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RESIDENTIAL HEATING SYSTEM REBATE MINNESOTA

CNP 1153 (1-2020)

INSTALLATION INFORMATION (CenterPoint Energy service and equipment installation address - please print.)

Single-family Home Townhome Two-plex to four-plex Condominium

New ConstructionReplacement (existing home)

Type of Building (select one)

Type of Installation (select one)

Rebate check mailing address, city, state and ZIP (if different from installation address)

RenterOwner Landlord Builder AgencyPurchaser Type (select one)

Purchaser Email address Alt phonePhone

Purchaser's signature Date

EQUIPMENT INFORMATION (To be completed by the heating dealer or installer - please print)

New Natural Gas Heating System (select one)

AHRI Reference Number

2020 Date of installation Serial number

Model #Brand

Forced air furnace [015] Natural gas boiler [018] Condensing Condo Pak [256]

DEALER INFORMATION (To be completed by heating dealer or installer - please print.)

Company Name

Address, city, state and ZIP

Dealer ID* (6-digit)

Rebate contact email addressRebate contact name

Dealer or Installer signature Date

Dealer phone

It is the responsibility of the dealer and the purchaser to ensure that the program requirements are met. If program requirements are not met, no rebate will be paid. *CenterPoint Energy assigns a six-digit Dealer ID numbers to participating dealers. If a Dealer does not have a Dealer ID and would like to obtain one, they can contact us for additional information. A Dealer ID is not required to submit a rebate.

Return completed form with required signatures and a detailed copy of the dated invoice from heating dealer to:

CenterPoint Energy Heating System Rebate P.O. Box 59038 Minneapolis, MN 55459-0038

Rebate check payable to:

PURCHASER INFORMATION (Equipment Purchaser and Rebate Check Recipient - please print.)

Installation address, city, state and ZIP

CenterPoint Energy Gas Account Number for the address where the new heating system was installed

This rebate form is for new qualifying High Efficiency Heating Systems

Program dates: Jan. 1, 2020 through Dec. 31, 2020

1) Review the Terms & Conditions on the back of this form to ensure all program requirements are met. 2) The new equipment must be listed in the current AHRI (Air Conditioning, Heating and Refrigeration Institute) or ENERGY STAR® website. See website: ahridirectory.org or energystar.gov/products 3) A rebate application will need to be completed if the heating dealer doesn't submit an application through our dealer rebate processing system. 4) Attach a copy of the detailed sales invoice from the company that installed the heating system. 5) Application must be submitted in the same calendar year that the equipment was installed.

RESIDENTIAL HEATING SYSTEM REBATE TERMS & CONDITIONS The qualifying equipment must be installed in a Minnesota home served with natural gas from CenterPoint Energy between January 1 and December 31, 2020. All completed applications must be post marked by December 31, 2020 to be considered for a rebate. Heating dealers are not eligible to receive their customer's rebate. Equipment installed under warranty replacement does not qualify for the rebate. CenterPoint Energy reserves the right to inspect the installed equipment.

NEW CONSTRUCTION INSTALLATIONS No rebate will be paid if the home completes CenterPoint Energy's High Efficiency Home™ program. See CenterPointEnergy.com/HighEfficiencyHomes for more information. For eligible New Construction installations, the building contractor should negotiate with homeowners to determine who receives the rebate. If you are building a new home, you must obtain an invoice from your builder or heating dealer.

One application must be completed for each qualifying heating system installation.

ONLINE REBATE SUBMISSION Customers will receive their rebate faster than a paper form if the heating dealer submits the rebate application and electronic dated sales invoice through our online dealer rebate processing system.

MAIL-IN REBATE OPTION A rebate application will need to be completed if the heating dealer doesn't submit an application on the customer's behalf. The purchaser of the heating system and a representative from the heating dealer are required to sign the rebate application.

CENTERPOINT ENERGY GAS ACCOUNT NUMBER Customers can obtain their gas account number from their monthly bill statement or online at CenterPointEnergy.com/MyAccount.

