NEW OCCUPANT STATEMENT INSTRUCTIONS Thank you for choosing Source Power & Gas LLC as your retail eletric provider. Enclosed you will find the New Occupant Statement form. Please be advised that this form along with a Proof of Occupancy document is required to complete your service request for electricity. Acceptable Proof of Occupancy document statements include: (1) Copy of Signed Lease (2) Affidavit of Landlord (3) Closing Documents (4) Certificate of Occupancy (5) Utility bill in customer name dated within the last two months from a different premise. Please fax or email the completed New Occupant Statement form along with your Proof of Occupancy documents to our email address TXCustomercare@spgenergy.com or fax number 1-888-557-1296. If you need any more information or have any questions please contact us 281-690-4300 or toll free at 1-888-557-0065 Regards, Source Power & Gas LLC 2150 Town Square Place, Suite 380 Sugar Land, TX 77479 Phone: 888.557.0065 TXCustomercare@spgenergy.com Source Power & Gas LLC New Occupant Statement New Occupant Statement must be accompanied by at least one of the following documents: (1) Copy of Signed Lease (2) Affidavit of Landlord (3) Closing Documents (4) Certificate of Occupancy (5) Utility bill in customer name dated within the last two months from a different premise. Service Address Information ESI ID Number Street Address City State Zip Code Occupancy Date Contact Information Mailing Street Address City State Zip Code Telephone Number Authorization I affirm that I am a new occupant to the above Service Address and I am not associated with the preceeding occupant. _____________________ Signature Date Name printed Please send completed form to: Email: TXCustomercare@spgenergy.com or Fax number: 1- 888-557-1296 2150 Town Square Place, Suite 380 Sugar Land, TX 77479 Phone: 888.557.0065 TXCustomercare@spgenergy.com