Stillman Management, Inc. 440 Mamaroneck Avenue Suite s512 Harrison, NY 10528

SUBLET APPLICATION 80 WILLIAM STREET TENANTS CORP.

DATE:

APPLICANT’S NAME:

CO-APPLICANT:

CURRENT OWNER’S NAME, ADDRESS & APT. #:

NO. OF SHARES: MAINTENANCE:

PLEASE SUBMIT SEVEN (7) COPIES OF THE FOLLOWING INFORMATION TO STILLMAN MANAGEMENT INC. ALL TNFORMATION MUST BE COMPLATE BEFORE AN INTERVIEW IS ARRANGED.

1. NON-REFUNDABLE APPLICATION FEE OF $400 PAYABLE TO STILLMAN MANAGEMENT. 2. REFUNDABLE MOVE IN & MOVE OUT DEPOSIT OF $350 EACH PAYABLE TO 80 WILLIAM

STREET TENANTS CORP. 3. SUBLET FEE OF $500 PAYABLE TO 80 WILLIAM STREET TENANTS CORP., IF APPLICANT

DENIED, IT WILL BE RETURNED. SHOULD A LEASE EXTENSION BE PERMITTED BY THE BOARD, A YEARLY SUBLET FEE OF $500 WILL BE CHARGED.

4. COMPLETE APPLICATION 5. SIGNED CREDIT RELEASE FORM 6. SIGNED ACKNOWLEDGEMENT OF READING, UNDERSTANDING AND CONFORMING TO THE

HOUSE RULES. 7. LETTER FROM CURRENT EMPLOYER STATING NUMBER OF YEARS EMPLOYED AND

CURRENT SALARY. 8. COPY OF RECENT EARNINGS STATEMENT/PAYSTUB 9. COPIES OF REFERENCE LETTERS- 2 PERSONAL, 2 BUSINESS 10. COPIES OF THE LATEST BANK/BROKERAGE STATEMENTS 11. COPIES OF FEDERAL TAX RETURN FOR THE LAST TWO (2) YEARS (PAGES 1&2 ONLY) 12. COPY OF FULLY EXECUTED SUBLEASE AGREEMENT ALONG WITH ANY RIDERS

***********NO PETS ARE PERMITTED IN THE COOPERATIVE***************

INTERVIEWS FOR PROSPECTIVE APPLICANTS WILL NOT BE SCHEDULED UNTIL A FULLY COMPLETED APPLICATION ALONG WITH ALL DOCUMENTATION HAS BEEN RECEIVED BY STILLMAN MANAGEMENT, INC. ALL FAMILY MEMBERS WHO WILL RESIDE IN THE APARTMENT MUST ATTEND THE INTERVIEW.

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 1 OF 8

COOPERATIVE HOUSING APPLICATION

NAME OF APPLICANT:

SOCIAL SECURITY NUMBER:

NAME OF CO-APPLICANT:

SOCIAL SECURITY NUMBER:

CURRENT ADDRESS:

CHECK ONE: RENT HOME OWNER OTHER EXPLAIN:

IF RENTING, NAME & ADDRESS OF PRESENT LANDLORD:

NO. OF ROOMS: MONTHLY CHARGES:

YEARS AT PRESENT ADDRESS:

IF LESS THAN 3 YEARS AT PRESENT ADDRESS, GIVE FORMER ADDRESS

NUMBER OF PERSONS TO RESIDE IN APARTMENT:

NAME RELATIONSHIP SEX BIRTHDATE

GROSS MONTHLY INCOME ITEM SUBLETTER CO-SUBLETTER TOTAL

BASE EMPL. INCOME

OVERTIME

BONUSES

COMMISSIONS

DIVIDENDS/INTEREST

OTHER INCOME

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 2 OF 8

APPLICANT’S EMPLOYMENT INFORMATION 1. CURRENT EMPLOYER:

TELEPHONE NUMER:

ADDRESS:

POSITION:

# OF YEARS EMPLOYED: SALARY

2. PREVIOUS EMPLOYER:

TELEPHONE NUMER:

