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pdfOMB #3048-0015
PENDING 2022
EXPORT-IMPORT BANK OF THE UNITED STATES
APPLICATION FOR SPECIAL BUYER CREDIT LIMIT (SBCL) UNDER MULTI-BUYER EXPORT CREDIT INSURANCE POLICIES
Instructions: Click on this Country Limitation Schedule to see if EXIM Bank is open for coverage in the country of your buyer, the
guarantor (if any), or the buyer's end user. Credit Information required is based on the requested amount. Check the EXIM Convicted
Parties List to determine if there are any prohibitions or restrictions on your ability to insure a transaction.
Credit Information required is based on the requested amount. See Short Term Credit Standards to determine the Credit and Financial
Information Requirements in connection with your application.
App. No.
(Please Print or Type)
1.
Insured/Exporter
2.
Name:
(Ex-Im Bank Use Only)
Broker (If none, state “None”)
Brokerage:
Policy No:
State:
Contact:
Tel No:
Contact:
Tel. No:
Fax No:
Email:
Fax No:
Email:
3. Buyer:
Legal Name
Tradestyle/Acronym
Address
Country
Contact
Phone Number
Email
Website
4. Guarantor (if any): make same updates as SBCL
Legal Name
Tradestyle/Acronym
EIB 92-51
Revised 12/2022
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OMB #3048-0015
PENDING 2022
Address
Country
Contact
Phone Number
Email
Website
5. Reason for this Application:
Policy carries no Discretionary Credit Limit (DCL)
Amount requested exceeds DCL
Country Limitation Schedule restricts DCL in this market
Other
Renewal/Increase/Amendment of existing SBCL-Existing
Final Shipment Date
Do you have any ownership interest in or familial ties with the buyer?
☐ Yes ☐ No
(If yes, comment below)
Comment:
Note: If there is direct or indirect ownership, coverage is typically limited to political only.
Will the products be shipped directly to the buyer in the buyer’s country?
☐ Yes ☐ No
(If no, comment below)
Comment:
Is the buyer purchasing your product(s) for resale to another country(ies)?
☐ Yes ☐ No
(If yes, comment below)
EIB 92-51
Revised 12/2022
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OMB #3048-0015
PENDING 2022
Comment:
6. Limit & Terms
Buyer Credit Limit Requested
$
What is the amount that you are prepared to ship now?
$
What amount of downpayment, if any, is offered or required?
$
(mm/dd/yyyy)
What effective date do you require for the SBCL?
Select the payment terms you will extend to the buyer
Transaction Type
Maximum Tenor
Open Account
Cash Against Documents
Unconfirmed Irrevocable L/C
Promissory Note
Documents Against Acceptance
Documents Against Payment
Sight
1-30 Days
31-60 Days
61-90 Days
91-120 Days
121-180 Days
181-270 Days
271-360 Days
7. Ledger Experience with Buyer
Any prior sales to the buyer?
Yes
No
Year of your first sale to the buyer:
(
(YYYY)
Any prior sales to the buyer on credit terms?
Yes
No
(exclude any Cash-In-Advance or Letter of Credit Sales)
Year of your first sale to the buyer on credit terms:
(YYYY)
(exclude any Cash-In-Advance or Letter of Credit Sales)
Total sales made to the buyer on credit terms over the past 3 years:
$
EIB 92-51
Revised 12/2022
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OMB #3048-0015
PENDING 2022
Payment terms extend to buyer over the last 12 months:
Transaction Type
Maximum Tenor
Open Account
Cash Against Documents
Unconfirmed Irrevocable L/C
Promissory Note
Documents Against Acceptance
Documents Against Payment
Sight
1-30 Days
31-60 Days
61-90 Days
91-120 Days
121-180 Days
181-270 Days
271-360 Days
Highest Amount Outstanding over the last twelve months for which you have been paid.
$
Describe the buyer’s history over the last twelve months:
Prompt
1-30 days slow
31-60 days slow
61-90 days slow
90+ days slow
No Experience
Amount now owed to you by the buyer:
$
Total amount now more than 60 days past due
$
Reason for the buyer being past due to you:
Cash flow/Commercial problems
Foreign Exchange Problems
Insolvency
Dispute
Slow Pay Typical
Do you hold security on amount past due?
$
Yes
Standby Letter of Credit
Receivables
Inventory
Real Property
Cash
EIB 92-51
Revised 12/2022
Natural Disaster
Buyer Reorganizing
Rescheduling
Other
No
Personal Guarantee(s)
Corporate Guarantee(s)
Other
None
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OMB #3048-0015
PENDING 2022
EIB 92-51
Revised 12/2022
Page 5 of 6
OMB #3048-0015
03/31/2023
CERTIFICATIONS AND SIGNATURE
Please refer to the “Standard Certifications and Covenants for EXIM 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, 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
(Name of Applicant)
on behalf of
(Title)
and that as such I am authorized to execute this application
(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 30 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# 3048-0019 Washington, D.C. 20503.
Page 6 of 6
File Type | application/pdf |
File Title | Application for Special Buyer Credit Limit (SBCL) under Multi-Buyer Export Credit Insurance Policies |
Author | cruz |
File Modified | 2022-12-08 |
File Created | 2022-12-08 |