EIB 95-09 Letter of Interest Application

OMB #3048-0005
Pending

Export-Import Bank of the United States (EXIM)
Letter of Interest Application
The Letter of Interest (LI) is an indication of EXIM Bank's willingness to consider financing a given export
transaction. Apply for an LI during the bidding or negotiating stage of an export sale when the following
conditions exist:
1. You need an indication from EXIM Bank on the general eligibility of the transaction participants and the goods
and services to be exported.
2. The repayment terms and other program guidelines in the LI provide you with specific enough guidance for
your transaction.
An online version of this application is available on EXIM’s website. EXIM strongly encourages customers to apply
through EXIM Online (EOL), as it will facilitate our review and allow customers a faster response time. Additional
information about applying for an EXIM Letter of Interest can be found on EXIM’s website www.exim.gov.
The review of the Letter of Interest (LI) application includes comparing the transaction information to EXIM Bank's
cover policy and other basic eligibility criteria. The review also identifies any potential issues that may need to be
analyzed in more detail when an final commitment (AP) application is reviewed. LIs may be restricted due to
circumstances including, but not limited to; country conditions, economic impact, and/or excessive transaction or
exposure amounts. EXIM Bank may request additional information in connection with an LI application, and
issuance of a Letter of Interest is at the sole discretion of EXIM Bank.
The LI is issued for one year and has an option to renew for an additional year.
The processing fee for an LI is $100 and is non-refundable.
Please type. Processing of applications may be delayed if the requested information is not provided.
1.

Applicant. The applicant may be any exporter, financial institution, supplier or the primary borrower or
buyer associated with the transaction. ☐ Check if applicant has been assisted by a city or state export agency
and provide the name of the agency.

Applicant Name:

Duns #:

Contact Person:

Phone #:

Position Title:

Website:

Street Address:
State/Province: _

City:
*Postal Code:

Taxpayer ID #:

Country:
Email:

For an Applicant located in the United States, items marked with an asterisk (*) are required fields.
*Woman-owned business:

Yes ___

No ___

Decline to Answer ___

*Minority-owned business:

Yes ___

No ___

Decline to Answer ___

*Veteran-owned business:

Yes ___

No ___

Decline to Answer ___

EIB Form 95-09

Revised 08/2021

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OMB #3048-0005
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2.

Exporter. The "exporter" is the company which contracts with the buyer for the sale of the U.S. goods
and services.

Items marked with an asterisk (*) are required fields. Under Corporate Ownership, provide name of ultimate parent company, if there is
corporate ownership. For Total Number of Employees and Annual Sales Volume, aggregate for the company and all affiliates1, including
corporate owners and affiliates.

Exporter’s Name:

Duns #:

Tradestyle: ____________________________________________________________________________________________________
*Corporate Ownership: _______________________________________________ *Primary Industry NAICS: ______________
*Does the Exporter have any affiliates? Yes ___

No ___

*Total Number of Employees: ___________________

*Annual Sales Volume: ________________________________

Contact Person:

Phone #:

Position Title:

Website:

*Street Address:
*State/Province: _

*City:
*ZipCode+4:

Country:

Taxpayer ID #:

Email: __________________

Race (One or more boxes may be selected.):
American Indian or Alaskan Native ___
Native Hawaiian or Pacific Islander ___

Asian ___
White ___

Ethnicity:
Hispanic or Latino ___

Not Hispanic or Latino ___

*Woman-owned business:
*Minority-owned business:
*Veteran-owned business:
*Disability-owned business:

Yes ___
Yes ___
Yes ___
Yes ___

No ___
No ___
No ___
No ___

Black or African American ___
Other _______________________________

Decline to Answer ___
Decline to Answer ___
Decline to Answer ___
Decline to Answer ___

Affiliations 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.
1

3.

Supplier. The "supplier" is the U.S. company which manufactures the goods and/or performs the services
to be exported. ☐ Check if the Supplier is also the Exporter.

☐ Check if the Supplier is not determined.

If neither applies, attach the same information for the primary supplier as requested above for the
Exporter. Information on additional suppliers is not required for an LI.
How many years has the Exporter(s)/Supplier(s) been in commercial operations? _______________

Does the Exporter(s)/Supplier(s) have experience with transactions of similar size, scope and complexity?
_____________________________________________________________________________________________________________________

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Revised 08/2021

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OMB #3048-0005
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4. Borrower. The "borrower" is the company which agrees to repay the EXIM direct or guaranteed loan.
Complete the information below. Check for "public sector" if the borrower is at least 50% directly or indirectly
owned by a government. Check for "private sector" if the borrower is less than 50% owned by a government.
☐ Public Sector

☐ Private Sector

Contact Person: _______________________________________ Website: _____________________________________
Borrower Name: _______________________________________ Duns #: _______________________________________
Street Address: ________________________________________ City: __________________________________________
Country: ______________________________________________

Postal Code: _________________________________

Website: __________________________________________________ Email: __________________________________
How many years has the Borrower been in commercial operations? _____________________________________
Does the Borrower have experience with transactions of similar size, scope and complexity? (Please explain.)
________________________________________________________________________________________________________________
5. Buyer and End-user. The "buyer" is the company which contracts with the exporter for the purchase of the
U.S. goods and services. The "end-user" is the foreign company which utilizes the U.S. goods and services in
its business. ☐ Check if the Borrower, Buyer, and End-user are not the same entity. If box is checked,
attach the same information for the Buyer and the End-user as requested above for the Borrower.
6. Guarantor:
Guarantor: ________________________________________ Contact person: ____________________________________
Street address: ___________________________________________________Phone #: _______________________
City:__________________________________________________ State: __________ Postal Code: ____________
Website: __________________________________________________ Email: _______________________________
7. Lender:
Lender: ________________________________________ Contact person: __________________________________
Street address: ___________________________________________________Phone #: _______________________
City:__________________________________________________ State: __________ Postal Code: ____________
Website: __________________________________________________ Email: _______________________________
8. Agent:
Agent: ________________________________________ Contact person: ____________________________________
Street address: ___________________________________________________Phone #: _______________________
City:__________________________________________________ State: __________ Postal Code: ____________
Website: __________________________________________________ Email: __________________________________
Please indicate which party above to who the LI should be addressed: ________________________________
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OMB #3048-0005
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9. Export Items The "export items" are the goods and services to be exported from the U.S.
9a. Large Aircraft. ☐ Check if the export items include aircraft which, in a passenger configuration,
contain more than 70 seats. If box is checked, complete Attachment A, Large Aircraft Financing.
9b. Military. ☐ Check if the buyer is associated in any way with the military, if any export items are to be
used by themilitary, or if any export items are defense articles or have a military application.
9c. Limited Recourse Project Finance. ☐ Check if you want a Letter of Interest issued by the Project
Finance Division. If box is checked, complete EXIM Form No. 21-01 Project Finance Executive Summary.
9d. Description of Export Items. Briefly describe the principal goods and services, including the type,
quantity, modelnumber and capacity (if applicable), and NAICS. For an aircraft transaction, include a
description of the engines.
How many years have the good(s) and/or service(s) been deployed commercially?
___________________________
9e. Utilization of Export Items. Briefly describe the principal business activity of the end-user. If the export
items are to be used in a project, also provide the name, location, purpose, and scope of the project.

10. China and Transformational Exports Program (CTEP). Check one or both applicable boxes below if either
(a) the export items face export subsidies established by the People’s Republic of China (PRC) or other
countries that might be designated as “covered countries” by the U.S. Secretary of the Treasury; and/or (b) the
export items qualify as one or more of the 10 Transformational Export Areas designated by Congress as
necessary to advance the comparative leadership of the U.S.:
Artificial Intelligence
Biotechnology
Biomedical sciences
Wireless communications equipment
Quantum computing
Renewable energy, energy efficiency, & energy storage
Semiconductor and semiconductor machinery manufacturing
Emerging financial technologies
Water treatment and sanitation
High-performance computing
Associated services necessary for use of any of the foregoing exports

•
•
•
•
•
•
•
•
•
•
•

If either is checked, provide an explanation via attachment.

☐

Face export subsidies established by the PRC or other covered countries

☐

Transformational Export Area

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OMB #3048-0005
Pending

11. Financing Type Requested. Check applicable box(es). You may request both a direct loan and a guarantee.
If bothfinancing options are acceptable to EXIM, they will be indicated in the LI as options. Refer to
Attachment A if the transaction involves the export of new large aircraft.
☐

Direct Loans

☐

Comprehensive Guarantee

☐

Political Risk Guarantee

12. Contract Price. The "contract price" is the amount to be shown in the supplier's invoice related to goods to be
exported from the U.S. and services to be performed by U.S. companies. If there is more than one supplier, the
contract price is thesum of the suppliers' invoice amounts. The "eligible foreign content" is the portion of
the contract price representing components to be purchased by the supplier outside the U.S. and
incorporated in the U.S. into the items to be exported. 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 contract price.

