New Start Development

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Apartment Application

Select Property Important *

A. Instructions

Please submit only one(1) application per family. You may submit it online or mail it to: New Start Group Inc, 1469 Bedford Avenue Brooklyn, NY 11216.
Each application received will be recorded.
No payment or fees should be given to anyone in connection with preparation, filing or processing of this application for housing.
The following information is to be filled out by the applicant.

Please submit copies of the following documents along with your application

1. Last two (2) Tax Returns and W-2 Forms

2. Three (3) Recent Paystubs

3. Employment Letter (Salary, Occupation, Years at work)

4. Any other available Income Information

5. Three (3) Months of recent Bank Statements

6. Current Lease

7. Last Four (4) rent receipt

8. Recent Three (3) months Utility Bill

9. Social Security Card(s)

10. Picture ID(s)[Driver's License, Non-Driver ID, School ID, Passport, etc.]

11. If attending school, School Letter or Report Card

12. Children Birth Certificate

13. Non-Refundable Credit Check Fee $20.00 (Money Order Only) Per Adult

14. Enter Email (kindly maintain the same email across the form)

Note: Non-Refundable Credit Check Fee $20.00 (Money Order Only) Per Adult

Name:

Email(kindly maintain the same email across the form):

Street Address:

Apartment:

City:

State:

Zip:

Home Phone:

Work Phone :

Social Security Number:

Phone of present landlord/managing agent:

Name of present landlord/managing agent:

Address of present landlord/managing agent:

Name of prior landlord/managing agent:

Address of prior landlord/managing agent:

Type of Unit desired(Studio/1Bed/2Bed/3Bed):

How many people are in your household?:

How long have you lived at this address?: In months

Family Members

Email(kindly maintain the same email across the form):

Full Name

Relationship

Birth Date

Age

Sex

Attending School?

Occupation

Social Security No

Special Accomodations

Fill if you or a member of your family require special accommodation in your residence due to mobility, visual, or hearing disability.

Special Accommodations

B. Income: List all full and/or part-time employment for all household members, including self-employed earnings.

Email(kindly maintain the same email across the form):

Name

Employer Name and Address

Gross Pay

Frequency

Name

Employer Name and Address

Gross Pay

Frequency

Name

Employer Name and Address

Gross Pay

Frequency

Name

Employer Name and Address

Gross Pay

Frequency

B2. Other Sources of Income: (Examples: Welfare(including housing allowance) social security, AFDC SSI, disability compensation, unemployment compensation, babysitting, care taking, alimony, child support, annuities, dividends, Armed forces Reserves, scholarships and/or grants)

HouseHold Member

Type of income

Amount

Frequency

HouseHold Member

Type of income

Amount

Frequency

HouseHold Member

Type of income

Amount

Frequency

HouseHold Member

Type of income

Amount

Frequency

C. Assets: For Each household member indicate:

Email(kindly maintain the same email across the form):

Bank

Account No.

Gross Pay

1.

a. Checking Accounts

b. Passbook Savings

c. Savings Certificates Value:

2. Stocks, Bonds, Treasury Bills, Certificate of Deposit, Money Market Funds(value)

3. U.S. Savings Bonds (value)

4. Trusts Value

Monthly Income

5. IRA or Keogh Accounts(value)

6. Retirements and Pension Funds Value

Monthly Income

7. Lump Sum Receipts(e.g. lottery inheritance, insurance payments)

8. Investment Property(e.g. Jewelry, antiques)

9. Do you own real estate?, if "Yes", state value

10. State any Monthly Income

D.

Email(kindly maintain the same email across the form):

How did you hear about us?

B. Racial Group Identification

Please do not mail in more than one application per family. If more than one is received, all applications will be placed at the end of the list.

The following information is required for statistical purposes so that we may determine the degree of program utilization. This information must be completed. It will not affect the processing of this application.

Please check all of which apply which identifies the head of the household.

White/Non-Hispanic Origin

Black/Non-Hispanic Origin

Hispanic

American Indian/Alaskan Native

Asian Pacific Islander

I DECLARE THAT STATEMENTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I FURTHER DECLARE THAT NEITHER I NOR ANY MEMBER OF MY IMMEDIATE FAMILY ARE EMPLOYED BY THE NEW YORK CITY HOUSING DEVELOPMENT CORPORATION OR ITS SUBSIDIARIES OR THE OWNER OR ITS PRINCIPALS.

WARNING: WILLFUL FALSE, MISLEADING, OR INCOMPLETE INFORMATION IN THIS APPLICATION WILL BE GROUNDS FOR REJECTION OF THIS SIGNATURE:

Signature:

Date:

Note submission of this final section,means all previous sections have been completed and records can be worked on