This form collects what we need to scope and run a defensible, engineering-based cost segregation analysis on a Hawai‘i acquisition or refinance, and to help you and your CPA gauge the benefit. Complete what you can — your CPA can help with the tax-posture questions. Items left blank won’t hold us up.

COSTS provides construction-based cost classification and segregation analysis only. We do not provide tax advice, tax planning, or tax preparation, and we do not file returns, depreciation schedules, or cost segregation studies. The ownership and tax-posture questions below are for engagement scoping; your licensed CPA or tax advisor determines the actual tax treatment and savings. COSTS makes no representation regarding tax savings, deductions, or IRS outcomes.

1. CLIENT & ENGAGEMENT

Property Owner / Client

Primary Contact

Contact Email *

Phone

Contact of Tax Preparer:

CPA / Tax Professional

CPA Firm Name

CPA Email

CPA Phone

Referred By

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

We loop your CPA in early — the study is delivered to you and your tax professional, who files it.

2. QUICK QUALIFY

Estimated depreciable basis (purchase price minus land)

Do you expect taxable income or gains to offset this year?

Yes

Unsure

Expected hold period for the property

Is the property in a Qualified Opportunity Zone?

Yes

Unsure

3. PROPERTY INFORMATION

Property Nickname or ID

Property Type

Gross Building Area (sqft)

Number of Buildings on Site

Number of Floors

Number of Units

Year Built

Year Last Renovated

Address

Street Address

City

State

Country

Postal Code

Island

County

Tax Map Key (TMK) e.g. 1-2-3-004-005-0001

4. TRANSACTION

Transaction Type

Acquisition

Refinance

Other

Purchase Price / Total Acquisition Cost ($)

Purchase Date

Closing Date

Placed-in-Service Date

Capital Improvements Since Purchase

5. LAND & BASIS ALLOCATION

Land never depreciates — getting this split right drives every number downstream.

County Assessed LAND Value ($)

County Assessed TOTAL Value ($)

Preferred Land-Allocation Method

Purchase Price Allocation (PPA) in Closing Documents?

Yes

Unsure

Independent Appraisal Available?

Yes

Land Tenure

If Leasehold - Lessor / Fee Owner

Lease Expiration

Leasehold is common in Hawai‘i. On a leasehold deal there is no land basis to carve — the analysis runs on the improvements only, and lease terms can affect the recovery period.

7. OWNERSHIP & ENTITY

Ownership Entity Name

EIN

Entity Type

Number of Owners / Members

Entity Tax Year

Calendar (YE 12/31)

Fiscal (YE 9/30)

Any Tax-Exempt, Foreign, or non-resident owners/partners?

Yes

Unsure

10. OPPORTUNITY ZONE

If yes - Subject to the substantial-improvement requirement?

Yes

Unsure

Property Held in a Qualified Opportunity Fund (QOF/QOZB)

Yes

Unsure

Date OZ Investment Made

11. PRIOR DEPRECIATION & LOOK-BACK

Was the property placed in service in a PRIOR tax year?

Yes

If Yes - Year Placed In Service

Federal Marginal Tax Rate (or CPA to advise)

A prior-year placed-in-service date means a look-back study - missed depreciation is caught up via Form 3115 / Section 481(a) without amending returns.

Has a Cost Segregation study been done before?

Yes

Current Depreciation Schedule Available?

Yes