2550 Peters Creek Pkwy
Winston-Salem, NC 27127
336-785-1205
aamisells@gmail.com
Site Menu
Inventory
RV's & Travel Trailers
Boats & Watercraft
Apply Online
Hours & Map
Consignment Program
Locator Service
Contact Us
APPLY FOR CREDIT
Applicant Information
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Social Security:
Date of Birth:
Drivers License Number:
Drivers License State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Drivers License Exp:
Mobile Phone:
Home Phone:
Email:
Time at Residence:
Years:
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Residence Type:
Rent
Own
Living with Family
Military Housing
Other
Rent/Mortgage:
Applicant Employment Information
Employer:
Employer Type:
Full-Time
Part-Time
Temporary
Fixed Income
Self-Employed
Cash Income
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Work Phone:
Time on Job:
Years:
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Vehicle Information
Vehicle To Finance:
Select Vehicle to Finance
2022 Renegade Motorcoach Motorhome Vienna 25-V-FWS Silver RWD Leather Automatic Class C Motorhome 3.0L V6 F DOHC 24V DIESEL Diesel 2022Vienna 6 Cylinders - 2022Vienna
2022 Ford Mustang GT Premium Convertible White RWD Leather Automatic Convertible 5.0L V8 DOHC 32V Gasoline 2022MustangGT 8 Cylinders - 2022MustangGT
2020 Mazda CX-5 Grand Touring Soul Red Crystal Metallic FWD Leather Automatic SUV 2.5L L4 DOHC 16V Gasoline 2020CX5GT 0 Cylinders - 2020CX5GT
2020 Can-Am Maverick 1000R Sport X MR with Trailer Black with Neon Green Accents AWD Vinyl Automatic Side by Side Rotax VTwin 976CC 2Cylinder 4 Stroke Gasoline 2020Maverick1000R 2 Cylinders - 2020Maverick1000R
2019 Subaru Forester Touring Gray AWD Leather Automatic SUV 2.5L H4 SOHC 16V Gasoline 2019ForesterTouringAWD 4 Cylinders - 2019ForesterTouringAWD
2019 Honda Civic EX-L Sedan CVT Black FWD Leather Automatic Sedan 1.5L L4 DOHC 16V TURBO Gasoline 2019CivicEXL 4 Cylinders - 2019CivicEXL
2019 Ford F-150 XLT SuperCrew 4WD Black 4WD Cloth Automatic Truck 5.0L V8 OHV 32V Gasoline 2019F150XLTSC4WD 8 Cylinders - 2019F150XLTSC4WD
2018 Toyota Highlander Limited AWD V6 White AWD Leather Automatic SUV 3.5L V6 DOHC 24V Gasoline 2018HighlanderLTDAWD 6 Cylinders - 2018HighlanderLTDAWD
2018 Toyota Corolla iM 4D Hatchback White FWD Cloth Automatic Hatchback 1.8L L4 DOHC 16V Gasoline 2018iM 4 Cylinders - 2018iM
2018 Lexus GS 350 F Sport Matador Red Mica RWD Leather Automatic Sedan 3.5L V6 DOHC 24V Gasoline 2018GS350FSport 6 Cylinders - 2018GS350FSport
2017 Forest River Forester M-3051S 32Ft Motorhome Bronze RWD Leather Automatic Class C Motorhome 6.8L V10 F SOHC 20V Gasoline 2017Forester 10 Cylinders - 2017Forester
2017 Chrysler Pacifica Limited Burgundy FWD Leather Automatic Van-Minivan 3.6L V6 DOHC 24V Gasoline 2017PacificaLTD 6 Cylinders - 2017PacificaLTD
2016 Nissan Versa Note S Aqua Blue FWD Cloth 5 Speed Manual Hatchback 1.6L L4 DOHC 16V Gasoline 2016Versa 4 Cylinders - 2016Versa
2016 Hyundai Accent SE 4-Door 6A Gray FWD Sedan 1.6L L4 DOHC 16V 16AccentSE 0 Cylinders - 16AccentSE
