Retirement Mortgage Interest Form

Unlock Your Retirement Potential: Fill Out Our Mortgage Interest Form and Schedule Your Discovery Meeting Today!

Are you considering how a Retirement Mortgage can benefit? Filling out our Retirement Mortgage Interest form is the first step toward the financial options available to you. Once completed, we invite you to schedule a discovery meeting with our experts where we can discuss your unique situation and help you make informed decisions for your future. Don’t wait—take charge of your retirement life today!

Borrower First name

Borrower Last name

Borrower DOB

Is there a co-borrower?

Co-borrower First Name

Co-borrower Last Name

Co-borrower DOB

Email

Phone

Please enter your property address below

Property Address

Country/Region

Address

City

Zip / Postal code

Are you a member of:

NAIFA

SRES

HBA

Household Information

Is your mortgage paid off?

Yes

No

Total Mortgage/HELOC Owed

Total Monthly Mortgage/HELOC Payment

Are you current on your property taxes?

Yes

No

Annual Property Tax Fee

Are you enrolled in the Senior Property Tax Exemption program?

Yes

No

Would you like to receive some information about this program?

Yes

No

Are you current on your homeowner's insurance?

Yes

No

Annual HOI Premium

Does your mortgage payment include homeowners' insurance and property tax payments (Escrow).

Yes

No

I am not sure

Income

How much is your monthly income?

By entering your contact information, you are providing express written consent for Fairway Independent Mortgage Corporation to contact you at the email and number you provided via telephone, mobile device, automated means like autodialing, text SMS/MMS and pre recorded messages, even if you are registered on a corporate, state, or federal Do Not Call list. You are also acknowledging and agreeing to our terms of service and privacy policy. Consent is not required to use our services.

Yes, subscribe me to your newsletter.

If you are interest in making an appointment, CLICK HERE to schedule a no-obligation Discovery Meeting.

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Copyright©2025 Fairway Independent Mortgage Corporation (“Fairway”) NMLS#2289. 4750 S. Biltmore Lane, Madison, WI 53718, 1-866-912-4800. All rights reserved. Fairway is not affiliated with any government agencies. These materials are not from HUD or FHA and were not approved by HUD or a government agency. Reverse mortgage borrowers are required to obtain an eligibility certificate by receiving counseling sessions with a HUD-approved agency. The youngest borrower must be at least 62 years old. Monthly reverse mortgage advances may affect eligibility for some other programs. This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates, and programs are subject to change without notice. All products are subject to credit and property approval. Other restrictions and limitations may apply. Equal Housing Opportunity.