ATTESTATION OF INCOME-BASED ELIGIBILITY FOR THE MINNESOTA DEPARTMENT OF COMMERCE
COMMUNITY SOLAR GARDEN PROGRAM

INSTRUCTIONS: This Attestation of Income-Based Eligibility is to be completed and signed by a member of the applying household. (The Subscriber Organization may assist in completing the form.) It is a written statement confirming that an applicant’s provided information and  documentation is complete and accurate, and that this qualifies the household to be an income-eligible subscriber.

TENNESSEN WARNING: NOTICE OF COLLECTION OF PRIVATE DATA
The Minnesota Department of Commerce operates a community solar garden program authorized under Minnesota Statute Section 216B.1641. The Department is requesting that you supply data about yourself classified as private under the Minnesota Government Data Practices Act. This form will be collected and retained by your Subscriber Organization or their representative and will only be shared with the Minnesota Department of Commerce or its designee.

The Department requires that this form be completed if you are seeking to become an income-qualified subscriber to a community solar garden overseen by the Department. To be income-qualified, you must demonstrate that your household’s total annual income is at or below 150% of the area median income, which varies by county and household size.

Should you choose to not provide the information requested on this form, you will not be able to qualify as an income-eligible subscriber. Other subscription opportunities may be available; please consult with the Subscriber Organization.

PROOF OF INCOME ELIGIBILITY (select one)
Pathway A
✓ I am submitting proof that at least one permanent member of my household has participated in an approved income-eligible program within the past three years. The name of the program is
 

Pathway B
☐ I am submitting my most recently filed Tax Return-IRS Form 1040, which shows the total income for my household.
OR
☐ I am submitting multiple Tax Return-IRS Form 1040 on behalf of the multiple tax filers living in the household. Together, these forms show the total income for my household.

Pathway C
☐ I am not able to provide a Tax Return-IRS Form 1040 and am therefore providing recent documentation for all income sources of more than $1,000 per year for all adults permanently residing in the household (select all that apply):
☐ W2 (or other paystub/wage statement)
☐ IRS Form 1099
☐ Retirement benefits
☐ Government benefits (including Social Security Income, Social Security Disability Income, and
Unemployment Insurance)


ATTESTATION
I hereby confirm my eligibility as an income-qualified subscriber in a community solar garden overseen by the Minnesota Department of Commerce. I declare that all information provided on this form and in all supporting documentation is complete and accurate.
    • I attest that my household’s annual income is less than my household’s eligibility limit of $ .
    • I understand that the information provided on this form and in any supporting documentation may be subject to verification at any time by the State of Minnesota. If the State determines that I have willfully misrepresented my eligibility and have received improper benefits, I may be subject to removal from the program and other penalties.
    • I acknowledge that I have read and understand the above Tennessen Warning regarding the collection of my private data.
    • I acknowledge that I have received the “Subscriber Information Disclosure Form” that summarizes the key information of my subscription contract. I further confirm that I have had the chance to ask questions of the
    • Subscriber Organization and have received sufficient answers, if applicable.




Full Name:
Street Address:  
City: County: State: Zip Code:
Phone: Email:

Total number of people who live in your household:




 

Applicant Signature

 July 21, 2026
Date


If you have complaints or concerns related to your consumer rights, please contact the Minnesota Department of Commerce Energy Division at 651-539-1886 or CommunitySolar@state.mn.us



SUBSCRIBER INFORMATION DISCLOSURE FORM
Updated January 2026


The purpose of this form is to provide Community Solar Garden Subscribers with a straightforward, uniform, and transparent resource to evaluate potential  transactions under Minnesota’s Low and Moderate-Income Accessible Community Solar Garden program. This document is not your contract. Read this document and your contract carefully so that you fully understand your contract.

Community Solar Subscribers do not directly purchase solar electricity. Instead, participants purchase a subscription in exchange for solar garden bill credits that will be applied to their utility bill. The cost of a Subscriber's community solar garden subscription must not exceed the value of the Subscriber's community solar garden bill credit. For income-eligible households, the cost of the community solar garden subscription must not exceed 90 percent of the Subscriber's community solar garden bill credit and must not include any fees at the time the subscription is executed.

