IBEC BUILDING CORPORATION
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1 IBEC BUILDING CORPORATION LOW INCOME APPLICATION REQUIRED DOCUMENTS In order for us to further process your application, please supply the following: Clear copies of Birth Certificates for all children. Clear copy of marriage certificate School letters for all children. Consecutive rent receipts for the past six months (if canceled checks, please provide copies of both front & back of the canceled checks) Most recent bank statement Copies of two most recent utility bills (Verizon, Con Ed or Brooklyn Union Gas) Copies of all Social Security cards for everyone in household Clear copies of all W-2 Forms for the most recent Tax Year (For all working adults) Clear copies of your 1040 Form (Federal Return) for the most recent Tax Year (For all working adults) Clear copies of the last four consecutive pay stubs and a job letter stating title, annual salary and date of hire. (For all working adults) Benefit letter from: Public Assistance, Social Security, S.S.I, Pension, Child Support, Alimony, Unemployment, Scholarships, Grants, Section 8, Interest Income, etc.) 6
2 IBEC BUILDING CORPORATION LOW INCOME APPLICATION Attention Applicant: In order to process your application, you must pay the processing fee of $60.00 made payable to IBEC Building Corp. This fee will cover the credit check & housing court search. It is non-refundable. This is not a broker s fee. All applications submitted without the money order will not be processed. If you have bad credit or a poor rent payment history, your application will be rejected. If you are accepted for an apartment, you will pay the SECURITY DEPOSIT (equal to one month s rent) and at lease signing you will pay the first month s rent. DO NOT GIVE BROKER S FEE OR APPLICATION FEE TO ANYONE IN CONNECTION WITH THE OBTAINING, PREPARING, OR FILING OF THIS APPLICATON FOR HOUSING. Please Note: A) No Dogs, Cats or other Pets Permitted. B) If at anytime you submit a security deposit for this or any apartment and in the event you withdraw your application, you will forfeit the entire security deposit. PLEASE TYPE OR PRINT LEGIBLY FOR OCCUPANCY AT: ABOUT YOU Applicant Soc. Sec.# - - D.O.B Current Apt. # City State Zip Home Work Cell address Co-Applicant Soc. Sec.# - - D.O.B Current Apt. # City State Zip Home Work Current monthly rent?$ Cell address How much do you contribute to the total monthly rent?$ No. of bedrooms? No. of occupants? How long at this address? Years Whose name is on the lease? Landlord s Name Relationship to applicant? (If you are living in a public housing project, write NYCHA, if you are living in a city-owned building, write HPD) Landlord s Landlord s phone # ( ) Previous residence address Do you presently have a section 8 housing voucher? If so, what is the maximum rent Sec. 8 will accept? $ How much is your portion $ 1
3 Why are you moving? Check all that apply. [ ] Living with parents [ ] Do not like neighborhood [ ] Not enough space [ ] Living with relatives or another family [ ] Living in shelter or on the street [ ] Rent too high [ ] Bad housing conditions [ ] Increase in family size [ ] Health reasons [ ] Other Check here the utilities paid by you and indicate the average monthly bill. Gas $ ; Electric $ ; Heat $ ; Water $ Are any of these costs included in your rent? Yes No Which ones? ABOUT YOUR WORK: Current employer (Applicant) ( ) Gross Annual income Start date Full time? Supervisor s Name ( ) Current employer (Co-Applicant) ( ) Gross Annual income Start date Full time? Supervisor s name ( ) Note: List other previous employer s full information on a separate page to show a complete five year work history. In case of emergency involving you, who should we contact? Name Telephone Relationship Name Telephone Relationship 2
4 HOUSEHOLD: How many persons in your household, including yourself, will be living in the unit?. List all people, starting with yourself, and provide the following information: CHECK IF ATTENDING RELATIONSHIP BIRTH SCHOOL FULL NAME TO APPLICANT DATE AGE SEX FULL TIME 1. SELF Occupation: Soc. Sec. No.: 2 Occupation: Soc. Sec. No.: 3 Occupation: Soc. Sec. No.: 4 Occupation: Soc. Sec. No.: 5 Occupation: Soc. Sec. No.: Do you presently live with all persons listed above? If not, please explain. Are you or a member of the household disabled? If so, do you require a special accommodation? [ ] Yes [ ] No [ ] Yes [ ] No If so, please specify: 3
5 INCOME: List all full and/or part time employment for all household members listed on previous page. Include self employed earnings. NAME, ADDRESS & PHONE OF HOW LONG GROSS HOUSEHOLD MEMBERS EMPLOYER EMPLOYED INCOME PER PER PER INCOME FROM OTHER SOURCES: List all other income, for example, welfare (including housing allowance), AFDC, Social Security, SSI, pension, disability compensation, unemployment compensation, Interest income, babysitting, care-taking, alimony, child support, annuities, dividends, income from rental property, Armed Forces Reserves, scholarships and/or grants, etc. HOUSEHOLD MEMBER TYPE OF INCOME AMOUNT $ PER $ PER $ PER $ PER TOTAL ANNUAL HOUSEHOLD INCOME: (Add all income listed above and indicate the total earned for the year) $_ per year. 4
6 ASSETS: Checking Account/Bank or Branch: Passbook Savings/Bank or Branch: Savings Certificates/Bank or Branch: Assets Include: Assets Do Not Include: Cash (wherever held), trust corpus, equity in real estate or capital investments, notes receivable, stocks, bonds, money market accounts, certificates of deposit, IRA s retirement and pension funds, and luxury personal property (gems, jewelry, art, coin collections, etc ). You must also include the value of any assets disposed of in the past 24 months at less than fair market value. Necessary personal property such as clothing, furniture, daily-use autos, tools, dishes, etc Also excluded is any special equipment for use by the handicapped, cash value of life insurance policies, and assets of a business. Are the assets (as defined above) of the whole household more than $5,000? [ ]yes [ ]no Have you disposed of any assets at less than fair market value within 24 months? [ ]yes [ ]no If YES to either, you will be given an asset addendum to complete at the interview. If NO, what is the anticipated earnings on all household assets for the next year? $ GENERAL How did you hear about this development? (Please check one) [ ] Sign Posted on Building [ ] Web Site (which?) [ ] Newspaper [ ] Friend [ ] Local Organization or Church [ ] NYC Affordable Housing List [ ] Other I have read and completed the above form. This application is subject to approval by the Owners and/or Agents. I understand that the truth of the information contained herein is essential and if the Owner or it s Agent deems any answer or statement herein to be false or misleading, it will results in my immediate disqualification. If applicant is approved, this application is to be made a part of the lease entered into by the applicant and Owner or it s Agents. If any of the information provided by the applicant is deemed false or misleading, any lease granted by the virtue of this application may be canceled at Owner s option. I hereby authorize the Owner and/or their Agents, IBEC Building Corp. to use any consumer reporting agency, credit bureau, or other investigative agencies employed by such to investigate the references herein listed or statements or other data obtained from me or from any other person pertaining to my employment history, credit, prior tenancies, and home visits, to obtain a consumer report and such other credit information which may result thereby. I have been advised that I have the right, under Section 6068 of the Fair Credit Reporting Act, to make a written request, within reasonable time, for a complete and accurate disclosure of the nature and scope of any investigation. Applicant s signature: SS# Date Co-Applicant s signature: SS# Date 5
7 IBEC BUILDING CORPORATION MARKET RATE APPLICATION REQUIRED DOCUMENTS In order to process your application, please pay the processing fee of $60.00 made payable to IBEC Building Corp. This fee will cover the credit check & housing court search. It is non-refundable. This is not a broker s fee. Applications submitted without the credit check fee will not be processed. If you have bad credit or a poor rent payment history, your application will be rejected. If you are accepted for an apartment, in order to reserve the apartment, you must pay the security deposit (equal to one month s rent) and at lease signing you will pay the first month s rent. Please supply the following documents with your application:! Clear copies of the last four consecutive pay stubs, or a job letter stating title, salary and date of hire. (For all working adults)! Clear copies of all W-2 Forms for the most recent Tax Year (For all working adults)! Clear copies of your 1040 Form (Federal Return) for the most recent Tax Year (For all working adults)! Consecutive rent receipts for the past six months (if canceled checks, please provide copies of both front & back of the canceled checks)! Copies of Social Security cards! Copies of Birth Certificates for all children! Most recent bank statement Page 4 of 4
