Exporter Certificate (Short-Term)

• Legal Form Number: EIB 94-07
• Issuer: Export-Import Bank of the United States
• Subject Matter: Insurance
• Section: Export-Import Bank of the United States

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EXPORTER’S CERTIFICATE

OMB 3048-0041

Expires: 04/30/2025

FOR USE WITH A SHORT TERM

EXPORT CREDIT INSURANCE POLICY

Policyholders must keep this document and submit it with a Proof of Loss (Claim)

1. Name and Address of Policyholder: (to be completed by policyholder)

Name: ______________________________________________________________

Address: ____________________________________________________________

City: ____________________________________________ State: _______________________________ Zip Code: _____________________________________

Policy #: ____________________________________________________________

☐The U.S. exporter is either the beneficiary of a letter of credit, or the recipient of funding under a direct buyer credit loan, or the

recipient of the buyer’s payment under a reimbursement loan under a Financial Institution Buyer Credit Policy or a Bank Letter

of Credit Policy. The U.S. exporter must complete and certify to sections A and B and sign.

OR

☐ The U.S. exporter is not a beneficiary or recipient as described above. The U.S. exporter must complete and certify to sections A

and B and sign. NOTE: The policyholder must also obtain a Beneficiary Certificate EIB 92-37 from the beneficiary.

2. Name and Address of U.S. Exporter: (to be completed by U.S. Exporter)

Name: ______________________________________________________________

Address: ____________________________________________________________

City: ____________________________________________ State: _______________________________ Zip Code: _____________________________________

Tax ID #: ____________________________________________________________ Dun & Bradstreet #:_______________________________________________

Upon representation that the Export-Import Bank of the United States (“EXIM”) has issued an export credit insurance policy to the

policyholder identified above and, in consideration of the payment, acceptance or negotiation of an irrevocable letter of credit in

support of an export or the financing of an export or the receipt of funding as a result of the export, either to us or another beneficiary

we, the U.S. exporter, hereby certify to EXIM and to the policyholder that the policyholder has (check one):

☐informed us of an irrevocable letter of credit with Identification No. related to the transaction

described in Section A and we have presented, or shall present, documents which are in compliance with the terms and conditions

of such irrevocable letter of credit; or

☐to our belief, established an obligation of the foreign buyer named in Section A to make repayment of funds on specified terms in

support of an export for which we or another beneficiary will receive payment or have received payment on ; or,

☐to our belief, provided a financing facility to the foreign buyer named below in support of the export described in Section A which

has been made on a documentary collection, sight payment basis, the proceeds of which will be paid to us or another beneficiary.

Part A – Transaction, Products and Services and U.S. Content

1. The above referenced irrevocable letter or credit or the buyer’s obligation to pay the policyholder is in support of an export

transaction described as follows:

a. Buyer’s Name: ____________________________________________________

Address:

EIB 94-07

Revised 6/2018