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federal
of

Reserve ban k
Dallas

ROBERT D. McTEER, JR.
DALLAS, TE XAS

PR ES ID EN T

75265-5906

A N D C H IE F E X E C U T I V E O F F I C E R

May 1, 1998

Notice 98-34
TO: The Chief Executive Officer of each
financial institution and others concerned
in the Eleventh Federal Reserve District

SUBJECT
Final Amendments to Certain Model Forms and
Technical Revision to Appendix A of Regulation B
(Equal Credit Opportunity)
DETAILS
The Board of Governors of the Federal Reserve System has amended certain model
forms in its Regulation B, Equal Credit Opportunity, to reflect statutory amendments to the Fair
Credit Reporting Act (FCRA) disclosures contained in those forms. Creditors have the option of
including the FCRA disclosures with the notice of action taken required under Regulation B. In
addition, a technical revision has been made to Appendix A.
The amendments became effective April 30, 1998.
ATTACHMENT
A copy of the Board’s notice as it appears on pages 16392—401, Vol. 63, No. 64 of
the Federal Register dated April 3, 1998, is attached.
MORE INFORMATION
For more information, please contact Peggy Atcher at (214) 922-6202. For additional
copies of this Bank’s notice, contact the Public Affairs Department at (214) 922-5254.
Sincerely yours,

For additional copies, bankers and others are encouraged to use one of the following toll-free numbers in contacting the Federal
Reserve Bank of Dallas: Dallas Office (800) 333-4460; El Paso Branch Intrastate (800) 592-1631, Interstate (800) 351-1012;
Houston Branch Intrastate (800) 392-4162, Interstate (800) 221-0363; San Antonio Branch Intrastate (800) 292-5810.

This publication was digitized and made available by the Federal Reserve Bank of Dallas' Historical Library (FedHistory@dal.frb.org)

16392

Federal R eg ister/Vol. 63, No. 6 4 /F rid ay , A pril 3, 1 9 9 8 /R u le s an d Regulations
FEDERAL RESERVE SYSTEM
12CFR Part 202
[Regulation B; Docket No. R-0978]

Equal Credit Opportunity

Board of Governors of the
Federal Reserve System.
ACTION: Final rule.
AGENCY:

The Board is amending
certain m odel forms in its Regulation B
to reflect statutory am endm ents to the
Fair Credit Reporting Act (FCRA)
disclosures contained in those forms.
Creditors have the option of including
the FCRA disclosures w ith the notice of
action taken required under Regulation
B. In addition, a technical revision has
been made to A ppendix A.
DATES: The rule is effective April 30,
1998.
FOR FURTHER INFORMATION CONTACT: Jane
Jensen Gell, Senior Attorney, or Pamela
Morris Blumenthal, Staff Attorney,
Division of Consumer and Community
Affairs, Board of Governors of the
Federal Reserve System, at (202) 4523667 or 452-2412; users of
Telecommunications Device for the Deaf
(TDD) only, contact Diane Jenkins at
(202) 452-3544.
SUMMARY:

SUPPLEMENTARY INFORMATION:

I. Background
Regulation B, w hich im plem ents the
Equal Credit O pportunity Act, requires
creditors to provide consumers w ith a
notice of action taken if an application
for credit is denied, an account is
terminated, or the terms of an account
are unfavorably changed. The Fair
Credit Reporting Act (FCRA) (15 U.S.C.
1681a) requires creditors that take
adverse action against a consumer, such
as by denying an application for credit,
to provide consumers w ith certain
disclosures if the action is based on
inform ation provided by a third party or
a consumer reporting agency. The
required FCRA disclosures include, for
example, the nam e and address of the
consum er reporting agency that
supplied the information. For
information obtained from a third party,
the required disclosures include a
statement that the consum er has the
right to request the reason for the denial
w ithin sixty days. Creditors have the
option of including the FCRA
disclosures w ith the notice of action
taken required under Regulation B;
A ppendix C to Regulation B provides
model forms that com bine the FCRA
and ECOA disclosures.
The Economic Growth and Regulatory
Paperwork Reduction Act of 1996 (Pub.

