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APPENDIX B—Model Application Forms

This appendix contains five model credit application forms, each designed for use in a particular type of consumer credit transaction as indicated by the bracketed caption on each form. The first sample form is intended for use in open-end, unsecured transactions; the second for closed-end, secured transactions; the third for closed-end transactions, whether unsecured or secured; the fourth in transactions involving community property or occurring in community property states; and the fifth in residential mortgage transactions, which contains a model disclosure for use in complying with section 202.13 for certain dwelling-related loans. All forms contained in this appendix are models; their use by creditors is optional.
The use or modification of these forms is governed by the following instructions. A creditor may change the forms by asking for additional information not prohibited by section 202.5; by deleting any information request; or by rearranging the format without modifying the substance of the inquiries. In any of these three instances, however, the appropriate notices regarding the optional nature of courtesy titles; the option to disclose alimony, child support, or separate maintenance; and the limitation concerning marital status inquiries must be included in the appropriate places if the items to which they relate appear on the creditor’s form.
If a creditor uses an appropriate appendix B model form, or modifies a form in accordance with the above instructions, that creditor shall be deemed to be acting in compliance with the provisions of paragraphs (b), (c), and (d) of section 202.5 of this regulation.
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[Open-end, unsecured credit]

Open-end, unsecured credit


Open-end, unsecured credit continued

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[Closed-end, secured credit]

Closed-end, secured credit


Closed-end, secured credit continued

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[Closed-end, unsecured/secured credit]

Closed-end, unsecured/secured credit


Closed-end, unsecured/secured credit continued

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[Community property]

Community property


Community property continued

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[Residential real estate mortgage loan]

Residential real estate mortgage loan


Residential real estate mortgage loan continued


Residential real estate mortgage loan continued


Residential real estate mortgage loan continued


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