Business Name (required) Email (required) Address City/State Business Phone Contact Name Contact Phone Site Contact Name Site Contact Phone/Email Please check ALL type items that you will provide Production ComputerOffice Storage TanksLaboratory ProcessMaterial HandlingSpecial Purpose ( Identify) Industry Purpose Asset List in Excel Format YesNo If no, please specify. Historical Cost and Original Acquisition Date Included? YesNo Equipment Classifications noted? YesNo Asset Lists are required for each location. If consolidated, building number identifier required. Please submit sample asset list for review.