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2021 Residential Rebate ApplicationThank you for participating in CenterPoint Energy’s Indiana ResidentialRebate Program! Refer to the information below to ensure you are eligiblefor program rebates and your application is complete. Please retaina copy of your completed application and all invoices for your records.Visit CenterPointEnergy.com/SmartSavings to apply online and viewcomplete terms and conditions.Need Help?For assistance completing this application, call 866-240-8476or email SaveEnergy@centerpointenergy.com to reach aCenterPoint Energy Efficiency Advisor.What You Will Need A copy of your itemized invoice that containsall equipment and installation information(please keep the original for your records) Your CenterPoint Energy account numberfrom your most recent bill Installing contractor information (if applicable) AHRI Certificate or AHRI Certificate Numberfor the appropriate equipment For self-installation, please provide apurchase receipt for equipment installedHOW TO APPLY FOR A REBATEStep 1:Determine EligibilityStep 2:Complete Applicationand Attach InvoicesStep 3:Submit PaperworkApplicant: The property must beserviced by CenterPoint Energy ofIndiana, Inc. (“CenterPoint Energy”)under an active residential account.Complete Application: Unless notedotherwise, all fields must be completedon the application to receive a rebate.Incomplete applications will result inprocessing delays.Double-check Information:Make sure the information listedon the application is correct andthat you have provided all requiredinformation, invoices and certificates.Sign Application: The application mustbe signed in the space provided onpage 2 of the application to receive arebate. If instant discount is given by thecontractor, contractor's signature is alsorequired.Submit Application: Submit yourcompleted application along withrequired documentation within60 calendar days of equipmentinstallation in one of the followingways:Application and Installation: Theapplication must be postmarked within60 days of equipment installation to beeligible for a rebate.For new construction projects,builders must submit applicationsand supporting documentation within60 days after building inspection andapproval and/or issuance of a certificateof occupancy.Equipment and Service: Theinstalled equipment must be new; norefurbished equipment will be accepted.Equipment must be purchased andinstalled between January 1, 2021 andDecember 31, 2021.Read all individual rebate qualificationscarefully to ensure your productqualifies.866-240-8476 CenterPointEnergy.com/SmartSavingsAttach Invoice(s): Ensure that youhave attached a copy of all equipmentinvoices and the AHRI Certificate ofProduct Ratings or AHRI CertificateNumber for the applicable equipment tothe rebate application.The invoice should include: Installation address/location Equipment make, model and serialnumber Date of installation Total number of units installed Total project cost of the equipment Instant rebate amount (if applicable)with line item detailing "CenterPointEnergy Rebate Instant Email:INrebates@centerpointenergy.comPlease include all invoices as emailattachments.Mail: CenterPoint Energyof Indiana, ATTN:Rebates 3100 West Road,Bldg 3, Suite 200East Lansing, MI 48823Fax: 866-741-5584Please allow up to six (6) weeksto receive your rebate. Incompleterebate applications will cause a delayin processing.Residential Rebate Program Application - Electric & Gas2075667

Customer / Account Holder InformationTotal rebate requestedAccount holder's first and last name (or tenant, if completed by landlord)Account holder's spouse's first and last name (if applicable)EmailPhoneCenterPoint Energy account number (REQUIRED—as shown on yourCenterPoint Energy bill)Alternate phoneService type (REQUIRED—please P type of service utilized by your home)o CenterPoint Energy natural gas service CenterPoint Energy electric serviceo CenterPoint Energy electric service only o CenterPoint Energy natural gas service onlyInstallation AddressAddressCityStateZIPLocation descriptiono Existing homeo New constructionInstalling Contractor InformationWas equipment self-installed? o Yes o NoCompany nameEmailContact personPhoneAddressAlternate phoneCityContractor Federal Tax ID Number (TIN/EIN) or SSN (complete if receiving the rebate)StateZIPFederal Tax Classificationo Individual/Sole proprietoro Limited liabilityo Corporationo Exempto Partnershipo OtherMailing information for rebate checkCheck payable to: o Account holder o Contractor o Property owner/Landlord (if not account holder)Payable too BuilderProperty owner/Landlord phone numberAddressCityStateZIPSignatureso I hereby certify that: 1) The information contained in this application is accurate and complete; 2) All rules of this incentive application have been followed; 3) I have readand understand the Terms and Conditions found at CenterPointEnergy.com/SmartSavings. I agree to verification of equipment installation, which may include a siteinspection by a program or utility representative. I understand that I am not allowed to receive more than one incentive from this program on any one piece of equipment. Ihereby agree to indemnify, hold harmless and release the utility and program administrator from any actions or claims in regard to the installation, operation and disposal ofequipment (and related materials) covered herein, including liability from any incidental or consequential damages.o If, as the installing contractor, I am submitting an instant discount application, I certify that I have provided the full rebate as an instant discount to the account customerlisted on this application. I have explained to the customer that the rebate he/she qualifies for has been applied as a discount off the purchase price, and he/she will not beeligible to receive a rebate for the same product(s) being submitted in the application. Submitted with this application is the required invoice clearly itemizing the amount ofthe rebate provided as a discount to the customer on the line item marked "CenterPoint Energy Rebate Instant Discount."Customer/Account holder signatureSignature is required.866-240-8476 CenterPointEnergy.com/SmartSavingsDateContractor signatureDateFor the instant discount option, the contractor’s signature is required.2 OF 52075667

