Credit Application

Date*

Requested Credit Limit*

Average Number of Residential Projects per month*

Average KW installed per month (system size)*

Interested in Loanpal Direct Pay Program?*

Yes
No
Need more information

Would you like to save trees and receive electronic invoices and statements?*

Yes
No

If so, please include your email address:

General Information

AEE Dealer Number*

You can find your AEE Dealer Number on any account statements, invoices, or sales quotes you may have received from AEE. You can also find it in the Profile tab on the AEE Express Account page.

Company Name*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Main Telephone*

Fax

Main Email*

Company Website*

DUNS #*

Federal Tax ID #*

Tax Status - Purchases Are:*

Taxable
Tax Exempt

Please attach your Tax Exempt Certificates for each state your company generates sales if applicable.*

Drop files here or

Max. file size: 80 MB.

Please explain why you want to be charged sales tax.*

Ownership Type*

Sole Proprietorship
Partnership
Corp
LLC
Other

Year Established*

If incorporated: Date of incorporation

If incorporated: State

If incorporated: Your company is:

Public
Private

Classification*

Solar Installer
Solar Equipment Reseller
Solar Sales & Marketing
Other

Owner #1: Full Name*

First Last

Full name of owner(s), partners if partnership, or corporate officers if Incorporated.

Owner #1: Title*

Owner #1: Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owner #1: Home Phone*

Owner #1: Email Address*

Owner #2: Full Name

First Last

Owner #2: Title

Owner #2: Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owner #2: Home Phone

Owner #2: Email address

Company Contact Information

Primary Contact: Full Name*

First Last

Primary Contact: Email Address*

Primary Contact: Phone*

Primary Contact: Mobile Phone

Purchasing Contact: Full Name*

First Last

Purchasing Contact: Email Address*

Purchasing Contact: Phone*

Purchasing Contact: Mobile Phone

CFO: Full Name*

First Last

CFO: Email Address*

CFO: Phone*

CFO: Mobile Phone

Accounts Payable: Full Name*

First Last

Accounts Payable: Email Address*

Accounts Payable: Phone*

Accounts Payable: Mobile Phone

Bank Information

Name of Bank*

Bank: Contact Person*

First Last

Bank: Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bank: Phone*

Bank Fax*

Bank: Email Address*

Bank: Checking Account #*

Have any owners/officers filed for Bankruptcy?*

Yes
No

Have you had any litigation, judgments or liens filed against your company?*

Yes
No

Reference Information

Instructions: Please provide a fax number and/or email for each contact, these are required fields. List three companies with whom you currently have an open terms account (please note that closed ended loans such as credit cards cannot be used).

Reference #1: Company Name*

Reference #1: Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference #1: Phone Number*

Reference #1: Fax Number*

Reference #1: Contact Name*

First Last

Reference #1: Email Address*

Reference #1: Years Associated*

Reference #1: Account #*

Reference #1: Credit Limit*

Reference #2: Company Name*

Reference #2: Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference #2: Phone Number*

Reference #2: Fax Number*

Reference #2: Contact Name*

First Last

Reference #2: Email Address*

Reference #2: Years Associated*

Reference #2: Account #*

Reference #2: Credit Limit*

Reference #3: Company Name*

Reference #3: Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference #3: Phone Number*

Reference #3: Fax Number*

Reference #3: Contact Name*

First Last

Reference #3: Email Address*

Reference #3: Years Associated*

Reference #3: Account #*

Reference #3: Credit Limit*

Reason for Credit (hold the ctrl key to check all that apply then provide your explanation in the field below)*

Please provide your explanations for the above question.*

Please provide the following details regarding your business: List of funding/finance sources currently used, list states actively selling, and describe construction pipeline (average # of projects/month, and average system size).*

Additional Documentation

Please attach your last 2 FULL years of financials that include the Profit and Loss, Balance Sheet and Cash Flow Statements.*

Drop files here or

Max. file size: 80 MB.

Please attach your last 2 FULL years of financials that include the Profit and Loss, Balance Sheet and Cash Flow Statements.

Drop files here or

Max. file size: 80 MB.

Please attach your CURRENT year to date financials that include the Profit and Loss, Balance Sheet and Cash Flow Statements.*

Drop files here or

Max. file size: 80 MB.

Please attach your CURRENT year to date financials that include the Profit and Loss, Balance Sheet and Cash Flow Statements.

Drop files here or

Max. file size: 80 MB.

Signature

By affixing my signature below, the undersigned certifies that: 1.) The information provided for the credit application is accurate; 2.) I am duly authorized to provide the information; 3.) I hereby give my consent to AEE Solar to obtain bank and other credit information; 4.) I am an authorized corporate signer.

Signature*

Title*

Print Name*

Date*