Buyer Pre-Qualification Sheet

Contact Info:

Source: ________________
Date: ____________

Name: ___________________________________________________
First

M.I.

Phone (C): _______________________

Last

E-mail: ___________________________________________________

Phone (O): _______________________

Name: ___________________________________________________

Phone (C): _______________________

First

M.I.

Last

E-mail: ___________________________________________________

Phone (O): _______________________

Address: __________________________________________________ Phone (H): _______________________

City: _______________________ St: ______ Zip: ___________

Credit: Great Good Bad Dont Know

______________________________________________
______________________________________________
______________________________________________
______________________________________________

What specifically is wrong with your Credit?

Any current late payments? Foreclosures?
Student loans? Bankruptcy? Collections?
Bounced checks?
NOTE:
Extra care needed if: Collections on taxes or
student loans OR Late payments less than 90
days old

___________________________________________________________________________________________

Income:
Employer & Position: __________________________________________________________________________
Yearly Gross: $_______________ Hrly: $________ Hrs/wk: _______ OT: _______ How Long? ___________
PT Employer & Position: _______________________________________________________________________
Yearly Gross: $_______________ Hrly: $________ Hrs/wk: _______ OT: _______ How Long? ___________
Spouses Employer & Position: ___________________________________________________________________
Yearly Gross: $_______________ Hrly: $________ Hrs/wk: _______ OT: _______ How Long? ___________
Other Income:
_________________________________________________

Child support? Is it court ordered?

Rental income? Side business? Etc.

___________________________________________________________________________________________
Savings: _______________ Other Assets: ___________________

Debt:
Do you have debt?

Yes

No

Personal loans: $___________________

Car payment: $_____________

Credit Cards: $___________________

Other: $__________________________

NOTES & Wants:

Beds: _________

____________________________________________________________________

Baths: _________

____________________________________________________________________

Sqft: _________

____________________________________________________________________
_______________________________

Monthly Payment: $__________________

Car Spaces: _________

Area: _________

Qualification:
Monthly Income: $_________________

Back End Ratio (41% of monthly Inc.): $__________________

Lowest is Maximum PITI

Front End Ratio (29-33% of monthly Inc.): $__________________

Total Monthly Debt: $__________________

OR

Difference: $__________________