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Below you’ll find the appropriate applications and forms for residential and commercial customers to use to apply for credit. For your convenience, we’ve also included tax forms pertaining to energy purchases.
ALL FORMS MUST BE PRINTED AND FILLED OUT. ALL COMPLETED FORMS MAY BE SCANNED/EMAILED (to tharris@hometowneenergy.com) OR MAILED TO OUR NEWARK OFFICE.
Hometowne Energy is a participant of the Heating Energy Assistance Program. You will need to have a Hometowne Energy account established (cash on delivery or 15-day charge).
For more information regarding H.E.A.P. eligibility, contact your local county Department of Social Services.
TP-385 tax form disclaimer
Commercial Credit Application
Residential Credit Application
Customer Referral Form
Credit Card Authorization Form
Secured Information Page (Existing accounts are not required to enter SS#)
Third Party Notification Form (Residential Customers ONLY)
Third-Party Notification Form
Electronic Funds Transfer Forms
Must call the office to request a form
Tax Forms
Certificate of Purchase on Non-Highway Diesel Fuel FT1004 (Farm Fuel)
Commercial Fuel Exempt Use Tax ST121 (ULSD and GAS)