DATA-COLLECTION FORM
INFORMATION FOR GOVERNMENTAL MONITORING PURPOSES
NOTICE: The Federal Equal
Credit Opportunity Act prohibits creditors from discriminating
against credit applicants on the basis of race, color,
religion, national origin, sex, marital status, age (provided
the applicant has the capacity to enter into a binding
contract); because all or part of the applicant's income
derives from any public assistance program; or because the
applicant has in good faith exercised any right under the
Consumer Credit Protection Act. The Federal Agency that
administers compliance with this law concerning this creditor
is the Federal Trade Commission, Washington, D.C. 20580.
INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following
information is requested by the federal government for certain
types of loans related to a dwelling in order to monitor the
lender's compliance with equal credit opportunity, fair
housing, and home mortgage disclosure laws. You are not
required to furnish this information, but are encouraged to do
so. You may select one or more designations for “Race.”
The law provides that a lender may not discriminate on the
basis of this information, or on whether you choose to furnish
it. However, if you choose not to furnish the information and
you have made this application in person, under federal
regulations the lender is required to note ethnicity, race,
and sex on the basis of visual observation or surname. If you
do not wish to furnish this information, please check below: |