ADDRESS:

POSITION:

# OF YEARS EMPLOYED: SALARY

CO-APPLICANT’S EMPLOYMENT INFORMATION

a. CURRENT EMPLOYER:

TELEPHONE NUMER:

ADDRESS:

POSITION:

# OF YEARS EMPLOYED: SALARY

b. PREVIOUS EMPLOYER:

TELEPHONE NUMER:

ADDRESS:

POSITION:

# OF YEARS EMPLOYED: SALARY

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 3 OF 8

THESE QUESTIONS APPLY TO ALL SUBLETORS

IF A “YES” ANSWER IS GIVEN TO A QUESTION IN THIS COLUMN, PLEASE EXPLAIN ON AN ATTACHED SHEET.

QUESTION SUBLETTER CO-SUBLETTER

DO YOU HAVE ANY OUTSTANDING JUDGEMENTS?

IN THE LAST (7) YEARS HAVE YOU DECLARED BANKRUPTCY?

HAVE YOU HAD A PROPERTY FORECLOSED, OR GIVEN TITLE OR DEED IN LIEU THEREOF?

ARE YOU A CO-MAKER OR ENDORSER ON A NOTE?

ARE YOU A PARTY IN A LAWSUIT?

ARE YOU OBLIGATED TO PAY ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE?

IS ANY PART OF THE DOWN PAYMENT BORROWED? IF SO, SUBMIT A STATEMENT SPECIFYING THE TERMS.

MONTHLY HOUSING & OTHER EXPENSES ITEM PRESENT PROPOSED

RENT/MAINTENANCE $ $

BANK FINANCING $ $

OTHER FINANCING $ $

HAZARD INSURANCE $ $

UTILITIES/CABLE/ETC. $ $

OTHER EXPENSES (ALIMONY, ETC.)

$ $

TOTAL MONTHLY EXPENSES $ $

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 4 OF 8

ASSETS CASH OR MARKET VALUE CHECKING & SAVINGS ACCOUNTS (LIST NAMES OF INSTITUTIONS & ACCOUNTS NUMBERS)

$

OTHER ASSETS (STOCK, BONDS, ETC) $

REAL ESTATE OWNED $

AMT. VESTED INTEREST IN RETIREMENT FUND

$

NET WORTH OF ANY BUSINESS OWNED (ATTACH FINANCIAL STATEMENT)

$

AUTOMOBILES (MAKE & YEAR) $

FURNITURE & PERSONAL PROPERTY $

OTHER ASSETS (ITEMIZE) $

TOTAL ASSETS $

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 5 OF 8

LIABILITIES & PLEDGED ASSETS UNPAID BALANCE CREDITORS NAMES, ADDRESSES & ACCT NOS. (USE SEPARATE SHEET, IF NEC.)

$

INSTALLMENT DEBTS (INCLUDE “REVOLVING” CHARGE ACCOUNTS)

$

OTHER DEBTS, INCLUDING STOCK PLEDGES $

REAL ESTATE LOANS $

AUTOMOBILE LOANS $

ALIMONY, CHILD SUPPORT & SEPARATE MAINTENANCE PAYMENTS OWED

$

TOTAL MONTHLY PAYMENTS $

TOTAL LIABILITIES $

NET WORTH $

SCHEDULE OF REAL ESTATE OWNED TYPE OF PROPERTY ADDRESS PRESENT MARKET VALUE

1.

2.

IF ADDITIONAL PROPERTIES OWNED, ATTACH A SEPARATE SCHEDULE AMOUNT OF

MORTGAGE LIENS RENTAL INCOME MORTGAGE

PAYMENT TAXES, ETC.

1.

2. TOTALS:

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 6 OF 8

LIST PREVIOUS CREDIT REFERENCES (SUBLETTER & CO-SUBLETTER) CREDITORS NAMES

& ADDRESSES ACCT NO. HIGHEST BALANCE DATE PAID

1.

2.

3.

