Credit Application Nautical Marine Inc. Richmond, VA (804) 271-3198

{ "schema": { "title": "Financing", "type": "object", "properties": { "locationid": { "title": "Location", "type": "string" }, "name": { "type": "string", "title": "Full Name", "required": true }, "address1": { "type": "string", "title": "Your Address 1", "required": true }, "address2": { "title": "Your Address 2", "type": "string" }, "city": { "type": "string", "title": "City", "required": true }, "region": { "type": "string", "title": "State/Region" }, "postalcode": { "type": "string", "title": "Postal Code", "required": true }, "country": { "type": "string", "title": "Country" }, "cf_numberOfResidence": { "title": "Number of years at current residence", "enum": [ "Over 3 years", "2-3 years", "1-2 years", "Less than 1 year" ] }, "phone": { "type": "string", "title": "Phone", "required": true }, "email": { "type": "string", "title": "Email", "required": true }, "cf_socialSecurityNumber": { "type": "string", "title": "Social Security Number", "required": true }, "cf_birthdate": { "type": "string", "title": "Your Birthdate", "required": true, "format": "date" }, "cf_maritalStatus": { "type": "string", "title": "Marital Status", "enum": [ "Single", "Married" ], "required": true }, "cf_individualOrJoint": { "type": "string", "title": "Individual or Joint Application", "enum": [ "Individual", "Joint" ], "required": true }, "cf_jointApplicantsName": { "type": "string", "title": "Joint Applicant's Name" }, "cf_jointApplicantsRelationship": { "type": "string", "title": "Relationship" }, "cf_privacy": { "title": "Privacy Policy", "type": "boolean", "required": true }, "cf_employmentHeading": { "title": "Employment Information", "type": "object" }, "cf_selfEmployed": { "type": "string", "title": "Are you self-employed?", "enum": [ "Yes", "No" ], "required": true }, "cf_grossIncome": { "type": "string", "title": "Gross Monthly Income (Pre-tax)", "required": true }, "cf_employerName": { "type": "string", "title": "Employer Name", "required": true }, "cf_occupation": { "type": "string", "title": "Occupation", "required": true }, "cf_employerPhone": { "type": "string", "title": "Employer Phone", "required": true }, "cf_employerStreet1": { "type": "string", "title": "Employer Address 1", "required": true }, "cf_employerStreet2": { "title": "Employer Address 2", "type": "string" }, "cf_employerCity": { "type": "string", "title": "Employer City", "required": true }, "cf_employerState": { "type": "string", "title": "Employer State/Region", "required": true }, "cf_employerZip": { "type": "string", "title": "Employer Postal Code", "required": true }, "cf_employerCountry": { "type": "string", "title": "Employer Country", "required": true }, "cf_numberOfYearsWithEmployer": { "type": "string", "title": "Number of years with this employer", "enum": [ "Less than 1 year", "1-2 years", "2-3 years", "Over 3 years" ] }, "cf_previousEmployerInfo": { "title": "Previous Employer", "type": "object" }, "cf_previousEmployerName": { "type": "string", "title": "Previous Employer Name" }, "cf_previousOccupation": { "type": "string", "title": "Previous Occupation" }, "cf_previousEmployerPhone": { "type": "string", "title": "Previous Employer Phone" }, "cf_previousEmployerStreet1": { "type": "string", "title": "Previous Employer Address 1" }, "cf_previousEmployerStreet2": { "title": "Previous Employer Address 2", "type": "string" }, "cf_previousEmployerCity": { "type": "string", "title": "Previous Employer City" }, "cf_previousEmployerState": { "type": "string", "title": "Previous Employer State/Region" }, "cf_previousEmployerZip": { "type": "string", "title": "Previous Employer Postal Code" }, "cf_previousEmployerCountry": { "type": "string", "title": "Previous Employer Country" }, "cf_bankingInfo": { "title": "Banking Information", "type": "object" }, "cf_cashDownPayment": { "type": "string", "title": "Cash Down Payment", "required": true }, "cf_checkingAccount": { "type": "string", "title": "Do you have a checking account?", "enum": [ "Yes", "No" ], "required": true }, "cf_bankNameForChecking": { "type": "string", "title": "Bank Name (for checking account)" }, "cf_savingsAccount": { "type": "string", "title": "Do you have a savings account?", "enum": [ "Yes", "No" ], "required": true }, "cf_bankNameForSavings": { "type": "string", "title": "Bank Name (for savings account)" }, "cf_additionalSources": { "type": "string", "title": "Do you have additional sources of income?", "enum": [ "Yes", "No" ], "required": true }, "cf_incomeSource": { "type": "string", "title": "Income Source" }, "cf_incomeAmount": { "type": "string", "title": "Amount (Monthly)" }, "cf_otherIncomeSource": { "type": "string", "title": "Other Income Source" }, "cf_otherIncomeSourceAmount": { "type": "string", "title": "Other Income Amount (Monthly)" }, "cf_financialInfo": { "title": "Financial Information", "type": "object" }, "cf_residentialStatus": { "type": "string", "title": "Residential Status", "enum": [ "Own", "Rent", "Military", "Other" ] }, "cf_mortgageLender": { "type": "string", "title": "Mortgage Lender or Landlord", "required": true }, "cf_monthlyMortagePayment": { "type": "string", "title": "Monthly Mortgage or Rent Payment", "required": true }, "cf_otherPayments": { "type": "string", "title": "Other total monthly loan