Online Credit Application for Boat Financing at Charles Mill Marina
1277 State Route 430, Mansfield, OH 44903
Are you applying as an individual or jointly with another individual?
Individual
Jointly
Personal Information
*Must Match Driver's License*
Applicant #1 First Name
*
Applicant #1 Middle Initial
Applicant #1 Last Name
*
Applicant #1 Social Security #
*
Applicant #1 Phone Number
*
Please enter a valid phone number.
Applicant #1 Date of Birth
*
-
Month
-
Day
Year
Date
Applicant #1 Driver's License #
Applicant #1 Email
example@example.com
Applicant #1 Residence Information
*Must Match Driver's License*
Applicant #1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant #1 County
*
How Long Have You Lived At This Residence?
*
Please enter in years and months
Residence Status
*
Please Select
Own Outright
Mortgage
Rent
With Relatives
With Friends
Other
Unknown
Mortgage/ Rent Payment Amount
*
Landlord / Mortgage Company
Landlord / Mortgage Phone
Applicant #1 Current Employment Information
Job Status
*
Please Select
Employed
Home-Maker
Military
Retired
Self-Employed / 1099
Student
Temp/Staffing Agency
Unemployed
How Long Have You Been Retired For?
Occupation
*
Employer Name
*
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gross Salary
*
Gross Salary Period
*
Please Select
Per Year
Per Month
Employer Phone Number
Please enter a valid phone number.
Length of Employment
Please enter in years and months
Do You Have Additional Income?
Please Select
Yes
No
Other Income Information for Applicant #1
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.
Gross Other Income
Gross Other Income Period
Please Select
Per Year
Per Month
Source of Other Gross Income
Applicant #2 Personal Information
*Must Match Driver's License*
Applicant #2 First Name
*
Applicant #2 Middle Initial
Applicant #2 Last Name
*
Applicant #2 Social Security #
*
Applicant #2 Phone Number
*
Please enter a valid phone number.
Applicant #2 Date of Birth
*
-
Month
-
Day
Year
Date
Applicant #2 Driver's License #
Applicant #2 Email
example@example.com
Applicant #2 Residence Information
*Must Match Driver's License*
Residence Same as Applicant #1?
Please Select
Yes
No
Applicant #2 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant #2 County
*
How Long Have You Lived At This Residence?
*
Please enter in years and months
Status
*
Please Select
Own Outright
Mortgage
Rent
With Relatives
With Friends
Other
Unknown
Mortgage/ Rent Payment Amount
*
Landlord / Mortgage Company
Landlord / Mortgage Phone
Applicant #2 Current Employment Information
Job Status
*
Please Select
Employed
Home-Maker
Military
Retired
Self-Employed / 1099
Student
Temp/Staffing Agency
Unemployed
How Long Have You Been Retired For?
Occupation
*
Employer Name
*
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gross Salary
*
Gross Salary Period
*
Please Select
Per Year
Per Month
Employer Phone Number
Please enter a valid phone number.
Length of Employment
*
Please enter in years and months
Do You Have Additional Income?
Please Select
Yes
No
Other Income Information for Applicant #2
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.
Gross Other Income
Gross Other Income Period
Please Select
Per Year
Per Month
Source of Other Gross Income
Submit
Should be Empty: