Credit Card Auth Form Ben - Rackcdn.comc3155192.r92.cf0.rackcdn.com/ckeditor_assets/...
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! Property Address applying for ! ! ! Full Name (as appears on card) !
Credit Card Authorization Form!
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___________________________! ___________________________! ___________________________!
Billing Address (as appears on card) ! ! ! ! ! ! ! ! ! ! ! ! ! !
___________________________!
! City, State, Zip! ! ! ! ! ! ! Type Of Card(i.e VISA, MASTERCARD ONLY) ! Credit Card Number ! Expiration Date ! CVV Number ! ! !
___________________________! ___________________________!
___________________________! ___________________________! ___________________________! ___________________________!
I, ___________________________, grant Cornerstone Real Estate, Inc the authority to run my credit card to secure the apartment listed above.!
! ! ! Therefore, my card will be run for $______________, plus a transaction fee of 3%.! ! ! ! ! _______________________________ Signature! ! ! ! ! !
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__________________! Date
Deal #______________ (For Agent Use ONLY)
