34 PLAZA OWNERS CORPORATION PAGE 1 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
This is a writable PDF document. Please type your answers into the form on your
computer. After completing this form, print it and sign where indicated.
Applicant(s)__________________________________________________________________
Seller_______________________________________________________________________
Apartment No. connected to this application: ________
The undersigned hereby submit(s) this application for consent to purchase the shares of stock
appurtenant to the above listed Apartment and to the transfer of said shares and the Proprietary
Lease. We/I understand that the proposed purchase cannot be consummated without the consent
of the Board of Directors and agree that:
1. Pursuant to authority granted in the Proprietary Lease and By Laws of the Apartment Corporation,
the Board of Directors will use this application to obtain background information regarding
proposed purchasers of the Corporation's stock. We/I authorize the Board, its agents and
representatives, to contact any person identified in this application, including employers, financial
institutions, landlords, educational institutions, references, or others, to obtain additional
information concerning this application.
2. The Board of Directors may require additional information and will require that the applicant(s)
appear for a personal interview. Other persons who will reside in the apartment may also be
required to appear at this interview.
3. The information supplied on or pursuant to this application is essential to the Board in order for it to
maintain the quality of life in the building and to be sure that the requirements of the proprietary
lease and the rules and regulations of the cooperative will be observed.
4. Falsification of any information supplied, or omission of material information may result in denial
of consent, or in revocation of prior consent, by the Board of Directors and in termination of the
applicant's Proprietary Lease.
5. We/I have read the Proprietary Lease and House Rules, which govern the occupancy of the
Apartment and agree to abide by the same.
6. The Apartment is being acquired in "as is" condition (except as the Contract may contain obligations
between the Seller and Purchaser concerning repairs, changes or improvements to the Apartment).
The Apartment Corporation, its agents and representatives, shall have no liability with respect to
any action or omission of the Seller in connection with the contract of sale annexed to this
34 PLAZA OWNERS CORPORATION PAGE 2 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Application.
7. The Apartment Corporation, its agents and representatives has/have no obligation to install any
fixtures or equipment in the Apartment, or to make any repairs, or to abate or repair any condition
involving lead paint or asbestos, and make(s) no representation with respect to any matter or thing
relating to the purchase of the Apartment, including the value of same, nor any representation
concerning the financial condition of the Apartment Corporation, nor any representation concerning
the physical or legal condition of the Building or the Apartment except as set forth below, as may
be expressly required by 24 C. F. R. Part 35 Subpart H, with respect to lead based paint and/or
lead based paint hazards.
8. We/I hereby certify that prior to executing the contract of sale, the seller provided us with
information with respect to lead based paint and/or lead based paint hazards, which the federal
regulations require. We/I are/am satisfied with the condition of the Building and the Apartment and
waive any further right or opportunity to conduct any further inspection of the Apartment and the
Building for the presence of lead based paint.
9. We agree to be bound by the terms set forth in Part A hereof, which shall survive the closing.
If this application is accepted, we/I will NOT, without the prior written consent of the Board of
Directors:

Pledge or create a security interest in the shares and Proprietary Lease for the Apartment;

Make any alterations to the structure of or fixtures in the Apartment;

Sell or Sublease the apartment;

Permit any person to reside in the Apartment who is not authorized by the Proprietary Lease to
so reside;

Use the Apartment for other than residential purposes;

Violate any provision of the Proprietary Lease, House Rules or By Laws.
We/I certify that the information contained in or attached to this Application is true and complete.
Applicant: _________________________________ Date: ___________________
(Signature)
Co-applicant (if any): ________________________ Date: ___________________
(Signature)
34 PLAZA OWNERS CORPORATION PAGE 3 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
INSTRUCTIONS
This form should be completed as follows:

LEAD PAINT DISCLOSURE ACKNOWLEDGEMENT, is to be filled out by the Seller (Existing
Shareholder)

