REQUIREMENTS TO LEASE AN APARTMENT AT THE HAYDEN-ON THE HUDSON

CONDOMINIUM 4455/4465 Douglas Avenue, Riverdale, New York

Thank you for your inquiry regarding the LEASE of an apartment at the Hayden on Hudson

Condominium. Below is a list of the documentation and fees which must be submitted in order to initiate

the application process.

One (1) Set:

1. Notice of Intention to LEASE Condominium Unit, (enclosed)

2. Application for Waiver of Right of First Refusal, to be completed by the LESSOR (enclosed).

3. Applicant Information Form, (enclosed).

4. Tenant Data Form (enclosed for credit check) – See fees below

5. Facility/Service Applications (includes information regarding Gym, Building Link, Parking, & Storage

Bins)

6. A copy of the signed Lease Agreement must be “REBNY” (Real Estate Board of New York) form

must be fully signed and executed by all parties (enclosed). The Lease Agreement must include the

following clause: “The Board of Managers has the right to ask for additional information pertaining to

this lease as per Article XI of the Condominium’s By-Laws” (LEASE ONLY)

7. Signed Rider to lease (enclosed) (LEASE ONLY)

8. Assignment of Rent Form (enclosed) (LEASE ONLY)

9. Occupant (Lessee’s) Personal Information Form, (enclosed) (LEASE ONLY)

10. Building Insurance requirements (enclosed).

11. Move-in/Move-out Form and Rules Regarding Moves (enclosed)

12. Window Guard Form, to be completed by LEASEr, (enclosed).

13. Acknowledgement/Receipt of By-Laws and House Rules (enclosed). Copy of same enclosed for

informational purposes.

14. Fire Safety Plan (enclosed) for information purposes.

15. Local Law 1 Lead Forms (enclosed)

16. Lead Based Paint Disclosure Forms (enclosed):

A. The disclosure documents must be completed in their entirety and submitted for review with the

Board Package. The Board Package will not be sent to the Board of Directors for review

unless the Lead Based Paint Disclosure documents are included. NO EXCEPTIONS will be

made. Enclose is a summary of the Lead Based Paint Disclosure information

Please note: No LEASE of a unit may go into effect unless and until:

(A) Please be advised that the Board of Managers has a period of ten (10) days from the day the Board

received the application to exercise their “Right of First Refusal.” The credit report agency takes

approximately five (5) to seven (7) business days to process the credit report. Please take this into

consideration when determining the closing date.

(B) No application will be considered if Unit Owner’s Account is in arrears including all common

charges, assessments and all other charges due and must be paid up to date before the

documents go to the Board for review. There will be no exceptions made.

(C) A waiver of the Right of First Refusal is issued on behalf of the Board of Managers.

(D) All incomplete applications will be returned by regular mail and will cause delay in processing the

application.

Move-ins and move-out are not permitted after 5:00 PM, or weekends, or holidays. In addition move-ins

and move-outs should be scheduled at least one week in advance by calling the building’s superintendent

at (718) 884-1234.

FEES FOR OWNER: ALL CHECKS MUST BE SEPARATE CERTIFIED, ATTORNEY’S

ESCROW CHECKS OR BANK CHECKS OR MONEY ORDERS.

1. Processing Application Fee: Check payable to Stillman Management, Inc., in the amount of

$600.00 with a broker and $650.00 without a broker non-refundable (must be submitted with

Board package).

2. A check in the amount of $500.00 made payable to Hayden on Hudson Condominium must be

submitted with this package. This represents a Move-out Deposits which will be refunded

provided that no damage is done to the common areas of the building and other regulations are

adhered to.

3. A check in the amount of $100.00 made payable to Hayden on the Hudson Condominium, this

represents the Move-out fee. This fee is non-refundable and must also be submitted with this

package.

4. A check in the amount of $75.00 non-refundable made payable to Stillman Management, Inc.,

which represents the Lead Based Paint Disclosure fee. This fee must also be submitted with this

package.

FEES FOR TENANT:

ALL CHECKS MUST BE SEPARATE CERTIFIED, ATTORNEY’S ESCROW CHECKS OR BANK

CHECKS OR MONEY ORDERS.

1. A check in the amount of $500.00 made payable to Hayden on the Hudson Condominium must

be submitted with this package. This represents a Move-in Deposit which will be refunded

provided that no damage is done to the common areas of the building and other regulations are

adhered to.

2. A check in the amount of $100.00 made payable to Hayden on the Hudson Condominium, this

represents the Move-in fee. This fee is non-refundable and must also be submitted with this

package.

3. A check in the amount of $100.00 per applicant made payable to Stillman Management, Inc.

which represents the credit report fee for Tenant Data. This fee must be submitted with package

(non-refundable).

Send the completed package and appropriate copies to the attention of:

HAYDEN ON THE HUDSON CONDOMINIUM NOTICE OF INTENTION TO LEASE

CONDOMINIUM UNIT

The undersigned, being the owner of Apartment No: ___________at______________________,

Riverdale, New York hereby notified the Board of Managers in care of Stillman Management, Inc.,

Managing Agent, that the undersigned has received a bona fide offer to LEASE said apartment

unit from the below name prospective LEASEr or lessee on the terms stated below, and that the

undersigned intends to accept such offer.

TERMS OF PROPOSED LEASE: Attached is a true copy of the contract of LEASE or lease setting

forth all of the terms of agreement between the parties.

MONTHLY RENT: $_____________ LEASE TERM: _________________________________

(if lease)

ANTICIPATED OCCUPANCY DATE OF LEASER: __________________

ATTACHMENTS:

1 Original contract of LEASE setting forth all of the terms of the agreements between the

parties.

2 Standard application form for LEASE must be completely filled in and signed by the

prospective LEASEr.

3 A check should accompany these papers representing the processing fee as indicated on the

requirements sheets of this package.

The undersigned represents that the LEASE described above shall be made strictly in

accordance with the provisions of the By-Laws of the Condominium and agrees to promptly

deliver to the Board of Managers all such further information with respect to the offer as the

Board may reasonably request.

The undersigned acknowledges that the Board has a 10-day period commencing with the date of

receipt of this notice as well as the delivery of such additional information concerning the offer as

the boar may reasonably request, to exercise its right of first refusal to LEASE the apartment unit on

the terms specified herein and in the By-Laws. The undersigned hereby request that, if the Board

elects to waive or release such right of first refusal, it deliver to the undersigned a certificate to that

effect, pursuant to the provisions of the By-Laws.

