Form Occ 94-36 - Fair Housing Lending Inquiry/application Log Sheet - Comptroller Of The Currency

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OCC 94-36
Appendix III
Bank Name
OCC Charter No.
City
COMPTROLLER OF THE CURRENCY
FAIR HOUSING LENDING
Branch, Office, or Subsidiary Name
County
State
INQUIRY/APPLICATION LOG SHEET
Name of Person Responsible for Form
Phone Number
SMSA
INSTRUCTIONS: Use the codes listed below. Indicate by an asterisk (*) if the information recorded is the banker’s observation rather than the borrower's statement.
Race Codes:
W
– White
B
– Black, not of Hispanic origin
Type of Loan:
C
– Construction-Permanent
P
– Purchase
I
– American Indian or Alaskan Native
H
– Hispanic
F
– HA (Federal Housing Admin.)
M – FMHA (Farmers Home Administration)
R
– Refinance
A
– Asian or Pacific Islander
O
– Other
V
– VA (Veteran's Administration)
Type
Inquiry
Inquirer or
Co-Inquirer or
LOCATION OF PROPERTY WHICH WILL SECURE LOAN
Date of
of
or
Applicant
Co-Applicant
Case Identification
Application or
Loan
Application
(Case Number or Name/Address)
Inquiry
Street & Number, City, State
County
Zip Code
Census Tract
Sex
Race
Sex
Race
Code
(I) or (A)
(M or F)
Code
(M or F)
Code

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