Submit the application below for terms and information
or call us now at 800-232-7526
Quick Application
The financing is intended for business or professional use only.
Please fill this application out completely, enter "NA" when not applicable
Need help or have quesetions on this form? Please contact us
info@finservices.com
Office: 800.336.8562 | Fax: 800.987.7713
* Financing Type:
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
The financing is intended for business or professional use only.
Total Amount Requested:
$
* Preferred Financing Program:
Loan
Lease
Deferred
Not Deferred
Select Preferred Term In Months
12 Months
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
Not Sure / Something Else
Equipment Description:
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:
Yes /
No
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:
Yes /
No
Second Owner Home Address:
City, State, Zip:
,
Second Owner Mobile Phone:
-
-
Second Owner E-mail:
Other Information
Sales Person Name:
Sales Person Contact Phone or Email:
Additional Information:
Permission Statement
You understand by clicking the “I Accept “ button following this notice you are providing “written instructions” to allow GROUP FINANCIAL SERVICES to obtain information on your personal credit profile and public records sources. I hereby understand and authorize our banks, consumer agencies, trade references, and financial institutions to compile and furnish any information pertaining to our credit and financial responsibilities as requested by GROUP FINANCIAL SERVICES or its assigns and photostatic, facsimile, or other electronic copies of this authorization may be submitted to obtain the release of this information.
I accept
All programs, rates, terms and amounts are subject to equipment review, credit approval, professional time licensed and business verifications. Other terms and structures may be available upon request. First payment (unless deferred) and small processing fee due with final contract. All payments are subject to any applicable sales tax and shipping. Call for terms on tractions under $10,000. Upon approval terms are confirmed but rates may be subject to change at the first of each month based on yields on the posted U.S. Treasury Rates and date of final loan closing. Rate and term are fixed once loan closes. Deferred options are not same as cash programs. Deferred options are fixed rate finance agreements with low payments for the first selected deferral months.
A Group Financial Services representative will contact you shortly to discuss your application and the terms available for your equipment or project needs. We offer terms from 12 Months up to 10 years and will structure the best program to fit your needs.
Submitting this form does not obligate you to take any of our loan packages.
Please do not hesitate to contact us with any questions.
Call Us Toll Free: 1-800-336-8562
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Download Our PDF Application