Lafayette Boynton Apartments - Rental Application Required Information/Documentation

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Lafayette Boynton Apartments - Rental Application Required Information/Documentation Please provide the following information for all persons who will be occupying the apartment and for those who will be responsible for paying the rent as well. 1. A $50.00 money order (per applicant) made payable to Nelson Management Group for a full credit report/background check. 2. A copy of two (2) most recent tax returns. 3. Four (4) most recent pay stubs, pension letter, or social security award letter. If self-employed, verified letter from accountant and copy of schedule C. 4. Rent breakdown from your current Management Office (Last 12 Months). Last twelve (12) months canceled rent checks if you live in a private home. 5. Government Issued ID i.e. Driver s License or DMV ID card. Tenant(s) annual household income must be 40 TIMES THE MONTHLY RENT. Other items such as bank statements and letters verifying employment and salary are also helpful. For any questions regarding the above you can contact Nancy Marzano (718) 997-9500 ext. 105 Lafayette Nelson Apartments, LLC participates in a New York City program preserving workforce housing. Due to this, certain income limits apply based on household size. There are two income tiers at the property. Please see below for the MAXIMUM income allowable for tenant households upon moving in to the property for each income tier. Family Size MAXIMUM Annual Income Family Size EQUAL HOUSING OPPORTUNITY MAXIMUM Annual Income 1 $80,160 1 $100,200 2 91,680 2 114,600 3 103,080 3 128,850 4 114,480 4 143,100 5 123,720 5 154,650 6 132,840 6 166,050 118-35 Queens Boulevard Forest Hills, NY 11375 Phone: (718) 997-9500

Move in Information Property Description Rental Building Deposit One months rent Rent Contract Length Move in Date to be determined Applicant Information First name Last name Social security number Date of Birth Phone Cell Phone License Smoke? Co-Applicant Information First name Last name Social security number Date of Birth Phone Cell Phone License Smoke? Additional Occupants Page 2 of 5

Current Address Address City State Zip Manager Manager Phone Start Date End Date Reason for leaving Past Rental History Address City State Zip Manager Manager Phone Start Date End Date Reason for leaving Employment History Company Manager Manager Phone Employment Length Monthly Pay Co-Applicant Employment History Company Manager Manager Phone Employment Length Monthly Pay Page 3 of 5

Additional Income Income source Amount Verify with? Phone Bank Information Personal References Automobile Information Make Make Model Plate # Model Plate # Page 4 of 5

Additional Information Have you ever been convicted of a crime? Describe and Date each one: Have you ever been evicted or declared bankruptcy? Describe and Date each one: (initials) I agree to the following statement I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction. (initials) I agree to the following statement I understand that the information provided might be used by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information provided. I authorize the Landlord to obtain a current credit and criminal background check. (initials) I agree to the following statement I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord. The undersigned represent that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction. Signature Signature Date Date PETS ARE NOT PERMITTED Storage AND/OR USE OF BBQ S ARE NOT PERMITTED ON TERRACE Page 5 of 5