Contract Pricing
U.S. Content
(Exclude Eligible Foreign Content and Local Costs)
Eligible Foreign Content
(The aggregate price of any goods produced or manufactured outside the U.S. or
services provided by third country personnel or foreign freight costs and foreign
insurance included in the contract price, e.g., foreign items shipped from the U.S.)
Contract Price
U.S. Content + Eligible Foreign Content
Requested LI Amount
Cash Payment
(Greater of 15% of the Contract Price or 100% of the Eligible Foreign Content)
Local Costs
(The aggregate price for goods and services incurred in the Buyer's country.)
Eligible Local Costs
(This can be no more than 30% of the Contract Price)

LI Request Amount
(Contract Price - Cash Payment + Eligible Local Costs)
13. Foreign Competition. ☐ Check if, to the best of your knowledge, there is at least one entity offering nonU.S. goods and/or services in direct competition for this specific export sale.
14. Other U.S. Government Agencies. ☐ Check if an application for support of this export contract or related
project has been filed with the Agency for International Development, Maritime Administration, U.S.
International Development Finance Corporation, or Trade Development Agency.
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OMB #3048-0005
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15. Tied Aid Capital Project Fund. If you want EXIM to preclude or counter a tied aid offer, complete EXIM
Form No. EIB 95-10c.
Attach any additional files (e.g., credit reports dated within the last six months or financial statements) that
you feel would help in evaluating this application. For Limited Recourse Project Finance transactions, this
may include a Project Information Memorandum (PIM), independent feasibility study and/or preliminary
financial model.

CERTIFICATIONS AND SIGNATURE
Please refer to the “Standard Certifications and Covenants for EXIM Applications” set forth in Form EIB 18CN, posted on the EXIM website at https://www.exim.gov/tools-for-exporters/applications-forms/completelist (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, acknowledgments 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
_____________________________________ of _________________________________________________________
(Title)
(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 hereunder signed my name this _______ day of ________________, 20____
Name of Applicant: _________________________________________________________
Signature: _________________________________________ (Authorized Officer)
Name: ____________________________________________
Title: ______________________________________________
Telephone: _______________________________________
Email: ____________________________________________

EIB Form 95-09
Revised 08/2021

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OMB #3048-0005
Pending

Payment, payable to the Export-Import Bank of the U.S., must accompany application; please indicate:
☐ Visa
☐ Mastercard
☐Check
Account #:

Expiration Date:

Signature:

EXIM would be pleased to assist you in applying for financial support. If you have any questions, please
contact EXIM’s Customer Contact Center (Telephone: 1-800-565-EXIM/202-565-EXIM). Taxpayer Identifying
Numbers: EXIM intends to use the taxpayer identifying numbers furnished on this application for purposes
of collecting and reporting on any claims arising out of such persons' or business entities' relationships with
the U.S. government.

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 U.S.C. 635 et seq.); provision of this information is
mandatory and failure to provide the requested information may result in EXIM being unable to issue the
Letter of Interest. 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).
Paperwork Reduction Act Statement: We estimate that it will take you about 45 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#3048-0005),Washington, D.C. 20503.
EXIM and its officers and employees are subject to the Trade Secrets Act (18 U.S.C. Sec. 1905) which requires
EXIM to protect confidential business and commercial information from disclosure, and 12 CFR 404.7 which
provides that EXIM will not disclose information provided in confidence without the submitter's consent and
except as required by law. EXIMwill endeavor to restrict the disclosure of all information provided in this
form, to the fullest extent permissible under Federal information disclosure laws including the Freedom of
Information Act (5 USC 552), the Privacy Act of 1974 (5 USC 552a), or under any other law or court order.

EIB Form 95-09
Revised 08/2021

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Export-Import Bank of the United States (EXIM)
Letter of Interest Application
ATTACHMENTS
Attachment A: Large Aircraft Transactions
1.

Spare Parts Financing. Indicate in No. 9d. of the Letter of Interest Application if any spare parts
or spare engines are included in the export sale. Provide the requested information on these
items.

2.

Transaction Information. Include with your application a background summary on the
airline, the reason for the purchase, proposed routes, and delivery dates. This information
replaces the information requested in No. 9e. of the Letter of Interest Application.

3.

Contract Price. If credit memoranda information is available, deduct all airframe and engine
credit memoranda, if any, from the aircraft price when calculating the contract price to be
entered in No. 12 of the Letter of Interest Application.

If you have questions about this attachment, please contact the Transportation Division at
202-565-3955.
Attachment B (Form EIB 95-10c): Tied Aid Capital Project Fund
Attachment C (Form EIB 21-01): Project Finance Executive Summary

EIB Form 95-09
Revised 08/2021

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