Cost Segregation Service provided by:
Service Provider
*
Product
*
Date of Request
-
Month
-
Day
Year
OnPoint Associate
*
Please Select
OP Sales Management
Ben Vandaveer
Grady McCorkle
Jackson Emile Holdsworth
Matt Vandaveer
Randy Cox
Rick Vandaveer
Susie Pulido
Tim Kelley
William Hein
Will Holdsworth
Submitter's Name
*
Submitter's Email:
*
example@example.com
Study Type
*
Cost Segregation
Back
Next
Save
Owner Information
Property Owner Name:
*
Property Owner Address:
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
State
Zip Code
Owner's expected federal income tax rate:
*
Contact Name:
Contact Title
Contact Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email:
example@example.com
Back
Next
Save
Property Information
Property Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
State
Zip Code
County: (if known)
Project ID
Property Information Link:
Web address
Type of Property:
*
apartment
auto dealership
casino
dental office building
distribution center
funeral home
golf course/range
grocery store
healthcare facility
hotel/motel
industrial building
manufacturing facility
medical center
medical office building
office building
residential rental - short term
residential rental - long term
resort
restaurant
fast food restaurant
retail mall
stand-alone retail store
retail strip center
self storage facility
shopping mall
sports facility
warehouse
other use
If other use, please describe
Reason for Cost Segregation Study. Property was:
*
newly constructed
purchased
improved
purhcased + improvements
Purchase or Occupancy Date:
*
-
Month
-
Day
Year
Date Picker Icon
Total Cost Paid:
*
Land Value Source:
Estimate the value based on tax assessor's information
I am confirming there is no land value
The value indicated is my estimate
The value indicated is from a recent appraisal
The value indicated is the tax expert's or CPA's valuation
The value is an amount indicated by the property owner
Other
Tax Assessor's "Land Value":
Tax Assessor's latest total property "Market Value":
Land/Market Value:
Land Value used for estimation:
If you used the Tax Assessor's valuation method, the value will be calculated. Otherwise, please enter the value to be used for the estimate.
Were there construction expenditures after the purchase?
Yes
No
Don't Know
Was the building "in service" prior to the additional construction expenditures?
Yes
No
Don't Know
Total dollar amount of after-acquisition expenditures:
If known, please list amount and date of after-acquisition expenditure(s)
Was this transaction part of a 1031 Exchange?
*
Yes
No
Don't Know
1031 Exchange Funds Used:
Estimated depreciable assets' cost basis to be used for the estimate:
First Cost minus land & 1031 funds applied, plus additional construction cost
Has this property been reported on this owner's previous year(s) tax filing?
*
Yes
No
Don’t know
Tax Filing Month & Year of Application
Who will fill out form 3115 for change of accounting?
Client's Tax Professional
CSSI
Undetermined
If a current depreciation schedule is available, please attach file here:
Browse Files
Cancel
of
Is parking Included With the property?
*
Yes
No
Don't Know
If known, parking surface:
Concrete
Blacktop
Concrete & Blacktop
Gravel, sand, dirt, or other
Back
Next
Save
Property Photos and Drawings
Suggested: Exterior, interior, Drawings
If you have a current depreciation schedule, please attach here:
Browse Files
Cancel
of
Any additional relevant misc. info:
Additional
Save
Submit
Print
Should be Empty: