Template REBNY Coop Purchase Application for NYC

Purchase Application For the Sale of Cooperative Apartment

Today’s Date: _____________

Cooperative Name:_______________________ Number of Shares: ___________________________

Apt. Address: ____________________________ Apartment Number: __________________________

Purchase Price: ___________________________ Source of Down Payment: ______________________

Amount of Financing: ______________________ Monthly Maintenance: ________________________

Deposit on Contract: _______________________ Proposed Closing Date: _______________________

Special Conditions, if any: ________________________________________________________________

Managing Agent: _________________________ Telephone: ( ) ____________________________

Address: ________________________________ Contact: ___________________________________

Seller(s): ________________________________ Email: _____________________________________

Present Address: ________________________________________________________________________

Home Tel: __________________ Office Tel: _____________ Cell Tel: ____________________

Seller’s Attorney: ________________________ Email: _____________________________________

Address: ______________________________________________________________________________

Office Tel: _____________________ Facsimile: _________________________________________

Seller’s Broker: _________________________ Email: ____________________________________

Office Tel: _________________ Facsimile: _______________ Cell Tel: ___________________

Purchaser(s): _______________________________ Email: _____________________________________

Present Address: ________________________________________________________________________

Home Tel: __________________ Office Tel: _____________ Cell Tel: ____________________

Purchaser’s Attorney: ________________________ Email: _____________________________________

Address: ______________________________________________________________________________

Office Tel: _____________________ Facsimile: _________________________________________

Purchaser’s Broker: _________________________ Email: ____________________________________

Office Tel: _________________ Facsimile: _______________ Cell Tel: ___________________

Name(s) Cooperative Stock would be held in (and type of joint ownership): ________________________

New Mortgage Lender: ___________________________________________________________________

Attorney for Lender: _________________________ email: _____________________________________

Office Tel: ____________________________ Facsimile: __________________________________

PERSONAL INFORMATION REGARDING APPLICANT(S)

Applicant                                                                 Co-Applicant

Name: __________________________ ____________________________

Residence Address: _________________  ____________________________

Dates of Residence: From ______ To_____ From ________ To____________

Prior Address: _____________________ ____________________________

Dates of Residence: From ______ To_____ From ________ To____________

Nature of Business __________________ ____________________________

Employment Status:
Applicant:       ___Full time ___Part time ___Unemployed ___Retired ___ Student
Co Applicant: ___Full time ___Part time ___Unemployed ___Retired ___ Student

Current Employer: __________________ ____________________________

Are you self-employed: ___Yes ___No             ___Yes ___No

Employer Address: __________________ ____________________________

Period of Employment: _______________ ____________________________

Position Held: _____________________ ____________________________

Years in line of work _________________ ____________________________

Supervisor’s Name: __________________ ____________________________

Business Telephone __________________ ____________________________

Prior Employer: ____________________ ____________________________

(if less than three years in current job)

Prior Employer Address: ______________ ____________________________

Period of Employment: _______________ ____________________________

Position Held: _____________________ ____________________________

Supervisor’s Name: __________________ ____________________________

Business Telephone __________________ ____________________________

Income Estimate for this year: ___________ ____________________________

Actual Income last year: _______________ ____________________________

Educational Background: ______________ ____________________________

ADDITIONAL INFORMATION REGARDING APPLICANTS

Names of all persons who will reside in the apartment: __________________________________________

Schools and colleges attended by applicants and occupants, including years of attendance:__________________

Names of anyone in the building known to applicants: __________________________________________

Are any pets to be maintained in the apartment? If yes, indicate number and kind (NOTE: Please refer to rules of building for any specific rules or limitations regarding pets): ______________________________

Name of organizations to which applicants belong: ____________________________________

Will occupancy be: ___Full Time ___Part Time

Do you plan to sublease your apartment (NOTE: Please refer to rules of building for any specific rules or limitations on subleasing):

___Yes ___No

Do you plan to perform any major alterations to the apartment? ___Yes ___No

If yes, please describe the plans:____________________________________________________________

APPLICANT’S HOUSING HISTORY

Current Landlord: ______________________ Landlord’s Address: __________________________

Landlord Tel: _________________________ Current Rent: _______________________________

Reason for Moving: _____________________________________________________________________

Prior Landlord: ______________________ Landlord’s Address: __________________________

Landlord Tel: _________________________ Prior Rent: _________________________________

Reason for Moving: _____________________________________________________________________

PERSONAL REFERENCES

Applicant                                                                                 Co-Applicant

1. Name: ____________________________ 1. Name: _________________________

Address: __________________________       Address: _______________________

2. Name: ____________________________ 2. Name: _________________________

Address: __________________________       Address: _______________________

3. Name: ____________________________ 3. Name: _________________________

Address: __________________________       Address: _______________________

4. Name: ____________________________ 4. Name: _________________________

Address: __________________________       Address: _______________________

BUSINESS AND PROFESSIONAL REFERENCES

Applicant                                            Co-Applicant

1. Name: ____________________________ 1. Name: _________________________

Address: __________________________ Address: _______________________

2. Name: ____________________________ 2. Name: _________________________

Address: __________________________ Address: _______________________

BANK AND CREDIT REFERENCES

Applicant                                                                                 Co-Applicant