L. 104-208, 110 Stat. 3009) made
extensive changes to the FCRA. Among
other changes, the am endm ents require
that additional disclosures be given to
consumers w ho are denied credit based
on information from an affiliate or from
a consum er reporting agency.
On July 11, 1997, the Board published
for public com m ent proposed
am endm ents to several model forms in
Regulation B (61 FR 37166). The Board
is issuing a final rule amending the
FCRA portion of Regulation B’s model
forms C—1 through C-5 and the general
instructions for these forms to reflect the
changes to the FCRA, w hich were
effective Septem ber 30, 1997. The forms
include language that may be used
w hen credit is denied based on
information obtained from a consumer
reporting agency, from a third party
other than a consum er reporting agency,
or from an affiliate. To minimize the
num ber of changes to the forms, and
thereby ease compliance for creditors,
the Board is changing the language only
in the forms that are affected by the
FCRA amendments.

II. New Model Language
A ction Based on Information From a
Consumer Reporting Agency
W hen adverse action is taken against
a consumer based on information from
a consumer reporting agency, section
615(a) of the FCRA now requires the
following additional disclosures: a
telephone num ber for the consumer
reporting agency (toll-free if the agency
compiles and m aintains files on
consumers nationwide); a statement that
the consum er reporting agency did not
make the decision to take the adverse
action, and cannot state the reason why
the adverse action was taken; the
consum er’s right to a free copy of the
credit report from the consumer
reporting agency, if the request is made
w ithin 60 days of receipt of the adverse
action notice; and the consum er’s right
to dispute w ith the consum er reporting
agency the accuracy or completeness of
the credit report. These revisions have
been incorporated into the model forms
that m ay be used to comply w ith the
FCRA w hen credit is denied, an account
is terminated, or the terms of an account
are unfavorably changed based on
information from a consumer reporting
agency.
Action Based on Information From an
Affiliate
The Board specifically solicited
comm ent on w hich, if any, disclosure
should be provided w hen adverse action
is based on a consum er report obtained
from an affiliate. The Board proposed

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Federal R eg ister/Vol. 63, No. 6 4 /F rid a y , April 3, 1 9 9 8 /R u le s and Regulations

V. Regulatory Flexibility Analysis
In accordance w ith section 3(a) of the
Regulatory Flexibility Act (5 U.S.C.
603), the Board’s Office of the Secretary
has review ed the am endm ents to
Regulation B. The am endm ents, w hich
provide m odel language to facilitate
compliance, are not likely to have a
significant impact on institutions’ costs,
including the costs to small institutions.

VI. Paperwork Reduction Act
In accordance w ith the Paperwork
Reduction Act of 1995 (44 U.S.C. 3506),
the Board reviewed the rule under the
authority delegated to the Board by the
Office of Management and Budget (5
CFR 1320 A ppendix A.l).
The current estimated total annual
burden for this information collection is
125,177 hours. This am ount reflects the
burden estimate of the Federal Reserve
System for the 996 state member banks
u nder its supervision. This regulation
applies to all types of creditors, not just
state member banks. However, under
Paperwork Reduction Act regulations,
the Federal Reserve accounts for the
burden of the paperw ork associated
w ith the regulation only for state
member banks. Other agencies account
for the paperwork burden for the
institutions they supervise.
The revised collection of information
requirements are found in A ppendix C
to 12 CFR Part 202. The burden per
response for any of the five revised
disclosures is estim ated to be two and
one-half minutes, on average. As the
revisions are minor, this am ount is not
expected to change. The Board estimates
that there is no annual cost burden over
the annual hour burd en associated w ith
the revisions. The start-up cost for
modifying state member banks’ current
templates to conform to the revised
models is estimated to be approximately
$100,000 across all 996 state member
banks. No comments specifically
addressing the burden estimate were
received.
This information collection is
m andatory (15 USC 1691b(a)(l) and
Pub. L. 104-208, § 2302(a)) to ensure
that credit is made available to all
creditworthy customers w ithout
discrim ination on the basis of race,
color, religion, national origin, sex,

