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183 Wilson Street , Brooklyn NY 11211 iis Tel 718-599-6775 APPLICATION CHECK LIST Please provide the following along with your application: oo000 00 State issued photo 1D Last 2 Years of tax return Last 4 Pay Stubs Proof of employment $150 application fee in certified funds (nonrefundable) per applicant Completed application signed Bank statements Ifa guarantor is required please provide the following: oo0e0000 State issued photo ID Last 2 Years of tax return Last 4 Pay Stubs Proof of employment $150 application fee in certified funds {nonrefundable} per applicant Completed application signed and notarized (original required) Bank statements Certified checks can be made out to Southside Units LLC and should be mailed to southside Units tic c/o Application Processing Dept 183 Wilson Street #133 Brooklyn NY 11232 LEASE A\ Owner/Agent Property Address: Please Print And Complete All Questions, Incomplete Answers May Result In Automatic Rejection TIO} Name: Social Security #: / I. Fist wiadle Tost Date of Birth:_/__/__ Home #(__). Email Address’ Email Address: Work #: Pager # Cell # Driver's License #: State: Marital Status: ‘Name All Other Persons to Occupy Loft | Relationship | Date of Birth Social Security # TT 7 7 7 7 TT 7 7 77 All Co Applicants are required to complete a separate lease application APPLICANT RESIDENCY Present Status (check one): Rent O ‘Co-opiCondoO —- Homeowner O Other O Present Address: ‘Number Steet Api# City Siate Zip Code How Long At This Address: Monthly Rent: $, Present Landlord: Telephone # (__), Previous Address: Number Steet Rett iy State Zip Code How Long At This Address Monthly Rent, Previous Landlord: Telephone #: (__). APPLICANT EMPLOYMENT & INCOME ‘Are You Currently Employed? Yes O Noo Present Employer: Employer Tel #: (___). Address: How Long Employed: Position: Monthly Income: $. Other Income: $, ‘Source of Other Income: Total Annual Income: $ Previous Employer: Employer Teltt: d, ‘less than 2 years at current position) Do You Engage In A Home Occupation? Yes O Noo If Yes Please Explain BANK REFERENCE Bank Name:, Address: Acct. #: Bank Name: Address’ Acct. #: Bank Name: Address’ Acct. #: Have applicant, spouse or other potential occupants ever been arrested or indicted for, or convicted of, a felony or amisdemeanor? Yes O Noo Ifyes, please explain: Have applicant, spouse or other potential occupants ever been a party to a landlorditenant legal action, such as dispossess for non-payment, late payment, eviction, possession, property damages, etc,? Yes O No O If yes, please explain: Have any judgments been entered against applicant, spouse or other potential occupants? Yes O Noo | yes please explain’ How did you find out about our lofts? In case of emergency, please contact: Name: Address: Phone #:( ) | hereby apply to the above described premises for the term and upon the conditions above set forth, and agree that the rental is to be payable the FIRST of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, | warrant that all statements above set forth are true. Thereby deposit S ‘as earnest money to be refunded to me only if this application is not accepted by landlord. this deposit shall be retained as part of the security deposit payment. | agree to execute a lease for ___year, before possession is given and to pay the balance of first and last month's rent in the amount of 5, . and fee of § including all required paper work within (6) five business banking days, or the deposit will be forfeited as liquidated damages in payment for the agent's time and effort in processing my inquiry and application, including making necessary investigation of my credit, and for the loss of rent. | am hereby waiving any claim for damages by reason of non acceptance, which the owner or agent may reject without stating any reason for so doing, | recognize that part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through credit reporting agencies, whereby | give you the authority to request a personal credit report on myself. Subsequent similar reports may be requested or utlized in connection with this loft at all times. ‘The above information, to the best of my knowledae, is true and correct, ‘Signature of appiicant Date FOR OFFICE USE ONLY Uises_ re. Poe Pera Ft Depost Received GUARANTY OF LEASE GUARANTOR: I, , hereby agree to be equally liable for the payment of rent on unit # at for the lease signed by, as tenant, and management. as landlord. This guaranty shall remain in full force and effect surviving the expiration of the lease. Social Security #: Date of Birth: Home #:. Work #:. Cell#: Email Address: Home address: Previous address: Employer: Address: Approximate annual income: Business Reference:. Bank: Checking Account #: Savings Account #: 1, REASON FOR GUARANTY T know that the Landlord would not rent the premises to the Tenant unless I guarantee Tenants performance. I have also requested the Landlord to enter into the Lease with the Tenant, I have a Substantial interest in making sure that the Landlord rents the premises to the Tenant. 2. GUARANTY guaranty the full performance of the Lease by the Tenant. This guaranty is absolute and without any ‘condition. It includes, but is not limited to, the payment of rent and other money charges: If tenant fails to pay rent on time landlord is authorized to present automated clearing house debits. This ‘guaranty and authorization cannot be revoked unti all tenant obligations under this lease agreement is satisfied. 3. CHANGES IN LEASE HAVE NO EFFECT This guaranty will not be affected by any change in the Lease, whatsoever. This includes, but is not limited to any extension of time or renewals. The guaranty will bind me even if | am not a party to these changes. 4, WAIVER OF NOTICE T do not have to be informed about any default by the Tenant. I waive notice of nonpayment or other default. 5, PERFORMANCE If the Tenant defaults, the Landlord may require me to perform without first demanding that the Tenant perform. 6. JURISDICTION & WAIVER OF JURY TRIAL agree that the laws of the State of New York shall govern this guaranty, and the courts of the State of ‘New York, County of Kings shall have the sole jurisdiction in any proceeding related to the Lease or {quaranty. I give up my right to trial by jury in any claim related to the Lease or the guaranty. 7. CHANGES “This guaranty can be changed only by written agreement signed by all parties to the Lease and this guaranty. 8. Thereby authorize SSU LLC. Or its Rep to obtain a credit report from a recognized credit reporting service (i.e. TRW, Trans Union). SIGNATURE STATE OF 3s. ‘COUNTY OF ‘on the day of, before me personally came known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me that he executed the same. Notary Public

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