2016 Ford Mustang GT convertible Gray RWD Leather Automatic Convertible 5.0L V8 DOHC 32V Gasoline 2016MustangGT 8 Cylinders - 2016MustangGT
2016 Ford Fusion SE White FWD Cloth Automatic Sedan 2.5L L4 DOHC 16V Gasoline 2016FusionSE 4 Cylinders - 2016FusionSE
2015 Mercedes-Benz GLK-Class GLK250 BlueTEC Diesel 4Matic Black AWD MBTex Automatic SUV 2.1L L4 DOHC 16V Turbo Diesel Diesel 2015GLK250 4 Cylinders - 2015GLK250
2015 Mercedes-Benz GL-Class GL450 4MATIC White AWD Leather Automatic SUV 3.0L V6 DOHC 24V Gasoline 2015GL450 6 Cylinders - 2015GL450
2014 Thor Motor Coach Axis 24.1 25ft Motorhome Beige RWD Leather Automatic Class A Motorhome 6.8L V10 Gasoline 2014Axis 10 Cylinders - 2014Axis
2014 Jeep Wrangler Unlimited Sahara 4WD White 4WD Cloth Automatic SUV 3.6L V6 DOHC 24V FFV 2014Sahara 6 Cylinders - 2014Sahara
2014 Ford Mustang V6 Premium Convertible Gray RWD Leather Automatic Convertible 3.7L V6 DOHC 24V Gasoline 2014MustangCN 6 Cylinders - 2014MustangCN
2014 Chevrolet Tahoe LTZ 4WD Silver 4WD Leather Automatic SUV 5.3L V8 OHV 16V FFV 2014TahoeLTZ4WD 8 Cylinders - 2014TahoeLTZ4WD
2014 BMW X5 sDrive35i Gray RWD Leather Automatic SUV 3.0L L6 DOHC 24V Gasoline 2014X5sDrive 6 Cylinders - 2014X5sDrive
2013 Nissan Sentra FE+ Silver FWD Cloth Automatic Sedan 1.8L L4 SFI DOHC 16V Gasoline 2013SentraFE 4 Cylinders - 2013SentraFE
2013 Honda Pilot EX-L 2WD 5-Spd AT Silver FWD Leather Automatic SUV 3.5L V6 SOHC 24V Gasoline 2013PilotEXL2WD 6 Cylinders - 2013PilotEXL2WD
2012 Ford Escape Limited 4WD Gray 4WD Leather Automatic SUV 3.0L V6 DOHC 24V 2012EscapeLTD4WD 6 Cylinders - 2012EscapeLTD4WD
2012 Cadillac CTS Sport Wagon 3.0L Luxury RWD Crystal Red Tintcoat RWD Leather Automatic Wagon 3.0L V6 DOHC 24V FFV Gasoline 2012CTSWagon 6 Cylinders - 2012CTSWagon
2011 Volvo S40 T5 Black FWD Leather Automatic Sedan 2.5L L5 DOHC 20V TURBO Gasoline 2011VolvoS40T5 5 Cylinders - 2011VolvoS40T5
2011 Toyota Prius Hybrid Sedan Gold FWD Cloth Select Hatchback 1.8L L4 DOHC 16V HYBRID Hybrid 2011PriusHybrid 4 Cylinders - 2011PriusHybrid
2011 Mercedes-Benz E-Class E350 Sedan Black RWD Leather Automatic Sedan 3.5L V6 DOHC 24V Gasoline 2011E350 6 Cylinders - 2011E350
2011 Mazda MX-5 Miata Sport Black RWD Cloth 5 Speed Manual Convertible 2.0L L4 DOHC 16V Gasoline 2011MX5Sport 4 Cylinders - 2011MX5Sport
2011 Honda Civic LX Sedan 5-Speed AT Burgundy FWD Cloth Automatic Sedan 1.8L L4 SOHC 16V Gasoline 2011CivicLX 4 Cylinders - 2011CivicLX
2011 Honda Accord EX-L V-6 Sedan AT White FWD Leather Automatic Sedan 3.5L V6 SOHC 24V Gasoline 2011AccordEXLV6 6 Cylinders - 2011AccordEXLV6
2011 BMW 3-Series 335i Convertible White RWD Leather Automatic Convertible 3.0L L6 DOHC 24V 2011BMW335iCN 6 Cylinders - 2011BMW335iCN
2011 BMW 1-Series 128i Convertible Silver RWD Leather Automatic Convertible 3.0L L6 DOHC 24V Gasoline 2011BMW128CN 6 Cylinders - 2011BMW128CN
2010 Ford F-150 SuperCrew FX4 4WD White 4WD Leather Automatic Truck 5.4L V8 SOHC 24V FFV Gasoline 2010F150FX4 8 Cylinders - 2010F150FX4
2009 Toyota Camry XLE 5-Spd AT Gold FWD Leather Automatic Sedan 2.4L L4 DOHC 16V Gasoline 2009CamryXLESedan 4 Cylinders - 2009CamryXLESedan
