No creases. Teeny tiny paper wrinkle (I think). Gray back is clean. Looks to be in the neighborhood of VGEX to VGEX+. BV $22 in NM condition per the SMR. This card will be shipped via USPS with tracking number. SHIPPING TO USA IS A FLAT $3.50 WHETHER YOU WIN ONE OR ALL OF MY CARDS! **I DO NOT SHIP TO CANADA!**