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| First Name |
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Last Name |
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| Email |
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Home Phone |
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| Rent or Own? |
Rent
Own |
Address |
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| City |
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State |
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| Zip |
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| Approximately how much was your electric bill last month? |
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Who is your current utility company?
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| Do you have any shade that might obstruct the sunlight from hitting your roof? |
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| Since the zero out of pocket option depends on a strong credit score, how would you rate your credit, good, fair or poor? |
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