Fast Winnipeg Mortgage Pre-Qualification Form

Mortgage Pre-Qualification Form
DateTime
Mortgage Pre-Qualification Applicant #1
Personal Details
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

CityProvince

Postal Code
Do You Currently Rent or Own?
Birth Date

MonthDayYear
Marital Status (check one)
Do You Have Dependent Children Under The Age Of 18?
If "YES" For Children Under 18, Enter Their Ages, Separated By Comma
If You (or spouse) Receive Monthly Canada Child Tax Benefits, Please Enter Monthly Dollar Amount:
**Answer ONLY if this applies** Do you PAY any child support payments? If so how much monthly?
**Answer ONLY if this applies** Do you RECEIVE any child support payments? If so how much monthly?
Employment Info
Current Employer Name #1
Position
How Long Have You Been At Current Employers? (ie: years and months)
How Are You Paid? (Check all that apply)
If salary, how much per year?
If hourly, how much per hour?
Current Employer Name #2
Position
How Long Have You Been At Current Employers? (ie: years and months)
How Are You Paid? (Check all that apply)
If salary, how much per year?
If hourly, how much per hour?
Assets

(what you own)
Do You Have A Car?
Vehicle Year, Make & Model
Monthly Car Payment Amount
How Much Is Owing On Vehicle?
Liabilities

(what you owe) - choose only those applicable
Liability #1 (choose one)
Monthly Payment Amount
Liability #2 (choose one)
Monthly Payment Amount
Liability #3 (choose one)
Monthly Payment Amount
Do You Have Credit Cards (choose all that apply)?
Do You Know Your Current Credit Score? If So, Please Enter Below:
Signature (please sign below with your mouse/finger to acknowledge above)
Should be Empty:

Mortgage Pre-Qualification Form

Mortgage Pre-Qualification Applicant #1

Personal Details

Employment Info

Assets

Liabilities