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By completing this application, you are applying to receive additional rebates to make eligible air sealing and insulation improvements and/or replace HVAC equipment. Eligibility for FOCUS ON ENERGY® income-qualified rebate benefits is based on the income of the resident at the installation address. If you are a property owner, you or the tenant may complete, sign, and submit this application along with the required supporting documents. For assistance completing this application, refer to the Income Eligibility Application Guidelines available at focusonenergy.com/income-qualified or call 855.339.8866. Focus on Energy rebates and benefits are subject to change without notice. This application is effective January 1, 2023.