| INSTRUCTIONS: | ROY BERRY CONSULTANTS, INC. | |
| 1. Print out | 6602 E. 91st. St.
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| 2. Complete information |
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| 3. Mail or fax | 1-800-659-6117 Fax (317) 841-3162
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| royb@in.net www.royberry.com
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ROY
BERRY CONSULTANTS, INC.
NON-DISCLOSURE/NON-CIRCUMVENTION AGREEMENT AND
DISCLAIMER
I the undersigned, ____________________________
hereby agree not to discuss or disclose to any third party, except my
attorney and tax advisor, and to keep completely confidential all names of
any corporation, organizations, individuals or groups of individuals introduced
by ROY BERRY CONSULTANTS, INC.. The undersigned further
agrees not to disclose any facts learned about the businesses to any third
party, including employees, customers, suppliers or other prospective
buyers. The information and/or records
about these businesses obtained by the undersigned shall not be used for
competitive use in any business, present or future. It is understood that information disclosed
to others could cause a loss of business, and/or create injury in employee/employer
relationships. The undersigned agrees to
caution their attorney and tax advisor as to the need for
confidentiality in handling the information that will be provided them and to
seek their help in maintaining the confidentiality agreement. If the
undersigned decides not to pursue the proposed transaction, he/she will
promptly advise ROY BERRY CONSULTANTS, INC. of this fact and
return all proprietary information without retaining copies or extracts
thereof.
The undersigned or his representative
further agrees, promises and pledges that neither it nor any principals,
officers, or agents shall circumvent and further shall not make any contact
directly or indirectly or attempt to otherwise deal with any sources being
revealed by ROY BERRY CONSULTANTS, INC..
The transaction which you are
contemplating will naturally involve a variety of financial statements and
legal documents that bear significantly on your decisions. Our firm does not intend to represent that
any of the financial statements or any other material or information supplied
by the seller or its agent have been inspected, verified or approved by
us. It is because we recognize the
significance of this data that we recommend an independent certified accountant
of your choice. In addition, for your
protection, we request that your legal counsel be available to assist
you throughout the transaction.
The undersigned acknowledges the
recommendation of ROY BERRY CONSULTANTS, INC. that he/she engage independent professional
assistance to assist him/her in evaluating whether to purchase a practice. ROY BERRY CONSULTANTS, INC. is the agent of the selling
dentist.
ROY BERRY CONSULTANTS, INC. is authorized to obtain consumer credit reports.
AGREED
TO AND ACCEPTED ON DATE SIGNED:
Date: ____________________________
By: _____________________________ By:
_______________________
Printed: __________________________
Address___________________________________ S.S.N.________________________
__________________________________ Telephone #____________________
Address where we can send any correspondence:
__________________________________________
__________________________________________
Practice or geograpghic area of interest
_________________________________________________________________________