1. Capacity
Tax credit has been issued to (select one):
me personally
a person or entity I represent as an attorney
a person or entity I represent as an accountant
a business I own or by which I am employed
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. Tax Credit Information
Type of credit
Conservation Easement
Sustainable Building
Rural Job
Affordable Housing Credit
Amount of credit you want to sell
Names of all persons or entities to whom credit was issued (or is expected to be issued)
Has the credit been issued yet?
*
Yes
No
Date credit was issued
Date credit is expected to be issued
Total amount of credit when issued
Have you used any of the credit?
Yes
No
How much?
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