ConfidentialRevised as of June, 2008

Client: _________________________Agent: _________________________Date: _________________________

Business & Executive SolutionsFact Finder

Securities, investment advisory and financial planning services offered through qualified registered representatives of MML Investors Services, Inc., Member SIPC, 8 Cadillac Drive, Suite 150, Brentwood, TN 37027 (615) 309-6300. CRN201011-113754

Business Data

Business Name:__________________________________________________________________________

Address: _________________________________________________________________________________________

Business Organization:

Corporation Partnership Sole Proprietorship

Limited Liability Company Sub-Chapter S Professional

Date Established / Incorporated: _______________________

Started by Present Owners Ownership acquired by ______________________________________

How Taxed? C Corp. Partnership

Tax Exempt Profit Making Fiscal Year End ____________

Tax Basis: Cash Basis Accrual

Type of Business: Manufacturing Service Wholesale Retail Other

Describe Product or Service: ________________________________________________________________________

Employees:

Owner Employees

#_________Stockholders

#_________Partners

Other Officers –Key People

OtherSalaried

Non-Union Union TOTAL

Attorney: _____________________ Accountant: _______________Principal Bank: ________________

Business Plans

How is business? _________________________________________________________________________

Do you plan to stay in business? Yes No If No, Why? ________________________________

What do you want to accomplish with the business for:

Yourself?________________________________________________________________________

Your Family?_____________________________________________________________________

Your Employees?__________________________________________________________________

What are your plans for the next 5 – 10 years? Where do you want to be?

In the event of your: What would happen to your business? What would you want to happen?DeathDisabilityRetirement

Do you feel the control and value of your business should be retained for family members? Yes No

Have you made provision for the payment of your estate taxes and settlement costs? Yes No

Could the business survive if you took a two year vacation? Yes No

If you were to sell the business, do you have a price and a potential buyer at that price? Yes No

Price$_____________

Business Ownership & IncomePrincipal Owners Age Ownership % Title Annual

SalaryBonus Tax

Bracket %Key Employee Life Insurance

Could additional salaries or bonus be paid to owner employees? Yes No

Has any owner guaranteed or assumed personal liability for personal debts? Yes No

Name of owner Loan balance

$

$

$

Any ownership changes contemplated? Yes No

If so, what kind? ____________________________________________________________________

Key Employees: Non-OwnersName Age Title Annual

SalaryPotential Owner Yes No

Today Future

Key EmployeeLife Insurance

Would death or disability of any key employee:

Affect sales? No Yes Name:_______________________________________________________ Affect profit? No Yes Name:_______________________________________________________ Affect credit? No Yes Name:_______________________________________________________

What is being done to retain the services of key employees?

Business Financial Data

Approximate business net worth: $ ________________________

If a corporation, number of outstanding shares: Common __________________ Preferred __________________

Annual before tax earnings: Current year $ ________________ Past 5-year average $ ___________________

Value of Business

What is your estimate of today’s fair-market-value of the business $____________ Your interest $____________

Date your interest acquired:____________

Is that value used for Estate Tax calculations? Yes No

Does this estimate include an allowance for goodwill? Yes No

If you were to sell now, would it be that figure? Yes No

Is this the value you would want your family to receive? Yes No

Do you feel the business will increase in value over the next few years Yes No

Realistic annual compound growth rate? _________% Current Annual before tax earnings?________

Business Disposition Objectives Continue …Sell … Liquidate …

Continuation:Should the business be continued by your family after your death? Yes No

Who would you want to take over your interest?

Name Date of BirthOwnership %

Today FutureRelationship Position in

Bus. Occupation if not in Business

Who should have ownership if control had to be assumed?

Now_____________ Later______________ When_____

Has this been provided for? Yes No How? Will Agreement Trust

Would management help be needed during this change? Yes No Provided by:_____________

Would cash be available to support this ownership transfer? Yes No

Sale of the Business:Would the business be sold after your death? Yes No

Who would purchase your interest?

The Business Business Associates Employees

Family Member Outsiders

Is there a binding agreement? Yes No

Effective Date: ______________________________

What Type?

