Mortgage Pre-Qualification Form

Rental Application
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Best Time to Contact

:HourMinutesAM/PM Option
Cell Number

Area CodePhone Number
Home Number

Area CodePhone Number
Name of property that you are applying for
Current Address

Street Address

Apartment

CityState

Zip Code
Do you rent or own currently?
Are you Self Employed? (This includes 1099 employees)
Gross Annual Income (Before Taxes)
Years in this line of work
For How Long?
How do you get paid?
Aditional Income
What is your hourly rate and average number of hours worked per week?
Rate / Hours
Current Employer
Position
Marital Status
Are you obligated to pay court ordered alimony or child support?
How much are you obligated to pay monthly?
Do you have dependents?
Ages of dependents separated by commas
4, 7, 9, etc
Do you rent or own currently?
What will you be doing with your primary residence?
What is your current Mortgage? (Including Taxes, Insurance, & HOA)
What are you Expecting in Rent?
Please note, we can only use 70% of Rental Income
Are you Self Employed? (This includes 1099 employees)
What is Your Adjusted Gross Income (After Write-Offs & Expense Deductions)
How do you get paid?
Any Additional Income?
Amount Per Year (If received for 2+ Years)
What is your hourly rate and average number of hours worked PER WEEK?
Rate/Hours
What is Your Adjusted Gross Income (After Write-Offs & Expense Deductions)
For How Long?
Marital Status
Do you have any dependents?
Ages of dependents separated by commas
4, 7, 9, et.
What is an idea of YOUR minimum monthly debt payments?
(Car Loans, Student Loans, Personal Loans, Minimum Credit Card Payments, Child Support/Alimony)
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Rental Application