2009 BMW 5-Series 528xi Monaco Blue AWD Leather Automatic Sedan 3.0L L6 DOHC 24V Gasoline 2009BMW528Xi 6 Cylinders - 2009BMW528Xi
2007 Buick Lucerne CX Beige FWD Cloth Automatic Sedan 3.8L V6 OHV 12V Gasoline 2007LuCerneCX 6 Cylinders - 2007LuCerneCX
2006 Fleetwood Bounder 35E 35Ft Motorhome White and Silver RWD Leather Automatic Class A Motorhome 8.1L V8 Gasoline 2006Bounder35E 8 Cylinders - 2006Bounder35E
2006 Buick Lucerne CXL V6 Light Green FWD Leather Automatic Sedan 3.8L V6 OHV 12V Gasoline 2006LucenreCXL 6 Cylinders - 2006LucenreCXL
2005 Ford F-150 Lariat SuperCrew 2WD Red 2WD Leather Automatic Truck 5.4L V6 SOHC 16V Gasoline 2005F150SC 8 Cylinders - 2005F150SC
2004 Lexus GX 470 Sport Utility Blizzard Pearl 4WD Leather Automatic SUV 4.7L V8 DOHC 32V Gasoline 2004GX470 8 Cylinders - 2004GX470
2004 Buick Rendezvous CX 2WD White FWD Cloth Automatic SUV 3.4L V6 OHV 12V 2004RendezvousCX 6 Cylinders - 2004RendezvousCX
2003 Toyota Tacoma PreRunner Xtracab V6 2WD Copper RWD Cloth Automatic Truck 3.4L V6 DOHC 24V Gasoline 2003TacomaPR 6 Cylinders - 2003TacomaPR
2001 GMC Yukon XL 2500 4WD Pewter 4WD Leather Automatic SUV 6.0L V8 OHV 16V Gasoline 2001YukonXL 8 Cylinders - 2001YukonXL
2000 Porsche 718 Boxster Convertible Silver RWD Leather Automatic Convertible 2.7L H6 DOHC 24V Gasoline 2000BoxsterCN 6 Cylinders - 2000BoxsterCN
2000 Land Rover Discovery Series II Green 4WD Leather Automatic SUV 4.0L V8 OHV 16V Gasoline 2000DiscoveryII 8 Cylinders - 2000DiscoveryII
2000 Honda S2000 Roadster Silver Select Leather 6 Speed Manual Convertible 2.0L L4 SOHC 16V 2000S2000CN 4 Cylinders - 2000S2000CN
2000 Ford F-250 SD XL Super Cab Utility Truck White RWD Cloth Automatic Truck 7.3L V8 OHV 16V TURBO DIESEL Diesel 2000F250Utility 8 Cylinders - 2000F250Utility
1999 Lexus RX 300 FWD White 2WD Leather Automatic SUV 3.0L V6 DOHC 24V Gasoline 1999RX3002WD 6 Cylinders - 1999RX3002WD
1999 Chrysler LHS Sedan Gold FWD Leather Automatic Sedan 3.5L V6 SOHC 24V 1999LHS 6 Cylinders - 1999LHS
1998 Toyota 4Runner SR5 4WD Burgundy 4WD Cloth Automatic SUV 3.4L V6 DOHC 24V Gasoline 1998SR54WD 6 Cylinders - 1998SR54WD
1998 Lincoln Town Car Cartier Ivory Pearl Metallic RWD Leather Automatic Sedan 4.6L V8 SOHC 16V Gasoline 1998Cartier 8 Cylinders - 1998Cartier
1994 Winnebago Itasca Sundancer 21Ft Motorhome Beige RWD Cloth Automatic Class C Motorhome 7.5L V8 Gasoline 1994Sundancer 8 Cylinders - 1994Sundancer
1988 Nissan 300ZX GS 2+2 coupe Gold Select Cloth Automatic Hatchback 3.0L V6 SOHC 24V Gasoline 1988ZX 6 Cylinders - 1988ZX
1984 Hallett Sport Skier 19Ft Ski Boat Multicolored Outboard Vinyl Select Boat Yamaha 220HP 1984Hallet 0 Cylinders - 1984Hallet
1965 Ford Mustang 2dr Coupe Light Blue RWD Vinyl Automatic Coupe 289CI V8 Gasoline 65MustangCP 8 Cylinders - 65MustangCP
Stock Number:
Year:
Make:
Model:
Trim:
Vin:
Mileage:
Additional Comments
ACKNOWLEDGMENT AND CONSENT:
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.
ACKNOWLEDGMENT AND CONSENT:
I hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".
Submit Credit App