marital status, age (provided the
applicant has the capacity to contract),
receipt of public assistance, or the fact
that the applicant has in good faith
exercised any right under the Consumer
Credit Protection Act (15 USC 1600 et.
seq.). The respondents/recordkeepers
are for-profit financial institutions,
including small businesses. Creditors
are required to retain records for twelve
to twenty-five m onths as evidence of
compliance.
Since the Federal Reserve does not
collect any information, no issue of
confidentiality norm ally arises.
However, the information may be
protected from disclosure under
exemptions (b)(4), (6), and (8) of the
Freedom of Information Act (5 USC 522
(b)). The adverse action disclosure is
confidential between the institution and
the consum er involved. An agency may
not conduct or sponsor, and an
organization is not required to respond
to, an information collection unless it
displays a currently valid OMB control
number. The OMB control num ber for
the Recordkeeping and Disclosure
Requirements in Connection with
Regulation B is 7100-0201.
The Federal Reserve has a continuing
interest in the public’s opinions of our
collections of information. At any time,
comments regarding the burden
estimate, or any other aspect of this
collection of information, including
suggestions for reducing the burden,
may be sent to: Secretary, Board of
Governors of the Federal Reserve
System, 20th and C Streets, N.W.,
Washington, DC 20551; and to the
Office of Management and Budget,
Paperwork Reduction Project (71000201), Washington, DC 20503.

List of Subjects in 12 CFR Part 202
Aged, Banks, banking, Civil rights,
Credit, Federal Reserve System, Marital
status discrim ination, Penalties,
Religious discrim ination, Reporting and
recordkeeping requirem ents, Sex
discrimination.
For the reasons set forth in the
preamble, 12 CFR part 202 is am ended
to read as follows:

PART 202—EQUAL CREDIT
OPPORTUNITY (REGULATION B)

1. The authority citation for part 202
continues to read as follows:
Authority: 15 U.S.C. 1691-1691f.
2. A ppendix A is am ended by revising
the second paragraph to read as follows:

Appendix A to Part 202—Federal
Enforcement Agencies
*

*

*

*

*

N atio n al Banks, a n d F ederal B ranches and
F ederal A g en cies o f Foreign Banks
Office o f the Comptroller o f the Currency,
Customer A ssistance Unit, 1301 McKinney
A venue, Suite 3710, Houston, Texas 77010.
*

*

*

*

*

3. A ppendix C is am ended as follows:
a. By revising the second paragraph;
b. By revising Form C—1;
c. By revising Form C-2;
d. By revising Form C-3;
e. By revising Form C-4;
f. By revising Form C-5.
The revisions read as follows:

Appendix C to Part 202—Sample
Notification Forms
*

*

*

*

*

Form C - l contains the Fair Credit
Reporting Act disclosure as required by
sections 615(a) and (b) of that act. Forms C 2 through C -5 contain only the section 615(a)
disclosure (that a creditor obtained
information from a consum er reporting
agency that played a part in the credit
decision). A creditor m ust provide the 615(a)
disclosure w h en adverse action is taken
against a consum er based on information
from a consum er reporting agency. A creditor
m ust provide the section 615(b) disclosure
w h en adverse action is taken based on
information from an outside source other
than a consum er reporting agency. In
addition, a creditor m ust provide the 615(b)
disclosure if the creditor obtained
information from an affiliate other than
information in a consum er report or other
than information concerning the affiliate’s
ow n transactions or experiences w ith the
consumer. Creditors m ay com ply w ith the
disclosure requirements for adverse action
based on information in a consum er report
obtained from an affiliate b y providing either
the 615(a) or 615(b) disclosure.
*