Binding on Purchaser

Purchaser has Option

Purchaser first right of refusal

What is the purchase and sale price? $______________________

How is it determined?

Specified Amount Book Value Appraisal

Formula Other ______________

Is goodwill included? Yes No

How is purchase price to be paid?

Lump Sum Installments of $____________over____________

Where will cash come from?

Business Income Sinking Fund Personal Assets

Loan Life Insurance

Life Insurance Funding:

Full Value Partial value of $ _______________with balance paid over_________________ years.

If there is NO agreement, could a buyer be found? Yes No

Who? ______________________________

What price would you sell for today? $________________

Could a buyer be found at that figure? Yes No

Benefit Plans for Owners & Employees

1. Group Insurance

Life Yes No (If No, any interest? ________)

Carrier:_____________________________________________

Insurance schedule: Emp Class Amount # of Emp’s covered, etc.

Medical Yes No (If No, any interest? ________)

Carrier:_____________________________________________

Obtain particulars of coverage, anniversary date, etc.

2. Employee Payroll Deduction Plans

Life Yes No (If No, any interest? ________)

Carrier:_____________________________________________

Insurance schedule:____________________________________

Employer Contribution? Yes $ ___________ No

Disability Yes No (If No, any interest? ________)

Carrier:_____________________________________________

Monthly income benefit $________

Waiting Period: ____________ Benefit Period:_____________

Employer Contribution? Yes $ ___________ No

3. Qualified Plans

Do you currently have any qualified retirement / savings plans in effect? Yes No

_ If No, why not adopted? ______________________________________________________________

_ If Yes, type of plan:

Pension – Defined Benefit Profit Sharing Cafeteria

Pension – Defined Contribution____ 401(k) Employee Stock Ownership Plan

SEP IRA Other ____________________

_Plan year-end: ________________________ Administrator:___________________________

_Type of funding:_______________________ Date established: __________ Trustee? ______

_Contribution formula: __________________ # participants: _____________________________

Thought Provoking Questions

If you die or become permanently disabled, what should (or what do you want to) happen to your business interest?

If the business is going to be sold or liquidated:

- At what price?

- Who will purchase the business?

A competitor?

Other business owners?

A key person?

A stranger?

How long will it take for the family to sell?

What will happen to your child(ren) working at the business?

What will happen to key employees?

What will happen to minority business owners?

Is it likely that legal proceedings will be filed by your beneficiaries or the surviving business owners in order to obtain control of the business?

Will the business be sold in time to pay estate taxes when due?

Which estate assets will be sold to pay estate tax attributable to the business?

Do you realize that the Internal Revenue Service may take a position that the business is worth more than you believe?

If one of your co-shareholders dies, would you be willing to accept his or her heirs into the business as active participants? Are they capable or experienced enough to carry their load as employee-manager? Would you be able to get along with them?

Would you be willing to live with his or her heirs as inactive participants? Will they want more dividends than you are willing to pay? Will they need more income from the business than it can produce without them contributing to the earnings? Will they be cooperative and support your methods and ideas of how the business should be run?

If your co-shareholder’s heirs (or their guardians if they are minors) gain control of the business, what happens to your position as an employee?

Thought Provoking Questions

Would you be willing to work with an outsider who purchases the stock of a deceased co-shareholder from their heirs? Can he or she work effectively with you and you with them? Will that person be an asset or a detriment to the business?

Would you consider selling out to the heirs of a deceased co-shareholder? Could they afford to buy you out? What will you do after you sell yourself out of a job?

Would you want to buy out the heirs of a deceased shareholder? What impact will that cash drain have on both you and the corporation?

If you plan on someone buying you out, can they afford to do so without draining the cash flow of the corporation? If the business cannot afford to continue paying the note to you, how will you derive retirement income? If you predecease your spouse and the business cannot afford to continue paying, how will they maintain their lifestyle?

What do you currently have in place to protect your employee’s financially in the event of an illness or injury?

Knowing that employee retention is huge in today’s market, what value added programs do you offer to your employee’s to separate yourself from the competition?

If you could expand or enhance your compensation package at minimal cost and help build better loyalty with your employee’s what would that be worth to your bottom line?