Portfolio Acquisition Name * First Name Last Name Title * Company Name * Legal Name and DBA Products or Services Offered * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Website * Business Since * Industry * Current Payment Processor * Primary Country of Operations * Current Transaction Fee * Your Current Transaction Fee Rate (e.g. 3.5% - 3.8%) Current Transaction Ticket * Your Average Transaction Ticket in USD (e.g. $15 - $30 USD) Current Countries/Markets Operating * Countries/Markets to Expand * Current Transaction Volume Per Annum * Transaction Volume History Per Annum * Last Three (3) Years in US Dollars. (e.g. 2022: $55,000,000 2023: $65,500,000 2024: $75,000,000 Transaction Volume Forecast Per Annum * In US Dollars. (e.g. Year 1: $10,000,000, Year 2: $15,000,000) Processing Currencies * Current Type of Payments * Current Payment Models * Current Software / POS / Gateway * Growth * Future Growth Opportunities Investment Required * In US Dollars Required Date for LOI * mm/dd/yyyy Other * Please describe what the investment is acquiring (e.g., rights to processing, equity, marketing benefits, etc.). Notes Please provide any important notes or comments that should be disclosed for the completion of this business deal. Confidentiality Clause * Confidentiality Clause: The information provided in this form is confidential and solely for the purpose of evaluating a potential business deal. Both parties agree not to disclose any confidential information to third parties without prior written consent from the disclosing party. Yes, I agree Thank you! We respect your privacy. Your information will not be shared nor sold to third parties.