969 S Village Oaks Drive Suite 209, Covina, CA 91724

Credit Report Authorization

866-399-8752 fax

With this form I give authorization to have my credit report pulled from all three
credit
agencies, Equifax, Transunion and Experian $25 single or $30 joint from GTS
Credit or designated company.

Name_________________________ Middle _________________ Last Name____________________

Social Security Number_____________________________

Date of Birth_______________________________________

Home Address____________________________________________________________________________

City _____________________________________ State ________________ Zip Code_____________

Name__________________________ Middle _________________ Last Name___________________

Social Security Number_____________________________

Date of Birth_______________________________________

Address____________________________________________________________________________

City _____________________________________ State _________________ Zip Code____________

Credit Card Authorization:

With this I authorize GTS to use the following credit card to paid for services.

Credit Card: Visa:________ Master Card: ___________ Debit or Credit Card

__________

Account Number:_________________________________________________________________

Expiration Date: ____________________________ CVV Code: _________________

Name on Card: ___________________________________________________________________

Billing Address: ________________________________________________________________________

City: __________________________________ State: _________________ Zip Code: ____________

_________________________________________ _________________________
Signature Date