*

*

*

*

BILLING CODE 621 0 -0 1 -P

Federal Register/Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s an d Regulations
that a creditor using information in a
consum er report obtained from an
affiliate m ust provide the same
disclosures as w ould be provided if the
report had come directly from the
consum er reporting agency (disclosures
required under 615(a) of the FCRA).
Some commenters agreed w ith the
Board’s approach. These commenters
believed that creditors should provide
consumers the same disclosures under
FCRA w hether a consum er report is
obtained from an affiliate or directly
from a consumer reporting agency.
A num ber of commenters disagreed
w ith the Board’s approach. They
believed that the Board’s reading of the
statute did not reflect congressional
intent. These commenters argued that
the am endm ents to the FCRA
specifically require a different adverse
action notice w hen a consum er report is
obtained from an affiliate, if the affiliate
has provided certain “ opt-out”
disclosures m entioned in the statute’s
am ended definition of “consum er
report.”
After reviewing the com m ent letters
and consulting w ith other federal
financial regulatory agencies, the Board
has determ ined that this issue merits
further consideration and w ould more
appropriately be addressed in an
interpretation of the FCRA. The Board
and the FTC anticipate that they will
issue jointly for public comment a
proposed interpretation of the FCRA
that will clarify the disclosures that are
to be provided w hen adverse action is
based on a consum er report obtained
from an affiliate. In the interim,
institutions may provide either the
615(a) notice or the 615(b) notice.
Third Party Notice
In the case of inform ation from an
affiliate that is neither a consumer
report nor the affiliate’s own
transactional experience, the Board
proposed allowing creditors to use the
current third-party notice, as amended.
There is a difference, however, between
the timing provisions of section
615(b)(1) (third-party notice) and of
section 615(b)(2) (affiliate notice). Under
the third-party provision, a consum er’s
request for the reasons for adverse
action m ust be subm itted to the creditor
w ithin 60 days after the consumer
receives the notice. U nder the affiliate
provision, the request m ust be
subm itted w ithin 60 days after the
“transm ittal of the notice.”
The Board proposed that Regulation
B’s existing language for m odel form C 1 (used for inform ation from a third
party) also be used for information from
an affiliate, and solicited com m ent on
this approach. Commenters generally

16393

agreed w ith the Board that the proposed
language—60 days from receipt of the
notice—w ould ease compliance for
creditors and provide a more
understandable tim e frame for
consumers. Accordingly, the Board has
adopted this language in the final rule.

num ber is provided, creditors have the
option of adding the words “toll-free”
before the reporting agency’s telephone
number. A reference to an affiliate is
added in the second paragraph.

Technical F(evisions
Commenters suggested several
technical modifications to the forms.
Several commenters believed that the
Board was requiring the use of certain
terms, such as “toll-free.” The Board did
not intend this result. The use of the
words “toll-free” before “telephone” in
model forms C - l through C—5 is not
required. Although a form need not state
“toll-free,” a creditor m ust provide a
toll-free num ber established by the
consum er reporting agency if the agency
compiles and m aintains files on
consumers on a nationw ide basis.
In addition, to be consistent w ith the
language in the FCRA, the phrase
“affiliate’s own experience” in the
second paragraph in A ppendix C is
modified to read “affiliates’s own
transactions or experiences.” Finally,
the proposed statement concerning
consum ers’ right under the FCRA to
know the information in their credit
files in Model Form C-5 (included in
brackets) need not be provided.
Commenters noted that the revised
FCRA does not require this notice, and
that the notice of the right to receive a
free copy of a credit report adequately
informs consumers that they may obtain
the information in their credit report.

Sam ple Notice o f A ction Taken and
Statem ent o f Reasons is am ended by
adding to the first sentence in the
second paragraph the words “toll-free”
before the reporting agency’s telephone
number. The dispute disclosure is
inserted before the last sentence.

III. Section-by-Section Analysis
In A ppendix C, the second paragraph
is am ended by adding two sentences at
the end of the paragraph explaining the
FCRA disclosure requirem ents for
information obtained from an affiliate.
For model forms C - l through C-5, the
words “toll-free” are included in
brackets to reflect that the telephone
num ber for the consum er reporting
agency m ust be toll-free if it compiles
and m aintains files on consumers on a
nationw ide basis. Creditors have the
option of using the words “toll-free”
before the reporting agency’s telephone
num ber w hen a toll-free num ber is
provided.
M odel Form C -l
Sam ple Notice o f Action Taken and
Statem ent o f Reasons is am ended in
Part II by adding at the end of the first
paragraph the FCRA disclosures
notifying the consum er of the right to
request a copy of the consumer report,
and the right to dispute the accuracy of
the report w ith the reporting agency. In
addition, in cases where a toll-free