Remaining sections are to be filled out by the Purchaser (Applicant)
All questions should be completely answered. If a question cannot be answered, an explanation of the
omission should be provided. You have the option of attaching a cover letter should you feel any additional
explanation would aid your application or help our understanding.
In addition to the optional cover letter (previously mentioned), the required supporting documents are as
follows:
1. Signed and completed 34 Plaza application form
2. Contract of Sale
3. Appraisal report
4. Employment verification letter stating present income (applicant and co-applicant if any)
5. Two personal letters of reference (each for applicant and co-applicant if any)
6. Two business or professional letter of reference (each for applicant and co-applicant if any)
7. Litigation status letter (applicant and co-applicant if any)
8. Loan commitment or recognition agreement
9. Tax returns, 2 years prior to application – include Federal returns only (not State), all schedules and
attachments. If self employed, Federal tax return for business, (2 years)
10. Supporting documentation for all assets and income reported in the application. Assets and income
without supporting documentation will not be taken into consideration. Documentation must be the
most current reasonably obtainable.
11. A check in the amount of $250, payable to Marin Management Corporation.
34 PLAZA OWNERS CORPORATION PAGE 4 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Any of the above documents without appropriate signatures will not be taken into consideration. Seven paper
copies of the completed application, together with all supporting documents, should be delivered to:
Mr. Gary Glabman
Managing Agent
Marin Management Corporation
157 East 25th Street
New York, NY 10010
TERMS
The proposed purchase cannot be consummated without the consent of the Board of Directors of the
apartment Corporation, pursuant to the terms of the proprietary lease.
This application will not be processed unless seller and Purchaser have complied with the requirements of
Chapter 63A of Title 42, U.S.C., as implemented by 24 C.F.R. Part 35, Subpart H, dealing with disclosure of
known lead based paint and/or lead based paint hazards upon sale or lease of residential property.
In no event will the Apartment Corporation, the Board of Directors, or any of their agents or representatives
be responsible for any liability or expense of any nature incurred by any Seller or Purchaser by reason of any
delay in processing this application or by reason of the failure or refusal of the Board of Directors to grant
approval.
This application must be accompanied by a non refundable processing fee in the sum of $250 payable to
Marin Management Corporation. If the application is approved, further sums will be payable at the closing to
cover the expenses of the Apartment Corporation, including any potential legal fees arising out of the
processing and closing of this application.
All maintenance, arrearages, and other charges must be paid in full at or before the closing.
34 PLAZA OWNERS CORPORATION PAGE 5 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
LEAD PAINT DISCLOSURE ACKNOWLEDGEMENT
Apartment No.: ___________________________
Date: ___________________________________
To: THE BOARD OF DIRECTORS OF 34 Plaza Owners Corporation
The undersigned hereby request(s) the approval of the sale of the Apartment, and the assignment of the
shares and proprietary lease appurtenant thereto, to the Applicant submitting Part C of this Application.
We/l agree to the Terms set forth in Part A hereof, which shall survive the closing.
We/I hereby certify that we/I have complied with the disclosure requirements of the Code of Federal
Regulations concerning lead based paint and/or lead based paint hazards, and have supplied all required
documents and information to the Purchaser. The lead based paint information supplied to Purchaser
included, but was not limited to, information we/I obtained from the Apartment Corporation regarding
the presence of lead based paint in the Apartment and in the common areas of the Building. We/l agree
to indemnify the Apartment Corporation, its agents and representatives, against any liability arising out
of our failure to make such required disclosure.
We/l hereby understand and consent that the Apartment Corporation will not complete the processing of
this application until Purchaser has submitted a certification that Purchaser has received all required
disclosure materials from the Seller and the Apartment Corporation, and does not require any further
testing or inspection.
Shareholder: ___________________________________________________________
Social Security # _________________________________________________________
Co-shareholder: ___________________________________________________________
Social Security # _________________________________________________________
Forwarding Address: ______________________________________________________
34 PLAZA OWNERS CORPORATION PAGE 6 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
GENERAL INFORMATION
Apartment #: _________ Number of shares: _________
Seller:
Name ______________________________________________________________________________
Current Address_____________________________________________________________________
Email______________________________________________________________________________
Phone______________________________________________________________________________
Lender (financial institution):
Name______________________________________________________________________________
Current Address_____________________________________________________________________
Email______________________________________________________________________________
Phone______________________________________________________________________________
Real estate broker:
