SECTION D – UTILITY INFORMATION
Electric Utility Co. Gas Utility Co.
Electric Utility Account No.
SECTION E – CONTRACTOR
Contractor (leave blank if not selected yet):
SECTION F – DISCLOSURE & CONSENT
By completing and submitting an application, I/we certify that I/we am/are of legal contracting age and that I/we have read, understood and agree to all of
the terms stated here. By signing below, I/we certify that all information provided on this application is correct and complete to the best of my/our
knowledge. My/our signature(s) also authorizes Energy Finance Solutions (EFS), a service offered by Slipstream Group, Inc. (Slipstream), or a lender of
choice, to obtain my/our utility bill repayment history, delinquent tax, and property owner information from Traverse City Light and Power. My/our
signature(s) further authorize EFS to obtain a credit report(s) in connection with my/our loan request. If necessary, I/we further agree to provide additional
information to Slipstream/EFS, or lender of choice, to underwrite my/our loan request. I/We further understand and authorize EFS and Slipstream to retain
this application whether or not it is approved. Additionally, if this application is approved and the loan I/we have requested is made, I/we also authorize
Slipstream/EFS to share such information concerning: my/our electric and/or gas utility billing account number; the charges payable by me/us under the
promissory note that I/we will sign; and other non-public information that I/we provided for the purpose of underwriting and servicing my/our loan.
I/We understand and agree that EFS and Slipstream do not guarantee the security of any data submitted electronically and will not be held responsible
or liable for interception by third parties. I/We understand and agree that in no event will EFS or Slipstream be liable for any technical, hardware or
software failure of any kind, any interruption in the availability of this service, any delay in operation or transmission, any incomplete transmission, computer
virus, loss of data, or other similar loss.
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applications on the basis of race, color, religion, national
origin, sex, marital status or age.
Whether or not the undersigned have elected to sign this document electronically, EFS, and or any subsequent holders of this document, shall have the
right to convert and store the manual signature electronically and the undersigned consents to the use of the electronically stored version in the same
manner as an original signed copy.
I understand and intend that a legal signature is formed by entering my name on this and other documents provided to me, and by entering my name on
this and other documents provided in relation to this transaction I intend for my electronic signature to have the same force and effect as my manual
signature. If any of the parties do not wish to sign this document electronically, all must opt out together and request a paper copy to sign manually.
By entering my name below, I am creating a legally binding signature and confirm that I agree and accept the signature terms and conditions.
Joint Applicant’s Signature
Applicant’s Email Address
Joint Applicant’s Email Address
Apply online at www.energyfinancesolutions.com