Name of Owner(s): _____________________________________________________________

Signature of Owner(s): __________________________________________________________

Date: _______________________________

HAYDEN ON THE HUDSON CONDOMINIUM 4455/4465 DOUGLAS AVENUE, RIVERDALE,

NEW YORK APPLICATION FOR WAIVER OF RIGHT OF FIRST REFUSAL ON PROPOSED

CONDOMINIUM LEASE

(All Questions Must be Answered)

Riverdale, N.Y. 201___

CONDOMINIUM UNIT NO: __________

NAME OF

OWNER(S):_________________________________________________________________

ADDRESS OF OWNER(S):______________________________________________________

TELEPHONE NO: __________________________

LESSOR(S):______________________________

_______________________________

SOCIAL SECURITY # _______________ SOCIAL SECURITY # ___________________

LESSOR’S ADDRESS: ____________________________

______________________________

TELEPHONE NO: ____________________

LESSOR’S/LESSEE’S BUSINESS ADDRESS:

_____________________________________________________________________________________

LESSOR’S/LESSEE’S OCCUPATION: ________________________________________

TELEPHONE NO: ___________________ (In the case of an individual; in the case of a Corporation, a

detailed summary of the exact nature of the business)

MONTHLY RENT: $ ____________ LEASE TERM: _________________________________

(If lease) SPECIAL CONDITIONS:

______________________________________________________________________________

NAMES OF ALL PERSONS WHO WILL RESIDE IN THE APARTMENT IF CHILDREN, STATE

NUMBER AND THEIR APPROXIMATE AGES:

______________________________________________________________________________

______________________________________________________________________________

DOES OCCUPANT WISH TO MAINTAIN ANY PETS? IF SO, PLEASE SPECIFY:

______________________________________________________________________________

______________________________________________________________________________

Page 2.

Hayden on the Hudson Condominium Application

IF PRESENT RESIDENCE IS RENTED OR IS A COOPERATIVE OR CONDOMINIUM,

STATE NAME, ADDRESS, AND TELEPHONE NUMBER OF CURRENT LANDLORD OR

AGENT:

______________________________________________________________________________

______________________________________________________________________________

LENGTH OF OCCUPANCY: ____________________________________________________________

IF PRIOR RESIDENCE WAS RENTED OR WAS A COOPERATIVE OR CONDOMINIUM, STATE

NAME, ADDRESS, AND TELEPHONE NUMBER OF PREVIOUS LANDLORD OR AGENT:

TELEPHONE NO: __________________________ LENGTH OF OCCUPANCY: _________________

Page 3: Hayden on the Hudson Application

REFERENCES Please list all banking references at which Applicant(s) maintain an account, indicating Applicant�s account number if applicable: BANK: _____________________________________________________________________________ ACCOUNT NUMBER: _____________________________ BANK: ______________________________________________________________________________ ACCOUNT NUMBER: _____________________________ CITIZENSHIP OF APPLICANT(S) OR PROPOSED OCCUPANT: _____________________________ NAME OF ADDRESS OF PERSON WHO IS AUTHORIZED TO ACCEPT SERVICE OF PROCESS IN ABSENCE OF APPLICANT: __________________________________________________________________________________________________________________________________________________________________________ ___________________________ ________________________________ Signature of Condominium Owner Name of Purchaser/Lessee Or Authorized Agent ________________________________ Signature of Purchaser/Lessee ___________________________ ________________________________ Signature of Condominium Owner Name of Purchaser/Lessee Or Authorized Agent ________________________________ Signature of Purchaser/Lessee FIRM NAME OF BROKER: _____________________________________________________________ NAME OF INDIVIDUAL BROKER: ______________________________________________________

CONFIDENTIAL INFORMATION SHEET

Stillman Management, Inc. 440 Mamaroneck Avenue S-512

Harrison, New York 10528 Telephone 914-813-1900 • Fax 914-813-1960

Forwarding Address and Contact Information of Current Owner(s):

Address:

Telephone #: home:

Name: work: cell:

Name: work: cell:

e-mail address:

All the above information is complete and accurate.

Current Owner Signature Date

Current Owner Signature Date

Please fill out and return it to Sales and Leasing Department, Stillman Management, Inc. at the above address or by fax at 914-813-1960

APPLICANT/LESSEE INFORMATION FORM

Applicant�s Name: _____________________________________________________________________ Daytime Telephone: ____________________________________________________________________ Co-Applicant�s Name: __________________________________________________________________ Daytime Telephone: ____________________________________________________________________ Name all additional occupants of the apartment. If children please state their ages: __________________________________________________________________________________________________________________________________________________________________________ Names of all residents in the building known by applicant: __________________________________________________________________________________________________________________________________________________________________________ Does applicant wish to maintain any pets, if so, please specify: _____________________________________________________________________________________

APPLICANT�S VEHICLE(S): Vehicle #1: ______________________________ Make: __________________________________ Model: _________________________________ License Place #: __________________________ Vehicle #1: ______________________________ Make: __________________________________ Model: _________________________________ License Place #: __________________________

HAYDEN ON THE HUDSON CONDOMINIUM 4455-65 DOUGLAS AVENUE, RIVERDALE, NY 10471

Dear Hayden Gym Users and Future Gym Users, The attached Gym Application form has three (3) pages. Please note that the Agreement is not complete unless signed and dated on all three pages by each Fitness Gym User. If you need additional copies of the Agreement, please ask at the front desk. Hayden residents can enjoy the gym for a flat rate of $30.00 per month per apartment, billed monthly to the apartment owner only. (Please note that the Board has ruled that all resident renters who join the gym will have their gym charges billed directly to their respective homeowner. Therefore, it is up to the homeowner to make arrangements to collect the fee from the resident renter, if that is what the homeowner chooses to do.) If a key fob is lost you must notify the property manager for a replacement. A key fob replacement fee of $50.00 will be charged to the respective homeowner’s apartment. We thank you for your cooperation. Enjoy your workout! Sincerely, The Board of Managers Hayden on the Hudson Condominium Enclosure: Acknowledgement of Assumption of Risk Release and Indemnity Agreement

