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Pennsylvania C-PACE
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PA C-PACE Pre-Application Form
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PA C-PACE Pre-Application Form
Step
1
of
3
– Property Owner
33%
Name
*
First
Last
Title
*
Company Name
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number
*
Email
*
Are you working with an engineer consulting firm
*
Choose
Yes
No
Engineer Consulting Firm Name
*
Engineer Consulting Firm Phone
*
Engineer Consulting Firm Email
*
Street Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Ownership Name
*
Property Sq. Ft.
*
County
*
Choose
Adams County
Allegheny County
Armstrong County
Beaver County
Bedford County
Berks County
Blair County
Bradford County
Bucks County
Butler County
Cambria County
Cameron County
Carbon County
Centre County
Chester County
Clarion County
Clearfield County
Clinton County
Columbia County
Crawford County
Cumberland County
Dauphin County
Delaware County
Elk County
Erie County
Fayette County
Forest County
Franklin County
Fulton County
Greene County
Huntingdon County
Indiana County
Jefferson County
Juniata County
Lackawanna County
Lancaster County
Lawrence County
Lebanon County
Lehigh County
Luzerne County
Lycoming County
McKean County
Mercer County
Mifflin County
Monroe County
Montgomery County
Montour County
Northampton County
Northumberland County
Perry County
Philadelphia County
Pike County
Potter County
Schuylkill County
Snyder County
Somerset County
Sullivan County
Susquehanna County
Tioga County
Union County
Venango County
Warren County
Washington County
Wayne County
Westmoreland County
Wyoming County
York County
Parcel Tax ID Number
*
Property Delinquencies:
Have no notices of default or delinquency on property-based debt that have been recorded and not cured.
No mortgage delinquency, current on all payments on property
County/muni taxes or fees, judgements, or defaults on the property?
Property Type
*
Agriculture
Data Center
Education
Food Service
Hospitality
Industrial
Laboratory
Office
Retail
Warehouse
Mortgage Lender Name
*
Property Value
*
Estimated Mortgage Balance
*
Source of Value (appraisal, recent sale, assessment, etc.)
*
Has obtained lender consent?
*
Choose
Yes
No
Estimated Project Cost
*
Estimated Project Start Date
*
MM slash DD slash YYYY
Estimated Annual Savings
*
Estimated Power Generated
*
Capital Provider (Company Name)
*
Point of Contact
*
First
Last
Email
*
Please provide a brief summary of the project
*
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