preliminary loan application - Export-Import Bank of the United States

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OMB No. 3048-0038Expires 09/30/2015Last Name (owner #3) First Name Title/Management Position Social Security NumberAddress (No P.O. Boxes) City State % Owned | GuarantorYesNoCountryPostal Code3 . Borrower’s Affiliate(s) where Affiliate is defined as any firm closely related to the Borrower through common ownership by a parentcompany or any company where the Borrower directly or indirectly owns 5% or more of the company's voting stock. [If more thanone Affiliate, please attach a separate list of all other Affiliates to include the information outlined below.]Company Name D&B Number Tax ID NumberAddress (No P.O. Boxes) City State CountryPostal Code4 . Description of Export Business PracticesApproximate number of foreignaccountsNumber of years exportingDo you currently have an exportcredit insurance policyIf yes, carrierYesNoWhat payment terms do you currently provide to your foreign buyers? Total Export Credit sales for prior 3 years Export Credit AR OutstandingOpen Account - CreditLetter of CreditCash in AdvanceOtherTotal Export Credit sales losses for prior 3 years 90+ days overdue Export Credit Sales Weighted Average Export CreditTerms >90 daysYesNoList Your Five Largest Export Sales MarketsCountry Projected Export Volume Shipping to Country Less than 12 monthsCountry Projected Export Volume Shipping to Country Less than 12 monthsCountry Projected Export Volume Shipping to Country Less than 12 monthsCountry Projected Export Volume Shipping to Country Less than 12 monthsCountry Projected Export Volume Shipping to Country Less than 12 monthsEIB 11-08 (01/12)Page 2 of 7
OMB No. 3048-0038Expires 09/30/20155. Description of Principal Line of Business and Products / Goods / Services to be exported6. Description of how this loan will benefit your export related business7. Calculation of Maximum Loan Amount and U.S. Content in Export Related Goods and ServicesCheck one set of Direct and/or Indirect Terms of Sale to be used as the basis for calculating the Maximum Loan AmountPurchase Contracts/Orders Invoiced Last Fiscal Year Invoiced Preceding 12 MonthsDirect Export SalesIndirect Export Sales1. Direct Exports with greaterthan 50% U.S. Content2. Direct Exports with 50% orless U.S. Content3. Indirect Exports with greaterthan 50% U.S. Content4. Indirect Exports with 50% orless U.S. ContentDirect Export SalesIndirect Export SalesDirect Export SalesIndirect Export SalesThe price of individual goods and services identified in the Export Contractsor Invoices that have greater then 50% U.S. Content based on all costs,exclusive of profit, for the reporting period.The cost of individual goods and services identified in the Export Contracts orInvoices that have 50% or less U.S. Content based on all costs, exclusive ofprofit, for the reporting period. Multiply the aggregate cost of these items bythe US Content percentage of these goods and services for the reportingperiod. If an amount is entered in this block, complete Section 8 of thisApplicationThe price of individual goods and services that have greater than 50% USContent based on all costs, exclusive of profit, sold to US based companiesprovided that (a) the ultimate buyer or end user must be located in a foreigncountry and (b) the Borrower must obtain from the US based companyverifiable evidence of their intent to export or proof that the goods or serviceshave been exported from the United States for the reporting period.The cost of individual goods and services that have 50% or less US Contentbased on all costs, exclusive of profit, sold to US based companies providedthat (a) the ultimate buyer or end user must be located in a foreign countryand (b) the Borrower must obtain from the US based company verifiableevidence of their intent to export or proof that the goods or services havebeen exported from the United States. Multiply the aggregate cost of theseitems by the US Content percentage of these goods and services for thereporting period. If an amount is entered in this block, complete Section 8 ofthis Application5. Eligible Exports The sum of the US Content in boxes 1, 2, 3 and 4 above.6. Excluded Country Sales Sales to countries where Ex-Im Bank Support for Private Sector is notavailable for transactions less than one year. See Ex-Im Bank CountryLimitation Schedule.7. Ineligible Export Sales Export Sales to Military Buyers, Capital Goods and Services facilitatingAdditions to Global Raw Steel or DRAM Semiconductor Making Capacity.8. Net Eligible Export Sales Line 5 less Lines 6 and 7.9. Net Current Assets Sum of Current Assets less Short-Term Secured Debt Obligations.Use most recent financial statement provided as a basis for this calculation.10. Maximum Loan AmountThe lesser of: 50% of line 8, or 90% of line 9, or $500,000.11. Requested Loan Amount12. Requested Loan Term Enter 6 or 12 months.Ex-Im Bank Content Policy URL: www.exim.gov/pub/ins/pdf/eib99-21.pdfEx-Im Bank Country Limitation Schedule URL: www.exim.gov/tools/country/country_limits.cfmEIB 11-08 (01/12)Page 3 of 7
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preliminary loan application - Export-Import Bank of the United States

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