HAYDEN ON THE HUDSON CONDOMINIUM 4455-65 DOUGLAS AVENUE, RIVERDALE, NY 10471

ACKNOWLEDGEMENT OF ASSUMPTION OF RISK RELEASE AND INDEMNITY AGREEMENT: I, the undersigned, #1___________________________________#2_______________________________#3________________________________ (Print name(s) clearly) Request the use of the Hayden on the Hudson Condominium Fitness Facility (the “Fitness Facility) for my recreation and for the improvement of my own fitness and athletic skills, at my own risk and for my sole benefit. I recognize that severe injuries can occur with respect to the use of the Fitness Facility and the activities conducted therein, and I realize that those severe injuries can include, but are not limited to, muscle sprains and strains, back injuries, heart attacks and strokes, permanent paralysis and even death. I realize that it is in my best interest to consult my doctor before engaging in any physical training. I assume any and all risks of injury or death which may occur in the Fitness Facility as a result of using the equipment located therein (the “Equipment”), or otherwise, or coincident thereto whether or not I am actually engaged in using the equipment or participating in physical training at the time of injury. I am under no obligation to Hayden on the Hudson Condominium to use the Fitness Facility. I am using the Fitness Facility at my own risk and for my sole benefit. I further acknowledge that I will observe all the policies, rules and regulations with regard to the use of the Fitness Facility and always use the Equipment in a safe and proper manner. I understand that the Board of Managers of Hayden on the Hudson Condominium may change or add to the rules and regulations of the Fitness Facility at their sole discretion. In consideration of allowing me and members of my family to use the Fitness Facility, I hereby and forever release and indemnify Hayden on the Hudson Condominium and its Officers, Managers, Employees, Owners, Managing Agents and Agents, from all liability for any and all damages and injuries suffered by me and my family members in connection with the use of the Fitness Facility or any violation of its rules and regulations. I understand that I am required to read and abide by the instructional fitness instructions posted on the Equipment prior to my using the Equipment. I will always visually inspect any Equipment before using and immediately report any faulty or worn parts to the management team. I will promptly notify Management in writing of any accidents or injuries which occurred in the Fitness Facility. I have been advised to always wear loose fitting clothes and rubber-soled gym shoes when exercising. I have been advised never to attempt to free jammed or suspended weights by myself as weights may fall unexpectedly and cause Injury. I understand that this Fitness Facility has a “no guest” policy and I will strictly adhere to this policy. I understand that usage is for members 18 years and older; however, members between the ages of 14 and 17 will only be permitted to use the facility during specifically posted hours when accompanied and supervised by an adult member over 18 years old. I understand that children under the age of 14 are not permitted in the workout room under any circumstances. I understand that violations of this policy may result in membership being revoked with no return of usage fee. FITNESS FACILITY MEMBERSHIP AGREEMENT I represent that I am 18 years of age or older. I understand I should always consult with a physician before starting any exercise program. I represent myself as being I good physical condition and have no disability, impairment, or ailment preventing participation in a fitness program or physical activity, nor have I been advised by any physician or health care provider to either refrain from exercising or to limit it in any way. I understand that the Fitness Facility is not supervised. Page 1

HAYDEN ON THE HUDSON CONDOMINIUM 4455-65 DOUGLAS AVENUE, RIVERDALE, NY 10471

POLICIES, RULES AND REGULATIONS

1. DRESS CODE: Presentable and modest dress is required. Shirts must be worn at all times in the workout room. Rubber-soled sneakers must be worn at all times; no leather soled or backless footwear allowed.

2. TOWEL: Bring a towel with you. Always wipe off the Equipment after use.

3. NO SMOKING OR EATING: There is no smoking, gum chewing, and no food or drink except water allowed in the Fitness Facility.

4. AGE RESTRICTIONS: Children between the ages of 14 and 17 must be supervised by an adult member at all times when in the Fitness Facility. No children under the age of 14 are allowed in the Fitness Facility at any time.

5. HOURS: The Fitness Facility is open from 5:00 AM until midnight every day. These hours are subject to change at the discretion of the Board of Managers and the Fitness Facility may be closed by the Board of Managers for maintenance or other reasons.

6. FEES: The fee is $30.00 per calendar month or any part of the month per apartment, which may be increased by the Board of Managers, from time to time. The fee will be invoiced to the owner of the apartment (if you are a renter you are responsible to the apartment owner for this fee). This fee includes all residents of that apartment over the age of 18, plus children between the ages of 14 and 17 as outlined above under “Age Restrictions.” This fee includes one key fob

to the fitness room. Members are required to begin paying their annual fee upon the commencement of their membership. This fee is non-refundable and non-transferable.

7. KEY FOBS: One key fob is issued with each paid membership. This key fob must be returned at the end of your membership or a $50.00 fee will be charged to you. One additional key fob per apartment may be requested for a refundable deposit of $50.00. Please indicate below if you desire a second key fob to the room.

8. LOSS: Hayden on the Hudson Condominium is NOT responsible for the loss of a member’s personal property.

9. DAMAGE/THEFT: Members shall be responsible for and reimburse the condominium for any and all damages to the Fitness Facility; removal, of or damage to the Equipment; and theft of any Equipment caused by the member of their immediate family.

10. GUEST POLICY: The Fitness Facility is for the use of authorized members only. There are no guests allowed at any time. However, in the interests of a safe and healthful workout, approved personal trainers will be allowed on premises. Personal trainers MUST submit the necessary papers (including registration forms and certificates of insurance) to the Property Manager before they are permitted in the Fitness Facility. Please confirm with the management team that your personal trainer has been approved by them before allowing the trainer into the work room.

11. PETS: No pets allowed in the Fitness Facility at any time.

12. TIME LIMITS: If other members are waiting for a piece of Equipment, please limit yourself to: 30 minutes for cardio machines (treadmills, bicycles cross-trainer), 10 minutes at each strength station.

13. EQUIPMENT: Always turn off machines when you are finished with them. Machines cannot be reserved. You cannot pre-sign-up for them. However, you can put your name on a waiting list for the cardio equipment while you are in the workout room. Strength equipment should be left in a ready position for the next user. All Equipment should be wiped off with a disinfectant wipe, which are available in the gym, when you are finished at the station.

Page 2

HAYDEN ON THE HUDSON CONDOMINIUM 4455-65 DOUGLAS AVENUE, RIVERDALE, NY 10471

14. ENTIRE THREE-PAGE AGREEMENT: This three-page contract constitutes the entire and exclusive agreement between the parties. Any promises, representations, understanding and/or agreement pertaining directly to the agreement that is not contained herein, is hereby waved. I have read this agreement, understand it, and I agree to all the terms in their entirety.

