info@regencywealthsolutions.com
832 819 4825
Monday–Friday | 9:00 AM – 6:00 PM EST
Full Name
Email Address
Phone Number
Farm or Business Name
Type of Operation Crop FarmLivestock FarmMixed OperationRanchHomesteadAgricultural Business
Acres Operated
Did you purchase any equipment this year? YesNo
List equipment purchased (name, date, cost)
Upload equipment receipts or invoices
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Did you sell or dispose of any equipment? YesNo
List equipment sold/disposed (name, date, sale price)
Upload sale or disposal documents
Do you have a prior depreciation schedule? YesNo
Upload depreciation schedule
Upload prior-year tax return (optional)
Did you complete any land improvements? YesNo
Select all improvements that apply FencingBarns or ShedsWellsIrrigation SystemsDrainagePasture ImprovementsOther
Describe improvements (optional)
Upload improvement receipts or invoices
Upload any additional farm asset documents
Best time to reach you Select preferred timeMorning (8am – 11am)Midday (11am – 2pm)Afternoon (2pm – 5pm)Evening (5pm – 8pm)
Preferred communication method Phone CallEmailText Message
Additional notes or information you would like to share
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