NELSON MANAGEMENT GROUP LTD. _______________________________________________________
Lafayette Towers Nelson Apartments, LLC, Rental Application -
Required Information/Documentation
Please provide the following information for all persons who will be occupying the apartment and for those who will be
responsible for paying the rent as well.
1.
A $20.00 money order (
per applicant
) made payable to Nelson Management Group for a full credit
report/background check.
2.
A copy of two (2) most recent tax returns.
3.
Four (4) most recent pay stubs, pension letter, or social security award letter. If self-employed, verified letter from
accountant and copy of schedule C.
4.
Rent breakdown from your current Management Office (Last 12 Months).
Last twelve (12) months canceled rent checks if you live in a private home.
5.
Government Issued ID i.e. Driver’s License or DMV ID card.
Tenant(s) annual household income must be
40 TIMES THE MONTHLY RENT.
Other items such as bank statements and letters verifying employment and salary are also helpful.
For any questions regarding the above you can contact Nancy Marzano (718) 997-9500 ext. 105
Lafayette Nelson Apartments, LLC participates in a New York City program preserving workforce housing. Due to this,
certain income limits apply based on household size. There are two income tiers at the property. Please see below for
the
MAXIMUM
income allowable for tenant households upon moving in to the property for each income tier.
Maximum
Maximum
HH Size
Annual Income (120%)
HH Size
Annual Income (150%)
1
$100,320
1
$125,400
2
$114,600
2
$143,250
3
$128,880
3
$161,100
4
$143,160
4
$178,950
5
$154,680
5
$193,350
6
$166,080
6
$207,600
EQUAL HOUSING OPPORTUNITY
NELSON MANAGEMENT GROUP LTD. _______________________________________________________
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118-35 Queens Boulevard Forest Hills, NY 11375 Voice: (718) 997-9500 Fax: (718) 997-1781
Move in Information
Property Description __________________ Rental Building ____________________________
Deposit_____________________ One months rent _____________________Rent _____________________
Contract Length__________________ Move in Date _________________ to be determined______________
Applicant Information
First name__________________________________ Last name____________________________________
Social security number________________________ Date of Birth___________________________________
Phone_____________________________________ Cell Phone ____________________________________
License____________________________________ Smoke? ______________________________________
Co-Applicant Information
First name__________________________________ Last name____________________________________
Social security number________________________ Date of Birth___________________________________
Phone_____________________________________ Cell Phone ____________________________________
License____________________________________ Smoke? ______________________________________
Additional Occupants
Name__________________________________ Relationship _____________________ Age _____________
Name__________________________________ Relationship _____________________ Age _____________
Name__________________________________ Relationship _____________________ Age _____________
Name__________________________________ Relationship _____________________ Age _____________
Name__________________________________ Relationship _____________________ Age _____________
NELSON MANAGEMENT GROUP LTD. _______________________________________________________
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Current Address
We Do Business in Accordance With the Federal
Fair Housing Law
(The Fair Housing Amendments Act of 1988)
Address_________________________________________________________________________________
City________________________________________State __________________ Zip __________________
Manager__________________________________ Manager Phone _________________________________
Start Date ___________________________________ End Date ____________________________________
Reason for leaving ________________________________________________________________________
Past Rental History
Address_________________________________________________________________________________
City________________________________________State __________________ Zip __________________
Manager__________________________________ Manager Phone _________________________________
Start Date ___________________________________ End Date ____________________________________
Reason for leaving ________________________________________________________________________
Employment History
Company _______________________________________________________________________________
Manager__________________________________ Manager Phone ________________________________
Employment Length _________________________ Monthly Pay ___________________________________
Co-Applicant Employment History
Company _______________________________________________________________________________
Manager__________________________________ Manager Phone ________________________________
Employment Length _________________________ Monthly Pay ___________________________________
NELSON MANAGEMENT GROUP LTD. _______________________________________________________
Page 4 of 5
We Do Business in Accordance With the Federal
Fair Housing Law
(The Fair Housing Amendments Act of 1988)
NELSON MANAGEMENT GROUP LTD. _______________________________________________________
Page 5 of 5
Additional Income
Income source_________________________________ Amount ___________________________________
Verify with? ___________________________________ Phone ___________________________________
Bank Information
Bank name ____________________________Account # _______________________ Amount ___________
Bank name ____________________________Account # _______________________ Amount ___________
Bank name ____________________________Account # _______________________ Amount ___________
Bank name ____________________________Account # _______________________ Amount ___________
Personal References
Name ____________________________ Relationship ______________________ Phone _______________
Name ____________________________ Relationship ______________________ Phone _______________
Name ____________________________ Relationship ______________________ Phone _______________
Automobile Information
Make____________________________ Model_______________________ Plate # _________________
Make____________________________ Model_______________________ Plate # _________________
We Do Business in Accordance With the Federal
Fair Housing Law
(The Fair Housing Amendments Act of 1988)
NELSON MANAGEMENT GROUP LTD. _______________________________________________________
Page 6 of 5
Additional Information
Have you ever been convicted of a crime? Describe and Date each one:
Have you ever been evicted or declared bankruptcy? Describe and Date each one:
________________________________________________________________________________________
________________________________________________________________________________________
_______ (initials) I agree to the following statement – I represent that the information provided in this
application is true, complete and accurate to the best of my knowledge. I understand that any
misrepresentation or omission of information is grounds for eviction.
_______ (initials) I agree to the following statement – I understand that the information provided might be used
by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information
given in this application, including past rental information, personal references and employment information
provided. I authorize the Landlord to obtain a current credit and criminal background check.
_______ (initials) I agree to the following statement – I understand that this application is not a rental
agreement and that this application does not create any obligation on the Landlord.
The undersigned represent that the information provided in this application is true, complete, and accurate to
the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for
eviction.
Signature__________________________________ Date_______________________
Signature__________________________________ Date_______________________
PETS ARE NOT PERMITTED
We Do Business in Accordance With the Federal
Fair Housing Law
(The Fair Housing Amendments Act of 1988)
Storage AND/OR USE OF BBQ’S ARE NOT PERMITTED ON TERRACE
