Pennsylvania C-PACE

Commercial Property Assessed Clean Energy

PA C-PACE Pre-Application Form

Property Owner Name *

First

Last

Property Owner Title *

Property Owner Company Name *

Property Owner Mailing Address *

Property Owner Phone Number *

Property Owner Email *

Engineer Consulting Firm (if applicable)

Consulting Firm Phone Number

Consulting Firm Email

Property Street Address

City/State/Zip Code

Ownership Name *

Property Sq. Ft. *

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?

*Please provide a list of all other properties within the county owned by the same principal owner.

Property Type: *

Mortgage Lender Name *

Property Value *

Estimated Mortgage Balance *

Source of Value (appraisal, recent sale, assessment, etc.) *

Has obtained lender consent? *

Estimated Project Cost *

Estimated Project Start Date *

Estimated Annual Savings ($) *

Estimated Power Generated (kW) *

Capital Provider (Company Name) *

Point of Contact *

Email *

Please provide a brief summary of the project: *

Name