Name______________________________________________________________________________
Current Address_____________________________________________________________________
Email______________________________________________________________________________
Phone______________________________________________________________________________
Applicant's attorney:
Name______________________________________________________________________________
Current Address_____________________________________________________________________
Email______________________________________________________________________________
Phone______________________________________________________________________________
Seller's attorney:
Name______________________________________________________________________________
Current Address_____________________________________________________________________
Email______________________________________________________________________________
Phone______________________________________________________________________________
34 PLAZA OWNERS CORPORATION PAGE 7 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Name(s) in which cooperative stock will be held:
______________________________________________________________________________
Names and Relationship of proposed occupants and ages of children, if any:
______________________________________________________________________________
Personal References
Two personal letters of reference (each for applicant and co-applicant if any).
Include name, address, and telephone numbers. You may include the same reference as in the required letter
of reference.
1. ______________________________________________________________________________
2. ______________________________________________________________________________
Co-applicant
1. ______________________________________________________________________________
2. ______________________________________________________________________________
Business or Professional References
Include two each for applicant and co-applicant if any. Include name, address, and telephone numbers. You
may include the same reference as in the required letter of reference.
1. ______________________________________________________________________________
2. ______________________________________________________________________________
Co-applicant
1. ______________________________________________________________________________
2. ______________________________________________________________________________
Pets
Number, type of animal(s), approximate weight(s) and any other relevant information. Note that all tenants
must abide by the Pet Policy. All pets must be approved by building management and Board.
_______________________________________________________________________________
34 PLAZA OWNERS CORPORATION PAGE 8 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Applicant
Co Applicant
Name:
Current Address:
Date of Residence:
From
To:
From
To:
From
To:
From
To:
From
To:
From
To:
From
To:
From
To:
Home Telephone Number:
Email Address:
Social Security Number:
Country of citizenship:
Prior address
(if less than 3 years)
Date of Residence:
Employer:
Employer Address:
Business Phone:
Nature of Business:
Title or occupation:
(brief description)
Period of Employment:
Prior employer: (if less than 3
years at current employer)
Title or occupation
Period of Employment:
Education: ( school, field of
study, degree)
34 PLAZA OWNERS CORPORATION PAGE 9 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Please answer “Yes” or “No” to the following:
You may attach a cover letter should you feel any additional explanation would aid your application or help
our understanding
Applicant
Have you any outstanding judgments?
Have you been declared bankrupt In the last 7 years?
Have you had property foreclosed upon or given title or deed
in lieu thereof?
Are you a party in a lawsuit?
Are you obligated to pay alimony, child support or separate
maintenance?
Other than a mortgage, are you using other gifts or loans to
help finance this purchase?
Do you or any member of your family have diplomatic
status?
Have you previously lived in a doorman building?
Do you plan to conduct business in the apartment?
Names of organizations to which Applicant belongs
(optional).
Names of all persons who will reside in the Apartment
Names of anyone in the building known to Applicant (or coapplicant)
Co-applicant
34 PLAZA OWNERS CORPORATION PAGE 10 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
FINANCIAL SUMMARY
Purchase
Percent and amount financed ____%
$_________
Cash payment (deposit paid plus remainder)
$_________
Total purchase price (should equal the sum of the above)
$_________
Type of mortgage (e.g., fixed rate, adjustable rate) ______________________
Interest rate: ________%
Term (# years) ______
Housing Costs
Current
Proposed
Monthly mortgage payment
(Include rent if applicable)
$____________
$____________
Monthly maintenance payment
(Include assessments if any)
$____________
$____________
Total monthly housing payment
(Sum of the above)
0
$____________
0
$____________
Income (Estimate and annualize. Should match page 13 of this application)
Total wages
$____________
Total bonus/commissions
0
$____________
Investment income
0
$____________
Other income
$____________
Total Income
0
$____________
Assets
Total current liquid assets
$____________
after closing costs are paid (e.g., cash, investments, retirement accounts)
Sum of applicant and co-applicant (if applicable)
34 PLAZA OWNERS CORPORATION PAGE 11 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Balance Sheet Use the most current information available.
ASSETS
Applicant
Co-Aplic
Total
Cash and institutional accounts (e.g., checking, savings,
money market, mutual funds, stocks, bonds) (Note 1)
0
Contract Deposit
0
Real estate net market value (Describe in Note 2)
0
Retirement accounts (e.g., 401K, 403B) (Describe Note 1)