payments (car loans, credit cards, etc.)", "required": true }, "cf_subjectOfBankruptcy": { "type": "string", "title": "Have you been the subject or are currently the subject of bankruptcy proceedings?", "enum": [ "Yes", "No" ], "required": true }, "cf_bankruptcyExplain": { "type": "string", "title": "Please explain" }, "cf_vehicleRepossessed": { "type": "string", "title": "Have you ever had a vehicle repossessed?", "enum": [ "Yes", "No" ], "required": true }, "cf_vehicleRepossessionExplain": { "type": "string", "title": "Please explain" }, "cf_judgmentsOrLiensAgainst": { "type": "string", "title": "Do you have any judgments or liens against you?", "enum": [ "Yes", "No" ], "required": true }, "cf_judgmentsOrLiensAgainstExplain": { "type": "string", "title": "Please explain" }, "cf_referenceHeading": { "title": "Reference", "type": "object" }, "cf_referenceFullName": { "type": "string", "title": " Reference Full Name", "required": true }, "cf_referenceRelationship": { "type": "string", "title": "Reference Relationship", "required": true }, "cf_referencePhone": { "type": "string", "title": "Reference Phone", "required": true }, "cf_referenceStreet1": { "type": "string", "title": "Reference Address 1", "required": true }, "cf_referenceStreet2": { "title": "Reference Address 2", "type": "string" }, "cf_referenceCity": { "type": "string", "title": "Reference City", "required": true }, "cf_referenceState": { "type": "string", "title": "Reference State/Region", "required": true }, "cf_referenceZip": { "type": "string", "title": "Reference Postal Code", "required": true }, "cf_referenceCountry": { "type": "string", "title": "Reference Country", "required": true } } }, "options": { "fields": { "locationid": { "type": "select", "validate": false }, "address1": { "label": "Your Address" }, "region": { "type": "select", "emptySelectFirst": true, "removeDefaultNone": "true", "validate": false }, "country": { "type": "select", "emptySelectFirst": true, "removeDefaultNone": "true" }, "cf_numberOfResidence": { "type": "select", "emptySelectFirst": true, "removeDefaultNone": "true", "sort": false }, "phone": { "type": "phone" }, "email": { "type": "email" }, "cf_socialSecurityNumber": { "maskString": "999-99-9999" }, "cf_birthdate": { "type": "date" }, "cf_maritalStatus": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_individualOrJoint": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_jointApplicantsName": {}, "cf_jointApplicantsRelationship": {}, "cf_privacy": { "type": "checkbox", "rightLabel": "I accept the Privacy Policy" }, "cf_selfEmployed": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_grossIncome": { "type": "number" }, "cf_employerPhone": { "type": "phone" }, "cf_employerStreet1": { "label": "Employer Address" }, "cf_employerStreet2": {}, "cf_employerState": { "label": "State/Region" }, "cf_employerCountry": { "label": "Country" }, "cf_employerCity": { "label": "City" }, "cf_employerZip": { "label": "Postal Code" }, "cf_numberOfYearsWithEmployer": { "type": "select", "emptySelectFirst": true, "removeDefaultNone": "true", "sort": false }, "cf_previousEmployerInfo": { "helper": "Required if with current employer for 3 years or less." }, "cf_previousEmployerName": { "validate": false }, "cf_previousOccupation": { "validate": false }, "cf_previousEmployerPhone": { "type": "phone", "validate": false }, "cf_previousEmployerStreet1": { "label": "Previous Employer Address", "validate": false }, "cf_previousEmployerStreet2": { "validate": false }, "cf_previousEmployerCity": { "label": "City", "validate": false }, "cf_previousEmployerState": { "label": "State/Region" }, "cf_previousEmployerCountry": { "label": "Country" }, "cf_previousEmployerZip": { "label": "Postal Code", "validate": false }, "cf_cashDownPayment": { "type": "number" }, "cf_checkingAccount": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_bankNameForChecking": {}, "cf_savingsAccount": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_bankNameForSavings": {}, "cf_additionalSources": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_incomeSource": {}, "cf_incomeAmount": { "type": "number" }, "cf_otherIncomeSource": {}, "cf_otherIncomeSourceAmount": { "type": "number", "label": "Amount (Monthly)" }, "cf_residentialStatus": { "type": "select", "removeDefaultNone": "true", "emptySelectFirst": false, "sort": false }, "cf_mortgageLender": { "type": "text" }, "cf_monthlyMortagePayment": { "type": "number" }, "cf_landlord": {}, "cf_monthlyRent": { "type": "number" }, "cf_otherPayments": { "type": "number" }, "cf_subjectOfBankruptcy": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_bankruptcyExplain": { "type": "textarea" }, "cf_vehicleRepossessed": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_vehicleRepossessionExplain": { "type": "textarea" }, "cf_judgmentsOrLiensAgainst": { "type": "radio", "removeDefaultNone": "true", "sort": false }, "cf_judgmentsOrLiensAgainstExplain": { "type": "textarea" }, "cf_referencePhone": { "type": "phone" }, "cf_referenceStreet1": { "label": "Reference Address" }, "cf_referenceStreet2": {}, "cf_referenceCity": { "label": "City" }, "cf_referenceState": { "label": "State/Region" }, "cf_referenceZip": { "label": "Postal Code" }, "cf_referenceCountry": { "label": "Country" } } }, "data": { "cf_residentialStatus": "Own" } }