Export Working Capital Loan Guarantee (EXIM/SBA)

• Legal Form Number: EIBSBA 84-1
• Issuer: Export-Import Bank of the United States
• Subject Matter: Working Capital
• Section: Export-Import Bank of the United States

OMB No.: 3048-003

Expiration Date: 02/28/2025

EIB- Form 84-1, Revised 10/2021

EXPORT-IMPORT BANK OF THE UNITED STATES

APPLICATION FOR EXPORT WORKING CAPITAL GUARANTEE

APPLICATION INSTRUCTIONS

PART A. PRINCIPAL PARTIES

1. Borrower/Exporter. Complete this s ection with information on the individual or corporate borrower. Provide the

primary North American Industrial Classification System (NAIC S) number of the borrower, rather than the product being

exported.

2. Borrower’s Management. Complete this section for each proprietor, partner, officer, director or other individual

owning 20% or more of the borrower, i ncluding parent companies. 100% of ownership must be shown. The f ollowing

are considered “Associates” of the borrower: a. for a sole proprietorship, the sole proprietor; b. for a partnership, all

general partners and all limited partners owning 20% or more of the equity of the firm; c. for a corporation, all owners

of 20% or more of the corpora tion and each officer and director; d. for limited liability companies (LLCs), all members

owning 20% or more of the company, each officer, director, and managing member; d. any person hired by the business

to manage day-to-day operations. All Associates must be shown.

3. Borrower’s Affiliate(s). Provide information about all of the Borrower’s Affiliates, including owners if Company(ies),

and entities with comm on ownership. See 13 CFR 121.103, 13 C FR 121.107, 13 CFR 121.301, SBA Guide lines and SBA

Small Business Compliance Guide: Size and Affiliation.

4. Personal and/or Corporate Guarantor(s). List all individuals and entities that will guarantee repayment of the loan.

The personal guarantee of the owner(s) is required in most cases.

5. Lender. Provide information about the Lender.

PART B. INFORMATION ABOUT THE TRANSACTION

Provide type of loan requested, the l oan amount, and term and answer all questions in Part B. (See also Checklist item 2

below.)

PART C. CERTIFICATIONS

This section must be signed by an authorized representative of the borrower, each guarantor, and the Lender

("Applicants". )

EXIM Bank Date Received: