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Tax Filing Information

The business files income taxes in the U.S.?

Yes

Business's year end? Business's year end?

Federal Income Tax Form filed by the business? Federal Income Tax Form filed by the business?

If the business files as a Partnership, is the business currently subject to the BBA Centralized Partnership Audit Regime?

Yes

Unsure

If subject to the BBA, is the business able to provide the name of the company's Partnership Representative?

Yes

Can the business provide the business's EIN, Company Name, and Company Address?

Yes

Business legal entity type?

Year of business's formation?

Since 2001, the business has . . . .

Failed to file a tax return on time.

Failed to pay income taxes on time.

Failed to pay estimated income taxes on time.

Failed to deposit employment taxes on time.

None of the above

I'm curious, lets proceed anyways.

Does the business own any buildings that have not been cost segregated?

Yes

Number of buildings that have not been cost segregated?

Does the business plan on building or purchasing any buildings in the next 12 months?

Yes

Number of buildings the business plans on building or purchasing in the next 12 months?

Approximately how many energy efficient PUBLIC U.S. properties has the business created technical specifications for since December 31, 2005 that have not received 179D deductions?

Does the business own any COMMERCIAL buildings in the U.S. placed into service after December 31, 2005 that have not received the 179D energy deduction?

Yes

How many U.S. commercial buildings placed into service after December 31, 2005 and have not received the 179D energy deduction?

In the next 12 months, does the business plan on owning any additional commercial buildings placed into service after December 31, 2005?

Yes

How many additional commercial buildings, placed in service after December 31, 2005, does the business plan on owning in the next 12 months?

Does your business create technical specifications for new constructions, retrofits, or building addition projects for energy efficient PUBLIC property? Example companies may include Architecture or Engineering companies.

Yes

Financial Information

This business:

Lists its securities on a securities exchange

Has more than $10 million in total assets and a class of securities held by either (1) 2,000 or more persons or (2) 500 or more persons who are not accredited investors, unless the exceptions for Regulation Crowdfunding or Regulation A apply.

None of the above.

IT & Security Information

The business handles:

Federal Contract Information (FCI)

Controlled Unclassified Information (CUI)

None of the above

Legal Information

This business is:

Domestic - created by the filing of a document with a secretary of state or any similar office under the law of a state.

Foreign - formed under the law of a foreign country that are registered to do business in the United States.

Foreign - formed under the law of a foreign country, but is NOT registered to do business in the United States.

Legal Service Conflict Check

Providers of legal services generally should not provide services where it would conflict with their work with an existing client. In an effort to prevent this conflict, answer the following questions.

Is your company currently in litigation? e.g. Are you being sued, suing, or been charged criminally?iSample language.

Yes

Full Company or Person Name iSample language.

Location of the lawsuit iSample language.

Will there be other third-parties involved in the delivery of this service? iSample language.

Yes

Full Company or person Name iSample language.

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