Submit the application below for terms and information
Need help or have quesetions on this form? Please contact us
info@finservices.com
Office: 800.336.8562 | Fax: 800.987.7713
Total Loan Amount Requested: $
Equipment and Other Financing Types
* Financing Type:
Make Your Selection
Equipment Financing
Equipment Financing Combine with Working Capital Loan
Equipment Leasing
Start Up Business
Working Capital Loan
Mortgage and Construction Loans
Supply Financing
Practice Acquisition Financing
Consolidation Loan
Equity Out Financing
Group Preferred Line of Credit
Not Applicable
The financing is intended for business or professional use only.
Equipment Description (if applicable):
* Preferred Financing Program: For non-real estate loans
Select Preferred Term In Months
12 Months
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
Not Sure / Something Else
Not Applicable
Owner-Occupied Commercial Real Estate Financing
* Financing Type:
Make Your Selection
Constructing a building
Purchasing a building
Purchasing land
Moving your practice and purchasing a building
Renting now and want to purchase the building where your practice is located
Purchasing a practice and a commercial building
Refinancing your building
Not Applicable
These loans are offered between 10 and 25 years.
Business information
Legal Business Name:
Business Address:
City, State, Zip:
Tax ID Number (Leave blank if not immedately known) :
Business Phone:
Year business established:
Owner information
Your Name:
Social Security #:
Date of Birth:
Specialty:
Medical / Dental License Number:
Years Licensed:
Do You Own Another Established Business:
Your Home Address:
City, State, Zip:
Mobile Phone:
E-mail:
Add Second Owner Information
Second Owner Name:
Second Owner Social Security #:
Second Owner Date of Birth:
Specialty:
Second Owner Medical / Dental License Number:
Years Licensed:
Do You Own Another Established Business:
Second Owner Home Address:
City, State, Zip:
Second Owner Mobile Phone:
Second Owner E-mail:
Other Information
Dealer Name:
Sales Person Name:
Sales Person Contact Phone or Email:
GFS Representative (If Known) :
Additional Information:
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