Bethany Application

Rental Application

Each adult (18 years or older) who will live in the house MUST complete the Rental Application and pay the application processing fees. All required fields must be completed.
Applicant's Name*

First NameLast Name
Proposed Move-in Date*

MonthDayYear
Date
DL*
DOB*

MonthDayYear
Date
SS
Phone Number*
Please enter your mobile phone number.
Email*
example@example.com
Applicant's Occupation/Job Title? *
Applicant''s Employer / Business Name*
Applicant's annual gross income? ($)*
Current Address*

Street Address

CityState

Zip Code
Current Landlord Name

First NameLast Name
Current Landlord Phone Number
Please enter a valid phone number.
Current Monthly Rent
Please enter the rent you currently pay
Reason(s) for leaving

0/100
Please enter proposed number of occupants including yourself*
Please enter number of occupants who will live in the property with you
Do you have any pets?*

YesNo
Do you have a Vehicle?*

YesNo
Vehicle Information

Model Make Year

1
Have you been convicted of crime ?*
Have you been convicted of felony ?*
Have you ever been Evicted ?*
Desired Lease Term*
Please uploadDL*

Please upload
Cancelof

	Model	Make	Year
1

My Products*

Application Processing Fees

$35.00

Total

$0.00

Credit Card

Apple Pay

Google Pay