Apartment Application HM-80 at a glance
What it is: Apartment Application, HM-80 (11/11) (Co-Op City): Print or type all requested information and sign certification.
Who signs: Head of household and co-head must sign and date.
A filled-in Apartment Application HM-80 example: a single parent applies for a 2 Bdrm apartment
How to fill out Apartment Application HM-80, box by box
Applicant Address
Under Applicant Address, enter the Apartment #, Street Address, City, State, Zip Code and Phone #.
Head of Household
Head of Household must be completed: enter Last Name, First Name, Social Security No. and Age. Head of household must be 18 years of age or older.
Co-Head of Household
Complete Co-Head of Household if applicable: enter Last Name, First Name, Social Security No. and Age. Co-head must be 18 years of age or older.
Other Household Members
Under Other Household Members, list all other persons who will reside in apartment, with Last Name, First Name, Social Security No. and Age.
Apartment Size
Under Apartment Size, select one or two sizes. Household must meet applicable occupancy standards. *Denotes a Terrace Apartment, so a size such as 1 Bdrm (1-2 persons) 4.0* marked with * is a Terrace Apartment.
Thus, a family composition which consists of one, two or three people, cannot apply for a three-bedroom apartment. A family composition of one, cannot apply for a two-bedroom apartment. Also, family compositions cannot exceed the maximum number of people.
Gross Household Income
Enter total adjusted gross income reported on the federal income tax returns for the prior calendar year for all household members, less $1,000 for each personal and dependent exemption, and less $20,000, or actual earnings if less, for each secondary wage earner (checked November 9, 2026).
Veterans Admission Preference
Check the Veterans Admission Preference box if head- or co-head of household is an honorably discharged veteran of the U.S. Armed Services, or such veteran's surviving spouse, who served on active duty in time of war and resides in New York State, and attach DD-214 to qualify for admission preference.
Certification
Under Certification, information is correct to the best of my knowledge. Sign Head of Household Signature and Date, and Co-Head of Household Signature and Date.
Notary Public
Sign Signature of Applicant, and Signature of Co-Applicant if there is one, each with Date, before the Notary Public. The Notary Public fills in State of, County of, On this day of 20 before me personally appeared, and to me known to be the person who executed this application, and signs.
More rules for Apartment Application HM-80
These fees must be paid by bank or postal money order, or certified check. NO PERSONAL CHECKS ARE ACCEPTED.
Page 2 (Page Rev: 1.11.17) lists the required documents and fees, to be submitted at interview: copy of your W-2 form for the most current year. Copy of your New York State form for the most current year. Copy of your Federal Tax Form for the most current year. If not employed in New York State, applicable W-2, State and Federal Form. If self-employed, a letter from your CPA on his/her letterhead stating current estimated earnings and Federal Form 1040, schedule C. Proof that a legal separation or divorce has been commenced in court if you are applying for an apartment on your own even though you are still legally married. For each adult on the application, a copy of his/her driver's license. If no driver's license, then other Photo Identification is required, such as job ID or passport. A copy of the birth certificate for each person listed on the application. Verification of employment for each adult on the application. This must be submitted on employer's letterhead and signed by the appropriate department head. The verification should include date of hire, current position and current salary. For each child listed over the age of five (5), please submit a letter from the current school stating that he/she attends the school.
Please note that your application may be denied for false statements.
Riverbay requires a FICO credit score of 650 or greater: "Any application with a Fico credit score below these levels will be denied."
Answer Yes or No: have you, your co-applicant or any family members living with you ever been criminally convicted for producing methamphetamine? Is the applicant, co-applicant or any proposed occupant required to be a lifetime registrant on a state sex offender registry? If you answered no to questions 1 and 2, answer question 3: have you, your co-applicant or a proposed occupant ever been convicted or arrested for a crime affecting the health, safety and/or welfare of others, but for which the outcome is still pending?
Are you a veteran? Yes or No.
You and all individuals moving with you must be available in your home during this home visit. The home visit will take place at the address on your application.
Common questions about Apartment Application HM-80
Are there fees?
The basic application fee is $75.00. This is paid at the time of application (checked November 9, 2026).
Sources
[1] Apartment Application, HM-80 (11/11) (Co-Op City), Riverbay Corporation (the Official source link on this page).
