AnnieMac Home Mortgage

California Consumer Privacy Act Request Form

The California Consumer Privacy Act (CCPA) provides the consumer (California resident) the right to know what personal information is collected and who it is provided to, as well as the right to have that personal information deleted from our systems as allowable by law.

Using the form below, you can submit a request regarding your personal information or exercise your right to have your information deleted. The fields below are not required, but will help verify your identity in order to fulfill your request.

Please note: upon receipt of this request, we will first need to verify the request. If you do not complete the authentication process, we will not be able to fulfill this request. A copy of our CCPA privacy policy can be found here outlining all rights of the consumer (California resident) under the California Consumer Privacy Act.

Basic Information

First Name *required

Middle Name

Last Name *required

Date of Birth *required

Residency

Current Street Address *required

Current City *required

ZIP Code *required

Current State *required

Contact Information

Email *required

Phone Number *required

Request Specifications

Which option best describes you?

Your Request

How would you like to receive your information?

I declare, under the penalty of perjury, that the information I have provided above is accurate and complete to the best of my knowledge.

CCPA Request

California Consumer Privacy Act Request Form

Basic Information

Residency

Contact Information

Request Specifications