Request Financing

Thank you for choosing Hansen Motor Co. Your privacy is important to us. Fill out the form below and our dedicated financial team will contact you shortly to discuss the details of this application. You can also contact Matt Fredericks, the Internet Sales Manager at (866) 498-2616 if you have any questions.


Loan Information

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Vehicle Information

Year: Miles:
Make: VIN:
Model:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Additional Information

Message Text:
* These fields are required
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Hansen Motor Co
1175 S Commerce Way
Bringham City, UT 84302
Phone: (866) 498-2616
Email: Contact Us
Fax: (435) 723-3425
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Matt Fredericks
Internet Sales Manager
Cell Phone: 801-633-5603
Email: mattf@hansenmotors.com