Form EIB 92-36 EIB 92-36 APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL) UNDER L

EXPORT-IMPORT BANK
of the UNITED STATES

Print Form
APPLICATION
FOR ISSUING BANK CREDIT LIMIT (IBCL)

OMB No. 3048-0016
05/31/2022

UNDER LETTER OF CREDIT INSURANCE POLICIES
App. Number

(EXIM Use Only)
1 Applicant

Policy Number

2 Broker

State

(If none, state "None")

Attn.::

Tel #:

Attn.::

Tel #:

Fax #::

Email:

Fax #::

Email:

3. Issuing Bank (Legal name, address, city, country):

4. Is this application a resubmission of a previously submitted application?
5. Coverage option:
Political only
Comprehensive

YES

NO

6. Details of letters of credit (L/Cs) you wish to insure:
a. L/C Amount $
b. L/C number (if available)
c. L/C transaction type (check):
d. L/C tenor (enter):

Usance Letter of Credit - or -

Actual # of Days - or -

Refinanced Letter of Credit

Sight (check)

e. Expiry date of L/C:
f. Importer Name:

Country

City

Items marked with an asterisk (*) are required fields. Under corporate ownership, provide name of ultimate parent company,
if there is a corporate owner. For number of employees and sales volume, aggregate for the company and all its affiliates2,
including corporate owners and subsidiaries.
g. *Exporter Legal Name:
Tradestyle:
*Street Address:
*City:

*State:

*Zip + 4:

Country:

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*Corporate Ownership:

*Primary Industry NAICS1:

*Does the Exporter have any affiliates2?

Yes

No

*Annual Sales Volume:

*Total Number of Employees:
*Woman-owned business:

Yes

No

Decline to Answer

*Minority-owned business:

Yes

No

Decline to Answer

Race (One or more boxes may be selected.):
American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Other

Ethnicity:
Hispanic or Latino

Not Hispanic or Latino

*Veteran-owned business:

Yes

No

Decline to Answer

*Disability-owned business:

Yes

No

Decline to Answer

Contact Person:
Position Title:
Phone #:

E-mail:

1A

company’s Primary Industry NAICS codes is the NAICS that accounts for the largest share of sales for the most recently completed fiscal year. The full
definition of “primary industry” is set forth at 13 C.F.R. § 121.107.
2Affiliations exist when one individual or entity controls or has the power to control another or when a third party or parties control or have the power to control
both. Factors such as common ownership, common management, previous relationships with or ties to another entity, and contractual relationships may cause
affiliation. The complete definition of affiliation is found at 13 C.F.R. § 121.103.

h. Beneficiary Name:

Country

City

i. L/C Payment currency:
j. L/C Payment country:

Country

Country

7. Products*:
a. (describe products)
YES
NO
b. Are the products on the Munitions Control List?
c. Are the products capital goods sold to foreign manufacturers or producers?
d. If you answered "Yes" in 7c:

YES

NO

(i) Provide details of product use

(ii) Will the products be used to produce exportable goods?

YES

NO

*The Borrower, Guarantor, Buyer and End User must be foreign entities in countries for which EXIM is able to provide support, see EXIM's
Country Limitation Schedule (CLS) at www.exim.gov. There must not be trade sanctions or measures in force involving products from
these countries under the Anti-Dumping or Countervailing Duty sanctions as EXIM cannot support exports to entities in these markets if the
exports are used by these entities to produce such products. Please contact EXIM for further advice if trade sanctions or measures are in
force involving your proposed transaction. In addition, certain products are subject to trade actions, precluding them from being supported
under EXIM programs. Please see www.usitc.gov to view (i) a list of products and countries with Anti-Dumping or Countervailing Duty
sanctions and (ii) products subject to a determination under Section 201 of the Trade Act of 1974.

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8. What effective date do you require for the IBCL?
9. Applicant's experience with the issuing bank:
a. Do you extend insured or uninsured credit facilities to the L/C issuing bank?