Model Form C-2

Model Form C-3
Sam ple Notice o f A ction Taken and
Statem ent o f Reasons (Credit Scoring) is
am ended by adding to the fourth
sentence in the fourth paragraph the
words “toll-free” before the reporting
agency’s telephone number. The dispute
disclosure is added at the end of the
paragraph.
M odel Form C-4
Sam ple Notice o f Action Taken,
Statem ent o f Reasons and Counteroffer
is am ended by adding to the first
sentence in the third paragraph the
words “toll-free” before the reporting
agency’s telephone number. At the end
of the paragraph the disclosure stating
that the reporting agency played no part
in the decision is added along with the
dispute disclosure.
M odel Form C-5
Sam ple Disclosure o f Right to Request
Specific Reasons fo r Credit Denial is
am ended by adding to the first sentence
in the fourth paragraph the words “tollfree” before the reporting agency’s
telephone number. At the end of the
paragraph the disclosure that the
reporting agency played no part in the
decision has been added, along w ith the
dispute disclosure. In addition, the
disclosure that the consumer has a right
under the FCRA to know the
inform ation in the credit file may be
provided, but is not required.

IV. Technical Change to Appendix A
A ppendix A—Federal Enforcement
Agencies has been revised to reflect a
new address for the Office of the
Comptroller of the Currency (OCC).
Under section 202.9(b) of Regulation B,
a creditor’s notice of adverse action is
required to include the nam e and
address of the federal agency that has
enforcement responsibility for that
creditor. The OCC is the appropriate
agency for national banks and federal
branches and federal agencies of foreign
banks. This is a technical revision and
is not related to the FCRA amendments.

Federal R eg ister/Vol. 63, No. 6 4 /F rid a y , A pril 3, 1 9 9 8 /R u le s an d Regulations

Fo r m C - l -

s a m p l e n o t ic e o f a c t io n t a k e n a n d s t a t e m e n t o f r e a so n s

Statement of Credit Denial, Termination, or Change
Date:
Applicant's Name:_______________________________
Applicant's Address: ----------------------------------------------Description of Account, Transaction, or Requested Credit:

Description of Action Taken:

PART I -

PRINCIPAL REASON(S) FOR CREDIT DENIAL, TERMINATION,
OR OTHER ACTION TAKEN CONCERNING CREDIT.
This section must be completed in all instances.

---- Credit application incomplete

---- Length of residence

---- Insufficient number of credit
references provided

---- Temporary residence
Unable to verify residence

Unacceptable type of credit
references provided

.No credit file

.Unable to verify credit references

.Limited credit experience

_ —Temporary or irregular employment
— Unable to verify employment

---- Poor credit performance with us
Delinquent past or present credit
obligations with others

---- Length of employment
---- Income insufficient for amount
of credit requested
.Excessive obligations in
relation to income
— Unable to verify income
---- Other, specify: ----------

-Garnishment, attachment, foreclosure,
repossession, collection action, or
judgment
---- Bankruptcy
---- Value or type of collateral
not sufficient

16395

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Federal R egister/Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s an d Regulations

F o r m C - l, p a g e 2
P art n

- d is c l o s u r e

o f u s e o f in f o r m a t io n o b t a in e d fr o m a n o u t s id e s o u r c e .

This section should be completed if the credit decision was based
in whole or in part on information that has been obtained from an
outside source.
___

Our credit decision was based in whole or in part on information obtained in a report from
the consumer reporting agency listed below. You have a right under the Fair Credit
Reporting Act to know the information contained in your credit file at the consumer
reporting agency. The reporting agency played no part in our decision and is unable to
supply specific reasons why we have denied credit to you. You also have a right to a free
copy of your report from the reporting agency, if you request it no later than 60 days after
you receive this notice. In addition, if you find that any information contained in the
report you receive is inaccurate or incomplete, you have the right to dispute the matter
with the reporting agency.
Name: ----------------------------------------------------------------Address:
[Toll-free] Telephone number:---------------------------------Our credit decision was based in whole or in part on information obtained from an affiliate
or from an outside source other than a consumer reporting agency. Under the Fair Credit
Reporting Act, you have the right to make a written request, no later than 60 days after
you receive this notice, for disclosure of the nature of this information.

