Emergency Contact Form Apt Number_____________ Address_________________________________________________ Name: __________________________________________________________________________ Work Number:________________________/Home Number:______________________________ Cell Phone Number:___________________ E-mail Address:___________________________________________________________________ Name: __________________________________________________________________________ Work Number:________________________/Home Number______________________________ Cell Phone Number:____________________ E-mail Address:___________________________________________________________________ In the event of an emergency when a shareholder or owner cannot be reached, please provide the names of a person to contact: 1. Name_________________________________________________________________________ Work Number:___________________________/Home Number:_________________________ Additional Information: Pets_________________________________ Emergency Information we should know: If applicable:____________________________________________________________________________ Other Relevant Information you think we should know in case of an emergency: __________________________________________________________________________________________________________________________________________________________________________

Please provide the following information with your application in order to

send the information for closing:

Seller’s Attorney

Name: ___________________________________________

Phone Number: ____________________________________

Fax Number: ______________________________________

Email: ____________________________________________

Buyer’s Attorney

Name: ___________________________________________

Phone Number: ____________________________________

Fax Number: ______________________________________

Email: ____________________________________________

APPLICANTS RELEASE

Re: Building Address: _______________________________________________

Apartment Number: ______________________

The undersigned applicant(s) is (are) submitting an application to

purchase/sublease the above referenced apartment.

Applicant has submitted payment for certain fees including but not limited to fees

to check applicants’ credit, background and to process this application.

Applicant acknowledges that the application to purchase/sublease the apartment

may or may not be approved by the Board of Directors of the Cooperative Corporation

owning building in its sole discretion and that if the application is not approved; no

reason for the disapproval needs to be given. Whether the application is approved or not

approved, certain costs and expenses will be incurred and the fees described above will

not be refunded to the applicant(s).

The applicant releases both the cooperative corporation and the managing agent

from any liability for the return of these funds incurred in the processing of the

application, and agrees that in the even the applicant seeks recovery of such fees, the

applicant shall be liable for all costs and expense (including attorney’s fees) incurred by

the cooperative corporation and/or managing agent.

_____________________________

Applicant

_____________________________

Applicant

Date: ____________________

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

PURCHASE APPLICATION 80 WILLIAM STREET TENANTS CORP.

80 WILLIAM STREET TENANT CORP. PURCHASE APPLICATION PAGE 1 OF 9

DATE:

APPLICANT’S NAME:

CO-APPLICANT:

SELLER’S NAME, ADDRESS & APT. #:

NO. OF SHARES: MAINTENANCE:

COOPERATIVE HOUSING APPLICATION

NAME & ADDRESS OF SELLER’S ATTORNEY:

PHONE NUMBER:

NAME & ADDRESS OF BUYER’S ATTORNEY:

PHONE NUMBER:

NAME OF APPLICANTS:

SOCIAL SECURITY NUMBER:

DATE OF BIRTH:

PLACE OF BIRTH:

MARITAL STATUS:

CO-APPLICANT:

SOCIAL SECURITY NUMBER:

DATE OF BIRTH:

PLACE OF BIRTH:

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

80 WILLIAM STREET TENANT CORP. PURCHASE APPLICATION PAGE 2 OF 9

DO YOU DESIRE A PARKING SPACE: NO. OF SPACES:

TITLE TO BE HELD IN WHAT NAME:

SOURCE OF DOWN PAYMENTS AND SETTLEMENT CHARGES:

NUMBER OF PERSONS TO RESIDE IN APARTMENT:

NAME RELATIONSHIP SEX BIRTHDATE

DETAILS OF FINANCING 1. NAME OF BANK:

ADDRESS:

AMOUNT OF FINANCING:

TERM: INTEREST: MONTHLY PAYMENT:

2. CO-SIGNER’S BANK:

ADDRESS:

AMOUNT OF FINANCING:

TERM: INTEREST: MONTHLY PAYMENT:

GROSS MONTHLY INCOME ITEM PURCHASER CO-PURCHASER TOTAL

BASE EMPL. INCOME

OVERTIME

BONUSES

COMMISSIONS

DIVIDENDS/INTEREST

OTHER INCOME

80 WILLIAM STREET TENANT CORP. PURCHASE APPLICATION PAGE 3 OF 9

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. PURCHASE APPLICATION PAGE 4 OF 9

THESE QUESTIONS APPLY TO ALL PURCHASERS

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

QUESTION PURCHASER CO-PURCHASER

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.

DETAILS OF FINANCING a) PURCHASE PRICE

b) ESTIMATED CLOSING COSTS

c) PREPAID ESCROW (EST.)

d) TOTAL (a+b+c)

e) AMOUNT OF FINANCING

f) OTHER EQUITY

g) AMOUNT OF CASH DEPOSIT

h) CASH REQUIRED FOR CLOSING (EST.)

