Federal Tax Reduction Cost Segregation Request Form - O'Connor & Associates

Commercial properties of all types can qualify for significant federal tax savings using cost segregation! Estimate your federal income tax savings and see how cost segregation can help you save thousands of dollars. Property Type * Apartment Building Bank/Financial Hotel/Lodging Industrial Warehouse Medical Facility Office Building Retail Building Storage Facility Building Cost * Tax Rate * Purchased In * 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 Tax Year * 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 Square Footage   * Required Use our Cost Segregation Calculator to estimate your first and fifth year tax savings. Select your property type Enter your building cost Enter your tax rate (e.g. 35%) Select your property year (year placed in service) Select your tax year Enter the square footage of your property (optional) To discuss more specifics about your property's potential savings in relation to your tax situation, as well as ancillary benefits of cost segregation, complete the form below or call Mike Olivares. 1-800-856-REAL (7325). * Required Fields
*Contact Name
*Phone
*E-mail Address
	Property Information
*Address
*City
*State/Province
*Zip/Postal Code
	Optional Information
Property Type	Please Select   Airplane Hangar Amusement Park Apartment Garden ( 3 story & under) Apartment Structure (4 - 9 units) Apartment Under Construction Apartment Vacant Land Auditorium Auto Dealership Auto Service Garage Bank Bar/Lounge Boarding & Rooming House Bowling Alley Car Wash (automatic) Car Wash (manual) Club House Cold Storage Facility College/University Commercial Unknown Commercial Vacant Land - Over 10 Acres Commercial Vacant Land - Under 10 Acres Convenience Store - with Gas Pumps Convenience Store - without Gas Pumps Correctional Facility Country Club (with golf course) Country Club (without golf course) Cultural Facilities Day Care Center Day Spa Department Store - Stand Alone Dinner Theater Fast Food Restaurant Funeral Home Greenhouse/Florist Hospital Hotel/Motel, High-rise (4+ stories) Hotel/Motel, Low-rise (1 - 3 stories) Industrial Warehouse Library Manufacturing Processing Plant Mini-warehouse Mixed Residential/Commercial Mobile Home Park Movie Theatre Multi-tenant Medical Office Multi-tenant Retail Center Night Club Nursing Home Office Building (high-rise 5+ stories) Office Building (low-rise 1 - 4 stories) Office Condominium Office Warehouse Parking Garage Police/Fire station Racket Club (indoor) Radio, TV, or Movie Studio Rail/Bus/Air Terminal Ranch Recreational/Health Facility Regional Shopping Mall Religious Restaurant Retail Condominium Retail Multi-Tenant Retail Single-Tenant School Service Station (full) Service Station (self) Skating Rink Social/Fraternity Hall Subdivision Development Supermarket Swimming (indoor pool) Truck Stop Vacant Exempt Land Veterinary Clinic Warehouse Washeteria
Number of Properties	Please Select   1 - 3 4 - 10 More than 10
Region	Please Select   Texas California South or Southwest U.S. Western U.S. Midwest U.S. North or East U.S. Various Regions International
Average Property Value	Please Select   Less than $1 million $1 - $5 million $5 - $10 million $10 - $20 million More than $20 million
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