0
Maximum loan allowable (percent) from retirement
account. If proof is not provided, 50% will be used.
0
Net worth of business owned
0
0
Other assets (Describe in Note 3)
TOTAL ASSETS (sum of the above)
0
0
$
0 $
0 $
0
LIABILITIES (Describe in Note 4)
0
Unpaid closing costs, est. (incl remaining down payment)
Other mortgage loans
0
Automobile loans
0
Outstanding credit card debt
0
All other unsecured loans and installment debt payable
0
Personal loans / debt (e.g., family, friends)
0
Other liabilities (e.g., unpaid taxes, other secured loans)
0
TOTAL LIABILITIES
$
0 $
0 $
CONTINGENT LIABILITIES (Yes or No)
As endorser or co-maker on notes
m
m
Alimony and/ or child support (annual)
n
n
Other contingent liabilities
n
n
0
34 PLAZA OWNERS CORPORATION PAGE 12 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Notes to Balance Sheet
Provide the following in reference to the BALANCE SHEET information previously provided for BOTH
applicant and co-applicant (if any). Attach documentation.
Note 1, List all institutional accounts. If necessary, use section 3 or sec. 2 below or attach separate sheet.
Institution name
Account #
%DODQce
Note 2, List all real estate
Address of Property
Type or Property
3resent Market Value
Note 3, List other assets:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Note 4
List all current creditors (e.g., credit cards, loans, mortgages).
Creditor
Account # (if applicable)
Balance
34 PLAZA OWNERS CORPORATION PAGE 13 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Income and Expenses, CURRENT YEAR (estimate and annualize)
INCOME
Applicant
Co-Applicant
Total
Base Salary
0
Overtime wages
0
Bonus & commissions
0
Dividends / interest / capital gains
0
Rent
0
Palimony/Alimony/Child Support
0
Real estate income (net)
0
Other
0
Other
TOTAL INCOME
$
0
0
0
0
0
0
EXPENSES
Maintenance plus mortgage (primary residence)
0
Rent (primary residence)
0
Other mortgages
0
Auto loans
0
Palimony / Alimony / Child support payments
0
Credit card / revolving payment (estimate)
0
Personal loan payments
0
Other
0
TOTAL EXPENSES
$
0 $
0 $
0
34 PLAZA OWNERS CORPORATION PAGE 14 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
Income and Expenses, LAST YEAR
INCOME
$pplicant
Co-Applicant
Total
Base Salary
0
Overtime wages
0
Bonus & commissions
0
Dividends / interest / capital gains
0
Rent
0
Palimony / Alimony / Child Support
0
Real estate income (net)
0
Other
0
Other
0
TOTAL INCOME
0
0
0
EXPENSES
Maintenance plus mortgage (primary residence)
0
Rent (primary residence)
0
Other mortgages
0
Auto loans
0
Palimony / Alimony / Child support payments
0
Credit card / revolving payment (estimate)
0
Personal loan payments
0
Other
0
TOTAL EXPENSES
$
0
$
0
$
0
34 PLAZA OWNERS CORPORATION PAGE 15 of 15
COOPERATIVE STOCK PURCHASE APPLICATION
FORM E Authorization for Credit Investigation
Please print this form, then write-in the required information. Us a separate form for each applicant.
Subscriber Name ___________________________ # ___________ (THIS BOX FOR OFFICE USE ONLY)
Landlord Guard, Inc. Inquiry Date: _____________ Response Code: ____________
Tenant Inquiry Date: _________________________ Response Date: ____________
For Occupancy at ______________________________________________Apt#: ______________________
Maintenance $ ________________________ Rent: ______ Move in Date:
Name __________________________________________________________________________________
Birthdate:
Driver’s License #:_____________________________________________State:______________________
Social Security #:_________________________________________________________________________
Current Home Address: __________________________________________Apt#: ____________________
I have read and completed the above form. This application is subject to approval by the owners and/or their agents, and may
without designating cause be disapproved by them, being agreed that any such disapproval shall not be considered a reflection of
the applicant. This agreement is to be made part of the lease entered into by the applicant and owner of its agent. The truth of the
information made herin is essential and if the owner or its agent deems any answer or statement herein to be false, or misleading, it
shall be considered that any lease granted by virtue of this application may be cancelled at their option. I understand that if I do not
live up to the terms of my lease or I cause a financial loss to my landlord, that my name may be placed in the negative data files of
LANDLORD GUARD, INC. and can be furnished to subscribers who have a bona fide and legal need to make an inquiry. I also
understand that causing a financial loss may severely limit my ability to use personal checks or lease other properties.
I, the Applicant, give full authorization for an investigative report whereby third parties may be contacted to report on my
character, general reputation, personal characteristics, and mode of living, including salary-income, consumer credit, court and
criminal history, and banking financial practices. I have the right to make a written request for disclosure of the nature, result and
scope of this investigation. I may not, however, receiver or view my consumer credit file. I agree to hold Landlord Guard, Inc.
harmless for any claims that may arise as a result of this investigation. I further authorize Banks, Financial Institutions, Landlords,
Civil and Criminal Courts, Motor Vehicle Bureaus, Business Associates, Credit Bureaus, Attorneys, Accountants, and other
persons of institutions with whom I am acquainted to furnish any and all information regarding me. This authorization also applies
to any update reports which may be ordered as needed. I am willing that a photocopy of fax of this authorization be accepted with
the same authority as this original.
Applicant’s Signature: ____________________________________________Date:_____________________