8 IBEC BUILDING CORPORATION MARKET RATE APPLICATION THERE IS A $60.00 NON-REFUNDABLE CREDIT CHECK FEE, PER APPLICATION, PAYABLE TO IBEC BUILDING CORPORATION. PLEASE SUBMIT THIS PAYMENT WITH YOUR APPLICATION. MAIL COMPLETED APPLICATION TO: IBEC BUILDING CORPORATION 55 BROAD STREET, 16 th FLOOR NEW YORK, NY TEL (212) FAX (212) PLEASE NOTE: IF YOUR APPLICATION IS ACCEPTED AND YOU SUBMIT A SECURITY DEPOSIT FOR THIS OR ANY OTHER APARTMENT, AND IN THE EVENT YOU WITHDRAW YOUR APPLICATION, YOU WILL FORFEIT THE ENTIRE SECURITY DEPOSIT. PLEASE TYPE OR PRINT LEGIBLY FOR OCCUPANCY AT: A. ABOUT YOU: Name: M/F Street : Apt. No City:, State: Zip: Home Work : Cell : Social Security No.: Date of Birth: Name:(co-applicant): M/F Street : Apt. No City:, State: Zip: Home Work : Cell : Social Security No.: Date of Birth: Current monthly rent? $ How much do you contribute to the total monthly rent? (If you do not contribute anything write 0 ) No. of bedrooms? No. of occupants? How long at this address? Years Whose name is on the lease? Relationship to applicant? Landlord/Managing Agent: Landlord s : Landlord s phone # Previous residence address Do you presently have a section 8 housing voucher? If so, what is the maximum rent Sec. 8 will accept?$ How much is your portion $ Page 1 of 4
9 B. ABOUT YOUR WORK: Current employer (applicant) Gross Annual income $ (Per Year). Start Date Full Time? Supervisor s Name Current employer (co-applicant) Gross Annual income $ (Per Year). Start Date Full Time? Supervisor s Name Previous employer (applicant) Gross Annual income $ (Per Year). Start Date End Date Supervisor s Name Previous employer (co-applicant) Gross Annual income $ (Per Year). Start Date End Date Supervisor s Name INCOME FROM OTHER SOURCES: List all other income, for example, Interest income, dividends, annuities, income from rental property, unemployment compensation, child support, alimony, scholarships and/or grants, pension, Social Security, disability compensation, Armed Forces Reserves, SSI, etc. Household Member Type of Income Amount $ Per $ Per $ Per TOTAL ANNUAL HOUSEHOLD INCOME: (Add All Income Listed Above and Indicate the Total Earned for the Year) $ PER YEAR Page 2 of 4
10 C. HOUSEHOLD: How many persons in your household, including yourself, WILL LIVE IN THE UNIT FOR WHICH YOU ARE APPLYING?. List all of the people WHO WILL LIVE IN THE UNIT FOR WHICH YOU ARE APPLYING, starting with yourself, and provide the following information. Relationship Birth!if F/T Full Name to Applicant Date Age Sex Occupation Student 1. SELF D. GENERAL: How did you hear about this development? (Please check one) [ ] Real Estate Broker [ ] Newspaper (which?) [ ] Web Site (which?) [ ] Other E. SIGNATURE: I have read and completed the above form. This application is subject to approval by the Owners and/or Agents. I understand that the truth of the information contained herein is essential and if the Owner or it s Agent deems any answer or statement herein to be false or misleading, it will result in my immediate disqualification. If applicant is approved, this application is to be made a part of the lease entered into by the applicant and Owner or it s Agents. If any of the information provided by the applicant is deemed to be false or misleading, any lease granted by the virtue of this application may be canceled at Owner s option. I hereby authorize the Owner and/or their Agents, IBEC Building Corp. to use any consumer reporting agency, credit bureau, or other investigative agencies employed by such to investigate the references herein listed or statements or other data obtained from me or from any other person pertaining to my employment history, credit, prior tenancies, and home visits, to obtain a consumer report and such other credit information which may result thereby. I have been advised that I have the right, under Section 6068 of the Fair Credit Reporting Act, to make a written request, within reasonable time, for a complete and accurate disclosure of the nature and scope of any investigation. SIGNATURE SIGNATURE DATE: DATE: In case of emergency involving you, who should we contact? _ Name Tel. No. Relationship Page 3 of 4
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