The following information is requested by the federal government in order to monitor our compliance with various civil rights laws. You are not required to furnish this information, but are encouraged to do so. The law requires that intermediary/lender many not discriminate based upon this information, nor whether you choose to furnish it. However if you choose not to furnish it, under federal regulation, the intermediary is required to note the ethnicity, race, and gender on the basis of visual observation or surname. If you do not wish to furnish the following information, please check the box below.