1. Capacity
The tax credit I may purchase would be (select one):
for my personal use
used by a business I own or by which I am employed
used by a person or entity I represent as an attorney
used by a person of entity I represent as an accountant
other
Please specify:
2. Contact Information
Name
*
Business Name
Title at Business
Mailing Address
*
Email Address
*
Daytime Phone Number
*
Fax Number
Taxpayer identification number(s) of all credit holders
3. Contact Preferences
Preferred method for us to contact you
Email
Phone
4. Referral
Please tell us how you heard about Tax Credit Alliance
Website
Presentation
Advertising
Referral
Other
5. Potential Tax Credit Purchase Information
Amount of credit you anticipate purchasing
How many tax years do you estimate it will take you to use the entire credit?
Do you have a preference as to the type of credit you wish to purchase?
No Preference
Conservation Easement
Sustainable Building
Rural Job
Affordable Housing Credit
Names of all persons or entities on whose behalf you contemplate purchasing a tax credit [Note: if you are purchasing the credit for your individual use and are married, please include your spouse’s name]:
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