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Demographic information Addendum. This section asks about your ethnicity, sex and race. <br />1pmnnranhic Infnrmatinn of Bnrrr, <br />The purpose of collecting this information is to help ensure khat all the applicants are treated fairly and that the housing needs of communities <br />and neighborhoods are being fulfilled. For residential mortgage lending. Federal law requires that we ask applicants for their demographic <br />information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage <br />disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for <br />"Ethnicity" and one or more designations for "Race." The law providesthatwe may not discriminate on the basis of this information, or on <br />whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal <br />regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not <br />discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this <br />information, please check below. <br />Ethnicity: Check one or more <br />❑ Hispanic Or Latino <br />❑ Mexican ❑ Puerto Rican ❑ Cuban <br />❑ Other Hispanic or Latino - Printorigin: <br />For example: Argentinean, Colombian, Dominican, Nicaraguan, <br />Salvadoran, Spaniard, and soon. <br />K] Not Hispanic or Latino <br />❑ I do not wish to provide this information <br />Sex <br />❑ Female <br />x❑ Male <br />❑ I do not wish to provide this information <br />Race: Check one or more <br />❑ American Indian or Alaska Native - Print name of enrolled <br />or principal tribe: <br />❑ Asian <br />❑ Asian Indian ❑ Chinese ❑ Filipino <br />❑ Japanese ❑ Korean ❑ Vietnamese <br />❑ Other Asian - Print Race: <br />For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and <br />so on. <br />❑ Black or African American <br />❑ Native Hawaiian or Other Pacific Islander <br />❑ Native Hawaiian ❑ Guamanian or Chamorro E --]Samoan <br />❑OtherPacificIslander- Printrace: <br />For example: Fijian, Tongan, and soon. <br />® White <br />❑ I do not wish to provide this information <br />To Be Completed by Financial Institution (for application taken in person): <br />Was the ethnicity of the Borrower collected on the basis of visual observation or surname? Q NO O YES <br />Was the sex of the Borrower collected on the basis of visual observation or surname? Q NO O YES <br />Was the race of the Borrower collected on the basis of visual observation or surname? Q NO O YES <br />The Demographic Information was provided through: <br />O Face -to -Face Interview (includes Electronic Media wl Video Component) O Telephone Interview O Fax or Mail O Email or Internet <br />Borrower Name: Erin T Cunningham <br />Uniform Residential Loan Application % <br />Freddie Mac Form 65 • Fannie Mae Form 1003 <br />Revised 09/2017 <br />GURLADI_S 1017 <br />