I agree to be subject to the policies, rules and regulations as stated herein. The Board of Managers reserves the right to add,

alter, amend, or delete these rules at any time. If, in the opinion of the Board of Managers, and at its sole discretion, a member

violates any of the regulations and conditions of membership, or acts in any way that, in the opinion of the Board of Managers, is

detrimental to the Fitness Facility or to other members, that member’s right to use the facilities may be terminated and no part of

his/her membership will be refunded.

Each adult (over the age of 18) in the apartment who will be using the workout room must sign below:

#1___________________________________________________________________________ PRINT RESIDENT’S NAME APT RESIDENT’S SIGNATURE DATE

#2___________________________________________________________________________ PRINT RESIDENT’S NAME APT RESIDENT’S SIGNATURE DATE

#3___________________________________________________________________________ PRINT RESIDENT’S NAME APT RESIDENT’S SIGNATURE DATE

Please list each family member between the ages of 14 and 17 who will be using the Fitness Facility under an adult member’s supervision, along with their date of birth (including year). . ____________________________________________________________________________________________ PRINT MINOR’S NAME DAY/MONTH/YEAR OF BIRTH

._____________________________________________________________________________________________

PRINT MINOR’S NAME DAY/MONTH/YEAR OF BIRTH

._____________________________________________________________________________________________

PRINT MINOR’S NAME DAY/MONTH/YEAR OF BIRTH

ADDITIONAL KEY FOB: Sign below if you wish an additional key fob to be issued to you. You will be charged an additional one-time fee of $50.00. ._____________________________________________________________________________________________ SIGNATURE FOR ADDITIONAL KEY FOB FOR FITNESS FACILITY

Please return both to the Property Manager, Stillman Management Inc., via the doorman.

Please allow 4-5 days to process your application

Thank you and enjoy the Fitness Facility room.

Property Manager: Stillman Management Inc. Ms. Julie Pineda 718-884-6469 jpineda@stillmanmanagement.com Page 3 Revised 8/22/2012

TO: All Residents RE: Building Link We note that we are missing information for your unit within the Building Link system. Hayden on the Hudson Condominium utilizes Building Link to connect residents with management and the staff. Please provide the below information so that you enjoy the full benefits of Building Link. By having up-to-date and current information for your unit you can receive instant notifications of building events, deliveries and submit work orders for repairs to your home. Your information will only be used for Building Link communications and will not shared with anyone. FIRST AND LAST NAME________________________________________________ UNIT #______________ PHONE NUMBER_________________________________ EMAIL ADDRESS_________________________________ PLEASE RETURN THIS FORM TO THE DOORMAN Sincerely, Julie Pineda Julie Pineda On-Site Property Manager Stillman Management Inc. at Hayden on the Hudson Condominium jpineda@stillmanmanagement.com

RIDER TO LEASE BY AND BETWEEN

_______________________________________

AND

_________________________________________

Unit No. , Premises: 4455/4465 Douglas Avenue, Riverdale, NY 10471

Term of Lease: From to ____________________

1. This Lease shall be subject to the terms, conditions and covenants of the Declaration and By-Laws of the Hayden On The Hudson Condominium (the "Condominium"), and the rules and regulations promulgated in accordance therewith.

2. This Lease is subject to the right of first refusal held by the Board of Managers of the Condominium (the "Condominium Board"). Tenant agrees to furnish an application package including such information as is reasonably required in order to obtain a waiver of the Condominium Board's right of first refusal. Landlord shall promptly apply to the Condominium Board for said waiver of its right of first refusal.

3. As part of the application package referred to in Paragraph 2 of this Rider, the Condominium Board may request financial information concerning both the Landlord and the Tenant. In the event that the Condominium Board, in its sole discretion, determines that the financial

resources of Tenant and/or Landlord represent a risk that the common charges may not be paid in a timely manner during the term of the Lease, the Condominium Board may require the Landlord and/or Tenant to provide security for the payment of such common charges. Such security may be in the form of a security deposit or other method and in such amounts as may be determined by the Condominium Board from time to time.

4. Once the Condominium Board issues a waiver of right of first refusal and approves the Lease, the Lease may not subsequently be changed, modified, amended or extended without the prior written consent of the Condominium Board. Tenant shall not assign this Lease nor sublet the demised premises or any part thereof without the prior written consent of the Condominium Board. If Tenant and Landlord agree to renew this Lease for an additional term, such renewed Lease shall be subject to the Condominium Board's right of first refusal, the waiver of which must be obtained prior to the date of commencement of such additional term.

5. Landlord and Tenant agree that no other persons, aside from the persons named on this Lease as Tenant, and their minor children, may reside in the demised premises.

6. The Condominium Board shall have the right, but shall not be obligated, to terminate this Lease and/or to bring summary proceedings to evict Tenant in the name of Landlord hereunder, in the event of either (i) a default by Tenant in the performance of his obligations under this Lease or (ii) a foreclosure of the lien granted the Condominium Board by Section 339-z of the Real Property Law of the State of New York. In the event that the Condominium Board terminates this Lease,

Rider to Lease Page 2

written notice of said termination shall be given not less than five (5) days prior to the date fixed in such notice as the date of termination, and upon the termination date, this Lease shall terminate as if it were the date fixed as the end of this Lease.

7. Tenant agrees to abide by the standards of conduct and such rules and regulations as are contained in the Declaration of the Condominium, the By-Laws and the House Rules in effect as of the date hereof and as may be amended from time to time. Breach of any of the terms and conditions within the Declaration of Condominium, By-Laws or House Rules shall be a default under this Lease. Tenant hereby acknowledges receipt of a copy of the Declaration of Condominium, By-Laws and House Rules.

8. In the event there is any conflict between either (i) the terms, covenants and conditions of the Declaration of Condominium, By-Laws or House Rules, (ii) the terms of this Rider or (ii) the terms of this Lease (including any riders thereto, other than this rider), then the terms of the Declaration of Condominium, By-Laws and House Rules shall prevail over the terms of this Rider which shall itself prevail over the terms of the printed form of Lease.

9. Upon execution of this Lease, Landlord shall provide the Condominium Board with (i) the name of an individual authorized to receive service of process on behalf of Landlord, (ii) an address where said individual may be served within the City of New York, and (iii) an address and telephone number where Landlord may be contacted during the term of this Lease.

10. Landlord and Tenant hereby agree that each shall be jointly and severally liable for all fees and expenses due to the Condominium and/or incurred by the Condominium as a result of:

(i) reviewing each application for waiver of right of first refusal, including those required for any extension, amendment or other modification of this Lease.

