4. Amount
  7. First Name
  8. MI
  9. Last Name
  11. Mobile Phone
  12. Phone Type
  13. Address
  14. City
  15. State
  16. Zip Code
  19. Income
  22. Select
  23. Primary Income Source
  24. Secondary Income Source
  25. W2 Information
  26. Separator
  27. Date of Birth (mm/dd/yyyy)
  28. Social Security Number
  29. Section
  31. Occupation
  32. License State
  33. Years in industry
  36. Business Information
  37. Separator
  38. Do you plan to use these funds to open a business?
  39. Extra Business Information
  46. Your comment
  49. Form Name
  51. SUBMIT
  52. Lead Type
  53. Loan

Get Started

Tell us about your needs

How much would you like to finance?

What's the purpose of your business loan?

Tell us about yourself

Financial Information

Your annual personal income

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Where does your credit score fall?

No Cost or Commitment

We know that our clients are serious about their credit score, which is why we will not conduct a hard inquiry when you apply. So exploring your financing options will not impact your credit score.

Professional Information

Do you Own a Business? is required to be Yes when income source is Full or Partial Owner.

Note: BHG does not require business or practice ownership to qualify. This information just helps us customize the best available financing options.

Please tell us about your business

Additional comments or questions?

I accept the Terms & Conditions and wish to submit this application

Terms and conditions

By checking accept on this loan application I hereby authorize the release of all credit information, including loans, leases, checking, savings, trade references and personal credit history, pertaining to the company, its principles, and the people listed below to Bankers Healthcare Group LLC dba BHG Money and/or its designees or assignees. Such authorization shall extend to subsequent updates for credit and collection purposes. I consent to the verification of my income and employment through a credit bureau.

I also agree to BHG Money contacting me via email, phone, and text in regards to my application, loan or marketing updates. I can opt-out by following instructions in the Privacy Policy.