Cost Segregation Benefits Estimate Request
Service Provider
*
Product
*
Date of Request
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
If you are already working with a preferred OnPoint Specialist, let us know
Please Select
No Preference
Jackson Holdsworth
Steve Morris
Rick Vandaveer
William Hein
Bobby Dozier
Randy Cox
Susie Pulido
Please indicate which Cost Segregation Specialist you prefer to work with
Submitter's Name
*
Submitter's Email:
*
example@example.com
Study Type
*
Please Select
Cost Segregation
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Property 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:
*
Tax Year to Be Applied
*
Contact Name:
*
Contact Title
Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email:
*
example@example.com
Preferred method of contact for the delivery of the information
Phone
Email
Text
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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
Type of Property:
*
Please Select
Agricultural Processing / Greenhouse
Aircraft Hangar
Ambulatory Surgery Center
Apartment / Condo High-Rise
Apartment Building / Complex
Assisted Living / Nursing Home
Auto Dealership
Auto Repair Facility
Bank / Financial Institution
Bowling / Family Entertainment Center
Brewery
Car Wash
Casino
Chemical Production / Processing
Church / Worship / Assembly
Cold Storage / Refrigerated
Data Center / Server Facility
Daycare
Dental Office
Diagnostic / Imaging / Lab Facility
Distribution Center
Duplex / Triplex
Fitness Center
Flex / Tech / R&D
Funeral Home
Gas Station
Golf Course
Grocery Retail Store
Hotel / Motel — Full Service
Hotel / Motel — Limited Service
Hotel — Extended Stay
Indoor / Outdoor Tennis Club
Indoor Soccer Facility
Indoor Tennis Club
Industrial — Light Manufacturing
Lake / Resort Short-Term Rental
Laundromat / Laundry Facility
Manufacturing Facility
Marina / Boat Storage
Medical Facility / Hospital
Medical Office
Mixed-Use Residential / Retail
Mobile Home Park
Office / Condo
Office / Warehouse
Office Building / Park
Other / Mixed-Use
Parking Garage / Deck
Pharmacy / Drug Store
Refinery / Processing Plant
Renov. / Improv. — Residential Rental
Renovation / Improvement
Residential / Long Term Rental
Residential Rental Condo
Resort / Conference Hotel
Restaurant — Fast Casual / QSR
Restaurant — Full Service
Retail Store
Retail Strip Center
RV Park
School (Private)
School — Higher Ed / Trade
Self-Storage — Climate Controlled (Indoor)
Self-Storage — Standard (Drive-Up)
Senior Living — Independent
Short-Term Rental Condo
Sports Complex / Multi-Court Facility
Surface Parking Lot / Yard
Theater / Cinema
Theme Park
Truck Stop
Vacation / Short Term Rental
Veterinary Clinic
Winery
other use
If other use, please describe
Reason for Cost Segregation Study. Property was:
*
Please Select
newly constructed
purchased
improved
purchased + improvements
Purchase Date:
*
-
Month
-
Day
Year
Date Picker Icon
Put in Service Date if different that Purchased Date:
-
Month
-
Day
Year
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Total Cost Paid:
*
Declared Land Value - If you know the amount, please enter that amount provided by the property owner or their tax expert/CPA.
1031 Exchange or other government incentive funds used, if any:
Total amount spent after acquisition for improvements
Net Amount Asset Value to be used for depreciation purposes
Was the building "in service" prior to the additional construction expenditures?
Yes
No
Don't Know
If known, please list amount and date of after-acquisition expenditure(s)
Has this property been reported on this owner's previous year(s) tax filing?
*
Yes
No
Don’t know
If a previous year's tax filing included this property, please provide the latest depreciation schedule filed with the IRS.
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Property Photos and Drawings & Misc. Information
Suggested: Exterior, interior, Drawings
Is parking Included With the property?
Yes
No
Don't Know
If known, parking surface:
Concrete
Blacktop
Concrete & Blacktop
Gravel, sand, dirt, or other
Any additional relevant misc. info:
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