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?*

RentOwn
Birth Date*

MonthDayYear
Marital Status (check one)*

SingleMarriedSeparatedDivorcedWidowed
Do You Have Dependent Children Under The Age Of 18?*

YesNo
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)*

HourlySalaryCommissionBonus
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)

HourlySalaryCommissionBonus
If salary, how much per year?
If hourly, how much per hour?
Assets

(what you own)
Do You Have A Car?*

YesNo
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)

Personal LoanLine Of CreditStudent Loan
Monthly Payment Amount
Liability #2 (choose one)

Line Of CreditPersonal LoanStudent Loan
Monthly Payment Amount
Liability #3 (choose one)

Personal LoanLine Of CreditStudent Loan
Monthly Payment Amount
Do You Have Credit Cards (choose all that apply)?

VisaMastercardAmerican Express
Do You Know Your Current Credit Score? If So, Please Enter Below:
Signature (please sign below with your mouse/finger to acknowledge above)

Clear
Should be Empty:

Mortgage Pre-Qualification Form

Mortgage Pre-Qualification Applicant #1

Personal Details

Employment Info

Assets

Liabilities