Itemized Statement of Payments-Local Costs for EXIM Credit Guarantee Facility

ITEMIZED STATEMENT OF PAYMENTS—LOCAL COSTS
For Credit Guarantee Facility
INSTRUCTIONS:
This form is to be completed as required under EXIM Credit Guarantee Facility (CGF) transactions in
conjunction with a borrower’s request for disbursement for local 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
credit.administration@exim.gov. 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 CGF transaction.
NOTES:
(1) Deliver one Itemized Statement of Payment (ISP) per local cost provider. Identify the name and
address of the EXIM-approved local cost provider.
(2) Provide the NAICS (North American Industry Classification System) code associated with the
goods and/or services provided by the local cost provider. The link for the NAICS code lookup is
https://www.census.gov/eos/www/naics/.
(3) The forms of OMB-approved Exporter’s Certificates may be found at
https://www.exim.gov/tools-for-exporters/credit-administration-and-operations.
(4) The Remarks/Comments column is available for explanatory information related to an invoice.
For example, if an Invoice Amount Paid is not equal to the corresponding Invoice Amount,
explain the difference in the Remarks/Comments column.
(5) If the local cost provider’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.
(6) Complete all applicable fields unless otherwise advised by EXIM.