Form EIB 11-03 EIB 11-03 Used Equipment Questionnaire

OMB 3048-0039
Expires 11/30/2021

Used Equipment Questionnaire
Equipment that has been previously owned or placed into service is generally eligible for support under EXIM's loan, guarantee and
insurance programs, provided certain criteria are met. To be eligible for EXIM support, used equipment, including equipment that has
been refurbished in the U.S., must meet the following eligibility criteria:
1. To be considered U.S. content, the used equipment must be of original U.S. manufacture, AND, if previously exported, must have
been in the U.S. for at least one year prior to export.
2. The U.S. costs associated with the refurbishment of the equipment are eligible for EXIM support, provided they meet EXIM's foreign
content policy parameters. EXIM can support the lesser of 85 percent of the U.S. Contract Price of the item or 100% of the actual U.S.
content of the item provided that the item is shipped from the U.S.
3. If the used equipment is of either original foreign manufacture or original U.S. manufacture, previously exported and has not been in
the U.S. for at least one year prior to its proposed export, then EXIM will treat it as foreign content and the following applies:
a. If the equipment is to be refurbished, the used equipment procurement cost is considered eligible foreign content provided
that this cost is less than 50 percent of the total procurement and refurbishment cost.
b. If the foreign content of the used equipment exceeds 50 percent of the cost associated with the procurement and
refurbishment of the equipment, then only the U.S. refurbishment portion will be considered eligible for EXIM support.
4. Previously exported goods that benefited from EXIM financing in the past will be considered eligible for EXIM support provided that
the original financing has been paid in full and that the equipment has been in the U.S. for at least one year.
5. The repayment term that EXIM offers for used and refurbished equipment will be consistent with EXIM's international agreements for
repayment terms based on contract value, and shall not exceed the effective remaining useful life of the transaction's scope of supply.
EXIM, at its sole discretion, will determine the effective remaining useful life of the scope of supply according to the following:
a. The remaining useful life of an individual piece of equipment shall reflect the remaining portion of "first life" expected for a
similar piece of new equipment. "First life" is defined as the typical expected operating life of a piece of equipment prior to major
overhaul milestones or the need for significant refurbishment.
b. If the sale includes more than one item, including a mixture of new and used items, a dollar-weighted average of the
individual useful lives of each of the items in the scope of supply will be calculated.
6. Foreign Content for used pieces should be determined by contacting the original manufacturer to ascertain the value on a percentage
basis of foreign components contained in the equipment during the manufacturing process. This percentage should be applied to the
supplier's purchase price to determine the current value of foreign components. This value should then be adjusted to account for the
value of any additional foreign components installed during the refurbishment process.

Application Procedure
Applicants seeking EXIM support for used or refurbished equipment are required to submit a completed Used Equipment
Questionnaire for each used item (see next page). The information presented will be considered in the overall evaluation of the
transaction, including EXIM's determination of the appropriate term for the transaction. If you have any questions, please call
EXIM's Engineering and Environment Division at (202) 565-3570 or the Business Development Group at (202) 565-3946.

Paperwork Reduction Act Statement: We estimate that it will take you about 15 minutes 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 # 3048-0039 Washington, D.C. 20503.

EIB-11-03
Revised 12/2017

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Used Equipment Questionnaire

Applicant:

OMB 3048-0039
Expires 11/30/2021

Policy number:

Buyer:

(for insurance program)

Create a separate questionnaire for each item of used equipment.

1. Product Information:

Name and description of used equipment:

Equipment History
Year manufactured:

Where is the equipment located?

Hour meter reading:

How long has the equipment been there?

Mileage:
Is the product under warranty?

YES

Term:

NO
Description:

YES

Has the equipment been rebuilt/reconditioned?
By whom?

NO
Date:

Location:

Does this equipment have an independent mechanical certification, evaluation, or assessment?

YES

NO

2. Export/Import History
Was the equipment previously exported?

YES

NO

Did EXIM provide support?

YES

NO

YES

NO

If yes, details:

Was the equipment imported to the U.S.?

3. Prices and Costs
Contract price:

Foreign content included in the contract price:

U.S. supplier's purchase price:

Purchase Date:

Cost of rebuilding/reconditioned:

Cost of spare parts included:

Description of rebuilding and/or spare parts:

4. Used Aircraft Only
Have all airworthiness directives been completed?

YES

Number of cycle hours remaining on the airframe and engines:
Months remaining before next maintenance "C" and "D" checks:

NO

If no, details:

Names of each previous
owner and lessee with the
corresponding acquisition
dates:

Signature

Date

Name

Title

EIB-11-03
Revised 12/2017

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