Qualify borrowers in minutes — income, employment, and loan details in one clean application.
Financial template · 14 fields (13 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
About this form
A mortgage pre-qualification form collects the financial snapshot a lender needs to estimate what a borrower can afford: income, employment, existing debt, down payment, and the loan they have in mind. Unlike a full application, it is quick — most borrowers finish in under five minutes — which is exactly what you want at the top of your pipeline.
This template covers the standard pre-qualification data set used by loan officers and mortgage brokers. Ranged options for income, loan amount, and down payment keep the form fast to fill while still giving you enough signal to route the lead.
Best practices
Ranges beat exact numbers at this stage — borrowers abandon forms that demand precise figures they would have to look up.
Make credit score optional (as this template does). Many borrowers genuinely do not know it, and a blank is more honest than a guess.
Follow up within an hour. Pre-qualification leads go cold famously fast, and speed-to-contact is the strongest predictor of conversion.
If you collect SSN for a soft pull, say exactly why and how it is protected right next to the field — it is the number-one drop-off point.
Every field, explained
Applicant Name (Name, required)
Email Address (Email, required)
Phone Number (Phone, required)
Date of Birth (Date, required)
Social Security Number (Short text, required) — Needed for a soft credit pull. Tell borrowers explicitly that checking pre-qualification does not affect their credit score.
Annual Income (Dropdown, required) — Ranged on purpose — fast to answer and sufficient for an initial debt-to-income estimate.
Employment Status (Dropdown, required)
Employer Name (Short text, required)
Desired Loan Amount (Dropdown, required)
Down Payment Amount (Dropdown, required)
Property Type (Dropdown, required)
Estimated Credit Score (Short text)
Monthly Debt Payments (Short text, required) — Combined with income, this gives you the DTI ratio that drives most pre-qualification decisions.
First-time Home Buyer? (Dropdown, required) — Routes the lead to first-time-buyer programs (FHA, state assistance) that change the conversation.
Frequently asked questions
What is a mortgage pre-qualification form?
It is a short application that collects a borrower’s income, employment, debts, and target loan so a lender can estimate how much they may be able to borrow. It is an informal first step — faster than pre-approval and typically without a hard credit check.
What is the difference between pre-qualification and pre-approval?
Pre-qualification is an estimate based on self-reported figures, usually done in minutes. Pre-approval is a verified commitment: the lender checks credit, income documents, and bank statements. Use this form to start the conversation, then move serious buyers to pre-approval.
Can I use this form for an online mortgage application?
This template covers pre-qualification. For a full application you would extend it with property details, asset documentation, and disclosures — you can add those fields in the builder after clicking "Use this template."