If you have any questions regarding this notice, you should contact:
Creditor's name:------------------------------------Creditor's address: --------------------------------Creditor's telephone number: -------------------NOTICE
The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit
applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided
the applicant has the capacity to enter into a binding contract); because all or part of the
applicant's income derives from any public assistance program; or because the applicant has in
good faith exercised any right under the Consumer Credit Protection Act. The federal agency that
administers compliance with this law concerning this creditor is (name and address as specified
by the appropriate agency listed in appendix A).

Federal Register /Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s an d Regulations
FORM C-2-SAMPLE NOTICE OF ACTION TAKEN AND STATEMENT OF REASONS

Date
Dear Applicant:
Thank you for your recent application. Your request for [a loan/a credit card/an increase in
your credit limit] was carefully considered, and we regret that we are unable to approve your
application at this time, for the following reason(s):
Your Income:
---- is below our minimum requirement.
___ is insufficient to sustain payments on the amount of credit
requested.
— could not be verified.
Your Employment:
---- is not of sufficient length to qualify.
---- could not be verified.
Your Credit History:
---- of making payments on time was not satisfactory.
---- could not be verified.
Your Application:
lacks a sufficient number of credit references.
___ lacks acceptable types of credit references.
___ reveals that current obligations are excessive in relation to
income.
Other: -----------------------------------------------------------------------------------------------------The consumer reporting agency contacted that provided information that influenced our
decision in whole or in part was [name, address and [toll-free] telephone number of the
reporting agency]. The reporting agency is unable to supply specific reasons why we have
denied credit to you. You do, however, have a right under the Fair Credit Reporting Act to
know the information contained in your credit file. You also have a right to a free copy of
your report from the reporting agency, if you request it no later than 60 days after you receive
this notice. In addition, if you find that any information contained in the report you receive is
inaccurate or incomplete, you have the right to dispute the matter with the reporting agency.
Any questions regarding such information should be directed to [consumer reporting agency].
If you have any questions regarding this letter, you should contact us at [creditor's name,
address and telephone number].
NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating
against credit applicants on the basis of race, color, religion, national origin, sex, marital
status, age (provided the applicant has the capacity to enter into a binding contract); because
all or part of the applicant's income derives from any public assistance program; or because
the applicant has in good faith exercised any right under the Consumer Credit Protection Act.
The federal agency that administers compliance with this law concerning this creditor is (name
and address as specified by the appropriate agency listed in Appendix A).

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Federal R eg ister/Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s and Regulations

F o r m C -3 -

s a m p l e n o t ic e o f a c t io n t a k e n a n d s t a t e m e n t o f r e a so n s

(C r e d it

sc o r in g )

Date
Dear Applicant:
Thank you for your recent application fo r ------------------------------------------------We regret that we are unable to approve your request.
Your application was processed by a credit scoring system that assigns a
numerical value to the various items of information we consider in evaluating an application.
These numerical values are based upon the results of analyses of repayment histories of large
numbers of customers.
The information you provided in your application did not score a sufficient
number of points for approval of the application. The reasons why you did not score well
compared with other applicants were:
•
•
•

Insufficient bank references
Type of occupation
Insufficient credit experience

In evaluating your application the consumer reporting agency listed below
provided us with information that in whole or in part influenced our decision. The reporting
agency played no part in our decision other than providing us with credit information about
you. Under the Fair Credit Reporting Act, you have a right to know the information provided
to us. It can be obtained by contacting: [name, address, and [toll-free] telephone number of
the consumer reporting agency]. You also have a right to a free copy of your report from the
reporting agency, if you request it no later than 60 days after you receive this notice. In
addition, if you find that any information contained in the report you receive is inaccurate or
incomplete, you have the right to dispute the matter with the reporting agency.
If you have any questions regarding this letter, you should contact us at
Creditor's Name: ----------------------------------------------Address: ---------------------------------------------------------Telephone: -----------------------------------------------------Sincerely,
NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating
against credit applicants on the basis of race, color, religion, national origin, sex, marital
status, age (with certain limited exceptions); because all or part of the applicant's income
derives from any public assistance program; or because the applicant has in good faith
exercised any right under the Consumer Credit Protection Act. The federal agency that
administers compliance with this law concerning this creditor is (name and address as specified
by the appropriate agency listed in Appendix A).

