Monitoring Information
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 and fair housing laws. Your customer is not required to furnish this information, but is encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether your customer chooses to furnish it.
On a face-to-face application, even if your customer has indicated that they do not want to furnish the information, you must make a selection of Race and gender based on visual observation or surname. However, only the customer can indicate "Other" for their Race.
Please indicate how you are taking this application.
Face-to-Face
By Phone
If your customer does not wish to furnish the information, please check below.
Check this box if your customer is a first time home buyer.
My customer does not wish to furnish this information.
Race/National Origin (select all that apply)
American Indian, Alaskan Native
Asian
African American, Black
Native Hawaiian, Other Pacific Islander
White
Information Not Provided
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Information Not Provided
Gender
Male
Female
Appraisal Contact Information
(explain)
First name
Last name
Phone number
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