Energy Saver Home Loan Program Expression of Interest

I am one of the owners listed on the deed of this property and occupy this home as my primary residence*

YesNo

Name*

First NameLast Name

Name on Deed

First NameLast Name

Name on Deed

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Street Address*

Street Address

Street Address Line 2

CityState

Zip Code

County*

Property type*

Is the property zoned as a condominium on the deed?*

Is the property held in a trust?*

What year was your home built?*

Who is the current lending institution for your mortgage?*

What is the estimated gross annual income for you and any other persons listed on the deed?

Gross income means we are looking at taxed AND non-taxed income. On your federal tax return, this would include W-2 income, tax-exempt and taxable interest, qualified and ordinary dividends, IRA distributions, pensions and annuities, social security benefits, and capital gain (or loss)

Have you had a Home Energy Assessment with Mass Save in the last five years?*

Energy Efficiency/Weatherization

Electrical/Clean Energy Technologies

Electric Panel Upgrade and Wiring;EV Charging Station;Solar PV;Battery Storage;

Appliances, Lighting, Fixtures

Electrical/Induction Cooking (cooktop, range, oven);Heat Pump Clothes Dryer;Low Flow Faucets and Toilets;LED Lighting;

Domestic Hot Water

Heat Pump Water Heater;Solar Thermal;

HVAC

Ventilation;Air Source Heat Pumps;Ground Source Heat Pumps;Thermostats;

Energy Saver Home Loan Program Interest Form

Other names listed on the deed if applicable