Secure Auto Finance Request Form

Complete the form below to apply for auto financing. This application is protected with the highest level of internet security available to ensure that your personal information is safe. Please note that all form fields are required.

Personal Information

Name

Primary Phone

Date of Birth

Social Security No.

Residential Information

Street Address

Zip Code

Residence Type

Time at Address

Monthly Payment

Employment Information

Employer Name

Occupation

Work Number

Employment Type

Time with Employer

Hourly Base Rate

Hours Worked Per Week

Additional Income

Frequency

I intend to apply for joint credit.

Preferred contact method

Authorization and Certification

I hereby certify that the submitted information is correct, agree to the Terms of Use of this website, and you have read and understand our Privacy Policy. I hereby authorize you or your agent to investigate the data furnished by me. I understand that any false statements made on this application will cause me to be in default under any contract between us and subject to the remedies provided for by the contract.

I agree to be contacted by Superior Auto, Inc. using automated telephone dialing systems, text and/or prerecorded messages at any number previously provided. For more information regarding the Telephone Consumer Protection Act, click here.

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.

You are about to submit personal information to Superior Auto, Inc. for the purpose of applying for credit to purchase a vehicle. Superior Auto, Inc. will process your credit application, however you will need to provide additional personal information in order to finalize your purchase.

Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.