YES

NO

b. If "Yes," provide details on the type, size, and usage of credit facilities extended to the L/C issuing bank:

c. If "Yes," does the L/C issuing bank consistently meet its credit obligations in accordance with the agreed terms?
YES
NO
10. Is the L/C issuing bank an affiliate of the applicant as defined in the policy?
If "Yes," please describe the relationship:

YES

NO

11. The following credit information on the L/C issuing bank may be required. EXIM will notify you if any of these items are required
to process the application. At your option, you may attach copies of any of these items or others that you wish to submit with the
application.
A. Audited fiscal year-end financials statements for the past two (2) years, including notes. Interim financial statements may also be
required if the most recent fiscal year-end statements are more than 9 months old.
B. A bank reference dated within 6 months of the application from a correspondent bank. The reference should indicate if credit
lines are secured and the type of credit facilities offered.
C. Background information on the L/C issuing bank, including a description of the bank's operation and structure and a list of the
shareholders who directly or indirectly own 10% or more of the bank, with their corresponding ownership percentages.
D. Rating Agencies' reports on the L/C issuing bank.

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CERTIFICATIONS AND SIGNATURE
Please refer to the “Standard Certifications and Covenants for EXIM Bank Applications” set forth in Form EIB 18-CN, posted on
the EXIM website at https://www.exim.gov/tools-for-exporters/applications-forms/complete-list (the “Standard Certifications”).
THE STANDARD CERTIFICATIONS ARE INCORPORATED INTO THIS APPLICATION AS IF FULLY AND DIRECTLY SET
FORTH HEREIN. When signing this application in the space provided below, the undersigned authorized officer signing on the
applicant's behalf certifies and represents that he or she is fully authorized to sign on the applicant's behalf, and that HE OR SHE
HAS READ the Standard Certifications referenced above AND IS CERTIFYING AND COVENANTING, as appropriate, to all of
the certifications, acknowledgements and covenants set forth in the Standard Certifications.
Applicant further certifies that the representations made and the facts stated in this application and its attachments are true
and Applicant has not misrepresented or omitted any material facts. Applicant further covenants that if any statement
set forth in this application or in the Standard Certifications, becomes untrue, or is discovered to have been untrue when
made, Applicant will promptly inform EXIM of all such changes or discoveries. Applicant further understands that in accepting
or approving this application, EXIM is relying upon Applicant's statements set forth in the application and in the Standard
Certifications, and all statements and certifications to EXIM are subject to the penalties for false or misleading statements to
the U.S. Government (18 USC § 1001, et. seq.).
I, ____________________________, do hereby certify that I am the duly appointed and qualified _______________________
[Title]
of _____________________________ [Name of Applicant] and that as such I am authorized to execute this application on
behalf of ___________________________ [Name of Applicant].
In witness whereof, I have hereunto signed my name this _________ day of __________, 20_____.

NOTICES
The applicant is hereby notified that information requested by this application is done so under authority of the Export-Import Bank Act of 1945, as amended (12
USC 635 et. seq.); provision of this information is mandatory and failure to provide the requested information may result in EXIM being unable to determine
eligibility for support. If any of the information provided in this application changes in any material way or if any of the certifications made herein become untrue,
the applicant must promptly inform EXIM of such changes. The information provided will be reviewed to determine the participants’ ability to perform and pay
under the transaction referenced in this application. EXIM may not require the information and applicants are not required to provide information requested in this
application unless a currently valid OMB control number is displayed on this form (see upper right of each page). EXIM reserves the right to decline to process or
to discontinue processing of an application.

Paperwork Reduction Act Statement: We estimate that it will take you about 1.2 hour(s) to complete this form. This includes the time it will take to read
the instructions, gather the necessary facts and fill out the form. However, you are not required to provide information requested unless a valid OMB control
number is displayed on the form. If you have comments or suggestions regarding the above estimate or ways to simplify this form, forward correspondence to
EXIM and the Office of Management and Budget, Paperwork Reduction Project, OMB# 3048-0016 Washington, D.C. 20503.

EIB 92-36 (Rev. 07/2021)

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