09 Hvac Rebate Application
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Clark County REMC 2009 HVAC Rebate Application
All rebates must be submitted within 60 days of the units being installed. We require all information be complete and proof of purchase be submitted before receiving incentives. (No exceptions)
Name
Account Number
Address
Location
City/State/Zip
E-Mail
Home
Work
Development Name
Cell Lot #
Builder
Street Address Sq. Footage
Number of full baths
Insulation: Walls
Ceiling
Check One
HVAC ARI Number
Type of System Must be 14 SEER of higher to qualify
Number of water heaters
Electric
14/15.9 Seer Rating
16 Seer Rating
17 Seer Rating
Programmable Stat
Bill Credit
Bill Credit
Bill Credit
Includes Installation
New Construction (Installing new Heat Pump)
$100
$150
$200
New Geothermal $1000 per system (Qualifies for new federal tax credit)
N/A
N/A
N/A
Replacing an existing Heat Pump
$100
$150
$200
#122
New Construction (Installing new Dual Fuel system)
$100
$150
$200
#120
Adding Heat Pump to gas furnace making Dual Fuel System
$100
$150
$200
#120
Replacing electric forced air furnace, baseboard, or ceiling cable with Heat Pump
$600
$750
$800
#125
Installing new Central Air Conditioning unit
N/A
N/A
N/A
Free with A/C
#126
Replacing an existing Central Air Conditioning unit
N/A
N/A
N/A
Free with A/C
#126
SEER Rating
Brand Name
Must submit within 60 days of setting unit(s). Proof of purchase with brand, model, serial numbers, SEER rating and ARI reference number is required before rebates are processed. (No exceptions)
Model Number
Serial Number
Return to: Clark County REMC PO Box L Sellersburg, IN 47172 or FAX: 812-248-7558 Attention: Julie Hinton
Adj. Code (office use only)
#123
N/A
HVAC Dealer Name
#123
All rebates must be submitted within 60 days of the units being installed. We require all information be complete and proof of purchase be submitted before receiving incentives. (No exceptions)
Name
Account Number
Address
Location
City/State/Zip
Home
Work
Development Name
Cell Lot #
Builder
Street Address Sq. Footage
Number of full baths
Insulation: Walls
Ceiling
Check One
HVAC ARI Number
Type of System Must be 14 SEER of higher to qualify
Number of water heaters
Electric
14/15.9 Seer Rating
16 Seer Rating
17 Seer Rating
Programmable Stat
Bill Credit
Bill Credit
Bill Credit
Includes Installation
New Construction (Installing new Heat Pump)
$100
$150
$200
New Geothermal $1000 per system (Qualifies for new federal tax credit)
N/A
N/A
N/A
Replacing an existing Heat Pump
$100
$150
$200
#122
New Construction (Installing new Dual Fuel system)
$100
$150
$200
#120
Adding Heat Pump to gas furnace making Dual Fuel System
$100
$150
$200
#120
Replacing electric forced air furnace, baseboard, or ceiling cable with Heat Pump
$600
$750
$800
#125
Installing new Central Air Conditioning unit
N/A
N/A
N/A
Free with A/C
#126
Replacing an existing Central Air Conditioning unit
N/A
N/A
N/A
Free with A/C
#126
SEER Rating
Brand Name
Must submit within 60 days of setting unit(s). Proof of purchase with brand, model, serial numbers, SEER rating and ARI reference number is required before rebates are processed. (No exceptions)
Model Number
Serial Number
Return to: Clark County REMC PO Box L Sellersburg, IN 47172 or FAX: 812-248-7558 Attention: Julie Hinton
Adj. Code (office use only)
#123
N/A
HVAC Dealer Name
#123
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