a ?in f2. RENEWAL LEASE FORM Read T0 OWNER and TO TENANT on reverse side before filling out or signing this form. THIS IS A NOTICE FOR RENEWAL OF LEASE AND RENEWAL LEASE FORM PROMULGATED PURSUANT TO SECTION 2523.5(a) OF THE NEW YORK CITY RENT CODE. ALL OF THIS FORM MUST BE SIGNED BELOW AND RETURNED TO YOUR LANDLORD WITHIN 60 DAYS. DATE 2l01/j12 Owner?s/Agent Name Address Fieldbridgc Associates LLC snant?s Name and Address: ROBIN TAYLOR 1700 Bedford Avenue Apt. i2N~ 1720 Bedford Avenue Brooklyn, NY 1 1225 Management Of?ce Brooklyn, NY .1. 1225 02 28 . 13 You may renew this lease, for one or two years, at your option, as follows: Sol. 3 Col. Col. 0 Col. Col. 9 Col. Col, 9 Renewal Legal Rent On Sept. 30th Authorized Applicable Applicable Guide- Lawful Rem increase Adi., Separate Charge, New Rent ilf Iowor rent lsi l?errn Preceding Commencement Guideline lncrease {it unknown. line Supplement, it Any, Effective After it any (Specify ?2 be charged check box 4. Date Of This Renewal Lease . check boxj and see belowl? lt Anv Soot. 30m indicated under item 4 ?land sea 5 below)" 1 i in Col. below} i 3.1 Year 222$?9 . . 2.00%; 5 44.49 0.00 0.00 0.00 2269.08 i 2 Year 2223,59 4.00%) 88.98 0.00 0.00 $41.00 2313.57 . If applicabie guidline rate is unknown at time offer is made, check box in column :1 and enter current guideline which will be subject to adjuetment when new rates are ordered. be increased or decreased pursuant to an order of the Division of Housing and Community Renewal The rent provided for in this renewal lease may or Rent Guidelines. Board {868). 3. Security Deposit: Current Deposit: Additional Deposit Required - 1 year lease: $3544.08 2 year lease: 9 888.57 4. Specify separate charges if appiicabie: Air Conditioner Electricity Charge: 5 . lmo. - Unit Charge: Other (Describe): lmo. 421 5. Lower Rent to be charged. if any. 6. This renewal lease shall commence on O3 01 13 MONTH DAY YEAR days from the date of mailing or personal delivery of this Renewal Lease Form. This renewal lease shall terminate on 02 28 14 1 year lease or 02 28 15 I: 2 year lease. MONTH oar YEAR MONTH DAY YEAR 7. This renewal lease is based on the same terms and conditions as your expiring lease,- except that lawful provisions attached and written agreements between owner and tenant attached have been added. (indicate in the biank spaces as applicable, the number of additional provisions or written agreements attached.I Agreement attached: Ci Yes CI no . which shall not be less than 90 days nor more than 150 wal when signed by the owner below and returned to the tenant. A rider setting forth landlords under the Rent Stabilization Law must be attached to this lease when signed iinos? caseros estan disponible en espanoll. This form becomes a binding iease rene the rights and obligations of tenants an by the owner and returned to the tenant lLos derechos de inqui ., . .. .. . TENANT . . Tenant: Check and complete where indicated one of the two responses below after reading instructions on reverse side. Then date and sign your response below. You most return this Renewal Lease Form to the owner in person or by regular mail, within 60 days of the date this Notice was served upon you by the owner. Your failure to do so may be grounds for the commencement of an action by the owner to evict you from your apartment. i (we) the undersigned tenantlsi, agree to enter into a year renewal lease at a rent of . This renewal lease is based on the same terms and conditions as my (our) expiring lease, attached lawful provisions and attached written agreements, if any less item 7 under PART A above}. {we} will not renew my (our) lease and (we) intend to vacate the apartment on the expiration date of the present lease set forth above. and further Dated: .20 Tenant's Signaturelsl: Dated: .20 Owner's Signature: -