Customer Application

Personal Information

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Employment Information

If you did not select a dealership yet just type "None"
Click or drag files to this area to upload. You can upload up to 3 files.
You can submit or take a picture of any document related to your application. (Bill of sale, driver license, paystub, etc.)

Terms and Conditions

Please read the following I certify that all of the information provided by me in any credit application or other documentation given in connection with a Transaction is true, accurate, and complete in all respects. I authorize and consent to the use by Ontario Underwriters/Sam's Auto/Maximum Motor Car or their affiliates initiating, processing, or executing any transaction requested by me, and all reasonable purposes related thereto, including: a) For legal, regulatory, audit, risk assessment, processing, and security purposes (including fraud prevention); b) For purposes permitted by Canadian law or required by Canadian or applicable foreign law. c) To create aggregated and anonymous information that may be used for your business purposes; d) To conduct credit and insurance investigations concerning me from time to time in connection with a Transaction; e) To exchange my Personal information with any credit reporting agency, credit bureau, automobile or other asset insurer or aggregator of information for such insurer and/or financier in connection with considering or proceeding with a Transaction.