Electric Vehicle Rebate Reimbursement Form (Dealership) Participating Dealership Annie's AutoJennifer's AutoTim's Auto If you do not see your dealership listed here, please contact ev@efficiencymaine.com. If you purchased a vehicle directly from a manufacturer, please complete this form (link). Sales Representative Sales Representative Email Required Documents: 1. Signed Purchaser Agreement 2. Maine Bureau of Motor Vehicles Form “Application of Certificate of Title” 3. Retail Purchase or Lease Agreement 4. Applicant's Maine Driver's License 5. Proof of local business address (For business applicants only) 6. Low Income Pre-Approval Letter (if applicable) Additional Requirements I attest that the dealership has provided a price adjustment to a customer for a completed sale/lease that meets the requirements of the Program Manual I attest that the vehicle purchased/leased meets the required MSRP of $50,000 (minus delivery charges) I attest that the vehicle is on the Efficiency Maine list of eligible vehicles I attest that the Required Documents are complete and appear to be valid Participating Dealership Authorized Signature* CAPTCHA
