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Thank you for requesting a free estimate for the potential benefits of an engineered Cost Segregation Study by Cost Seg Associates.  The fields with an asterisk (*) are required.  We would encourage you to provide as much information as possible.  The additional information will allow us to “fine tune” the estimate so you have a better idea of the potential tax deferral savings.  We will complete the estimate and contact you within two business days.  Thank you.   Sending confidential information over the web is not always safe.  As an option, click here to print the free estimate form and complete the form. Then simply fill it out and fax it to 952-831-6302.            Owner Information Property Information Costs/Building Documentation Notes/Other Comments Date: 11/19/2008 Prepared By: * Contact Name: * Company: Address: City: State: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip: Phone#: * Email Address: * Accountant's Name: Accounting Firm:
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