EIB 07-01C, Sectio Electronic Claim Filing System, Working Capital Guarante

Export-Import Bank of the U.S. Electronic Claim Filing System

EIB 07-01C, workingcapital_B

Electronic Claim Filing System: Working Capital Guarantee

OMB: 3048-0025

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Claim Control No: CAP0001096 (Draft)

Working Capital Guarantee
Section B - Loan Information

( * An asterisk denotes that a field is a required entry)

General Information
What is the reason for the claim?

* Bankruptcy

If Other, please explain.

Was this guarantee approved under lender's
delegated authority?
Is there a PEFCO assignment?

*

Yes

No

*

Yes

No

Loan Dates
What is the default date?

* Month

Day

, Year

Date Loan Approved (aka Note date)?

* Month

Day

, Year

Loan amount approved?

*

Last Date Allowed to Disburse?

* Month

Day

, Year

Actual Date of Last Disbursement to
Borrower?
Renewal Date?

* Month

Day

, Year

Not Applicable
Month
Day

, Year

If past the claim filing deadline, did Ex-Im
Bank authorize an extension?

*

Yes

No

Revolving Lines, Domestic Lines and Collaterlatization
Is this a revolving line?

*

Yes

No

Is there a domestic line?
If 'Yes', give the amount

*

Yes

No

What is the current outstanding amount of
the domestic line?
Is the domestic line current?

Yes

No

N/A

Is the domestic line collateralized?

Yes

No

N/A

Is there cross collateralization?

Yes

No

N/A

What is the approved collateral?
*
What is the advance rate of collateral?

*(

)% of Inventory

*(

)% of Receivables

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/64EC2E2119A49C10852572A4005329... 3/20/2007

Page 2 of 2

What is the estimated net market value of
the remaining collateral?

*

Transaction-Specific Loans
Is this transaction-specific?

Yes

No

Is this transaction under the City State
Program?
Has this transaction been rescheduled?

Yes

No

Yes

No

Did Ex-Im Bank approve the rescheduling?

Yes

No

Yes

No

*

N/A

Loan Insurance
Is there a related insurance policy from ExIm Bank? If 'Yes', give policy number.

*

Is there a related insurance policy from
Yes
No
*
another Insuror?
If 'Yes', give insuror name, policy number and contact address for Other Insuror.
Insuror Policy Number:
Name:
Street:
City:
State:
Zip:
Contact Name:

*

Phone:

*

Fax:

*

E-Mail:

*

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/64EC2E2119A49C10852572A4005329... 3/20/2007


File Typeapplication/pdf
File Titlehttps://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/64EC2E2119A4
Authorrodriguez
File Modified2007-08-15
File Created2007-03-20

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