SUBSCRIBER INFORMATION SUBSCRIBER ORGANIZATION INFORMATION
Customer Name:

Company:

SunShare, LLC
Name on Electric Bill (if different):  Street Address:

1724 Gilpin Street
Street Address:

City, State, Zip:

Denver, CO, 80218
City, State, Zip:

,  ,   

 Phone:

800.793.0786
Phone:

Email:

info@mysunshare.com
Email:

Contact Name:

Customer Care

COMMUNITY SOLAR GARDEN SYSTEM INFORMATION Reference Page or Section
Project Name:    Terms of Service, Section 2
Project Location (Utility Territory):  
Project Size (kW AC):  
Estimated Operation Date:  
YOUR SUBSCRIPTION & COST INFORMATION Reference Page or Section
Subscriber Type ✓ Residential Subscriber under 150% area median income

☐ Residential Subscriber

☐ Master-Metered Affordable Housing Subscriber

☐ Public Interest Subscriber: Small General Commercial

☐ Public Interest Subscriber: General Service Commercial

☐ Commercial Subscriber

☐ Backup Subscriber

 Terms of Service, Section 3
Subscription Size (kW AC): ✓  of the Subscriber’s monthly electric usage

Please note that state statute limits your subscription size to 120% of your electricity usage. Please note that the subscription size listed here is an estimate based on the subscription size you are requesting and the electricity use data that you have provided. The actual subscription size may need to be adjusted after your Subscriber Organization confirms your maximum allowable subscription size with your utility. Your actual subscription size may vary from the provided estimate by the greater of 5kW or 25%.		 Solar Services Agreement, Section 3
Subscription Model ✓ Guaranteed Discount off of Bill Credit Rate: 20% Solar Services Agreement, Pages 1 & 2
Prices and Fees ✓ Guaranteed Discount off of Bill Credit Rate: 20%

Expected Year 1 Bill Credit Rate: $ per kWh

Expected Year 1 Community Solar Rate: $ per kWh

Bill Credit Rate: The Bill Credit Rate is the rate you will receive on your Xcel Energy utility bill for each kilowatt hour of electricity the community solar garden generates on your behalf. Typically, the bill credit rate changes every year.

SunShare Community Solar Rate: This is the rate you will pay to SunShare for each kilowatt hour of electricity the community solar garden generates on your behalf. It will be 20% lower than the Bill Credit Rate you receive on your Xcel Energy utility bill for each kilowatt hour of electricity the community solar garden generates on your behalf.

Typically, the Bill Credit rate changes every year, and your community solar rate will be adjusted accordingly. Regardless of the Bill Credit rate, your SunShare bill will be 20% less than the Bill Credits you receive for the given production month!

 Solar Services Agreement, Pages 1 & 2
Payment Details You have a choice in how you would like to be billed for your community solar subscription costs:
☐ Consolidated Billing (one bill): If you would like to receive only one bill, please elect consolidated billing. With Consolidated Billing, you will see both your community solar credits and charges on your existing Xcel Energy bill. With this option, you will also be able to apply any energy assistance or LiHEAP funds that you may be currently receiving on your Xcel Energy account to your subscription costs.

☐ SunShare Billing (two bills): If you decline consolidated billing, you will receive two bills each month; one from Xcel Energy that shows your community solar credits, and a second invoice from SunShare for your community solar charges.

You have elected:
 


If you have elected to be billed by SunShare, you will have the option to receive:

✓ An electronic invoice (sent to your email address above)

✓ A paper invoice (sent to your U.S. mail address above)

or to enroll in Autopay, which will be processed via:

✓ Automatic payment (via ACH)

Monthly Payments. The amount you owe us (“Monthly Subscriber Payment”) is equal to the kWh of Solar Energy produced and delivered from the Solar Garden to Xcel Energy during a production month, multiplied by the price per kWh in effect during the month in which the production occurs. Your Monthly Subscriber Payment Schedule will be calculated based on the applicable Bill Credit rate in effect at the time of each monthly bill.

You will only be charged a Monthly Subscriber Payment for Bill Credits you receive.

 Solar Services Agreement, Pages 1 & 2
Penalties You can cancel with 90 days’ prior written notice with no penalty.

Late Payments; Disputed Invoices. If you pay us late (after the Due Date listed on your invoice), we have the right to charge you interest on the unpaid balance at the rate of two percent (2%) per month, or at any lesser maximum rate permitted by law, until you have fully paid your past due balance. If you dispute all or a portion of an invoice from us, or if any other claim or adjustment arises under this Agreement, you agree to pay the undisputed portion when due and provide us with notice of the amount in dispute.

 Solar Services Agreement, Page 2; Section 5
Benefits ✓ Guaranteed Discount off of Bill Credit Rate: 20%

✓ Estimated first year kWh received: kWh

✓ Estimated first year credit value ($):

✓ Estimated first year savings (in $):

Solar Services Agreement, Pages 1 & 2
Guarantees or Fixed Savings ✓ Guaranteed Discount off of Bill Credit Rate: 20% Solar Services Agreement, Pages 1 & 2
Contract Term ✓ The length of your SunShare agreement is simply the length of the agreement between SunShare and Xcel Energy to deliver solar energy onto the power grid. This is also the length of time for which you are guaranteed to receive Bill Credits from Xcel Energy on your utility bill.

