Energy Trust Use Only Project ID PT ID Promo Code (Optional) Multifamily Incentive Applications Use Form 320W for Existing Multifamily Weatherization Upgrades Participant Information (Property Owner) Payee Legal Name of Property (the “Participant”) Owner Contact Name Title Mailing Address State Zip Phone Work Cell Property Investment Individual Unit Occupied by Tenant Ownership Owner Owner If you checked Yes, a W-9 Is this property used for rental income? Yes No is required for payment. Building Representative (Property Manager, HOA Representative, etc.) Skip this section if you marked Individual Unit above Company Name Contact Name Mailing Address City Zip Phone Work Cell Property Information Property Name City State Zip Number Total Number of Number of of Buildings Units Levels of Bldg Year Built Sq. Ft. of Buildings or Individual Unit Affordable Housing Campus Living Assisted Living/Retirement Market Market Rate HOA Individual Unit Owner Low-Rise (1-3 stories) Duplex Mid-Rise (4-8 stories) Triplex Building Style High-Rise (9 or more stories) Fourplex Townhouse/Rowhouse Other (specify)
Energy Trust Use Only Project ID PT ID Promo Code (Optional) Multifamily Incentive Applications Use Form 320W for Existing Multifamily Weatherization Upgrades Participant Information (Property Owner) Payee Legal Name of Property Owner (the “Participant”) Contact Name Title Mailing Address State Zip Phone Work Cell Property Ownership Investment Owner Individual Unit Owner Occupied by Tenant Is this property used for rental income? Yes No If you checked Yes, a W-9 is required for payment. Building Representative (Property Manager, HOA Representative, etc.) Skip this section if you marked Individual Unit above Company Name Contact Name Mailing Address City Zip Phone Work Cell Property Information Property Name City State Zip Number of Buildings Total Number of Units Number of Levels of Bldg Year Built Sq. Ft. of Buildings or Individual Unit Market Affordable Housing Market Rate Campus Living HOA Assisted Living/Retirement Individual Unit Owner Building Style Low-Rise (1-3 stories) Mid-Rise (4-8 stories) High-Rise (9 or more stories) Townhouse/Rowhouse Duplex Triplex Fourplex Other (specify)
BEM_FM0320P.docx