Intake Form | Solar Connection

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Fill the SSA Form Below

Agent Name*
First Last
Agent Phone*
Agent Email
Intake Form - Property Owner(s)
First & Last Name*
First Last
Mobile Number*
Phone Number*
Email*
Is their a Co-Owner?*
- Yes
- No
First & Last Name (Co-Owner)
First Last
Mobile Number (Co-Owner)
Phone Number (Co-Owner)
Email (Co-Owner)
Property Details
Address*
Street Address City ZIP Code
Property Type*
Condition of your roof*
What kind of roof do you have?*
Electric Bills & Usage
Current Utility Provider*
Meter Number
Account Number
Estimated Monthly Electric Bill*
Are you participating in any electric company energy subsidy or discount program ?*
- Yes
- No
If Yes Specify Program
Financing Options
Financing Source*
- Owners have own financing or cash
- Owners would like to look at financing options
Estimated Property Value $
1st Mortgage
2nd Mortgage
How's your credit? (Applicant 1)*
- Great 720+
- Good 680-719
- Fair 650-679
- Poor
Have you filed for Bankruptcy in the past 3 years? (Applicant 1)*
Have you been delinquent on your property taxes in the last 12 months? (Applicant 1)*
How's your credit? (Applicant 2)*
- Great 720+
- Good 680-719
- Fair 650-679
- Poor
Have you filed for Bankruptcy in the past 3 years? (Applicant 2)*
Would you consider refinancing your home loan , if it offered the best terms & payments to purchase solar?*
- Yes
- No
Is property commercial or industrial?*
- Yes
- No
If property is commercial or industrial, please list owners name above. If contact should be made first with property manager, please add name & phone here:
Schedule Your Phone Consultation
What time would you like to schedule a no-obligation phone consultation to review your solar project including cost estimates and financing options?
Date*
File Upload (Optional)
Drop files here or
Accepted file types: jpg, gif, png, pdf.
Upload the required documents only. (file extensions allowed:jpg,gif,png and pdf.)
Time*
: HH
MM
Terms*
I have shown the savings presentation to my client in order to complete consultation *
Upload Terms
I have uploaded the required documents
Additional Comments
Name
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Fill the SSA Form Below

Intake Form - Property Owner(s)

Property Details

Electric Bills & Usage

Financing Options

Schedule Your Phone Consultation

CERTIFIED PREFERRED CONTRACTOR