Get Started Questionnaire

1
What would you like to do?* This field is required.
Buy a New Home
Refinance My Home
2
Sender Name
3
Reply To Email
4
Get Page URL
5
Have you been referred to a specific Fairway employee?* This field is required.
YESNO
6
Wood Group Employee Referral* This field is required.
true
false
7
Fairway Employee Referral* This field is required.
truefalse
8
Which Fairway employee? If unsure, please leave blank.
Alex Ihler
Alisa Bailey
Alisa Ellis
Allan Tuck
Amy Jaynes
Andrew Johnson
April Jones
Artis Alexander
Austin Bradley
Berenice LaBombarde
Bill Black
Blair Hogue
Bobby DeLong
Braden Thibodeaux
Caren Hildinger
Caroline Edwards
Carolyn Srabian
Carrie Brady
Chance Lemoine
Cheryl Rodriguez
Chris Allman
Chris Finck
Christiaan Turner
Clint Philip
Colton Rose
Connor Antunes
Crystal Friemel
Daniel Bechtold
Darin Van Dusen
David Berenger
David Martin
Daylon Brady
Dean Williamson
Denis Vergara
Derick Johnson
Emily Brandenberger
Heather Mosley
Heather Shelton
Hunter Harwood
Jackson Matheson
Jacob Baker
Jacob Studdard
Jake Tatum
Jeremy Finnestad
Jesse Pidcock
Jessica Byrne
Joel Dyke
Jonathon Rich
Jonathon Roberts
Jordan Jones
Josh Dietert
Josh Hicks
Justin Boswell
Khang Duong
Kyah Spence
Lacey Steenson
Lacey Tucker
Lacy Brown
Lacy Koehler
Laura Franks
Laura Mitchell
Laura Palmer
Leon Hachat
Loan Revis
Lorraine Basham
Mark Howard
Matt Hemberger
Matt Wood
Micki Amburn
Mitch Medigovich
Monique Morein
Nathan Rich
Nicky Tharpe
Nicole Espada
Parris Prentice
Peter Thyen
Priscilla Mata
Rachel Harrelson
Rebecca Chisholm
Ricky Hernandez
Robin Dulock
Ryan Sewell
Sam Irving
Sarah Jamar
Savannah Kendricks
Shannon Alexander
Spencer Fuller
Steve Santon
Susan Wentz
Tim Lambert
Tina Cardosi
Travis Bays
Trent Morton
Tyler Studinka
9
LO
10
When did you purchase this home?
Date
Year
Month
Day
11
How will you use this home?
Primary Residence
Second Home or Investment Property
Rental Property
12
Estimated purchase price?
Below $50,000
$50,000 - $100,000
$100,000 - $150,000
$150,000 - $200,000
$200,000 - $400,000
$400,000 - $600,000
$600,000 - $800,000
$800,000 - $1,000,000
Above $1,000,000
13
Estimated home value?
Less than $100,000
$100,000 - $175,000
$175,000 - $280,000
$280,000 - $350,000
$350,000 - $450,000
More than $450,000
14
Current loan balance?
Less than $50,000
$50,000 - $175,000
$175,000 - $300,000
More than $300,000
15
Do you want to borrow money with a refi?
YESNO
16
When do you plan to purchase?
Within 60 days
2-6 Months
6+ Months
Just Researching
17
What is your credit score?
300 - 579
580 - 619
620 - 659
660 - 739
740 - 850
18
Are you or your spouse active duty military or veteran?
YESNO
19
VA
true
false
20
Are you already working with a real estate agent?
YESNO
21
What is your zip code?
22
Enter your email address* This field is required.
example@example.com
23
Enter your phone number* This field is required.
24
Name* This field is required.
First Name
Last Name
25
This is NOT an application for pre-approval. By submitting this form, you are simply indicating that you would like us to contact you with additional information about your mortgage options.
26
By submitting this form, I acknowledge and agree to the privacy policy and terms and conditions. I consent to transaction communications, to allow my information to be shared with lending partners, and to receive calls, text messages, and/or emails from Fairway Independent Mortgage Corporation or its affiliates at the phone number or email address provided. Consent is not a condition of service, and you may choose to contact a mortgage adviser directly at 254.933.9500.
27
Tags
Todo
In Progress
Done
Should be Empty:

This is NOT an application for pre-approval. By submitting this form, you are simply indicating that you would like us to contact you with additional information about your mortgage options.