1. Bank Name: ____________________________ 1. Bank Name: ______________________

Address: _______________________________ Address: _________________________

Account # _______________________________ Account # ________________________

Type: ___Checking ___Savings ___                          Type: ___Checking ___Savings ___Loan

2. Name: ____________________________ 2. Name: _________________________

Address: __________________________ Address: _______________________

Account # _______________________________ Account # ________________________

Type: ___Checking ___Savings ___                         Type: ___Checking ___Savings ___Loan

DECLARATIONS

Applicant     Co- Applicant

1. Are there any outstanding judgments against you?                  ________  ___________
2. Have you been declared bankrupt in the last 7 years?             ________  ___________
3. Have you had a property foreclosed upon or given title or a deed in lieu thereof in the last 7 years? ________ ___________
4. In the last 5 years have you been a party to any lawsuits? ________ ___________
5. Have you directly or indirectly been obligated on a loan that resulted in foreclosure or transfer of title in lieu of foreclosure or judgment? ________
6. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? ________
7. Is any part of the down payment borrowed? ________ ___________
8. Do you intend to occupy the apartment as your primary residence? ________ ___________
9. Are you obligated to pay alimony or child support? ________ ___________
10. Have you ever been convicted of a felony or misdemeanor _______ ___________
    If yes, please describe. ________ ___________

THE FOREGOING APPLICATION, INCLUDING ALL PERSONAL AND FINANCIAL INFORMATION, HAS BEEN CAREFULLY PREPARED, AND THE UNDERSIGNED HEREBY SOLEMNLY DECLARE(S) AND CERTIFIES THAT ALL THE INFORMATION IS TRUE AND CORRECT AND THAT THE FINANCIAL INFORMATION IS SUBMITTED IS A TRUE AND ACCURATE STATEMENT OF THE UNDERSIGNED AS OF THE DATE SET FORTH BY EACH SIGNATURE. THE UNDERSIGNED ALSO AGREE(S) THAT IN PROCESSING THIS APPLICATION, THE MANAGING AGENT NAMED HEREIN AND ITS EMPLOYEES AND AGENTS NEITHER BEAR NOR ASSUME ANY RESPONSIBILITY WHATSOEVER FOR THE VERIFICATION OR COMPLETENESS OF THE INFORMATION CONTAINED HEREIN. IN ADDITION, THE UNDERSIGNED HEREBY AUTHORIZE(S) THE MANAGING AGENT AND THE COOPERATIVE CORPORATION TO SHARE SUCH PORTIONS OF THE INFORMATION AS THEY MAY REASONABLY BELIEVE NECESSARY TO FULFILL THE PURPOSES OF THIS APPLICATION WITH ANY OTHER PARTIES, AND FURTHER AGREE(S) TO HOLD THE MANAGING AGENT, ITS EMPLOYEES AND AGENTS HARMLESS FROM ANY ERROR OR OMISSION IN THE TRANSFER OF THE INFORMATION OR THE DISTRIBUTION OF SUCH INFORMATION TO THIRD PARTIES.

Date: _______________ Applicant: ___________________________________________

Date: _______________ Co-Applicant: ________________________________________

The Federal Fair Housing Act | The Civil Rights Act | The New York State and New York City Human Rights Laws

The New York City Human Rights Law provides that it is unlawful to refuse to sell, rent, lease, approve the sale, rental or lease or otherwise deny a housing accommodation based on actual or perceived race, creed, color, national origin, gender (including gender identity), age, disability, sexual orientation, marital status, partnership status, lawful source of income, alienage or citizenship status or because children are, may be, or would be residing in the accommodation. Where a housing accommodation or an interest is sought or occupied exclusively for residential purposes, the provisions shall be construed to prohibit discrimination in the sale, rental, or leasing of such housing accommodation or interest on account of a person’s occupation. Complaints may be filed within one year of an unlawful discriminatory act at the Law Enforcement Bureau of the City’s Commission on Human Rights.

The New York State Human Rights Law provides that it is unlawful to refuse to sell, rent, lease or otherwise deny a housing accommodation on the basis of race, creed, color, national origin, sex, age, disability, sexual orientation, military status, marital status, or familial status. Complaints may be filed within one year of an unlawful discriminatory act to the New York State Division of Human Rights or within three years of an unlawful discriminatory act in State Court. Complaints may not be filed with both the Division and the Court.

The Federal Fair Housing Act prohibits discrimination in housing practices on the basis of race, color, religion, sex, handicap, familial status, or national origin. Individuals who believe they have been victims of an illegal housing practice may file a complaint within one year of the unlawful discriminatory act with the Department of Housing and Urban Development (HUD) or file their own lawsuit in federal or state court. The Department of Justice brings suit on behalf of individuals based on referrals from HUD.

The Civil Rights Act provides that all citizens of the United States shall have the same right to inherit, purchase, lease, sell, hold, and convey real and personal property. The law concerns the rights of all persons to make and enforce contracts, to sue, be parties, give evidence, and to the full and equal benefit of all laws and proceedings for the security of persons and property. Complaints may be filed with the Office for Civil Rights.