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Confidentiality Agreement
Confidentiality Agreement
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Personal Information
Name
*
First
Last
Confidential Phone Number
*
Email
*
Country of Residency
*
The United States of America
Canada
United States Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
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Louisiana
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Maryland
Massachusetts
Michigan
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New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
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Armed Forces Americas
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Armed Forces Pacific
ZIP Code
Canada Address
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Street Address
Address Line 2
City
Province
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British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Year Graduated:
*
Listing Information
Listing Number
*
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Listing Region
Location of Practice You Are Inquiring About:
*
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Canada
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Terms of Service:
*
SIMMONS & ASSOCIATES, INC., OR ANY LICENSEE, hereinafter referred to SIMMONS & ASSOCIATES, in connection with the possible acquisition of the veterinary practice disclosed, will furnish proprietary information which may include the financial condition, operations, and prospects for future growth. In consideration for SIMMONS & ASSOCIATES providing information relative to the veterinary practice known as Listing Number:
I hereby agree as follows:
Not to reveal to anyone, except immediate advisors and fiduciaries (only and to the extent such representatives have a need to know), which representatives have a duty of confidentiality (contractual or otherwise), (i) any confidential information received from SIMMONS & ASSOCIATES regarding any veterinary practice or (ii) that the veterinary practice disclosed by SIMMONS & ASSOCIATES is for sale.
All information furnished will be deemed confidential except information which is generally available to the public or is already in my possession. The information will be used by me exclusively for the purposes of evaluating a purchase transaction and will not be used in any other way for any other purpose whatsoever.
To evaluate all information within a reasonable time period. If I decide not to pursue the proposed transaction, I will promptly advise SIMMONS & ASSOCIATES of this fact and return all information without retaining copies or extracts thereof.
Not to contact the veterinary practice owner, employees, suppliers, competitors, attorney, accountant, or clients except through SIMMONS & ASSOCIATES, who I hereby acknowledge to be the agency providing contact.
That, until permission is specifically granted by SIMMONS & ASSOCIATES, all communications between BUYER and SELLER will be handled through SIMMONS & ASSOCIATES.
To the understanding that, although certain information has been and will be provided which I may consider to be relevant, SIMMONS & ASSOCIATES makes no representation or warranty (implied or expressed) as to its accuracy or completeness. I agree to perform due diligence to my own satisfaction.
That SIMMONS & ASSOCIATES is the listing agent representing the seller, exclusively, for the purpose of selling the above-referenced practice. SIMMONS & ASSOCIATES is not providing me with any legal or tax advice regarding this potential transaction or any other practice situation.
SIMMONS & ASSOCIATES participates in the Simmons Education Fund (SEF), an independent non-profit educational organization. The SEF accepts voluntary contributions from various institutions, businesses, and individuals for the advancement of business knowledge of veterinary practitioners and students.
That SIMMONS & ASSOCIATES agrees not to reveal to anyone other than the owner and other associates of SIMMONS & ASSOCIATES, any conversations or correspondence held with the undersigned regarding this potential transaction.
Date
*
MM slash DD slash YYYY
Acknowledgment of Agreement
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I agree to the terms of service.
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