ESTIMATED CLOSING DATE:

80 WILLIAM STREET TENANT CORP. PURCHASE APPLICATION PAGE 5 OF 9

MONTHLY HOUSING & OTHER EXPENSES ITEM PRESENT PROPOSED

RENT/MAINTENANCE $ $

BANK FINANCING $ $

OTHER FINANCING $ $

HAZARD INSURANCE $ $

REAL ESTATE TAXES $ $

MORTGAGE INSURANCE $ $

UTILITIES/CABLE/ETC. $ $

OTHER EXPENSES (ALIMONY, ETC.)

$ $

TOTAL MONTHLY EXPENSES $ $

SPECIFY BELOW INTEREST AND AMORTIZATION ON ALL HOUSING LOANS

ASSETS CASH OR MARKET VALUE CASH DEPOSIT TOWARDS PURCHASE $

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. PURCHASE APPLICATION PAGE 6 OF 9

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. PURCHASE APPLICATION PAGE 7 OF 9

LIST PREVIOUS CREDIT REFERENCES (PURCHASER & CO-PURCHASER) 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 PURCHASER AND AUTHORIZE THE RELEASE OF EMPLOYMENT, INCOME, BANKING, AND FINANCIAL INFORMATION TO PROPERTY AND THE CREDIT BUREAU.

PURCHASER’S SIGNATURE DATE CO-PURCHASER’S SIGNATURE

80 WILLIAM STREET TENANT CORP. PURCHASE APPLICATION PAGE 8 OF 9

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. PROTECTION (MASONITE BOARDS) MUST BE PLACED ON ALL FLOORS IN THE PATH OF A MOVE. THIS INCLUDES THE LOBBY AND APARTMENT LEVEL ASSOCIATED WITH ANY MOVE.

3. 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

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 TO SCHEDULE YOUR MOVE PLEASE CONTACT JOHN JANIS 914-813-1903 OR HIS ASSISTANT BETTE WARNER 914-813-1904.

80 WILLIAM STREET TENANT CORP. PURCHASE APPLICATION PAGE 9 OF 9

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

APPLICANT STATEMENT

I/WE, ____________________________________________________________, HAVE APPLIED FOR CONSENT TO PURCHASE AN APARTMENT AT 80 WILLIAM STREET, IF CONSENT TO PURCHASE 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

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 Seller(s):

Address:

Telephone #: home:

Name: work: cell:

Name: work: cell:

E-mail address:

All the above information is complete and accurate.

Seller Signature Date

Seller 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

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

Lead Warning Statement

Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 isnotified that such property may present exposure to lead from lead-based paint that may place young children at riskof developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage,including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any interest in residential real property isrequired to provide the buyer with any information on lead-based paint hazards from risk assessments or inspectionsin the seller’s possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspectionfor possible lead-based paint hazards is recommended prior to purchase.

Seller’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) _____ Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.

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

(i) ______ Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below).

_______________________________________________________________________________________

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

Purchaser’s Acknowledgment (initial)

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

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

(e) Purchaser has (check (i) or (ii) below):

(i) _____ received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assess-ment or inspection for the presence of lead-based paint and/or lead-based paint hazards; or

(ii) _____ waived the opportunity to conduct a risk assessment or inspection for the presence oflead-based paint and/or lead-based paint hazards.

Agent’s Acknowledgment (initial)

(f) ________ Agent has informed the seller of the seller’s obligations under 42 U.S.C. 4852(d) and isaware 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, that theinformation they have provided is true and accurate.

__________________________________________________ __________________________________________________Seller Date Seller Date

__________________________________________________ __________________________________________________Purchaser Date Purchaser 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

COMPLETE

APPLICATION

EMERGENCY

CONTACT

FORM

FINANCIAL

STATEMENTS

FOR LAST 3

MONTHS

CREDIT

REPORT AUTHORIZATION

2 PERSONAL

REFERENCE

LETTERS

2 BUSINESS

REFERENCE

LETTERS

CURRENT

LANDLORD

REFERENCE

LETTER

EMPLOYMENT

LETTER

2 MONTHS OF

PAYSTUBS

LAST 2

YEARS OF

W2’S AND

TAX RETURNS

FULLY

EXECUTED

CONTRACT

OF SALE

COMMITMENT

LETTER

HOUSE

RULES ACKNOWLEDGEMENT

COPY OF

APPRAISAL

RECOGNITION

AGREEMENTS

LEAD PAINT &

WINDOW

GUARD

NOTICE