As a homebuyer, you may be required to complete a Hmda Data Collection Form. This is a form used by the government to collect data about race, ethnicity, and neighborhood demographics. Completing this form is important because it helps the government track trends and ensure equal access to housing. If you're unsure about how to complete the form or have any questions, consult with your real estate agent or lender. They will be able to help guide you through the process.
This knowledge can help you comprehend better the details of the hmda data collection form before you start filling it out.
Question | Answer |
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Form Name | Hmda Data Collection Form |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | hmda data form, hmda collection form, online hmda form make, hmda collection form online |
HMDA/DATA COLLECTION FORM
LO: Loan/Borrower Name: ________________________________________________________________
LO: Property Address: ____________________________________________________________________
LO: Loan Number: __________________________ Loan Officer: ________________________________
PRELIMINARY DETERMINATIONS
LO: 1. Is this a Home/Dwelling Purchase,
____YES ____NO
If the answer is YES, this form must be fully completed by the loan officer and retained in the loan file. Incomplete forms will be returned to the loan officer, with the loan file, for completion. Please note that a commercial loan could be a HMDA reportable loan, and if so, this form must also be completed by the loan officer. For HMDA purposes, a dwelling is a residential structure, including a single family residence, condo, manufactured home, or apartment building. If your answer to question #1 is NO, and the loan is not for a Home Purchase,
LO: 2. Did this loan start as a request for Prequalification? ____YES _____NO
*If the answer is YES, is there a letter in the file indicating that the prequalification request was approved or denied? ____YES ____NO
Date of letter: _____________________
There must be a letter in the file for this loan to be considered a prequalification.
If the loan request is for a property with a specific address, this is a preapproval and not a prequalification.
If this is a true prequalification, and not a preapproval, STOP completing this form, provided there is a prequalification letter in the file. If this is a prequalification that turned into an actual loan request, continue filling out the form.
APPLICATION/LOAN INFORMATION
OP: 3. Enter the following information:
Date credit was pulled on applicant: _______________________
Date written on the original 1003/application form by the Loan Officer, or date commercial App was made via other means:
__________________________
Date 1003/application form was received at the Bank, if via mail or internet: ________________________
If this is a prequalification request that turned into an actual loan request, enter the date that a property address was identified for this loan:
_________________________________ . What document in the file is used to verify receipt of an address and switch to a loan request:
_______________________________________________________________________________________
For RE Mortgage Loans: Date of Good Faith Estimate: ______________________________
Date of Early TILA Disclosure: _____________________________
For COMMERCIAL Loans: Does the Loan File include a conversation or other log/evidence documenting when and how the application occurred? If NO, explain why not.
________YES _________NO
LO: 4. Type of Loan (circle one):
Code
Code
Code
Code
LO: 5. Property Type (circle one):
Code
Code
Code
LO: 6. Purpose of Loan (circle one):
Code
Code
LO: 7. Occupancy of property (circle one):
Code
Code
ACTION TAKEN AND PROPERTY LOCATION
LO: 8. Enter dollar amount of the loan (to be rounded up or down to the nearest thousand on the LAR): __________________________
LO: 9. Was this a request for a preapproval for a home purchase (circle one):
Code
Code
Code
If Code 1, indicate date of preapproval letter in file, denying or approving preapproval request: _____________________________
CL: 10. Action taken (circle one):
Code
Code
Code
Code
Code
**Note the difference between codes 3 and
Available from http://www.bankersonline.com/tools/
CL: 11. Date of Action Taken: __________________________________________
What document in the file is used to verify the Action Taken date?_____________________________________________
PR: 12. Property Location (Circle appropriate County and fill in Census Tract Number): |
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MSA/MD: |
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County: |
42020= San Luis Obispo County |
079=San Luis Obispo County |
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42060= Santa Barbara County |
083=Santa Barbara County |
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41500= Monterey County |
053=Monterey County |
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12540=Kern County |
029=Kern County |
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Other= _______________ |
111=Ventura County |
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State: |
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Other: ______________________ |
06=California |
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Other= _______________ |
Census Tract Number: ________________ |
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If the property location data is not pulled automatically by software, is there an FFIEC geocode [or Flood Certification] printout/verification in the file? |
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__________YES |
________ NO If NO, one should be printed out and included in the file. |
APPLICANT INFORMATION
LO: 13. For RE Mortgage Loans, is the Government Monitoring Information
how the application was received? |
______YES ____NO |
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CL: |
The GMI in the initial and final 1003s must be identical. |
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Does the GMI in the initial and final 1003s match? _________ YES ________ NO |
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If NO, the loan officer must make appropriate notations to ensure that the GMI matches. |
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If the loan officer marked GMI information based on visual observation, is that notation included on the 1003, along with the date the visual |
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observation was made?________ YES |
__________ NO |
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For Commercial Loans, was a separate Monitoring Information Form completed? _______ YES _______ NO |
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COMPLETE CHART BELOW WITH FINAL GMI: |
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Ethnicity – 1= Hispanic or Latino |
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2 = Not Hispanic or Latino |
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Ethnicity |
Race |
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Sex |
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3 = Information not provided |
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Co- |
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Co- |
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Co- |
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4 = N/A |
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Applicant |
Applicant |
Applicant |
Applicant |
Applicant |
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Applicant |
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5 = No |
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Race – 1 |
= American Indian or Alaska Native |
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2 = Asian |
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3= African American |
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Sex – 1 = Male |
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4 = Native Hawaiian or Pacific Islander |
2 = Female |
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5 |
= White |
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3 = Information Not Provided |
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6 |
= Information not Provided |
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4 = N/A |
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7 |
= N/A |
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5 = No |
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8 |
= No |
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LO: 14. Income of
thousand on the LAR). If the applicant is not a natural person (i.e., loan to a business entity), or for a multifamily dwelling, enter N/A:_________________
CL: 15. Type of purchaser (circle one):
Code
Code
Code
Code
Code
Code
PR: 16. Lender should indicate the following data regarding the loan, as documented in the file:
Rate Lock Date: ________________
Term: ___________________
Final APR: ___________________
If loan did not originate, circle N/A here: N/A
CL: 17. Rate Spread:
Using the rate lock date, term, and final APR set forth above, obtain the rate spread through the ffiec.gov website’s rate spread calculator. Indicate Rate Spread from website, or N/A if applicable: _________________________
LO: 18: Lien Status (circle
Code
Code
Code
Code
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___________________________________________________________________________
LOAN OFFICER’S SIGNATUREDate
___________________________________________________________________________
LOAN PROCESSOR’S SIGNATURE |
Date |
(Including verification of loan officer’s reported data) |
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___________________________________________________________________________
SIGNATURE OF INDIVIDUAL VERIFING CORRECTNESS OF THIS FORM TO FILE Date
____________________________________________________________________________
SIGNATURE OF INDIVIDUAL INPUTTING HMDA LAR DATA |
Date |
After verification of Loan Officer Data, information should be input into the HMDA LAR, and this form should be retained in the Loan File for future compliance oversight reviews and FDIC examination and external audit purposes.
Available from http://www.bankersonline.com/tools/