EIB 07-01B, Sectio Electronic Claim Filing System, Medium-Term Guarantee

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Claim Control No.:CAP0001092 (Draft)

Medium Term Bank Guarantee
Section A - Names and Addresses

(

An asterisk denotes that a field is a required entry)

Guaranteed Lender Making Demand for Payment
Master Guarantee Agreement (MGA) *
Number:
Ex-Im Bank Transaction No. *
( AP No.):
Name: *
Address Line 1: *
Address Line 2: *
Address Line 3: *
City: *
State: *
Zip Code: *
Contact Name: *
Phone: *
Fax: *
E-Mail: *

Current Holder of Original Note
Who is the current holder of the original *
note?

Same as the Guaranteed Lender
PEFCO

Other
If you select "other" fill in the following information:
Other Name:
Address Line 1:
Address Line 2: *
Address Line 3: *
City:
State:
Zip Code:
Contact Name: *
Phone: *
Fax: *

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/539B02B02304C6DE852572A400524...

3/20/2007

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E-Mail: *

Borrower
Name: *
Address Line 1: *
Address Line 2: *
Address Line 3: *
City: *
Country *
Contact Name: *
Phone: *
Fax: *
E-Mail: *

First Guarantor
Click here if not applicable

Not Applicable
Name:
Address Line 1:
Address Line 2: *
Address Line 3: *
City:
Country
Contact Name: *
Phone: *
Fax: *
E-Mail: *

Second Guarantor
Click here if not applicable

Not Applicable
Name:
Address Line 1:
Address Line 2: *
Address Line 3: *
City:
Country
Contact Name: *
Phone: *
Fax:

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/539B02B02304C6DE852572A400524...

3/20/2007

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*
E-Mail: *

Note: If there are more than two guarantors for this transaction, please mail the name, address, and
contact information on these additional guarantors to Ex-Im Bank along with the other required
documentation.

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/539B02B02304C6DE852572A400524...

3/20/2007