(ii) remedying a breach of the Declaration of Condominium, By-Laws, House Rules or this Lease; or

(iii) remedying any damage to any of the common elements (as defined in the Declaration of Condominium), caused by Landlord, Tenant or their respective employees, agents or invitees.

11. This Lease may not take effect, and the Managing Agent of the Condominium will not submit it to the Condominium Board for consideration or issue a move-in authorization, if Landlord owes any common or other charges to the Condominium, or is in default of its obligations under the By-Laws, Declaration of Condominium or House Rules.

12. If Landlord is in arrears in payment of common or other charges due to the

Condominium or is in default of its obligations under the By-Laws, Declaration or Condominium or House Rules, the Condominium Board may, at its discretion, demand that Landlord prepay common charges attributable to the Unit for the entire Lease term. Landlord and Tenant agree that, if such a demand is made, this Lease will not take effect and no move-in will occur until this amount is paid.

Rider to Lease Page 3

13. In the event Landlord fails to pay any amounts due to the Condominium, so long as

such default shall continue, the Condominium may demand and receive from Tenant that portion of the rent due hereunder that equals all common charges, late fees, interest, legal fees, and other assessments owed to the Condominium. Tenant shall pay Landlord, separately, the balance of the rent due hereunder, if any. All rents demanded and received by the Condominium shall be demanded and received by the Condominium as Landlord's agent, without liability or obligation on the part of the Condominium to perform any acts or to satisfy any obligations of Landlord. Payment to the Condominium shall not create a landlord-tenant relationship between the Condominium and Tenant. All payments made by Tenant to the Condominium shall constitute a discharge of Tenant's obligation to Landlord to the extent of the amount so paid.

14. This Lease does not confer rights to the use of any space in the building other than the Unit, including without limitation storage bins, parking spaces and/or bicycle rooms.

15. No industry, business, trade, occupation, profession or other non-residential use of any kind, commercial, religious, educational, or otherwise, designed for profit, altruism, or otherwise, shall be conducted, maintained, or permitted on any part of the property, nor shall the Unit be used or rented for transient, hotel, or bed and breakfast purposes.

16. The Condominium Board, or its agent, is empowered to take any necessary or

appropriate actions to enforce the provisions of this Lease. Failure to take enforcement action shall not be deemed a waiver of the Condominium Board's rights or remedies.

Landlord:______________________________ Landlord:______________________________

Tenant: ______________________________ Tenant: ______________________________

APPROVED: THE BOARD OF MANAGERS OF HAYDEN ON THE HUDSON CONDOMINIUM AS THE AGENT FOR THE UNIT OWNERS

By: _________________________________

Name and Address of Individual Authorized To Receive Service of Process: ______________________________

______________________________

______________________________

UNIT OWNER / OCCUPANT’S PERSONAL INFORMATION

THE HAYDEN ON THE HUDSON CONDOMINIUM 4455/4465 DOUGLAS AVENUE

RIVERDALE, NY

Re: Unit No: ________ Names of Occupants: ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ Telephone of Occupants: Home: ____________________________________________________ Business: ____________________________________________________ Name of Non-occupants who require access: ____________________________________________________

____________________________________________________

____________________________________________________ Name of Unit Owner(s): ____________________________________________________ ____________________________________________________ Unit Owner�s Forwarding Address: ____________________________________________________ ____________________________________________________ Unit Owner�s Business Address: ____________________________________________________ ____________________________________________________ Unit Owner�s Daytime Telephone No: ____________________________________________________ Unit Owner�s Evening Telephone No: ____________________________________________________ Are Keys Available: Yes No Date of Occupancy: ____________________________________________________ Date of Last Change: ____________________________________________________ Person to Contact in Emergency: ____________________________________________________ ____________________________________________________ ____________________________________________________ Telephone: Home: ____________________________________________________

Business: ____________________________________________________

INSURANCE REQUIREMENTS

Information regarding Certificate of Insurance

LIABILITY/AUTOMOTIVE/UMBRELLA INSURANCE CERTIFICATES SHOULD BE

WRITTEN AS FOLLOWS:

Insured Holder Additional Insured:

Hayden on the Hudson Condominium 1) Hayden on the Hudson Condominium

c/o Stillman Management, Inc. Location: 4455-65, 4421-39 & 4471-87

440 Mamaroneck Ave Suite S-512 Douglas Avenue, Riverdale, 10471

Harrison, NY 10528 2) Stillman Management, Inc.

3) The Resident Owner and Unit Number

WORKER’S COMPENSATION CERTIFICATES SHOULD BE WRITTEN AS FOLLOWS:

Certificate Holder: Hayden on the Hudson Condominium

C/o Stillman Management, Inc.

440 Mamaroneck Avenue Suite S-512

Harrison, NY

Resident Owner Information

An original Certificate of Insurance must be presented prior to any work in the Building. Insurance Certificates form all contractors and subcontractors naming Hayden on the Hudson

Condominium and Stillman Management, Inc. as “additional insured” in minimum amounts of

$1,000,000 bodily injury and $1,000,000 property damage. You will undertake to indemnify the

Condominium its unit owners and occupants of all apartments, against any damage to persons or property

suffered as a result of your work, whether or not caused by negligence, and to indemnify and hold

harmless the Condominium, its managing agent, and all residents in the building, against any claims for

damage to persons or property resulting from the work begin undertaken, regardless of negligence.

HAYDEN ON THE HUDSON CONDOMINIUM MOVE-IN/MOVE-OUT FORM

Name: _______________________________________________________

Unit #: ______________

Move-in or Move-out? _________________________________

Date and time of move: __________________________________

Name of mover: __________________________________

I agree to abide by the attached rules regarding move-ins and move-outs at Hayden on the Hudson Condominium. ___________________________ _________________ Signature (Owner) Date ___________________________ __________________ Signature (Lessor) Date

-------------------------------------------------------------------------------------------- Received by: ________________________ Date: ________________________ Checks received: $500.00 deposit $100.00 Move-in/Move-out fee Approved: ___________________________________ Signature

Please submit to: STILLMAN MANAGEMENT, INC. 440 MAMARONECK AVENUE SUITE S-512

HARRISON, NY 10528 P: 914-813-1900 F: 914-813-1919

DATE PREPARED: IN THE EVENT OF A FIRE, Call 911 OR The Fire Department Dispatcher, in

