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Financial Projections 
Data Input Form
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Upon completion of this form, we will contact you concerning pricing and delivery of your Financial Projections
Click her for information about this form 

Name

Title

Company

E-mail

Address

City, Zip

Telephone

Fax

Type of Business Entity (select)  

These Financial Projections will be used for what purpose?

<><><>

PLEASE INDICATE YOUR NEEDS AND TIME REQUIREMENTS

Type of project?

When needed?

 
Please describe you project needs, goals, and expectations
Let us know how we may best serve you!

<><><>


Please Provide Information About Your Products or Services

INFORMATION
Product or Service - Item 1

Name of Product/Service #1 Unit Sales Price Cost of Goods (dollars or percent %)

Please provide your estimated sales figures below
Are sales figures stated below in Units or Dollars?

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Growth Estimates for Future Years

2002 Sales Estimates 2003 Sales Estimates 2004 Sales Estimates 2005 Sales Estimates

<><><>Please Proceed to Estimates for Product/Service Item #2 (if applicable)<><><>


INFORMATION 
Product or Service #2

Name of Product/Service Item #2 Unit Sales Price Cost of Goods (dollars or percent %)

Please provide your estimated sales figures below. 
Are sales figures stated below in Units or Dollars?

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Growth Estimates for Future Years
Product/Service #2

2002 Sales Estimates 2003 Sales Estimates 2004 Sales Estimates 2005 Sales Estimates

<><><>Please Proceed to Estimates for Product/Service Item #3 (if applicable)<><><>


INFORMATION 
Product or Service #3

Name of Product/Service Item #3 Unit Sales Price Cost of Goods (dollars or percent %)

Please provide your estimated sales figures below. 
Are sales figures stated below in Units or Dollars?

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Growth Estimates for Future Years
Product/Service #3

2002 Sales Estimates 2003 Sales Estimates 2004 Sales Estimates 2005 Sales Estimates

<><><>Please Proceed to Estimates for Product/Service Item #4 (if applicable)<><><>


INFORMATION 
Product or Service #4

Name of Product/Service Item #4 Unit Sales Price Cost of Goods (dollars or percent %)

Please provide your estimated sales figures below. 
Are sales figures stated below in Units or Dollars?

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Growth Estimates for Future Years
Product/Service #4

2002 Sales Estimates 2003 Sales Estimates 2004 Sales Estimates 2005 Sales Estimates

Additional products and services may be added by submitting this form again.
<><><>Proceed to General and Administrative Cost Estimates<><><>


General And Administrative Expenses (G&A)

Advertising and Marketing
Consulting
Commissions on Sales
Commissions to Officers
Dues and Subscriptions
Equipment Rent
Internet Expense
Legal and Professional Fees
Meals and Entertainment
Miscellaneous Expenses
Rent or Lease (Office)
Supplies - Office
Supplies - Other
Payroll Tax Rate
Pension and profit sharing
Pension and profit sharing
Printing (non marketing)
Salaries - Officers and Staff
Travel

 

Advertising and Marketing Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Marketing and Marketing and Advertising Expense Estimates for Future Years

2002 Estimates 2003 Estimates 2004 Estimates 2005 Estimates

 

 

Commissions Paid to Officers
Enter Estimates Below

Indicate Average Commission Rate (use %) Paid on what interval?

Commissions Paid to Employees
Enter Cost Estimates Below

Indicate Average Commission Rate (use %) Paid on what interval?


 

Consulting Services - Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Consulting Expense Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Dues and Subscriptions - Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Dues and Subscriptions Expense Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Internet - Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Internet Expense Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Legal and Professional - Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Legal and Professional Expense Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Meals and Entertainment - Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Meals and Entertain Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Miscellaneous Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Meals and Entertain Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Payroll Tax Expense

Enter estimated payroll tax (%)

 

Pension and Profit Sharing

Enter estimated percent (%) of payroll allocated to Pension and Profit Sharing 

 

Rent Expense - Office
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Rent Estimates for Future Years
(Include considerations such as requirement for larger facilities based on growth)

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -

Salaries - Staff and Employees

Job Title Salary Range - to -


Office Supply Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Office Supply Cost Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

Supply Expenses (General Supplies)
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Office Supply Cost Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

Travel Expenses
Enter Cost Estimates Below

January 2001 February 2001 March 2001 April 2001 May 2001 June 2001
July 2001 August 2001 September 2001 October 2001 November 2001 December 2001

Please Provide Travel Expense Estimates for Future Years

2002 Cost Estimates 2003 Cost Estimates 2004 Cost Estimates 2005 Cost Estimates

 

 

CAPITALIZATION

If this is a startup Company, indicate investment range Investment Range:  From  to
 
Planning on an IPO? If you answered Yes, indicate projected date of IPO
Below, please provide additional information about future investment in your Company.  Include anticipated date(s), amount of investment, and share price, if applicable.

 

PARTNERS and INVESTORS

Name of Partner (optional information)Amount Invested Investment date
Name of Partner (optional information)Amount Invested Investment date
Name of Partner (optional information)Amount Invested Investment date
Name of Partner (optional information)Amount Invested Investment date
Name of Partner (optional information)Amount Invested Investment date
Name of Partner (optional information)Amount Invested Investment date
Total Amount Invested in Company Investment date

 

BALANCE SHEET ESSENTIALS

Balance Sheet Date

ASSETS

LIABILITIES AND OWNER EQUITY

Cash and Equivalents Accounts Payable
Accounts Receivable Notes Payable
Inventory and Supplies Other Short-Term Liabilities
Office Equipment Long-Term Liabilities
Fixed Assets (Equipment, etc) Shares Outstanding 
Accumulated Depreciation Owner Equity
Total Assets Total Liabilities & Equity



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