Federal R egister/Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s an d Regulations
F o r m C -4 -

s a m p l e n o t ic e o f a c t io n t a k e n , s t a t e m e n t o f r e a so n s a n d c o u n t e r o f f e r

Date

Dear Applicant:
Thank you for your application fo r------------------------ We are unable
to offer you credit on the terms that you requested for the following reason(s):

We can, however, offer you credit on the following terms:

If this offer is acceptable to you, please notify us within [amount of time] at the
following address:--------------------------------------------------------------------------------Our credit decision on your application was based in whole or in part on
information obtained in a report from [name, address and [toll-free] telephone number
of the consumer reporting agency]. You have a right under the Fair Credit Reporting Act
to know the information contained in your credit file at the consumer reporting agency.
The reporting agency played no part in our decision and is unable to supply specific reasons
why we have denied credit to you. You also have a right to a free copy of your report from
the reporting agency, if you request it no later than 60 days after you receive this notice. In
addition, if you find that any information contained in the report you receive is inaccurate or
incomplete, you have the right to dispute the matter with the reporting agency.
You should know that the federal Equal Credit Opportunity Act prohibits creditors,
such as ourselves, from discriminating against credit applicants on the basis of their race,
color, religion, national origin, sex, marital status, age because they receive income from a
public assistance program, or because they may have exercised their rights under the
Consumer Credit Protection Act. If you believe there has been discrimination in handling
your application you should contact the [name and address of the appropriate federal
enforcement agency listed in Appendix A.]
Sincerely,

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Federal R eg ister/Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s an d Regulations
F o r m C -5 - S a m p l e D is c l o s u r e
D e n ia l

of

R ig h t

to

R e q u e s t S pec ific R e a s o n s

fo r

C r e d it

Date
Dear Applicant:
Thank you for applying to us for-----------------------------After carefully reviewing your application, we are sorry to advise you that we cannot [open an
account for you/grant a loan to you/increase your credit limit] at this time.
If you would like a statement of specific reasons why your application was denied, please
contact [our credit service manager] shown below within 60 days of the date of this letter. We
will provide you with the statement of reasons within 30 days after receiving your request.
Creditor's Name
Address
Telephone number
If we obtained information from a consumer reporting agency as part of our consideration of
your application, its name, address, and [toll-free] telephone number is shown below. The re­
porting agency played no part in our decision and is unable to supply specific reasons why we
have denied credit to you. [You have a right under the Fair Credit Reporting Act to know the
information contained in your credit file at the consumer reporting agency.] You have a right
to a free copy of your report from the reporting agency, if you request it no later than 60 days
after you receive this notice. In addition, if you find that any information contained in the
report you receive is inaccurate or incomplete, you have the right to dispute the matter with
the reporting agency. You can find out about the information contained in your file (if one
was used) by contacting:
Consumer reporting agency's name
Address
[Toll-free] Telephone number
Sincerely,
NOTICE
The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit
applicants on the basis of race, color, religion, national origin, sex, marital status, age
(provided the applicant has the capacity to enter into a binding contract); because all or part of
the applicant's income derives from any public assistance program; or because the applicant
has in good faith exercised any right under the Consumer Credit Protection Act. The federal
agency that administers compliance with this law concerning this creditor is (name and address
as specified by the appropriate agency listed in Appendix A).

Federal R egister/Vol. 63, No. 6 4 /F rid ay , April 3, 1 9 9 8 /R u le s and Regulations
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By order of the Board o f Governors o f the
Federal Reserve System, March 3 0 ,1 9 9 8 .

William W. Wiles,
S ecretary o f the Board.
[FR Doc. 9 8 -8 7 4 9 Filed 4 -2 -9 8 ; 8:45 am]
BILLING CODE 6 2 1 0 -0 1 -C

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