReq?Y/N:
END YEAR:
PROJECTED FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
PROJECTED CASH FLOW STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
Cash Inflow :
Cash Outflow:
OpCashSurp :
CashBalance :
TotalNewFund:
FundsReq?Y/N:
END YEAR :
NAME ENTITY:
ACTUAL FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
ACTUAL KEY MEASURES STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
NetRevenues :
TotGroProfit:
GroMarginPct:
Net Income :
ProfitPct BT:
TotCashRecvd:
TotCashDispd:
OperCashSurp:
EndCashBalnc:
MaxCashReqrd:
ProjBreakEvn:
LiquidRatios:
AcidTstRatio:
CurrentRatio:
WorkgCapital:
AssetDebtRat:
DebttoEquity:
NetWthtoDebt:
InterestCovr:
NetWthtoAset:
CurAsstTotAs:
FixAsstTotAs:
TurnovrRatio:
CashTurnODay:
A/RTurnODays:
A/PTurnODays:
Profitabilty:
ROE :
ROTI :
ROTA :
OpProfitNetW:
SalesEffMeas:
TotAstNetRev:
FixAstNetRev:
NetRevWrkCap:
NetRevTotAst:
RevenuesPDay:
PROJECTEDBRK:
TotFixedCsts:
TotVariaCsts:
VarCostPct :
ContribMargn:
PeriodBrkEvn:
ProjRevenues:
MrgnOfSafety:
YEAR END :
PROJECTED FINANCIAL STATEMENTS (3 S)
BUYER SELLER COMBINED
PROJECTED KEY MEASURES STATEMENT:
YEAR: 1 2 3 1 2 3 1 2 3
NetRevenues :
TotGroProfit:
GroMarginPct:
Net Income :
ProfitPct BT:
TotCashRecvd:
TotCashDispd:
OperCashSurp:
EndCashBalnc:
MaxCashReqrd:
ProjBreakEvn:
LiquidRatios:
AcidTstRatio:
CurrentRatio:
WorkgCapital:
AssetDebtRat:
DebttoEquity:
NetWthtoDebt:
InterestCovr:
NetWthtoAset:
CurAsstTotAs:
FixAsstTotAs:
TurnovrRatio:
CashTurnODay:
A/RTurnODays:
A/PTurnODays:
Profitabilty:
ROE :
ROTI :
ROTA :
OpProfitNetW:
SalesEffMeas:
TotAstNetRev:
FixAstNetRev:
NetRevWrkCap:
NetRevTotAst:
RevenuesPDay:
PROJECTEDBRK:
TotFixedCsts:
TotVariaCsts:
VarCostPct :
ContribMargn:
PeriodBrkEvn:
ProjRevenues:
MrgnOfSafety:

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