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Name

Your Email*

Your Phone*

Property to Rent

Turnip Green Acres

The Tee Box

The Greenhouse

Desired Move-In Date

Desired Lease Term

Month To Month

3 Mos

6 Mos

1 Year

Date of Birth*

Last 4 SSN

Drivers License #

How many vehicles will be parked on the property?*

0

1

2

Current Employer & Position*

Supervisor Name, Phone and Email

Monthly Income*

Roommate / Other Occupant?*

Yes

No

If Yes, provide Name, Phone, and Email of Other Occupant

Any Pets?*

Yes, 1 small dog (<15lbs)

Yes, 1 small cat

Yes, other

No - no pets.

Have you ever been convicted of a felony crime? *

Yes

No

Have you ever been evicted?*

Yes

No

Have you ever filed for bankruptcy?*

Yes

No

Current Landlord Name, Phone, and Email

Current Rent

How long have you lived at your current residence?

Less than six months

More than six months, less than 2 years

More than 2 years

Reason for Moving

Personal References*

Any Questions?

BHM Rental Application

Contacts

Email address

connect@bhmpropertysolutions.com

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(205) 377-0980

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