Or transmit an Alarm from the nearest FIRE ALARM BOX

#

FIRE SAFETY PLAN PART I - BUILDING INFORMATION SECTION

BUILDING ADDRESS: BUILDING OWNER/REPRESENTATIVE: Name: Douglas Elliman Property Management Address: 675 Third Avenue, New York, NY 10017 Telephone: (212) 370-9200 BUILDING INFORMATION: Year of Construction: Type of Construction: Number of Floors: Above Ground Below Ground Sprinkler System: Sprinkler System Coverage: Fire Alarm: Location of Manual Pull Stations: Public Address System: Location of Speakers:

Means of Egress: (e.g., Unenclosed/Enclosed Interior Stairs, Exterior Stairs, Fire Tower Stairs, Fire Escapes, Exits):

Type of Egress Identification Location Leads To:

Other Information:

FIRE SAFETY PLAN PART II - FIRE EMERGENCY INFORMATION

BUILDING ADDRESS:

THIS FIRE SAFETY PLAN IS INTENDED TO HELP YOU AND THE MEMBERS OF YOUR HOUSEHOLD PROTECT YOURSELVES IN THE EVENT OF FIRE. FIRESAFETY PLAN CONTAINS:

Basic fire prevention and fire preparedness measures that will reduce the risk of fire and maximize your safety in the event of a fire.

Basic information about your building, including the type of construction, the different ways of exiting the building, and the types of fire safety systems it may have.

Emergency fire safety and evacuation instructions in the event of fire in your building.

PLEASE TAKE THE TIME TO READ THIS FIRE SAFETY PLAND AND TO DISCUSS IT WITH THE MEMBERS OF YOUR HOUSEHOLD. FIRE PREVENTION, PREPAREDNESS, AND AWARENESS CAN SAVE YOUR LIFE!

IN THE EVENT OF A FIRE

CALL 911

OR THE FIRE DEPARTMENT DISPATCHER, AT

Manhattan (212) 999-2222 Bronx (212) 999-3333 Brooklyn (718) 999-4444 Queens (718) 999-5555 Staten Island (718) 999-6666

OR TRANSMIT AN ALARM FROM THE NEAREST FIRE ALARM BOX

4455 DOUGLAS AVENUE, BRONX, NY 10471

BASIC FIRE PREVENTION AND FIRE PREPAREDNESS MEASURES

These are fire safety tips that everybody should follow:

1. Every apartment should be equipped with at least one smoke detector. Check them periodically to make sure they work. Most smoke detectors can be tested by pressing the test button. Replace the batteries in the spring and fall when you move your clocks forward or back an hour, and whenever a smoke detector chirps to signal that its battery is low. The smoke detector should be replaced on a regular basis in accordance with the manufacturer’s recommendation, but at least once every ten years.

2. Carelessly handled or discarded cigarettes are the leading cause of fire deaths. Never smoke in bed or when you are drowsy, and be especially careful when smoking on a sofa. Be sure that you completely extinguish every cigarette in an ashtray that is deep and won’t tip over. Never leave a lit or smoldering cigarette on furniture.

3. Matches and lighters can be deadly in the hands of children. Store them out of reach of children and teach them about the danger of fire.

4. Do not leave cooking unattended. Keep stovetops clean and free of items that can catch on fire. Before you go to bed, check your kitchen to ensure that your oven is off and any coffeepot or teapot is unplugged.

5. Never overload electrical outlets. Replace any electrical cord that is cracked or frayed. Never run extension cords under rugs. Use only power strips with circuit breakers.

6. Keep all doorways and windows leading to fire escapes free of obstructions, and report to the owner any obstructions or accumulations of rubbish in the hallways, stairwells, fire escapes or other means of egress.

7. Install window gates only if it is absolutely necessary for security reasons. Install only approved window gates. Do not install window gates with key locks. A delay in finding or using the key could cost lives. Maintain the window gate’s opening device so it operates smoothly. Familiarize yourself and the members of your household with the operation of the window gate.

8. Familiarize yourself and members of your household with the location of all stairwells, fire escapes and other means of egress.

9. With the members of your household, prepare an emergency escape route to use in the event of a fire in the building. Choose a meeting place a safe distance from your building where you should all meet in case you get separated during a fire.

10. Exercise care in the use and placement of fresh cut decorative greens, such as Christmas trees and holiday wreaths. If possible, keep them planted or in water. Do not place them in public hallways or where the might block egress from your apartment if they catch on fire. Keep them away from any flame, including fireplaces. Do not keep for extended period of time; as they dry, decorative greens become easily combustible.

BUILDING INFORMATION

Building Construction

In a fire emergency, the decision to leave or to stay in your apartment will depend in part on the type of building you are in.

Residential buildings built before 1968 are generally classified either as “fireproof” or “non-fireproof.” Residential buildings built in or after 1968 are generally classified either as “combustible” or “non-combustible.” The type of building construction generally depends on the size and height of the building.

A “non-combustible” or fireproof building is a building whose structural components (the supporting elements of the building, such as steel or reinforced concrete beams and floors) are constructed of materials that do not burn or are resistant to the spread of the fire. In such buildings, fires are more likely to be contained in the apartment or in space in which they start and less likely to spread inside the building walls to other apartments and floors. THIS DOES NOT MEAN THAT THE BUILDING IS IMMUNE TO FIRE. While the structural components of the building may not catch fire, all of the contents of the building (including furniture, carpeting, wood floors, decorations and personal belongings) may catch on fire and generate flame, heat and large amounts of smoke, which can travel throughout the building, especially if apartment or stairwell doors are left open.

A “combustible” or “non-fireproof” building has structural components (such as wood) that will burn if exposed to fire and can contribute to the spread of fire. In such buildings, the fire can spread inside the building walls to other apartments and floors, in addition to the flame, heat and smoke that can be generated by the burning of the contents of the building.

Be sure to check Part I (Building Information Section) of this fire safety plan to see what type of building you are in.

Means of Egress

All residential buildings have at least one means of egress (way of exiting the building), and most have at least two. There are several different types of egress:

Interior Stairs: All buildings have stairs leading to the street level. These stairs may be enclosed or unenclosed. Unenclosed stairwells (stairs that are not separated from the hallways by walls and doors) do not prevent the spread of flame, heat and smoke. Since flame, heat and smoke generally rise, unenclosed stairwells may not ensure safe egress in the event of a fire on a lower floor. Enclosed stairs are more likely to permit safe egress from the building, if the doors are kept closed. It is important to get familiar with the means of egress available in your building.

