CRS Experts .:. Existing or A

VERIFICATION

This information request enables us to provide a comprehensive engineering-based cost segregation proposal at no cost, allowing you to objectively evaluate its benefits to you. (*) Indicates information needed to prepare a proposal and estimated tax benefits; all remaining information is essential to proceed with a cost segregation analysis.

For verification purposes, please type the following word * :

Send my free feasibility analysis to:

Name*:

Company Name:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone:

Fax:

Email*:

Project Location:

Company Name:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Owner's Marginal Tax Rate:

Federal (%)

State (%)

How will you reinvest your excess cash flow?

Reinvest in real estate

Reinvest in my business

Pay down debt

Other

Building Description

Date property was placed in service for tax purposes*:

Total Purchase Price (excluding land and FF&E*:

Please choose one of the following*:

Apartment Complex

Manufacturing Facility

Assisted Living/Nursing Home

Medical Building

Automobile Dealership

Restaurant

General Office Building

Retail

Hi Tech Facility

Warehouse

Hotel / Motel / Resort

Other

Tenant's Industry:

Square Footage of property(ies) in sq. ft.:

Number of Stories:

Total acreage of site improvements:

Brief Description of Remodel/Renovation (if applicable):

Additional Information

Are the following items available?

Construction Plans (including: Site, Architectural, Plumbing, Electrical & HVAC)*:

Yes

No

Appraisals:

Yes

No

Photos of Property:

Yes

No

Please identify your Marketing Specialist:

Comments:

Richard Anderson

Reg Byrd

Ken Skeate