Section A: Individual Customer Information (All fields required)

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Joint application is only necessary if the primary applicant is unable to satisfy the credit requirements.

Section B: Joint Applicant Information (All fields required)

Section A: Individual Customer Information

• First Name: {First Name:1}
• Middle Initial: {Middle Initial:2}
• Last Name: {Last Name:3}
• Address: {Address:4}
• City: {City:5}
• State: {State:6}
• Zip: {Zip:7}
• Email: {Email:8}
• Phone: {Phone:9}
• Date of Birth: {Date of Birth:10}
• Solar Consultant: {Solar Consultant:11}

Section B: Joint Applicant Information

• First Name: {B First Name:25}
• Middle Initial: {B Middle Initial:26}
• Last Name: {B Last Name:27}
• Address: {B Address:28}
• City: {B City:29}
• State: {B State:30}
• Zip: {B Zip:31}
• Email: {B Email:32}
• Phone: {B Phone:33}
• Date of Birth: {B Date of Birth:34}
• Solar Consultant: {Solar Consultant:11}

1. Applicant owns the premise or holds a valid lease specified in Section A;
2. There are no pending or, to applicant’s knowledge, threatened claims, disputes, governmental investigations, suits, actions, (including, without limitation, non-judication real or personal property foreclosure actions), arbitrations, legal, administrative or other proceedings of any nature, domestic, or foreign, criminal or civil, at law or in equity, by or against applicant or otherwise affecting applicant’s ability to consummate a Community Solar Subscription transaction with Community Energy Inc or which would adversely affect Community Energy Inc or any Community Solar Subscription financed by Community Energy to applicant.

I hereby certify that all information provided herein or in attached sheets is true and correct and understand that it must be updated upon request if my financial condition changes. Community Energy Inc. may keep this request whether or not my credit evaluation is approved. By initially below, I authorize Community Energy Inc. to obtain my credit report now and in the future, check my credit and employment history, answer questions others may ask regarding my credit record with Community Energy Inc.