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application for long-term loan or guarantee - Export-Import Bank of ...

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OMB 3048-0013Expires 4-30-2010c) Indicate whether an <strong>application</strong> <strong>f<strong>or</strong></strong> supp<strong>or</strong>t <strong>of</strong> this exp<strong>or</strong>t contract <strong>or</strong> a related project has been filed with the Agency <strong>f<strong>or</strong></strong>International Development, Maritime Administration, Overseas Private Investment C<strong>or</strong>p<strong>or</strong>ation, Trade Development Agency<strong>or</strong> a multilateral financing agency. If so, include a brief description <strong>of</strong> the additional supp<strong>or</strong>t.5. REQUESTED FINANCING AMOUNTS AND STRUCTUREEx-Im <strong>Bank</strong> supp<strong>or</strong>t is based on the value <strong>of</strong> the eligible goods and services in the exp<strong>or</strong>ter’s supply contract(s) <strong>or</strong> purchase<strong>or</strong>der(s). The total level <strong>of</strong> supp<strong>or</strong>t will be the lesser <strong>of</strong>: 85% <strong>of</strong> the value <strong>of</strong> all eligible goods and services; <strong>or</strong> 100% <strong>of</strong> the U.S.content included in all eligible goods and services in the exp<strong>or</strong>ter’s supply contracts. In addition, Ex-Im <strong>Bank</strong> may also financecertain local costs, ancillary services as approved, and the exposure fee/premium. Fill out the chart below to de<strong>term</strong>ine estimatedeligible amounts.DefinitionUS$ABSupply Contracts <strong>or</strong>Purchase OrdersExcluded Goods andServicesThe aggregate price <strong>of</strong> all goods and services in all thesupply contract(s) <strong>or</strong> purchase <strong>or</strong>der(s), including localcosts, ancillary services, and excluded goods and services.Break out ancillary services in Aii.The aggregate price <strong>of</strong> all goods and services that are noteligible <strong>f<strong>or</strong></strong> <strong>or</strong> are excluded from Ex-Im <strong>Bank</strong> supp<strong>or</strong>t (e.g.goods not shipped from the U.S. and excluded ancillaryservices). Local costs should not be included in this line.AiAiiCTotal Local Costs The aggregate price <strong>of</strong> all goods manufactured in the enduser’scountry and all services provided by residents <strong>of</strong> thepurchaser’s country. Ex-Im <strong>Bank</strong> may be able to financethese amounts up to 15% <strong>of</strong> D below.DNet Contract Price A minus B minus CEEligible F<strong>or</strong>eigncontentThe aggregate cost <strong>of</strong> any goods produced <strong>or</strong> manufacturedoutside the U.S, <strong>or</strong> services provided by third countrypersonnel <strong>or</strong> <strong>f<strong>or</strong></strong>eign freight costs and <strong>f<strong>or</strong></strong>eign insuranceincluded in the net contract price (line D), (e.g. <strong>f<strong>or</strong></strong>eignitems shipped from the US)FU.S. Content D minus EGCash Payment This amount must be the greater <strong>of</strong> E <strong>or</strong> 15% <strong>of</strong> DHLocal CostFinancing RequestedThis can be no m<strong>or</strong>e than 15% <strong>of</strong> DIFinancedAmount Requested(Excluding ExposureFee)D minus G plus HEIB-95-10Revised 1/07- 5 -

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