Exterior Stairs: Some buildings provide access to the apartment by means of stairs and corridors that are outdoors. The fact that they are outdoors and do not trap heat and smoke enhances their safety in the event of a fire, provided that they are not obstructed.

Fire Tower Stairs: These are generally enclosed stairwells in a “tower” separated from the building by airshafts open to the outside. The open airshafts allow heat and smoke to escape from the building.

Fire Escapes: Many older buildings are equipped with a fire escape on the outside of the building, which is accessed through a window or balcony. Fire escapes are considered a “secondary” or

alternative means of egress, and are to be used if the primary means of egress (stairwells) cannot be safely used to exit the building because they are obstructed by flame, heat or smoke.

Exits: Most buildings have more than on exit. In addition to the main entrance to the building, there may be separate side exits, rear exits, basement exits, roof exits and exits to the street from stairwells. Some of these exits may have alarms. Not all of these exits may lead to the street. Roof exits may or may not allow access to adjoining buildings.

Be sure to review Part I (Building Information Section) of this fire safety plan and familiarize yourself with the different means of egress from your building.

Fire Sprinkler Systems

A fire sprinkler system is a system of pipes and sprinkler heads that when triggered by the heat of a fire automatically discharges water that extinguishes the fire. The sprinkler system will continue to discharge water until it is turned off. When a sprinkler system activates, an alarm is sounded.

Be sure to review Part I (Building Information Section) of this fire safety plan to learn whether your building is equipped with fire sprinkler systems.

Interior Fire Alarm Systems

Although generally not required, some residential buildings are equipped with interior fire alarm systems that are designed to warn building occupants of a fire in the building. Interior fire alarm systems generally consist of a panel located in a lobby or basement, with manual pull stations located near the main entrance and by each stairwell door. Interior fire alarm systems are usually manually activated (must be pulled by hand) and do not automatically transmit a signal to the Fire Department dispatcher. Do not assume that the Fire Department has been notified because you hear a fire alarm or smoke detector sounding in the building.

Be sure to review part I (Building Information Section) of this safety plan to learn whether your building is equipped with an interior fire alarm system and whether the alarm is transmitted to the Fire Department, and familiarize yourself with the location of the manual pull stations and how to activate them in the event of a fire.

Public Address Systems

Although generally not required, some residential buildings are equipped with public address systems that enable voice communications from a central location, usually in the building lobby. Public address systems are different from the building intercoms, and usually consist of loudspeakers in building hallways and/or stairwells.

Be sure to review part I (Building Information Section) of this safety plan to learn whether your building is equipped with a public address system.

EMERGENCY FIRE SAFETY AND EVACUATION INSTRUCTIONS

IN THE EVENT OF A FIRE, FOLLOW THE DISECTIONS OF FIRE DEPARTMENT PERSONNEL. HOWEVER, THERE MAY BE EMERGENCY SITUATIONS IN WHICH YOU MAY BE REQUIRED TO DECIDE ON A COURSE OF ACTION TO PROTECT YOURSELF AND THE OTHER MEMBERS OF YOUR HOUSEHOLD.

THIS FIRE SAFETY PLAN IS INTENDED TO ASSIST YOU IN SELECTING THE SAFEST COURSE OF ACTION IN SUCH AN EMERGENCY. PLEASE NOTE THAT NO FIRE SAFETY PLAN CAN ACCOUNT FOR ALL OF THE POSSIBLE FACTORS AND CHANGING CONDITIONS; YOU WILL HAVE TO DECIDE FOR YOURSELF WHAT IS THE SAFEST COURSE OF ACTION UNDER THE CIRCUMSTANCES

General Emergency Fire Safety Instructions

1. Stay calm. Do not panic. Notify the Fire Department as soon as possible. Firefighters will be on the scene with in minutes.

2. Because flame, heat and smoke rise, generally a fire on a floor below your apartment presents a greater threat to your safety than a fire on a floor above your apartment.

3. Do not overestimate your ability to put out a fire. Most fires cannot be easily or safely extinguished.Do not attempt to put the fire out once it begins to quickly spread. If you attempt to put a fire out, make sure you have clear a path of retreat from the room.

4. If you decide to exit the building during a fire, close all doors as you exit to confine the fire. Never use the elevator. It could stop between floors or take you to where the fire is.

5. Heat, smoke and gases emitted by burning materials can quickly choke you. If you are caught in a heavy smoke condition, get down on the floor and crawl. Take short breaths, breathing through your nose.

6. If your clothes catch fire, don’t run. Stop where you are, drop to the ground, cover your face with your hands to protect your face and lungs and roll over to smother the flames.

Evacuation Instructions If The Fire Is In Your Apartment (All Types of Building Construction)

1. Close the door to the room where the fire is, and leave the apartment.

2. Make sure EVERYONE leaves the apartment with you. 3. Take your keys.

4. Close, but do not lock, the apartment door.

5. Alert people on your floor by knocking on their doors on your way to the exit.

6. Use the nearest stairwell to exit the building.

7. DO NOT USE THE ELEVATOR.

8. Call 911 once you reach a safe location. Do not assume the fire has been reported unless firefighters are on the scene.

9. Meet the members of your household at a predetermined location outside the building. Notify responding firefighters if anyone is unaccounted for.

Evacuation Instructions If The Fire Is Not In Your Apartment

“NON – COMBUSTIBLE” OR “ FIREPROOF” BUILDINGS:

1. Stay inside your apartment and listen for instructions from firefighters unless conditions become dangerous.

2. If you must exit your apartment, first feel the apartment door and doorknob for heat. If they are not hot, open the door slightly and check the hallway for smoke, heat or fire.

3. If you can safely exit your apartment, follow the instructions above for a fire in your apartment.

4. If you cannot exit your apartment or building, call 911 and tell them your address, floor, apartment number and the number of people in your apartment.

5. Seal the doors to your apartment with wet towels or sheets, and seal air ducts or other openings where smoke may enter.

6. Open windows a few inches at the top and bottom unless flames and smoke are coming from below. Do not break any windows.

7. If conditions in the apartment appear life – threatening, open a window and wave a towel or sheet to attract the attention of firefighters.

8. If smoke conditions worsen before help arrives, get down on the floor and take short breaths through your nose. If possible, retreat to a balcony or terrace away from the source of the smoke, heat or fire.

“COMBUSTILE” OR “NON – FIREPROOF” BUILDING

1. Feel your apartment door and doorknob for heat. If they are not hot, open the door slightly and check the hallway for smoke, heat of fire.

