ERC Loan Program

Energy Resource Conservation [ERC]

Members may obtain loans from the cooperative to cover the cost of labor and materials for energy conservation measures on existing structures.

Loans will only be made to members who have good credit ratings and also own the structures to be weatherized.

ERC loans may be provided to finance the cost of labor and materials for items such as insulation, storm or thermal windows, storm or thermal doors, high efficiency heat pumps, and geothermal heat pumps.

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Click Here to Download Loan Application to print, complete and mail or simply complete the form below

Member Information

First Name*

Middle Initial

Last Name*

Date of Birth

Applicant Social Security Number*

Member Account Number*

Spouse First Name

Middle Initial

Spouse Last Name

Date of Birth

Cell Number*

Home Phone*

Work Phone*

Choose one

Please Specify

How long have you lived here?

Address*

City*

State*

Please Specify

Zip*

E-mail Address*

Employment History

Job Title

How long?

Annual or Monthly Income

Present Employer/ Length of Employment and Address

Previous Employer/ Length of Employment and Address

Spouse's Occupation

How long?

Annual or Monthly Income

Nearest relative NOT living with you

Relationship

Relative's address

List other income & source

Credit Information

References (Banks, Stores, Credit Cards)*

	Account With	Address	Account Number	Balance	Monthly Payment
Checking Account	Checking Account - Account With	Checking Account - Address	Checking Account - Account Number	Checking Account - Balance	Checking Account - Monthly Payment
Savings Account	Savings Account - Account With	Savings Account - Address	Savings Account - Account Number	Savings Account - Balance	Savings Account - Monthly Payment
Mortgage	Mortgage - Account With	Mortgage - Address	Mortgage - Account Number	Mortgage - Balance	Mortgage - Monthly Payment
Auto Loan	Auto Loan - Account With	Auto Loan - Address	Auto Loan - Account Number	Auto Loan - Balance	Auto Loan - Monthly Payment
Credit Card	Credit Card - Account With	Credit Card - Address	Credit Card - Account Number	Credit Card - Balance	Credit Card - Monthly Payment
Credit Card	Credit Card - Account With	Credit Card - Address	Credit Card - Account Number	Credit Card - Balance	Credit Card - Monthly Payment
Credit Card	Credit Card - Account With	Credit Card - Address	Credit Card - Account Number	Credit Card - Balance	Credit Card - Monthly Payment
Other Reference	Other Reference - Account With	Other Reference - Address	Other Reference - Account Number	Other Reference - Balance	Other Reference - Monthly Payment

The above information is correct and I/we hereby consent for you to contact the above named persons and others you deem necessary to verify the above information in reviewing this credit request.

Signature of Applicant (type your name as you would sign it)*

Signature of Spouse (type your name as you would sign it)*

Submit