Xcel Energy - Energy Savings Program - Rental Property Owner Application

Energy Savings Program

Offered by Xcel Energy, Administered by Energy CENTS Coalition
Rental Property Owner Application
Name*

First NameLast Name
Due to data privacy, please note anyone other than the owner that is authorized to speak on their behalf
First and Last Name, please separate multiple names with commas
Property Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Type *
Phone Number 2

Area CodePhone Number
Type
Email
example@example.com
Rental Property Information
Rental Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property:

Single FamilyDuplexTriplexFourplex
Section 8*

YesNo
Do you pay for Natural Gas at this property?*

YesNo
Do you pay for Electricity at this property?*

YesNo
Do you reside at this property?*

YesNo
May we contact/follow up with current tenant(s)?*

YesNo
Tenant 1
Tenant 2
Tenant 3
Tenant 4
Do you want to add a second property?*

YesNo
Property Address 2*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property (Property 2):

Single FamilyDuplexTriplexFourplex
Section 8 (Property2)*

YesNo
Do you pay for Natural Gas at this property? (Property2)*

YesNo
Do you pay for Electricity at this property? (Property2)*

YesNo
Do you reside at this property? (Property2)*

YesNo
May we contact/follow up with current tenant(s)?*

YesNo
Tenant 1
Tenant 2
Tenant 3
Tenant 4
Do you want to add a third property?*

YesNo
Property Address 3*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property (Property 3):

Single FamilyDuplexTriplexFourplex
Section 8 (Property3)*

YesNo
Do you pay for Natural Gas at this property? (Property3)*

YesNo
Do you pay for Electricity at this property? (Property3)*

YesNo
Do you reside at this property? (Property3)*

YesNo
May we contact/follow up with current tenant(s)?*

YesNo
Tenant 1
Tenant 2
Tenant 3
Tenant 4
Do you want to add a Fourth property?*

YesNo
Property Address 4*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property (Property 4):

Single FamilyDuplexTriplexFourplex
Section 8 (Property4)*

YesNo
Do you pay for Natural Gas at this property? (Property4)*

YesNo
Do you pay for Electricity at this property? (Property4)*

YesNo
Do you reside at this property? (Property4)*

YesNo
May we contact/follow up with current tenant(s)?*

YesNo
Tenant 1
Tenant 2
Tenant 3
Tenant 4
Do you want to add a Fifth property?*

YesNo
Property Address 5*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property (Property 5):

Single FamilyDuplexTriplexFourplex
Section 8 (Property5)*

YesNo
Do you pay for Natural Gas at this property? (Property5)*

YesNo
Do you pay for Electricity at this property? (Property5)*

YesNo
Do you reside at this property? (Property5)*

YesNo
May we contact/follow up with current tenant(s)?*

YesNo
Tenant 1
Tenant 2
Tenant 3
Tenant 4
How did you hear about us?

Facebook AdXcel Energy emailXcel Energy mailingSearch Engine (Google, Yahoo, etc.)Recommended by friendEnergy CENTS Coalition email/phone callOther
By signing this document, I agree to allow the Energy CENTS Coalition to obtain my account information from Xcel Energy and to share that information with other organizations and vendors that provide energy conservation and other relevant services. I verify that, to the best of my knowledge, all information on this application is correct.
Signature*

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Date*

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Date
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