Form EIB 95-9 EIB 95-9 Online Letter of Interest Application

Ex-Im Bank Letter of Interest Application

Online Letter of Interest Application,Feb.7, 2008

Ex-Im Bank Letter of Interest Application

OMB: 3048-0005

Document [pdf]
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Eligibility Screening

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https://tpccapps.exim.gov/apps/li/li.nsf/Eligibility/d4309e1d8d6853638...

Wednesday February 6, 2008 | Michael Rodriguez

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Eligibility Screening
Before you begin this application, we need to know a little more about the export. We will use this information to
confirm that the export meets minimum standards to qualify for financing.
In which country is the borrower domiciled? *
The country where any exports goods/services will be
used must qualify to receive financing by the bank.
Please tell us the final destination of the goods/services
being exported, so that we can check their eligibility.

Select a Country

Is the prospective borrower, the company or
organization funding the export goods/services, at
least 50% government-owned? *
A government-owned borrower faces different
screening requirements when compared to a
privately-owned borrower. Please tell us if the
prospective borrower is a majority government-owned
organization or a government entity.

Yes

Are you seeking medium term (under $10 Million
U.S., less than 7 years) or long term finance? *
The length of the financing that will likely be requested.
This can be either medium term (1 to 7 years) or long
term (7 years or longer). Note: medium term financing
requests must be under $10 million. Otherwise, select
long term financing.

LONG TERM

Are you applying for large Aircraft Finance? *
Are you requesting financing for the purchase of a large
aircraft? Large aircraft contain more than 70 seats
when set up for passenger use.

Yes

No

Are you applying for Limited Recourse Project
Finance? *
Project-specific financing uses the goods/services as
collateral, but has more restrictions when it is issues.

Yes

No

No

MEDIUM TERM

Verify

2/6/2008 9:29 AM

LI Questionnaire

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Wednesday February 6, 2008 | Michael Rodriguez

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Help
Congratulations! Your export to Singapore is eligible for Ex-Im Financing.
To start the application process now click on the "Continue" button below. If you you decide to continue your
application at a later time you can logout and this applicatiion will be saved in the "Draft Applications" folder.
To start the application now click "Continue"
Continue >>>
<< Back to Eligibility Screening

00

2/6/2008 9:31 AM

LI Questionnaire

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Wednesday February 6, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
What is the Applicant's Country?

UNITED STATES OF AMERICA
<< Back

Next >>

00

2/6/2008 9:32 AM

LI Questionnaire

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Wednesday February 6, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
Is the Buyer the same as the Borrower?

Yes
<< Back

No
Next >>

00; 01

2/6/2008 9:33 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
What is the Buyer's Country?
<< Back

Next >>

00; 01; 05

2/7/2008 9:21 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
Is the End User the same as the Borrower?

Yes
<< Back

No
Next >>

00; 01; 05; 06

2/7/2008 9:22 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
Is the End User the same as the Buyer?

Yes
<< Back

No
Next >>

00; 01; 05; 06; 08

2/7/2008 9:22 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
What is the End User's Country?
<< Back

Next >>

00; 01; 05; 06; 08; 09

2/7/2008 9:23 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
Is the Exporter the same as the Applicant?

Yes
<< Back

No
Next >>

00; 01; 05; 06; 08; 09; 10

2/7/2008 9:23 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:
What is the Exporter's Country?

UNITED STATES OF AMERICA
<< Back

Next >>

00; 01; 05; 06; 08; 09; 10; 11

2/7/2008 9:24 AM

LI Questionnaire

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https://tpccapps.exim.gov/apps/li/li.nsf/multi/d4309e1d8d68536385257...

Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:

Is the Supplier the same as the Applicant?

Yes
<< Back

No
Next >>

00; 01; 05; 06; 08; 09; 10; 11; 12

2/7/2008 9:24 AM

LI Questionnaire

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https://tpccapps.exim.gov/apps/li/li.nsf/multi/d4309e1d8d68536385257...

Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:

Is the Supplier the same as the Exporter?

Yes
<< Back

No
Next >>

00; 01; 05; 06; 08; 09; 10; 11; 12; 13

2/7/2008 9:25 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire (Continued..)
Please answer the following question:

Are you applying for Tied Aid?

Yes
<< Back

No
Next >>

00; 01; 05; 06; 08; 09; 10; 11; 12; 13; 14

2/7/2008 9:25 AM

LI Questionnaire

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Thursday February 7, 2008 | Michael Rodriguez

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LI Questionnaire
Please review your answers below and click "Proceed to Application Main Page" to continue. To change the
answers click "CHANGE ANSWERS"
CHANGE ANSWERS

What is the Applicant's Country?

UNITED STATES OF AMERICA

Is the Buyer the same as the Borrower?

No

What is the Buyer's Country?

PHILIPPINES

Is the End User the same as the Borrower?

No

Is the End User the same as the Buyer?

No

What is the End User's Country?

RUSSIA

Is the Exporter the same as the Applicant?

No

What is the Exporter's Country?

UNITED STATES OF AMERICA

Is the Supplier the same as the Applicant?

No

Is the Supplier the same as the Exporter?

No

Are you applying for Tied Aid?

No

<< Back to Eligibility Screening

Proceed to Application Main Page >>

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2/7/2008 9:26 AM

Applicant Information

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https://tpccapps.exim.gov/apps/li/li.nsf/Applicant/D4309E1D8D685363...

Thursday February 7, 2008 | Michael Rodriguez

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* Denotes required field

Help

Applicant Information
When goods or services are exported, companies, countries and individuals participate in the process. For
example, the company that exports the goods is the exporter and the company that purchases the goods is the
buyer. Please provide information about each of the participants involved in this export, starting with you, the
Applicant.
About Your Company
Company Name *
Dun & Bradstreet Number
Agency Assistance
Export Agency Assistance? *

No

Agency Name
Contact Person Information
Title *

Mr.

Contact Name *
Contact Title *
E-Mail *
Telephone *
Fax *
Street * (Do not use P.O. Box)
City *
State/Territory *
Zip/Postal Code *
Country *
Physical Address
(If different from the above address)

UNITED STATES OF AMERICA

Complete

Save As Draft

Cancel

2/7/2008 9:27 AM

About the Exporter

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https://tpccapps.exim.gov/apps/li/li.nsf/Exporter/D4309E1D8D6853638...

Thursday February 7, 2008 | Michael Rodriguez

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Exporter Information
Provide information about the exporter, who is the company which contracts with the buyer for the sale of the US
goods and services.
Company Information
Company Name *
Duns & Bradstreet Number
Agency Assistance
Export Agency Assistance? *

No

Agency Name
Contact Person Information
Title *

Mr.

Contact Name
Contact Title
E-Mail
Telephone
Fax
Street *
City *
State/Territory *
Zip/Postal Code *
UNITED STATES OF AMERICA

Country *
Physical Address
Complete

Save As Draft

Cancel

2/7/2008 9:28 AM

Borrower Information

1 of 1

https://tpccapps.exim.gov/apps/li/li.nsf/Borrower/D4309E1D8D685363...

Thursday February 7, 2008 | Michael Rodriguez

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Help

Borrower Information
Provide information about the borrower, who agrees to repay the Exim direct or guaranteed loan.
About the Borrower's Company
Company Name *
Dun & Bradstreet Number
Agency Assistance
Export Agency Assistance?
Contact Person Information
Title *

No
Mr.

Contact Name
Contact Title
E-Mail
Telephone
Fax
Street * (Do not use P.O. Box)
City *
Country *
Physical Address

SINGAPORE

Complete

Save As Draft

Cancel

2/7/2008 9:31 AM

Buyer Information

1 of 1

https://tpccapps.exim.gov/apps/li/li.nsf/Buyer/D4309E1D8D685363852...

Thursday February 7, 2008 | Michael Rodriguez

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* Denotes required field

Help

Buyer Information
Provide information about the buyer, who is the company that contracts with the exporter for the purchase of the
US goods and services.
About the Buyer's Company
Company Name *
Dun & Bradstreet Number
Agency Assistance
Export Agency Assistance? *

No

Agency Name
Contact Person Information
Title *

Mr.

Contact Name
Contact Title
E-Mail
Telephone
Fax
Street * (Do not use P.O. Box)
City *
Country *
Physical Address

PHILIPPINES

Complete

Save As Draft

Cancel

2/7/2008 9:35 AM

End User Information

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https://tpccapps.exim.gov/apps/li/li.nsf/EndUser/D4309E1D8D6853638...

Thursday February 7, 2008 | Michael Rodriguez

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* Denotes required field

Help

End User Information
Provide information about the end user, who is the foreign company that utilizes the US goods and services in its
business.
About the End User's Company
Company Name *
Dun & Bradstreet Number
Agency Assistance
Export Agency Assistance? *

No

Agency Name
Contact Person Information
Title *

Mr.

Contact Name
Contact Title
E-Mail
Telephone
Fax
Street *
City *
Country *
Physical Address

RUSSIA

Complete

Save As Draft

Cancel

2/7/2008 9:37 AM

Export Information

1 of 3

https://tpccapps.exim.gov/apps/li/li.nsf/Export/D4309E1D8D68536385...

Thursday February 7, 2008 | Michael Rodriguez

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Export Information
Describe the Export
Goods/Services *
(Limit to 40
characters)

Detailed Description:

How will the export
items be utilized by
the end user? *
(Limit to 40
characters)

2/7/2008 9:38 AM

Export Information

2 of 3

Select
Export SIC
Code *

Select
Export
NAICS
code *

https://tpccapps.exim.gov/apps/li/li.nsf/Export/D4309E1D8D68536385...

SIC

NAICS

Exporting Nuclear
goods/materials? *
Exporting Military
Goods/Materials? *
Can be used for
civilian purposes? *
Is there Direct
Foreign
Competition? *
If yes, above, which
competing
government(s) are
offering aid?
Requested Support
from other US
Agencies? *
Do you need
co-financing? *
Export New or
Used? *
Comment:

Yes

No

Yes

No

Yes

No

Yes

No

Competitor 1
Competitor 2
Yes

No

Yes

No

2/7/2008 9:38 AM

Export Information

3 of 3

https://tpccapps.exim.gov/apps/li/li.nsf/Export/D4309E1D8D68536385...

Complete

Save As Draft

Cancel

2/7/2008 9:38 AM

Requested Financing

1 of 2

https://tpccapps.exim.gov/apps/li/li.nsf/FinReq/D4309E1D8D68536385...

Thursday February 7, 2008 | Michael Rodriguez

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Requested Financing
The maximum amount of "Total Financed Amount" you can apply for is $250,000,000. To apply for a larger
amount please contact EXIM bank.
Financing Type Requested *
Direct Loan
Comprehensive Guarantee
Both
Financing Worksheet
1) U.S. Content * (In US dollars)
$0.00
+
Enter the amount of the US Content. The US
content is content that is produced or originates
totally in the United States.
2) Eligible Foreign Content (In US dollars)
Enter the amount of the eligible foreign content.
The eligible foreign content is content that is
produced or originates in a foreign country, other
than the buyer's country. Costs to be incurred in
the end-user's country are not considered eligible
foreign content. Note that the eligible foreign
content, if any, is part of the Net Contract Price.
The total level of support for a supply contract will
be the lesser of: of the value of all eligible goods
and services in the US supply contract; or 100% of
the US content in all eligible goods and services in
the US supply contract.

+

$0.00

3) Sub-total--Net Contract Price (In US dollars)
This is the sum of US Content and the Eligible
Foreign Content.

=

$0.00

4) Your Cash Payment. Minimum 15% (In US
dollars)
This value must be at least 15% of the Net
Contract Price.

-

$0.00

5) Financed Local Costs (In US dollars)
Local costs are those project-related costs for
goods and services originated/incurred in the
buyer's country. Ex-Im Bank can support up to
15% of the value of the Net Contract Price for
locally originated and/or manufactured goods and
services subject to Ex-Im availability and eligibility
guidelines.

+

$0.00

6) Total Financed Amount (In US dollars)
The sum of the financed portion of the Net
Contract Price (the Net Contract Price less the
Cash Payment) and any Financed Local Costs.

=

$0.00

Complete

Save As Draft

Cancel

2/7/2008 9:41 AM

Requested Financing

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https://tpccapps.exim.gov/apps/li/li.nsf/FinReq/D4309E1D8D68536385...

2/7/2008 9:41 AM

Applicant's Certification

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Thursday February 7, 2008 | Michael Rodriguez

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Applicant's Certification
Certification
The applicant certifies that the representations made and the facts stated in this application and any
attachments are true, to the best of its knowledge and belief, and it has not misrepresented or omitted
any material facts. It further understands that these certifications are subject to the penalties for fraud
against the U.S. Government (18 USC 1001, et. seq.)
Notices
Public Burden Statement: Reporting for this collection of information is estimated to average 20 minutes
per response, including reviewing instructions, searching data sources, gathering information,
completing, and reviewing the application. Send comments regarding the burden estimate, including
suggestions for reducing it, to Office of Management and Budget, Paperwork Reduction Project OMB#
3048-0004, Washington, D.C. 20503.
The information provided will be held confidential subject to the Freedom of Information Act (5 USC 552)
the Privacy Act of 1974 (5 USC 552a), and the Right to Financial Privacy Act of 1978 (12 USC 3401),
except as otherwise required by law. Note that the Right to Financial Privacy Act of 1978 provides that
Ex-Im Bank may transfer financial records included in an application for a loan or loan guarantee, or
concerning a previously approved loan or loan guarantee, to another Government authority as
necessary to process, service or foreclose on a loan or loan guarantee, or collect on a defaulted loan or
loan guarantee.
TEST APPLICANT

Applicant Organization:

USER APPLICANT

Applicant Name:

[email protected]

Applicant Email Address:
If you agree with the statement above
and wish to certify this application,
check the box:
Application Certified by:
Certified Date:

I Agree *

Sign Application

Cancel

2/7/2008 9:42 AM


File Typeapplication/pdf
File TitleEligibility Screening
Authorrodriguez
File Modified2008-02-07
File Created2008-02-07

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