HEATING SYSTEM REBATE - CenterPoint Energy

1 HEATING Company or Installer signatureHEATING COMPANY INFORMATION (To be completed by HEATING dealer/mechanical contractor or installer - please print.)Company NameDealer/Trade Ally ID* (6-digit)Address, city, state and ZIPR ebate contact email addressRebate contact SYSTEM REBATE MINNESOTACNP 1153 (1-2022)INSTALLATION INFORMATION ( CenterPoint Energy service and equipment installation address - please print.)Installation Address (House or Business Number and Street Name) CenterPoint Energy Gas Account Number for the address where the new HEATING SYSTEM was installedIt is the responsibility of the HEATING company and the purchaser to ensure that the program requirements are met.

2 If program requirements are not met, no REBATE will be paid. * CenterPoint Energy assigns a six-digit ID numbers to participating dealers. If a Dealer/Trade Ally does not have a ID and would like to obtain one, they can contact us for additional information. An ID is not required to submit a REBATE . Return completed form with required signatures and a detailed copy of the dated invoice from HEATING company to: CenterPoint Energy HEATING SYSTEM REBATE Box 59038 Minneapolis, MN 55459-0038 AHRI Reference Number2022 Date of installation Serial numberModel #BrandEQUIPMENT INFORMATION (To be completed by the HEATING dealer, mechanical contractor or installer - please print)New Natural Gas HEATING SYSTEM (select one)Forced-air furnace [015]Natural gas boiler [018]Single Package Vertical Unit [256]PURCHASER INFORMATION (Equipment Purchaser and REBATE Check Recipient - please print.)

3 REBATE check Mailing Address (House or Business Number and Steet Name or PO Box Number)RenterOwnerLandlordBuilderAgencyP urchaser Type (select one)Purchaser Email AddressPhonePurchaser's signatureDateRebate check payable to: residential New ConstructionResidential replacement (existing home)Type of Installation (select one)CommercialNoYes If yes, please provide:Total number of housing units:Number of units occupied by income eligible households:Commercial Multi-Family Affordable Housing Bonus REBATE (Property must have a minimum of 66% income eligible house holds to qualify: see reverse for requirements.)

4 Type of Building (select one) WarehouseRetail - Strip Mall (< 30,000 sq ft)Retail - Large (> 30,000 sq ft)Convenience StoreManufacturingEducation - SecondaryEducation - PrimaryEducation - College/UniversityMultifamilyHotel/Motel Health/Medical - HospitalHealth/Medical - ClinicRestaurantOtherOffice - 10+ StoryOffice - 5-9 StoryOffice - 3-4 StorySingle-family homeTownhomeTwo-plex to four-plexCondominiumThis REBATE program is for new qualifying High Efficiency HEATING Systems Program dates: Jan. 1, 2022 through Dec. 31, 2022 1) Review the Terms & Conditions on the back of this form to ensure all program requirements are met.

5 2) The new equipment must be listed in the current AHRI (Air Conditioning, HEATING and Refrigeration Institute) or Energy STAR website. See website: or 3) A REBATE application will need to be completed if the HEATING dealer/mechanical contractor doesn't submit an application through our dealer REBATE processing SYSTEM . Application must be submitted in the same calendar year that the equipment was installed. 4) Attach a copy of the detailed sales invoice from the company that installed the HEATING SYSTEM . 5) Make a copy of the completed application for your records and mail paperwork to the address at the bottom of the CodeZIP CodeStateCityMINNESOTAHEATING SYSTEM REBATE TERMS & CONDITIONS The qualifying equipment must be installed in a Minnesota home or business served with natural gas from CenterPoint Energy between January 1 and December 31, 2022.

6 All completed applications must be post marked by December 31, 2022 to be considered for a REBATE . HEATING dealers/mechanical contractors are not eligible to receive their purchaser's REBATE . Equipment installed under warranty replacement does not qualify for the REBATE . CenterPoint Energy reserves the right to inspect the installed equipment. residential NEW CONSTRUCTION INSTALLATIONS No REBATE will be paid if the home completes CenterPoint Energy 's High Efficiency Home program. See for more information. For eligible New Construction installations, the building contractor should negotiate with homeowners to determine who receives the REBATE .

7 If you are building a new home, you must obtain an invoice from your builder or HEATING dealer.$350$300 residential Replacement and New Construction$500$150 residential Replacement and New Construction91% or highterBoilerSingle Package Vertical Unit90% or higher$1000$750 residential ReplacementResidential New ConstructionTankless water heater and air handler unit (AHU) Fill out Water Heater REBATE form number CNP 1007 for this or higher UEFR esidential ReplacementBoiler85% - New ConstructionForced-air furnace95% or higher$50 residential New ConstructionForced-air furnace92% - $400 residential Replacement or CommercialForced-air furnace96% or higher$300 Forced-air furnace94% - $150 residential Replacement or CommercialForced-air furnace92% - Replacement or CommercialRebateType of installationType of natural gas HEATING systemAFUE rating on current AHRI or Energy STAR websiteOne application must

8 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/mechanical contractor 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/mechanical contractor doesn't submit an application on the customer's behalf. The purchaser of the HEATING SYSTEM and a representative from the HEATING company are required to sign the REBATE application.

9 CenterPoint Energy GAS ACCOUNT NUMBER Customers can obtain their gas account number from their monthly bill statement or online at PROOF OF PURCHASE AND INSTALLATION A clear copy of the dated sales invoice/receipt from the dealer to the purchaser must be included with the completed REBATE application. Required information on dated sales invoice includes: Brand and complete model number of the HEATING SYSTEM and the HEATING company name and address. CenterPoint Energy is unable to accept applications that do not include all the requested information.

10 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 HEATING company 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.