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Thank you for your interest in renting from Burnham Rentals. Please complete all required fields on this application. If you do not complete all required fields, you will receive a message to review the application for missing required information. Should you have any problems with completing the application, please contact our office at 812.339.8300.

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Rental History

Parents/Legal Guardians

Basic Leasing Conditions

Please the leasing conditions as outlined below and verify that you agree before completing the online application.

Authorization & Signature

I hereby authorize, for verification purposes, the release of any information provided to Burnham Rentals in this application.
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