Star Haro Credit Card Authorization and Consent Form Star Haro Credit Card Authorization and Consent Form Complete the fields below to provide Star Haro with your credit card information and consent. Borrower 1 Name*Borrower 2 NameBorrower 1 Address*Borrower 2 Address*Borrower 1 Birth Date*Borrower 2 Birth Date*Borrower 1 Social Security Number*Borrower 2 Social Security Number*Borrower 1 Home Phone*Borrower 2 Home Phone*Borrower 1 Cell Phone*Borrower 2 Cell Phone*Borrower 1 Email* Borrower 2 Email* Borrower 1 E-Signature*Borrower 2 E-Signature*I, Hereby AUTHORIZE HOMEBASE LENDING Group, Inc To order my credit report and charge my credit card for any fees incurred related to my mortgage loan. I am aware that HomeBase Lending Group, Inc will be releasing my credit card information to CTI Credit Company for said fees.Which services?* Credit Report Appraisal Other Other*Credit Card PaymentName of Card Holder*Address of Card Holder*This form serves as my authorization to obtain a copy of my consumer credit report for analysis of my applicationCredit Card Number*Credit Card Expiration*MM/YYYYCVV/Verification Code*(normally on the back of your card)Single Person $18.00, Married Couple $18.00. Calyx System $1.00-DU/LP Reissues $3.00 Dls & Any Supplemental Reports Max $60.00 on A Single Transaction. Appraisals Reports, Physical Inspection and Other Related Charges Varies from Mortgage Bankers. HomeBase Lending Mrtg Representatives will notify the Customer of these charges on each transaction.Services* Price: $0.00 Services* Single Person Married Couple Reissues Other Other* (enter amount)Total $0.00 Borrower 1 Authorized Signature*Borrower 2 Authorized Signature*Cardholder has authorized any related charges for the next 90 days to be applied to this Card while transaction is open. Signing this, form customer I acknowledge the charges described hereby and assume full responsibility for said charges and agree to honor and abide by the terms of payment for credit report request, OR charges to Outside Vendors. I acknowledge and authorize HomeBase Lending Group Inc to submit my personal Information to Vendors that are needed to approve my Loan. CREDIT TECHNOLOGY INC is the company who will be charging the clients Credit Card for such services of running credit. Any other charges related to my Loan Mortgage Broker will notify me in Writing or Via Email.Borrower 1 E-Signature*Borrower 2 E-Signature*Date*Date*NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.