IL Disclosure Form (Purchase)

IL Disclosure Form (Purchase)

Fill out required fields for the Illinois Disclosure Form
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Customer Full Name *
Street Address*
City*
State*
Zip*
Phone Number*
Format: 0000000000.
Email*
example@example.com
(DC) System Size*
For Example: 8.10
(AC) System Size*
The AC system size is the SolarEdge model number in kilowatts (SE7600 = 7.60) (see chart below)
SolarEdge
Electric Utility*
If you choose Rural Electric Cooperative or Municipal, please select the from the list below*
Utility to send into Salesforce
System Purchase Price*
Numbers Only (no symbols)
Est.Annual Production*
Numbers Only (no symbols)
Production Explanation*
System performance is based on a X.XX kW system with azimuths XX, XXX, XX, and XXX With some [XXX small shading from trees on the west XXX]. PV Watts Shading engine used.
Upload an image of the design

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Estimated Full SREC Amount*
Use calculator at: https://docs.google.com/spreadsheets/d/1t34VhI1YQSjWcHEIii2VcPdJhmoNPHRcdbYNWbKqdMQ/edit?usp=sharing
Estimated SREC Amount the Customer Receives*
Estimated SREC Utility Collateral*
System Mounting*
Install Type
Battery Make and Model*
Number of Batteries*
Inverter Model
Annual Usage (kWh)*
Rep Full Name*
Rep Phone Number*
IL Disclosure Place Holder
Should be Empty:

SolarEdge