✓ This Agreement is effective upon execution.

✓ The term of this Agreement starts on the The first day of the month that you receive Bill Credits, and continues for 300 calendar months after the commercial operation date of the Solar Garden, unless cancelled prior to the contract end date.

 Solar Services Agreement, Section 2
Contract Renewal ✓ This contract does not have an option for renewal.
Early Termination or Cancellation - Residential ✓ There are no exit fees.  Solar Services Agreement, Section 6
Right to Cancel Without Penalty In addition to any rights you have under State or local law, you have the right to terminate this contract without penalty within three business days of signing the contract, by contacting SunShare at 800.793.0786 or customercare@mysunshare.com. Solar Services Agreement, Section 7
Transferring or moving a subscription You may transfer your subscription to your own or another person’s new Location, within Xcel Energy's Minnesota territory, provided the proposed Location meets our eligibility requirements and such other person consents to this transfer, as determined at our sole discretion. Solar Services Agreement, Section 6
Data Sharing and Privacy Policy Information Disclosures. You agree that we are authorized to provide specific and limited information related to your subscription or your participation in the Solar Garden(s) that may be required by Xcel Energy, the PUC, the Minnesota Department of Commerce, or the Minnesota Office of Attorney General. You agree to complete and execute any forms necessary to effect said authorization. Terms of Service, Section 7
Other Important Terms THIS IS NOT AN INVESTMENT CONTRACT OR SECURITY. WE ARE NOT A COOPERATIVE. YOU ARE NOT AN OWNER OF US OR THE SOLAR GARDEN.

NOTE THAT YOU MAY CANCEL WITHIN THREE BUSINESS DAYS OF SIGNING THIS AGREEMENT.

 Solar Services Agreement, Page 2
Additional Information
A Renewable Energy Certificate (REC) represents the environmental attributes associated with one (1) megawatthour of renewable energy. RECs generated by a community solar facility are transferred to the qualified utility and are not the property of the Subscriber or the Subscriber Organization. While the Subscriber is not able to claim the purchase of renewable energy, participation in the community solar program does support additional development of renewable energy in Minnesota.

The value of the Solar Bill Credit for each Subscriber type is established by the Minnesota Legislature. The value is based on a percentage of the average retail rate of electricity for each individual Subscriber type and thus will be automatically adjusted with any changes in retail rates.


In case of Subscriber complaints
The Minnesota Department of Commerce urges subscribers to contact their Subscriber Organization’s customer representative (named above) with any concerns or complaints about billing or terms of their agreements. If the complaint cannot be resolved, the subscriber should contact the Minnesota Department of Commerce Energy Division at 651-539-1886 or send an email to CommunitySolar@state.mn.us.

After investigation of the complaint, the Department may refer unresolved issues to the Minnesota Office of the Attorney General for further action.
Consolidated Billing
As a subscriber, you may elect to pay your community solar subscription costs as part of your electric utility bill, rather than to pay your  subscription costs as part of a separate bill from your Subscriber Organization.

This combining of two bills into one is known as "consolidated billing." Participating in consolidated billing will not impact your solar bill credits, your  subscription costs, or your net savings from the program. It is a free service offered for your convenience.

You have elected:
 


Certification of Receipt of Disclosure
I, ,  hereby affirm that I have received and understood the above information. I further confirm that I have had the chance to ask questions of the Subscriber Organization and have received sufficient answers, if applicable.

Leave this empty:

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Signature Certificate
Document name: [1] MN Department of Commerce LMI Disclosure Form for v12.3.20.25.169
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November 4, 2025 9:22 am MDT[1] MN Department of Commerce LMI Disclosure Form for v12.3.20.25.169 Uploaded by SunShare, LLC -- Melina Fleming, Authorized Signer - no-reply@mysunshare.com IP 73.34.57.92
February 20, 2026 2:01 pm MDTSubscription Agreements - agreements@mysunshare.com added by SunShare, LLC -- Melina Fleming, Authorized Signer - no-reply@mysunshare.com as a CC'd Recipient Ip: 73.34.57.92
March 16, 2026 3:45 pm MDTSubscription Agreements - agreements@mysunshare.com added by SunShare, LLC -- Melina Fleming, Authorized Signer - no-reply@mysunshare.com as a CC'd Recipient Ip: 73.34.57.92
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