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o 033$ , May 13, 1986 QTCj K a /c •i To All Depository Institutions in the Second Federal Reserve District, and Others Maintaining Sets of Board Regulations § The Board of Governors of the Federal Reserve System has issued several corrections to its pamphlet on Regulation B, "Equal Credit Opportunity." The corrections affect the model credit application forms that appear in Appendix B of the regulation, and should be retained with the pamphlet. The Board’s Regulation B pamphlet was last revised effective December 16, 1985. Questions regarding Regulation B may be directed to §af Compliance Examinations Department (Tel. No. 212-791-5914). Circulars Division FEDERAL RESERVE BANK OF NEW YORK Board of Governors of the Federal Reserve System Corrections to Regulation B Equal Credit Opportunity M ay 1986 * 1 In the Regulation B pamphlet dated January 1986 (see inside cover), there were several er rors in appendix B, which contains the model application forms. 1. The form on pages 16 and 17 should be labeled “Closed-end, secured credit.” 2. The form on pages 18 and 19 should be labeled “Open-end, unsecured credit.” 3. The form on the following page should ap pear on page 20 of the pamphlet. The sec ond page of the form, on page 21 of the pamphlet, is correct as it appears. (OVER) Regulation B [Closed-emd, unsecured/secured credit] C RED IT APPLICATION IM PORTAN T: Read these Directions before completing this Application. Check Appropriate Box □ If you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, complete only Sections A and D. If the requested credit is to be secured, also complete the first part of Section C and Section E. □ If you are applying for joint credit with another person, complete all Sections except E, providing information in B about the joint applicant. If the requested credit is to be secured, then complete Section E. □ If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all Sections except E to the extent possible, providing information in B about the person on whose alimony, support, or maintenance payments or income or assets you are relying. If the requested credit is to be secured, then complete Section E. Amount Requested Payment Date Desired Proceeds of Credit $ .......................... .............................. To be Used For . . . SECTION A — INFORMATION REGARDING APPLICANT Full Name (Last, First, Middle):........................................................................... Present Street Address:......................................................................................... City: ................................................................................................ State:......... Social Security No.: ............................................................................................ Previous Street Address:....................................................................................... City: ................................................................................................ State:......... Present Employer:................................................................................... Position or title:....................................................................................... Employer’s Address:............................................................................... Previous Employer:................................................................................. Previous Employer’s Address: ................................................................ Present net salary or commission: $ ..................................................... per .......................................................Birthdate: .......................................................Years there: Z ip:...................Telephone: ............................ Driver’s License N o .:........................................ Years there:....................................................... Z ip:................... Years there:........Telephone: ............................ Name of supervisor: .......................................... / Years there: No. Dependents: Ages: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. Alimony, child support, separate maintenance received under: court order □ written agreement □ Other income: $ ................................................................................. per............ oral understanding □ . Source(s) of other income:. Is any income listed in this Section likely to be reduced before the credit requested is paid off? □ Yes (Explain in detail on separate sheet.) □ No Have you ever received credit from us?............................................... When?................ Office...................................................... Checking Account No.: .................................................................................................. Institution and Branch:............................. Savings Account No. : .................................................................................................... Institution and Branch:............................. Name of nearest relative not living with you:................................................................................................ Telephone: .................. Relationship:.....................................................................................Address:.............................................................................. SECTION B — INFORMATION REGARDING JOINT APPLICANT OR OTHER PARTY (Use separate sheets if necessary.) Birthdate: / / Full Name (Last, First, Middle): .. Relationship to Applicant (if any):. Present Street Address:............... ................................................................................... Years there: State:................. Z ip:....................Telephone: ............................ City: ......................................... .......................... Driver’s License No. : ......................................... Social Security No.: ................... .......................... Years there:.........Telephone: ............................ Present Employer:....................... .......................... Name of supervisor: ........................................... Position or title:.......................... Employer’s Address:................... Years there: Previous Employer:..................... Previous Employer’s Address: . . . per No. Dependents: Ages: Present net salary or commission: $ Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. Alimony, child support, separate maintenance received under: court order □ written agreement □ oral understanding □ Other income: $ ................................................................................. per......................Source(s) of other income:.................................................. Is any income listed in this Section likely to be reduced before the credit requested is paid off? □ Yes (Explain in detail on separate sheet.) □ No Checking Account No. : .................................................................................................. Institution and Branch:...................................................... Savings Account No. : .................................................................................................... Institution and Branch:...................................................... Name of nearest relative not living with Joint Applicant or Other Party:................................................................................................................... Telephone:............................................. Relationship:................................................................................................................. Address:...........................................................................
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