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Site Home >  Energy-Efficiency Projects Home >Financing Request

 

For your convenience, this online application is provided in order to expedite the processing of your request. Please be as specific as possible in completing this form and when finished select the "Submit" button below.

You will receive a response, subject to final credit approval, within 48 hours via your specified preference, e-mail or fax.

 

Customer Information:

 
 

Municipal Customer Organization Type :

Name of Municipal Organization :

State :

Your Name :

Your E-Mail Address :

Phone Number :

Fax Number :

  optional

If we have questions, how would you prefer to be contacted?


E-mail Phone
 
Project Description :
 

Please briefly describe the project - the nature of the energy improvements to be made, and any economic or budgetary benefits that will be achieved, and the project's importance relative to your organization's operation. 
 
   
Financing Information:
   

Desired Financing Product:
Product Descriptions

 Tax-Exempt Lease Purchase Agreement
Non-Tax-Exempt Lease Purchase Agreement
Finance ($1) Lease
   

Equipment Cost $:

 (Up to 100% of Cost)

Finance Amount $:

Desired Term of Financing:

 Year(s) Month(s)

Payment Frequency:

 

  
  Project Schedule:

Tentative Final Installation Date, or
Tentative Project Start Date:
  or mm/dd/yyyy
   

Tentative Project Completion Date

   or mm/dd/yyyy

Funding will occur

 Upon Final Installation of equipment
Into Escrow, in advance of project commencement
   
Multiple Acquisitions or Disbursements
 
 
Check here if, within the next 6-8 months, multiple equipment acquisitions or projects could be funded using the type of financing product indicated above.
 
Project Budget - Funding Sources:
 
Please indicate all resources, by source and dollar amount, which are expected to be committed to this project.
 

Internal Funds :

State Incentive(s):

Grant Funds :

Other Source(s) :

Finance Amount :

Total Capitalization :
   

Matching Fund Requirement:
 
 
Check if Project has a Matching Funds requirement, and list required percentage or amount below.
   

Percent (%) :

Amount ($) :
   
Repayment Source(s): 
   
The source(s) of repayment for the proposed financing would be/are :
 

1 .

2 .

3 .
 
COMMENTS:
 

  
                             
 
 
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