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ECOA model and sample forms

Download the ECOA model and sample forms.

Editable versions of certain forms are provided on the Bureau’s ECOA GitHub page .

Appendix B: Model credit application forms

Description Action

B-1: Open-End, unsecured loan

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B-2: Closed-End, secured loan

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B-3: Closed-end, unsecured or secured credit loan

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B-4: Community Property Loan

Download PDF

B-5: Residential Mortgage credit application form

Download PDF

Appendix C: Sample notification forms

Description English Spanish translations of Sample forms

C-1: Notice of Action Taken and Statement of Reasons – Adverse Action based on outside source other than CRA

Download English PDF

Download Spanish PDF

C-2: Notice of Action Taken and Statement of Reasons

Download English PDF

Download Spanish PDF

C-3: Notice of Action Taken – Credit Score

Download English PDF

Download Spanish PDF

C-4: Notice of Action Taken - Counteroffer

Download English PDF

Download Spanish PDF

C-5: Disclosure of Right to Request Specific Reason for Credit Denial

Download English PDF

Download Spanish PDF

C-6: Notice of Incomplete Application

Download English PDF

Download Spanish PDF

C-7: Notice of Action Taken – Business Credit

Download English PDF

Download Spanish PDF

C-8: Disclosure of Right to Request Specific Reason for Credit Denial – Business Credit

Download English PDF

Download Spanish PDF

C-9: Right to Receive a Copy of Appraisals

View sample form

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C-10: Voluntary Data Notation

View sample form

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