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    Hmdalar

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    OneNation
    This document is a transmittal sheet for a Loan/Application Register required by the Home Mortgage Disclosure Act. It includes fields for the reporter's identification number, tax ID number, total entries in the attached register, year covered by the register, name and address of the reporting institution, and contact information. An officer of the institution must sign to certify the accuracy of the data in the register.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Hmdalar

    Uploaded by

    OneNation
    18 views2 pages
    This document is a transmittal sheet for a Loan/Application Register required by the Home Mortgage Disclosure Act. It includes fields for the reporter's identification number, tax ID number, total entries in the attached register, year covered by the register, name and address of the reporting institution, and contact information. An officer of the institution must sign to certify the accuracy of the data in the register.

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    This document is a transmittal sheet for a Loan/Application Register required by the Home Mortgage Disclosure Act. It includes fields for the reporter's identification number, tax ID number, total entries in the attached register, year covered by the register, name and address of the reporting institution, and contact information. An officer of the institution must sign to certify the accuracy of the data in the register.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views2 pages

    Hmdalar

    Uploaded by

    OneNation
    This document is a transmittal sheet for a Loan/Application Register required by the Home Mortgage Disclosure Act. It includes fields for the reporter's identification number, tax ID number, total entries in the attached register, year covered by the register, name and address of the reporting institution, and contact information. An officer of the institution must sign to certify the accuracy of the data in the register.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    Form FR HMDA-LAR

    OMB Nos. 1557-0159 (OCC), 3064-0046 (FDIC),


    1550-0021 (OTS), and 7100-0247 (FRB), and
    2502-0539 (HUD); NCUA number pending.

    LOAN/APPLICATION REGISTER

    TRANSMITTAL SHEET

    You must complete this transmittal sheet (please type or print) and attach it to the Loan/Application
    Register, required by the Home Mortgage Disclosure Act, that you submit to your supervisory agency.

    Agency Total line entries contained in


    Reporter’s Identification Number Code Reporter’s Tax Identification Number attached Loan/Application Register

    – –

    The Loan/Application Register that is attached covers activity during the year and contains a total of
    pages.

    Enter the name and address of your institution. The disclosure statement that is produced by the Federal Financial Institutions
    Examination Council will be mailed to the address you supply below:

    Name of Institution

    Address

    City, State, ZIP

    Enter the name, telephone number and facsimile number of a person who may be contacted about questions regarding
    your register:

    ( ) ( )
    Name Telephone Number Facsimille Number

    An officer of your institution must complete the following section.

    I certify to the accuracy of the data contained in this register.

    Name of Officer Signature Date


    LOAN/APPLICATION REGISTER Page of Form FR HMDA–LAR
    Agency
    Reporter's Identification Number Code
    Name of Reporting Institution City, State, ZIP

    All columns (except Reasons for Denial) must be completed for each entry. See the instructions for details.

    Application or Applicant Information


    Loan Information Action Taken Property Location A = Applicant CA = Co-Applicant

    Race or Gross
    Loan National Origin Sex Annual
    Date Amount Four- Two- Three- Income Type of Reasons
    Application Owner in Digit Digit Digit Six-Digit in Pur- for
    Application or Received Pur- Occu- thou- Date MA State County Census A CA A CA thou- chaser Denial
    Loan Number (mm/dd/ccyy) Type pose pancy sands Type (mm/dd/ccyy) Number Code Code Tract sands of Loan (Optional)

    Example of Loan Originated


    L B - 6 8 7 4 3 9 01/15/2003 2 1 1 65 1 02/22/2003 8840 51 059 4 2 1 9 . 8 5 3 8 1 4 24 7
    Example of Application Denied
    0 1 2 3 4 5 6 7 8 9 - 9 8 7 6 5 4 3 2 1 0 03/20/2003 1 1 1 125 3 04/30/2003 0450 01 015 0 0 2 1 . 0 0 5 4 2 1 55 0 415

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