CREDIT CARD AUTHORIZATION

This form is to be used for the authorization of payment to Skane Tax Solutions LLC. The Corporate headquarters are located at 4305 Gesner Street, Suite 212, San Diego, California 92117-6676. The phone number is (619) 275-7526 and the fax number is (619) 275-7531.

Please print out this form and fill in the requested information. Then, please sign it and fax it back to Skane Tax Solutions at (619) 275-7531 of payment for services and costs.

I hereby authorize Skane Tax Solutions to charge my credit card the following for described services and costs.

Name on Credit Card:
Credit Card Number:
Expiration Date:
Description of Services:
Amount Charged:
Authorized Signature:
Date Signed: