CREDIT APPLICATION by n26GQ3

VIEWS: 2 PAGES: 2

									                     NYSEG & RG&E CREDIT APPLICATION
UTILITY applying for:          NYSEG          RG&E                  APPLYING AS:           ESCO       Direct Customer


Section 1 - GENERAL COMPANY INFORMATION

ESCO Name:                                                                          Entity:

Address:

City:                                State:             Zip Code:                 Phone#:

Federal Tax ID#:                     DUNS Number:                                 Dun & Bradstreet Rating:

List of parent corporation of Entity if entity is a subsidiary company or general partner:

Parent Company Name:


Section 2 - BANK REFERENCE INFORMATION

Bank Name:                                                                 Account #:

Address:                                                    City:                   State:            Zip Code:

Loan Officer’s Name:                                        Phone#:                           Fax#:


Section 3 - PIPELINE OR TRADE REFERENCES (two required)

Name:                                                Address:

City:                                                                             State:                Zip:

Financial contact name:                                                 Phone#:

E-mail address:                                                         Fax#:


Name:                                                   Address:

City:                                     State:                                    Zip:

Financial contact name:                                                 Phone#:

E-mail address:                                                         Fax#:


Section 4 - FINANCIAL DATA

Please provide all of the specific data requested below:

   Company’s Financial Statements

   Parent Company’s Financial Statements (if financial statements of a parent company are submitted, a form of
security from that parent will be required)

   Audited Financial Statements (balance sheet, income statement, statement, statement of cash flows)

   Annual Report

   SEC Form 10-K


Revised 1/2/07                                                                                                 Page 1
Section 5 - ADDITIONAL INFORMATION

   Estimate of activity for NYSEG’s SMALL CUSTOMER AGGREGATION & RG&E’s SC5 Program

                    Estimated # of Customers       Estimated Winter MDTQ/dth*          Estimated Summer MDTQ/dth*

Residential:
Small
Commercial:
Other
Commercial:


              Estimate of activity on NYSEG’s TRANSPORTATION & RG&E’s SC3 Program :

                    Estimated # of Customers       Estimated Winter MDTQ/dth*          Estimated Summer MDTQ/dth*

Commercial:

Industrial:

Public Authority:

Program Participation:

 NYSEG:          Daily Metered        Non-Daily Metered (DAV balancing)            Non-Daily Metered (CSC balancing)

 RG&E:           Daily Metered (RG&E balancing)    Daily Metered (CSC balancing)      Non-Daily Metered (CSC balancing)

Gas Pipeline’s qualified:

  NYSEG:          Algonquin                Columbia               Dominion                     Iroquois

                 Tennessee                 Orange & Rockland       North Country


  RG&E:           Dominion        Empire          TransCanada

*Maximum Daily Transportation Quantity


Section 6 - Nominations

Will you be handling your own gas nominations              Yes        No

If NO, provide the organization name & Federal ID# who will be handling your gas nominations:

Name:                                                                 Federal ID#




_________________________________________
Print Name

_________________________________________                                  ___________________________
 Signature                                                                 Date




Revised 1/2/07                                                                                             Page 2

								
To top