BUSINESS REFERENCES NAME OCCUPATION ADDRESS TELEPHONE

I (WE) HEREBY CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION HAVE BEEN EXAMINED AND TO THE BEST OF MY /OUR KNOWLEDGE AND BELIEF ARE TRUE, CORRECT AND COMPLETE. I (WE) HAVE NO OBJECTION TO INQUIRIES TO ANY PERSON OR INSTITUTION BEING MADE FOR THE PURPOSE OF VERIFYING THE FACTS HEREIN STATED. I (WE) UNDERSTAND THAT THE FILING OF THIS APPLICATION DOES NOT IN ANY WAY BIND THE COOPERATIVE CORPORATION TO CONSENT TO THE ASSIGNMENT OF THIS APARTMENT TO ME. I (WE) UNDERSTAND AND ACCEPT THAT THE PROPERTY HAS THE RIGHT TO RELY ON INFORMATION GIVEN HEREIN AND IN THE EVENT THAT INQUIRIES PROVE ANY STATEMENT FALSE, MAY REJECT THIS APPLICATION, OR IF CONTRACT HAS BEEN EXECUTED, MAY TERMINATE SAME AS IF BREACH OF CONTRACT HAS OCURRED. I (WE) HAVE RECEIVED AND REVIEWED COPIES OF THE PROPIETARY LEASE AND HOUSE RULES AND ACCEPT THEM AS OBLIGATIONS OF STOCK OWNERSHIP AND RESIDENCE. I (WE) UNDERSTAND THAT ALL CHARGES FOR CREDIT CHECKS ARE TO BE PAID BY THE SUBLETTER AND AUTHORIZE THE RELEASE OF EMPLOYMENT, INCOME, BANKING, AND FINANCIAL INFORMATION TO PROPERTY AND THE CREDIT BUREAU.

SUBLETTER’S SIGNATURE DATE CO-SUBLETTER’S SIGNATURE

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 7 OF 8

PLEASE FILL OUT ONE PER APPLICANT

PLEASE FILL OUT ONE PER APPLICANT

MOVE IN/ MOVE OUT POLICY

A MOVE IN/MOVE OUT DEPOSIT OF $350 IS REQUIRED. THIS FEE WILL BE RETURNED ONLY IF THE FOLLOWING RULES ARE ADHERED TO: 1. YOU MUST GIVE THE MANAGEMENT COMPANY SEVEN (7) DAYS PRIOR NOTICE OF THE

IMPENDING MOVE.

2. YOU MAY ONLY MOVE IN OR MOVE OUT MONDAY THROUGH FRIDAY BETWEEN THE HOURS OF 9:00 AM AND 5:00 PM. YOUR MOVE MUST BE COMPLETED BY 5:00 PM

3. ALL MOVE INS/MOVE OUTS WILL BE COMPLETED THROUGH THE FRONT DOOR OF THE

BUILDING.

4. THE SUPERINTENDENT OR THE MANAGING AGENT WILL REVIEW THE PREMISES AFTER THE MOVE. IF DAMAGE TO ANY PART OF THE PREMISES OCCURS, ALL, OR A PORTION, OF THE DEPOSIT WILL BE FORFEITED. YOU WILL BE NOTIFIED OF THE MANAGEMENT’S DECISION.

5. IF THESE RULES ARE VIOLATED OR NOT ADHERED TO, YOU WILL BE ASSESSED A $500

VIOLATION FEE WHICH WILL BE TREATED AS UNPAID MAINTENANCE UNTIL PAID. YOU MAY ALSO FORFEIT THE ENTIRE $350 DEPOSIT IF ANY DAMAGE IS DONE.

BY SIGNING THIS, IT IS UNDERSTOOD THAT YOU HAVE READ, UNDERSTOOD AND AGREE TO ADHERE TO THE 80 WILLIAM STREET TENANTS CORP. MOVE IN/ MOVE OUT POLICY.

SIGNATURES

APARTMENT ADDRESS AND APT. NO.

