Municipal Lease Municipal and School Application Form

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Municipality or School (or School District) Information

Name of Municipality or School (or School District):(Required)

Address for notices:

Street Address

Address Line 2

City

State

ZIP Code

Contact information

Note: Municipality or School (or School District) must designate a contact person for the project.

Contact Name(Required)

Contact Email(Required)

Contact Phone(Required)

Project Information

Total Cost

Other Information

When do you want to close on the Lease Agreement?

If the Lease requires an annual payment, during which month do you want the annual payment to be due?

Estimated Project Completion Date

Uploads

Please attach the Pre-Approval Offer designating your approved participation in an Efficiency Maine Commercial and Industrial Prescriptive Initiative Program.

Commercial and Industrial Prescriptive Initiative Program Pre-Approval Offer

Max. file size: 32 MB.

Please attach below the last three years of audited or reviewed financial statements (including Statement of Financial Position, Statement of Operations, Statement of Change in Net Debt, and a Statement of Cashflow)

Attachment File 1

Drop files here or

Max. file size: 32 MB.

Attachment File 2

Drop files here or

Max. file size: 32 MB.

Attachment File 3

Drop files here or

Max. file size: 32 MB.

Bank Selection

Select below any of the Participating Banks from which you wish to receive a bid for a “Municipal Lease”

Terms and Conditions:

The applying entity is a Maine Municipality or Public Pre-k through 12 School (or School District) under the Maine Department of Education
The applying entity agrees to share, upon request, any financial information related to the Municipal Lease with Efficiency Maine Trust including but not limited to the following:

The Amount Financed
The Interest Rate
The Closing Date