PROOF OF PURCHASE AND INSTALLATION A clear copy of the dated sales invoice/receipt must be included with the completed rebate application. Required information on dated sales invoice includes: Brand, complete model number, serial number of the heating system and the dealer company name and address. CenterPoint Energy is unable to accept applications that do not include all the requested information.

PROCESSING Completed rebate forms will be processed in the order in which they are received and are paid on a first-come, first served basis. Only one rebate per piece of equipment will be paid. Account number must be activated for installation address in order for rebate to be processed. CenterPoint Energy is not responsible if the dealer does not provide accurate information about the amount of a rebate or equipment eligibility. Rebate qualifications and amounts are subject to change. CenterPoint Energy Conservation Improvement Program (CIP) rebate programs may be cancelled or changed at any time. CenterPoint Energy issues a cash rebate not utility bill credits. Please allow 8 weeks to receive payment in the mail from the time that CenterPoint Energy receives your completed paperwork. If you haven't received payment after 8 weeks, please call 612-399-1545 or email RebateCenter@CenterPointEnergy.com. Checks are issued from our Houston, TX office and expire in 90 days from the date that the check was issued.

APPLICATION CHECKLIST SEND COMPLETED APPLICATION TO: □ All fields on form are filled in Heating System Rebate □ Purchaser signature CenterPoint Energy □ Dealer signature PO Box 59038 □ Dated itemized sales invoice from heating dealer Minneapolis, MN 55459-0038

$350$300

Replacement or New Construction$500$150 Replacement or New Construction

91% or highterBoilerCondensing Condo Pak 90% or higher

$400$250

ReplacementNew Construction

Tankless water heater and air handler unit (AHU) Fill out Water Heater Rebate Form number CNP 1007 for this offer. .87 or higher Thermal Efficiency

Replacement or New Construction Boiler 83.5% - 90.9%New Construction Forced-air furnace 95% or higher

$50 New Construction Forced-air furnace 92% - 94.9%

$400 Replacement Forced-air furnace 96% or higher$300 Forced-air furnace 94% - 95.9%

Rebate

$150 Replacement

Type of installation

Forced-air furnace 92% - 93.9%

Type of natural gas heating system AFUE rating on current AHRI or ENERGY STAR website

Replacement

2012 REBATE OFFERING

REBATE GUIDELINES

Plumbers and dealers are not eligible to receive their customer's rebate. Building contractors should negotiate with homeowners to determine who receives the rebate. Equipment installed under warranty replacement does not qualify for the rebate.

Rebate applies to new equipment listed and AFUE verified in the Air Conditioning, Heating and Refrigeration Institute (AHRI) directory.

APPLICATION CHECKLIST SEND COMPLETED APPLICATIONS TO:

Completed rebate forms will be processed in the order in which they are received and are paid on a first-come, first served basis.

All requested paperwork needs to be submitted by December 31 in the calendar year of installation. Program closes December 31, 2012 and all completed forms must be post-marked by December 31 in order to be considered for a rebate.

$200Indirect storage tank installed with 91% or greater condensing boiler.

Potable volume 19-75 gallons 2° or less

.67 EF ENERGY STAR qualified

.63-.66 EF

.62-.63 EF (Energy factor)

REBATE APPLICATION AND INVOICEWork with your dealer or plumber to complete the entire rebate application and obtain a dated sales invoice showing the detail of what was purchased and installed.

Required information on dated sales invoice includes: Brand, complete model number and serial number of water heater and the dealer company name and address.

The purchaser of the water heater and a representative from your retail dealer or plumber or installer are required to sign the rebate application.

Rebate will be issued for equipment installed between Jan 1, 2012 and Dec. 31, 2012.REBATE PROCESSING

$100 Storage tank

$85 Storage tank

Rebate amount Type of natural gas water heater

$70 Storage tank

PROOF