DATE

80 WILLIAM STREET TENANT CORP. SUBLET APPLICATION PAGE 8 OF 8

80 WILLIAM STREET TENANTS CORP. MT. VERNON, NY 10552

APPLICANT STATEMENT

I/WE, ____________________________________________________________, HAVE APPLIED FOR CONSENT TO SUBLET AN APARTMENT AT 80 WILLIAM STREET, IF CONSENT TO SUBLET IS GRANTED BY THE BOARD, I/WE AGREE TO BE BOUND TO ALL THE TERMS AND CONDITIONS OF THE CORPORATION’S BYLAWS, PROPIETARY LEASE AND HOUSE RULES AS AMENDED, WHICH THE FOLLOWING RULES AND PROVISIONS ARE PART OF:

NO PETS RULE

PARKING RULES

MOVING-IN RULES

UNIT STRUCTURAL ALTERATITION RULES

HOURS OF OPERATION FOR LAUNDRY ROOMS

CARPETING PROVISION FOR 80% OF THE APARTMENT’S AREA EXCEPT FOR THE KITCHEN AND BATHROOM

NOISE PROVISION

_______________________ _______________________ APPLICANT SIGNATURE DATE _______________________ _______________________ CO-APPLICANT SIGNATURE DATE

Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards

Lead Warning StatementHousing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can posehealth hazards if not managed properly. Lead exposure is especially harmful to young children and pregnantwomen. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/orlead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.

Lessor’s Disclosure

(a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):

(i) ______ Known lead-based paint and/or lead-based paint hazards are present in the housing(explain).

_______________________________________________________________________________________

_______________________________________________________________________________________

(ii) _____ Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in thehousing.

(b) Records and reports available to the lessor (check (i) or (ii) below):

(i) ______ Lessor has provided the lessee with all available records and reports pertaining tolead-based paint and/or lead-based paint hazards in the housing (list documentsbelow).

_______________________________________________________________________________________

_______________________________________________________________________________________

(ii) _____ Lessor has no reports or records pertaining to lead-based paint and/or lead-basedpaint hazards in the housing.

Lessee’s Acknowledgment (initial)

(c) ________ Lessee has received copies of all information listed above.

(d) ________ Lessee has received the pamphlet Protect Your Family from Lead in Your Home.

Agent’s Acknowledgment (initial)

(e) ________ Agent has informed the lessor of the lessor’s obligations under 42 U.S.C. 4852(d) andis aware of his/her responsibility to ensure compliance.

Certification of AccuracyThe following parties have reviewed the information above and certify, to the best of their knowledge, thatthe information they have provided is true and accurate.

__________________________________________________ __________________________________________________Lessor Date Lessor Date

__________________________________________________ __________________________________________________Lessee Date Lessee Date

__________________________________________________ __________________________________________________Agent Date Agent Date

You are required by law to have window guards installed in all windowsif a child 10 years of age or younger lives in your apartment.

Your landlord is required by law to install window guards in your apartment:if a child 10 years of age or younger lives in your apartment,

OR if you ask him to install window guards at any time (you need not give a reason).

It is a violation of law to refuse, interfere with installation, or remove window guards where required.

CHECK ONE

CHILDREN 10 YEARS OF AGE ORYOUNGER LIVE IN MY APARTMENT

NO CHILDREN 10 YEARS OF AGE ORYOUNGER LIVE IN MY APARTMENT

I WANT WINDOW GUARDS EVEN THOUGHI HAVE NO CHILDREN 10 YEARS OF AGEOR YOUNGER

Tenant (Print)

Tenant’s Signature: Date

Tenant’s Address Apt No.

RETURN THIS FORM TO:

Owner/Manager

Owner/Manager’s Address

For Further Information Call:Window Falls Prevention (212) 676-2162

W I N D O W G U A R D S R E Q U I R E DLease Notice to Tenant

appendix A

WF-013 (Rev. 11/02)

Michael R. Bloomberg Thomas R. Frieden, MD, MPH

Mayor Commissioner

THE CITY OF NEW YORKDEPARTMENT OF HEALTH

AND MENTAL HYGIENE