Rental Application - cory lake isles

CREDIT CARD AUTHORIZATIONCREDIT CARDHOLDER INFORMATIONNAME ON CREDIT CARDTYPE OF CREDIT CARD VISA MC AMEX DISCOVER OTHERTYPE OF ACCOUNT PERSONAL BUSINESSCOMPANY NAMEACCOUNT NUMBEREXPIRATION DATECVS Code:BILLING ADDRESSCITY STATE ZIP CODEAUTHORIZED USER OF CREDIT CARDNAMECOMPANYPHONE NUMBERTYPE OF CHARGES SECURITY DEPOSIT APPLICATION FEE & BACKGROUND FEEAUTHORIZED AMOUNTAUTHORIZATION OF CARD USEI certify that I am the authorized holder and signer of the credit card referenced above.I certify that all information above is complete and accurate.I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amountlisted above in the “AUTHORIZED AMOUNT” field. If additional charges are going to be authorized a new form willhave to be completed.CARDHOLDER NAMESIGNATUREDATE(0SHS) Cory Lakes Isles Property Owners Association, Inc.40030 - Application Fee and Background Checks20080 - Security Deposits