New Applicant Check List Please be sure to include the following:

Completed Request for Tenancy Application (VASH only)

Completed Application with signed Permission to Access Credit

Copy of DD-214 (Veterans only)

Proof of Income

Signed Agency Disclosure

Signed Background Check

Completed Request for Rental History

PLEASE FAX TO 516-741-4587 OR EMAIL TO DMARDER@SD-CRE.COM

Notes: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Smith & DeGroat Real Estate 27 E. Jericho Tpke., Mineola, NY 11501

Property Management 516-248-6905

APPLICATION

Location: MITCHEL FIELD Date Occupancy Desired:________________ Name:(Permittee):_____________________________ DOB: ________________ SS#: _________________ Military Branch: _________________________________ Rank: ____________________________________ Areas Served While in Active Duty: ____________________________________________________________

Place of Employment: ________________________________________________ # Years on Job: ________

Position:____________________________________________________ Annual Income:________________

Business Address: __________________________________________________________________________

Business Telephone: ______________________________________ Fax#:_____________________________

Name of Supervisor: ______________________________________Phone #: __________________________

Bank & Location: _________________________________________________________________________

Phone #: _______________________ Type of Account: _______________ Account #: __________________

Personal Reference: __________________________________ Relationship: __________________________

Address: _______________________________________________ Phone #: __________________________

Children & Ages: ___________________________________________________________________________

Present Address:___________________________________________________________________________ Zip-Code Contact: Home: ____________ Work: _____________ Cell: _____________ Email: ____________________

How Long There: ________________ Why Moving: _______________________________________________

Current Landlord:________________________________________________ Tel#: _____________________

Mail Address-Landlord:___________________________________________ Fax#: _____________________

CO-PERMITTEE

Co-Permittee:______________________________ DOB: _________________ SS#:_____________________

Co-Permittee Present Address: _______________________________________________________________ Zip-Code

Co-Permittee Telephone: Home: ________________ Work: ________________ Cell: ___________________

Co-Permittee How Long There: ____________ Why Moving: _______________________________________

Co-Permittee Current Landlord: _____________________________ Tel #: ____________________________

Co-Permittee/Landlord Mail Address: ______________________________ Fax #: ______________________

Co-Permittee Place of Employment___________________________________ # Years on Job: ___________

Co-Permittee Position: __________________________ Co-Permittee Annual Income: __________________

Co-Permittee Business Address: ______________________________________________________________

Co-Permittee Business Telephone: ______________________________ Fax #:_________________________

Co-Permittee Name of Supervisor: ______________________________ Phone #: ______________________

Co-Permittee Bank & Location: _______________________________________________________________

Phone #: ______________________ Type of Account: ______________ Account #: _____________________

Personal Reference: ________________________________ Relationship: ____________________________

Address: __________________________________________________ Phone #: _______________________

PERMISSION TO ACCESS CREDIT

I, give my permission to Smith & DeGroat Real Estate to access my full credit report including public records.

_________________________________ _______________________ Permittee Signature Date _________________________________ _______________________ Co-Permittee Signature Date

Smith & DeGroat Real Estate

27 E. Jericho Turnpike

Mineola, NY 11501

516-248-6905

$2,800 per Month plus Utilities

No Commission Payments Required

Residential Homes Available

Sale Mitchel Field East Garden City, NY 11530

2,400 Square Feet

4 Bedrooms, DR, LR, Kitchen, 2 Sunrooms, 3 Bathrooms, Full Basement, Garage and Fireplace

Uniondale Schools

Near Shopping and Major Roadways

On-Site Management

Landscaping Services & Pest Control

2

Aerial View of Mitchel Field Housing

Street Map of Mitchel Field Housing

3

DIRECTIONS FROM THE NORTH

Take Meadowbrook State Pkwy S toward Jones Beach. Take exit M3 W toward Stewart Ave. Turn right

onto Stewart Ave. Take the first left onto Selfridge Ave. Go over the railroad tracks and make the first

right onto Wheeler Ave. The model is 231W Wheeler.

DIRECTIONS FROM THE SOUTH

Take Meadowbrook State Pkwy N toward Mineola. Take exit M3 W toward Stewart Ave. Turn right onto

Stewart Ave. Take the first left onto Selfridge Ave. Go over the railroad tracks and make the first right

onto Wheeler Ave. The model is 231W Wheeler.

IMPORTANT INFORMATION

Curbside Trash Pick-Up Monday & Thursday Jamaica Ash and Rubbish Large Parcel Pick-up Only (516) 333-2211 LIPA (800) 490-0075 (Report Power Outage Only)

LIPA (800) 490-0025 (Customer Service)

National Grid (800) 490-0045 (Gas Emergencies Only)

National Grid (800) 930-5003 (Customer Service)

On-Site Property Manager 24 Hours Mercy Rivero (516) 314-1877 Smith & DeGroat Real Estate Managing Director: Martin Schackner x 205 Office Manager: Donna Marder x 207 (516) 248-6905 Garden City Post Office (516) 747-6263

Uniondale School District (516) 560-8813

MITCHEL FIELD RENTALS East Garden City, New York 11530

MITCHEL FIELD RENTALS East Garden City, New York 11530

MITCHEL FIELD RENTALS East Garden City, New York 11530

For Further Information Contact Martin Schackner Smith & DeGroat Real Estate 516/248-6905 Office