Only one installation address and account number can be submitted on an application. For additional account numbers, pleasecomplete separate applications.Please P the requested rebate. This page may be copied for multiple units. Please print legibly.o BOILEREquipment specifications 90% AFUE 300 rebateManufacturerModel numberSerial numberDate installed Homes must have CenterPoint Energy natural gas as the primary heat source to be eligible for this rebate. Input capacity must be 300 MBTUHo FURNACEEquipment specifications95-96.99% 250 rebateManufacturer Model numberSerial numberDate installedHomes must have CenterPoint Energy natural gas as the primary heat source to be eligible for this rebate.Furnace must be primary heat source for home’s living space and be a sealed combustion unit.Systems supplementing gas space heating with an air source, dual-fuel or geothermal heat pump are not eligible.Tune-up cannot be claimed at time of install of new furnace.o FURNACE TUNE-UPCustomer must not be on an existingpreventative maintenance contract. 25 rebateManufacturerModel numberSerial numberDate tuned-up Rebate is available once every 24 months. Rebate available to customers who have preventative service completed by a qualified HVAC contractor. Tune-up must include the following: ensure thermostat working properly (pre and post); clean safety controls (adjust as needed); clean burners and controls; clean pilotassembly and ensure proper function; adjust burner for efficiency; ensure belts, filter and flue are clean/intact with no blockages; lubricate any moving parts; verify no gas leakspresent; ensure dampers are on heating position; check overall performance and efficiency of system. Tune-up cannot be claimed at time of install of new furnace.o THERMOSTATSEquipment specifications (please P)Unit controlled (please P)o Wi-Fi thermostat 50 rebateo Smart thermostat 75 rebateo Central air source heat pumpo Gas furnace/boiler with A/Co Electric furnace with A/Co Electric furnace no A/Co Gas furnace/boiler no A/CManufacturerModel numberSerial numberDate installedManufacturerModel numberSerial numberDate installed Homes must have CenterPoint Energy natural gas or CenterPoint Energy electric as the primary heat source to be eligible for this rebate. Dual fuel systems are noteligible. Rebate available for existing homes only; new construction is not eligible. If replacing existing (non Wi-Fi) thermostat in newly constructed home, thermostat is eligible. Must be Wi-Fi capable without the use of additional equipment and connected to the internet for programming and adjusting remotely. Serial number is required. Must be ENERGY STAR certified smart thermostat to be eligible for 75 incentive. Household limit is two thermostat rebates.866-240-8476 CenterPointEnergy.com/SmartSavings3 OF 52075667

o NATURAL GAS WATER HEATEREquipment specifications (please P)o Storage Water Heater .67 EFo Tankless Water Heater .90 EF 100 rebate 250 rebateManufacturerModel numberSerial numberDate installed Homes must have CenterPoint Energy natural gas to be eligible for this rebate.o CENTRAL AIR CONDITIONING UNITEquipment specifications (please P)o SEER 16o SEER 18 200 rebate 400 rebateAHRI reference numberDate installedOUTDOOR unit manufacturerOUTDOOR unit model numberOUTDOOR unit serial numberINDOOR unit manufacturerINDOOR unit model numberINDOOR unit serial number Homes must have CenterPoint Energy electric service to be eligible for this rebate. Purchase must be a high-efficiency electric central air conditioner as part of an AHRI rated qualifying system. An AHRI certificate or certificate number must be submitted with the application. The Air-Conditioning, Heating and Refrigeration Institute (AHRI) maintain a directory of certifiedproduct performance for HVAC equipment. To obtain a copy of the AHRI certificate and certificate reference number, please me.aspx.o AIR CONDITIONING TUNE-UPCustomer must not be on an existingpreventative maintenance contract. 25 rebateDate tuned-upOUTDOOR unit manufacturerOUTDOOR unit model numberOUTDOOR unit serial numberINDOOR unit manufacturerINDOOR unit model numberINDOOR unit serial number Rebate is available once every 24 months. Rebate available to customers who have preventative service completed by a qualified HVAC contractor. Tune-up must include the following: ensure thermostat working properly (pre and post); check voltage and amps to all motors; verify refrigerant charge and add as needed;lubricate all moving parts; check belts, filters, wiring and connections; ensure condensate drain is open; ensure dampers are on cooling position; check overall performance andefficiency of system. Tune-up cannot be claimed at time of install of new air conditioning unit.o AIR SOURCE HEAT PUMP TUNE-UPCustomer must not be on an existingpreventative maintenance contract. 50 rebateDate tuned-upOUTDOOR unit manufacturerOUTDOOR unit model numberOUTDOOR unit serial numberINDOOR unit manufacturerINDOOR unit model numberINDOOR unit serial number Rebate is available once every 24 months. Rebate available to customers who have preventative service completed by a qualified HVAC contractor. Tune-up must include the following: ensure thermostat working properly (pre and post); check voltage and amps to all motors; verify refrigerant charge and add as needed;lubricate all moving parts; check belts, filters, wiring and connections; ensure condensate drain is open; ensure dampers are on cooling position; check overall performance andefficiency of system. Tune-up cannot be claimed at time of install of new heat pump.866-240-8476 CenterPointEnergy.com/SmartSavings4 OF 52075667