Transcription of Demographic Information Addendum. This section asks …
1 Uniform Residential Loan Application- Demographic Information AddendumRevised 09/2017 Freddie Mac Form 65 Fannie Mae Form 1003 Page 1 of 1 VMPB ankers SystemsI do not wish to provide this Kluwer Financial ServicesVMP1602 (1710). ,sex, do not wish to provide this informationEthnicity:CheckoneormoreFilip inoAsian IndianChineseFor example: Fijian, Tongan, and so :CubanFor example: Argentinean, Colombian, Dominican,Nicaraguan, Salvadoran, Spaniard, and so RicanMexicanOtherHispanicorLatino-Printo rigin:Hispanic or LatinoNot Hispanic or LatinoRace:CheckoneormoreJapaneseAmerica nIndianorAlaskaNative-Printnameofenrolle dorprincipal tribe:SamoanNative HawaiianGuamanian or ChamorroOtherPacificIslander-Printrace:N ative Hawaiian or Other Pacific IslanderForexample:Hmong,Laotian,Thai,Pa kistani,Cambodian, and so or African AmericanWhiteBorrower Name:VietnameseKoreanFemaleMaleI do not wish to provide this informationThe Demographic Information was provided through:AsianEmail or InternetWas the race of the Borrower collected on the basis of visual observation or surname?
2 Telephone InterviewWas the sex of the Borrower collected on the basis of visual observation or surname?YESNOToBeCompletedbyFinancialIns titution(forapplicationtakeninperson):YE SNOWas the ethnicity of the Borrower collected on the basis of visual observation or surname?YESNOFax or MailFace-to-Face Interview(includes Electronic Media w/Video Component)Thepurposeofcollectingthisinfo rmationistohelpensurethatallapplicantsar etreatedfairlyandthatthehousingneedsofco mmunities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicantsfor their Demographic Information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fairhousing, and home mortgage disclosure laws. You are not required to provide this Information , but are encouraged to do so. Youmayselectoneormoredesignationsfor"Eth nicity"andoneormoredesignationsfor"Race. "Thelawprovidesthatwemaynotdiscriminateo nthebasisofthisinformation, ,ifyouchoosenottoprovidetheinformation and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race onthe basis of visual observation or surname.
3 The law also provides that we may not discriminate on the basis of age or maritalstatus Information you provide in this application. If you do not wish to provide some or all of this Information , please checkbelow.
