Affiliate Info Form- The Prudent Plastic Surgeon

Request a FREE Cost Segregation Benefit Analysis

The Prudent Plastic Surgeon

Thank you for your interest in a Cost Seg Benefit Analysis from The Prudent Plastic Surgeon. Please submit the form below and Dawn LaVanway with Cost Segregation Authority, LLC will get back to you with your no-cost tax-saving analysis!

If you have any questions or need assistance with completing this form, contact Dawn LaVanway at (843)983-6491 or email her at dlavanway@costsegauthority.com and let her know that you’re a Prudent Plastic Surgeon customer.

First Name

Last Name

Phone Number

Property Address

Property In-Service Date

Is this an Existing Property or New Construction?

Existing Property New Construction

Purchase Price / Estimated New Construction Cost

If an Existing Property, will there be Improvements?

Yes No

If Yes, what type of Improvements? (Select all that apply)

Simple Modifications Mild Updates Moderate Remodel

Which Services interests you? Check all that apply:

Cost Segregation 45L Energy Efficiency Tax Credit 179D Energy Efficiency Tax Deduction

What is your relationship to the property?

Owner Purchaser Other

If your relationship to the property is 'Other', please select your relation and fill out contact information below

CPA Realtor Contractor Attorney Other

Type of Property (Select all that may apply):

Apartment Office Building Hotel or Spa Residential Rental Retail Manufacturing Building Storage Facility Restaurant Medical Short-Term Industrial Other

Other Info

Affiliate Info Form- The Prudent Plastic Surgeon

Request a FREE Cost Segregation Benefit Analysis

The Prudent Plastic Surgeon

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