Apply for Vehicle Financing

Getting Started

First Name*
Middle Name
Last Name*
Suffix
Home Phone
Cell Phone*

By providing your phone number, you consent to receive informational texts from Hixson Ford Leesville. Consent is not required for purchase. Msg & data rates may apply. Reply STOP to opt out.
Work Phone
Work Extension
Email*
Date of Birth*
/ /
SSN / ITIN*
Marital Status
Spouse's Full Name
Spouse's Address
Spouse's ZIP
Spouse's City
Spouse's State
Spouse's Income

Residence Information

Address*
Apartment
Zip*
City*
State*
Monthly Rent/Mortgage*
Housing Status*
Years at Address*
Months at Address*
Previous Address*
Previous Apartment
Prev Zip*
Prev City*
Prev State*
Prev Monthly Rent/Mortgage*
Prev Housing Status*
Years at Prev Address*
Months at Prev Address*

Employment Information

Employer*
Employer Address
Employer Zip
Employer City
Employer State
Years at Employer*
Months at Employer*
Job Title*
Monthly Income*
Income Type *
Cash Down
Other Monthly Income

Add Another Income
Previous Employer*
Prev Employer Phone
Prev Employer Address
Prev Employer Zip
Prev Employer City
Prev Employer State
Years at Prev Employer*
Months at Prev Employer*

Desired Vehicle

Desired Vehicle Year
Desired Vehicle Make
Desired Vehicle Model
Desired Vehicle Style

Trade-In Vehicle

Trade Vehicle Year
Trade Vehicle Make
Trade Vehicle Model
Trade Vehicle Style
Trade Vehicle VIN
Trade Vehicle Mileage
Trade Vehicle Payoff

Additional Information

Final Steps

Will this be an individual or joint application? *

Individual Joint

Please first submit your primary application, as you will then be prompted to fill out the joint application
Comments
I have read and agree with the Privacy Notice and Terms & Conditions

I Agree

By my checking "I Authorize", I consent to the dealership obtaining my credit bureau report.*

I Authorize

By submitting your information, you consent to receive all forms of communication including but not limited to; phone, text, email, mail, etc. Message and data rates may apply. Consent to these terms is not a condition of purchase. You may opt-out at any time.
Submit!

Apply for vehicle financing at Hixson Ford Leesville by taking a few moments to fill out our easy financing application. One of our helpful finance specialists will contact you promptly to make sure you get the help and attention you deserve.

Your privacy is important to us. Hixson Ford Leesville takes your privacy seriously and does not rent or sell your personal information to third parties without your consent.

Apply for Vehicle Financing

Terms & Conditions