What's an "altered autograph"? No such thing. The only "alteration" is an enhancement, and that is easy to spot. I think paying NM-MT money for a VG card that's been doctored (and therefore should not have been graded at all) is analogous to buying an authenticated forged autograph.
(There's no point in forging cards, when there's no shortage of low-grade genuine examples that can be restored.)
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