2. Exit your apartment and building if you can safely do so, following the instructions above for a fire in your apartment.

3. If the hallway or stairwell is not safe because of smoke, heat or fire and you have access to a fire escape, use it to exit the building. Proceed cautiously on the fire escape and always carry or hold onto small children

4. If you cannot use the stairs or the fire escape, call 911 and tell them your address, apartment number and the number of people in your apartment.

A. Seal the doors to your apartment with wet towels or sheets, and seal air ducts or other openings where smoke may enter.

B. Open windows a few inches at the top and bottom unless flames and smoke are coming from below. Do not break any windows.

C. If conditions in the apartment appear life – threatening, open a window and wave a towel or sheet to attract the attention of firefighters.

D. If smoke conditions worsen before help arrives, get down on the floor and take short breaths through your nose. If possible retreat to a balcony or terrace away from the source of the smoke, heat or fire.

Building Address: Apt.:

LEASE/COMMENCEMENT OF OCCUPANCY NOTICE FOR PREVENTION OF LEAD-

BASED PAINT HAZARDS�INQUIRY REGARDING CHILD You are required by law to inform the owner if a child under seven years of age resides

or will reside in the dwelling unit (apartment) for which you are signing this lease/commencing occupancy. If such a child resides or will reside in the unit, the owner of the building is required to perform an annual visual inspection of the unit to determine the presence of lead-based paint hazards. IT IS IMPORTANT THAT YOU RETURN THIS FORM TO THE OWNER OR MANAGING AGENT OF YOUR BUILDING TO PROTECT THE HEALTH OF YOUR CHILD. If you do not respond to this notice, the owner is required to attempt to inspect your apartment to determine if a child under seven years of age resides there.

If a child under seven years of age does not reside in the unit now, but does come to live in it at any time during the year, you must inform the owner in writing immediately. If a child under seven years of age resides in the unit, you should also inform the owner immediately at the address below if you notice any peeling paint or deteriorated subsurfaces in the unit during the year.

Please complete this form and return one copy to the owner or his or her agent or representative when you sign the lease/commence occupancy of the unit. Keep one copy of this form for your records. You should also receive a copy of a pamphlet developed by the New York City Department of Health and Mental Hygiene explaining about lead-based paint hazards when you sign your lease/commence occupancy. CHECK ONE: A child under seven years of age resides in the unit A child under seven years of age does not reside in the unit. _________________________________ (Occupant signature) Print occupant�s name, address and apartment number:________________________ _______________________________________________________________ (NOT APPLICABLE TO RENEWAL LEASE) Certification by owner: I certify that I have complied with the provisions of §27-2056.8 of Article 14 of the Housing Maintenance Code and the rules promulgated thereunder relating to duties to be performed in vacant units, and that I have provided a copy of the New York City Department of Health and Mental Hygiene pamphlet concerning lead-based paint hazards to the occupant. ____________________________ (Owner signature) RETURN THIS FORM TO: Douglas Elliman Property Management- Compliance Dept. 675 Third Avenue, New York, N.Y. 10017 _______________________________________________________________

OCCUPANT: KEEP ONE COPY FOR YOUR RECORDS OWNER COPY/OCCUPANT COPY

STILLMAN MANAGEMENT, INC,141 HALSTEAD AVENUE, MAMARONECK, NY 10543

CONTRATO/COMIENZO DE OCUPACIÓN Y MEDIDAS DE PRECAUCION CON LOS

PELIGROS DE PLOMO EN LA PINTURA-ENCUESTA RESPECTO AL NIÑO.

Usted esta requerido por ley informarle al dueño si un niño menor de siete años de edad esta viviendo o vivirá con usted en la unidad de vivienda (apartamento) para la cual usted va a firmar un contrato de ocupación. Si tal niño empieza a residir en la unidad, el dueño del edificio esta requerido hacer una inspeción visual añualmente de la unidad para determinar la presencia peligrosa de plomo en la pintura. POR ESO ES IMPORTANTE QUE USTED LE DEVEUELVA ESTE AVISO AL DUEÑO O AGENTE AUTORIZADO DEL EDIFICIO PARA PROTEGER LA SALUD DE SU NIÑO. Si usted

no informa al dueno, el dueno esta requerido inspeccionar su apartamento para descubrir si un niño menor de siete años de edad esta viviendo en el apartamento. Si un niño menor de siete años de edad no vive en la unidad ahora, pero viene a vivir en cualquier tiempo durante el año, usted debe de informarle al dueño por escrito inmediatamente a la dirección provenida abajo. Usted tambien debe de informarle al dueño por escrito si un niño menor de siete años de edad vive en la unidad y si usted observa que durante el año la pintura se deteriora o esta por pelarse sobre la superficie de la unidad. Por favor de llenar este formulario y devolver una copia al dueño del edificio o al agente o representante cuando usted firme el contrato o empieze a ocupar la unidad. Mantegna una copia de este formulario para sus archivos. Al firmar su contrato de ocupación usted recibirá un pamfleto hecho por el Departamento de Salud y Salud Mental de la Ciudad de Nueva York, explicando el peligro de plomo en pintura. MARQUE UNO: Vive un niño menor de siete años de edad en la unidad. No vive un niño menor de siete años de edad en la unidad. (Firma del inquilino) Nombre del inquilino, Dirección, Apartamento: __________________________

(Esto no es aplicable para un renovamiento del contrato de alquiler.) Certificacion de dueño: Yo certifico que he cumplido con la provision de §27-2056.8 del Articulo 14 del codigo y reglas de Vivienda y Mantenimiento (Housing Maintenance Code) relacionado con mis obligaciones sobre las unidades vacante, y yo le he dado al ocupante una copia del pamfleto del Departamento de Salud y Salud Mental de la Ciudad de Nueva York sobre el peligro de plomo en pintura. (Firma del dueño) DEVUELVA ESTE FORMULARIO A: Douglas Elliman Property Management- Compliance Dept. 675 Third Avenue, New York, N.Y. 10017 ________________________________________________________

INQUILINO: MANTENGA UNA COPIA PARA LOS ARCHIVOS COPIA DEL DUEÑO/COPIA DEL INQUILINO

Building Address: Apt.:

STILLMAN MANAGEMENT, INC,141 HALSTEAD AVENUE, MAMARONECK, NY 10543

Brain or Nerve Damage

Slowed Growth

HearingProblems

ReproductiveProblems(Adults)

DigestiveProblems