BY COMPLETING THIS FORM YOUR ARE NOT MAKING APPLICATION FOR A MORTGAGE. This information is to be used by the agency collecting it or its assignees to contact you to consult you about the secion 184 Native American Mortgage. It will not be disclosed outside the agency except as required and permitted by law. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et. seq., or 7 USC, 1921 et. seq. (if USDA/FmHA).