Residual Nutrient Deductions Pre-Qualification Questionnaire

Residual Nutrient Deductions Pre-Qualification

Thank you for your interest in Residual Nutrient Deductions. This form collects the information we need to evaluate your property and determine eligibility.
PRE-QUALIFICATION NOTICE

This questionnaire determines potential eligibility before issuing a full intake or engagement. Please answer all required questions accurately.

Questions? Call or Text Madelynn Fisher:

(805) 423-5829 | mfisher@accelerate-tbs.com | accelerate-tbs.com
◆ Confidentiality Notice: All information provided is treated as confidential and will only be used to evaluate your eligibility and prepare your Residual Nutrient Deductions analysis. We never share your information with third parties.
Taxpayer & Contact Information

SECTION 1 OF 7
Full Name:

First NameLast Name
Entity Name (if applicable)
Example: Owner, Farm Manager
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Referred By / Referral Source?

Please list the person, company, account manager, referral partner, or source that referred you to Accelerate. If none, write “N/A.”

Street Address Line 2

CityState / Province

Postal / Zip Code
Entity Type
Tax Filling Form
May we contact your CPA / Tax Preparer?
CPA Full Name

First NameLast Name
Firm Name
CPA Email
example@example.com
CPA Phone
Please enter a valid phone number.Format: (000) 000-0000.
◆ Authorization: This person has authority to discuss the contracted services and will be engaged in working with Accelerate AgriTax for completion of services.
LAND OWNERSHIP & USE

SECTION 2 OF 7
Location of Land?

Street Address

Street Address Line 2

CityState

Zip Code
Do you the currently own the land?
Is the land used in an agricultural trade or business?
How is the land used?
Please specify
Is the land currently in production?
Are you actively engaged in farming/ranching with the intention of making a profit? *
Is any part enrolled in CRP, CREP, EQIP, or similar programs?
Acquisition & Timing

SECTION 3 OF 7
How was the land acquired?
Date land was acquired

MonthDayYear
*If the exact day is unknown, please use the 1st day of the month and respective year.*
What was the purchase price of the land at time of acquisition?
What was the Basis (per acre) at time of acquisition?
Was the land used for agricultural production at acquisition?
After acquiring, were soil or land improvements made?
Nature of soil or land improvements

SECTION 4 OF 7
Type of improvements
Who paid for the improvements?
Acreage & Scale

SECTION 5 OF 7
Approximate total acres
Estimated total cost of improvements
Documentation & cooperation

SECTION 6 OF 7
Do you have purchase invoices or receipts for applied amendments?
Do you have farm logs or application records?
Do you have vendor application statements?
Are you willing to allow soil sampling?
Review & sUbmit

SECTION 7 OF 7
Additional Comments
Any other details that might help us evaluate your property?
Consent to contact:

May Accelerate AgriTax reach out regarding this engagement, including agreements, through text message and email?
Authorization:

By submitting this form, I understand this questionnaire is for preliminary eligibility screening only and does not guarantee qualification for a Residual Nutrient Deduction.

My answers are true and correct to the best of my knowledge.
Should be Empty: