Itemized Statement of Payments-Long-term Guarantees and Direct Loans-US Costs.

ITEMIZED STATEMENT OF PAYMENTS—US COSTS
For EXIM Long-term Guarantees and Direct Loans
INSTRUCTIONS:
This form is to be completed as required under certain EXIM direct loan and guarantee transactions in
conjunction with a borrower’s request for disbursement for US costs. It is used to summarize
disbursement documents submitted with a request and to calculate the requested financing amount.
For any questions about completing this form, contact Credit Administration at
[email protected]. General information regarding EXIM disbursement procedures for
direct loans and guarantees may be found at https://www.exim.gov/tools-for-exporters/creditadministration-and-operations. In addition, the borrower should consult the legal documentation
associated with the specific direct loan or guarantee transaction.
NOTES:
(1) Deliver one Itemized Statement of Payment (ISP) per Exporter’s Certificate. Identify the name
and address of the EXIM-approved US exporter.
(2) The forms of OMB-approved Exporter’s Certificates may be found at
https://www.exim.gov/tools-for-exporters/credit-administration-and-operations.
(3) Provide the NAICS (North American Industry Classification System) code associated with the
goods and/or services provided by the US exporter. The link for the NAICS code lookup is
https://www.census.gov/eos/www/naics/.
(4) The Acquisition List is a summary of US exporters, local cost providers, and goods and services
approved by EXIM for financing under the transaction.
(5) Bill of lading is a general term used in this form to refer to shipping documents (e.g., ocean bills
of lading, air waybills, rail waybills, courier receipts, and/or truck bills of lading).
(6) The Automated Export System (AES) is the electronic filing system used to report exports to the
US Government. The Internal Transaction Number (ITN) is the proof of filing number.
(7) The Remarks/Comments column is available for explanatory information related to an invoice or
bill of lading. For example, if an Invoice Amount Paid is not equal to the corresponding Invoice
Amount, explain the difference in the Remarks/Comments column.
(8) The Net Amount is calculated by deducting any Excluded Goods and Services and Local Costs
that are included in the invoice(s) and reported on the Exporter’s Certificate, and/or any other
deductions.
(9) To determine the Total Financed Amount, multiply the Net Amount by the Disbursement
Percentage from the most recently delivered Exporter’s Certificate less any other deductions.
(10) If any of the goods to be financed were shipped by ocean on foreign flag vessels and are eligible
pursuant to a “Reachback Determination” from the US Maritime Administration, deliver a
separate ISP. In those cases, the Total Financed Amount in respect of such goods would be 80%
of the ordinary Total Financed Amount for those goods. This should be noted in the

Remarks/Comments column. For additional information regarding US Maritime Administration
shipping guidance as it relates to EXIM financing, refer to https://www.marad.dot.gov/wpcontent/uploads/pdf/MAR620.MarAd_US_Flag_Shipping_Guidance_Final.pdf.
(11) If the US exporter’s invoices are in a foreign currency, indicate the applicable exchange rate and
date used to convert to US dollars. If the invoices are in multiple currencies, deliver one ISP per
currency.
(12) Complete all applicable fields unless otherwise advised by EXIM.