Let´s start with basic details:(Required fields):

What monthly revenue does your app/game make? (Required fields):

(NOT REQUIRED) Ideally please provide screenshots of the last 3 months revenue, and top geos

Active Installs & GEOs - Google Play stats

Installs on active devices. (LIFETIME)
Enter the total amount of Installs on Active Devices.

Daily installs by device + Last month (30 days)
The total amount of Installs by Devices.

(NOT REQUIRED) Ideally, please provide us screenshots of Google Play Stats

Development, Costs & Complaints (Required fields):

Do you have running costs? For example, third party license fees, server components, etc

Have you ever received any complaints or have you ever been banned by Google Play or Ad Networks?

What development environment do you use?

Do you have in mind a suggested sale price?

How do you want to be pay?
PaypalBank TransferEscrowOther

Something else?

I have read the "General Terms Of Use" and agree with it