Heat Pump/Weatherization Loan
 

With an approved credit check, Haywood EMC members may borrow up to
100% of the total cost for heat pump or weatherization loans. This loan is for a maximum
of 60 months with low interest financing. Loans will be billed as seperate items on your
electric bill. The current interest rate for this loan is 5.0%.

Loan Requirements
  • application
  • approved credit check
  • copy of your land deed
  • quote from licensed HVAC contractor with a "load calculation" report
  • ENERGY STAR 15 SEER or greater rated
  • $150.00 loan processing fee
 

Heat Pump/Weatherization Credit Application
Please Mail Completed Form to: Haywood EMC
376 Grindstone Road
Waynesville, NC 28785
or submit form below.

Online submission will require an additional phone
contact from Haywood EMC for more sensitive information.


Heat Pump/Weatherization Credit Application
 
HEMC ACCT #
Term of Loan
(Term of loan can be up to 5 Years at approximately 7.9% Interest
Years
Amount of loan requested
Email Address
Personal Information
Name
Spouse's Name

Is your SSN# on file with HEMC

Yes
Day Phone #
Address City
State How long at current address
Former Address City
State Applicant's Date Of Birth / /
Name, address, phone # of nearest relative not living with you and relationship  
Employment Information
Present Employer Years Employed

Address
State
Zip

Phone #
Supervisor's Name Position/Title
Previous Employer Years Employed
Address
State
Zip
Phone #
Supervisor's Name Position/Title
Income Information
Salary Net: $ per week/month/year Gross: $ per week/month/year
Other Income $: Source

** Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this loan.

Is any income listed likely to be reduced within the next two years? Yes
If yes, please explain:
**The applicant hereby authorizes Haywood EMC to investigate the applicant's credit history and to disclose credit information to credit reporting agencies.

 
Location
Amount
Checking Account
Savings Account
Other
Outstanding Debts (PLEASE LIST EVERYTHING)
Type of Loan
Creditor Name
Monthly Payment
Date of Loan

Past Due
Y or N

Credit Cards

 







Mortgage
Auto Loan
Insurance
Utilities
Other
Totals
     

Are there any other persons obligated on any of the above loans? Yes
If yes, which ones and who?
Are you a Co-Signer on any loans? Yes
If yes, for whom and to whom?
Have you declared bankruptcy on any loans? Yes
If yes, explain.
The applicant(s) hereby instruct Haywood EMC to treat the monthly loan repayments due hereunder the same as my (our) monthly bill for electric service. Default in payment of the loan will have the same effect as failure to pay for electrical service and will be cause for disconnection of electrical service, under the same conditions as apply to disconnection
regularly.

Signature of Applicant Date



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