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Buyer Information Sheet
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Indicates required field
Name
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First
Last
Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Preferred Brand
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Other
Shell
Chevron
Arco AmPm
Arco
Valero
Mobil
Union 76
Independant
Preferred Brand Other
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Prior Gas station experience
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Number of years running gas station or retail
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Liquid cash available for investment
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Loan Preffered
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SBA
Conventional
Other
Other Requirements
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