Issuing Bank Credit Limit Application for Short Term Bank Letter of Credit Insurance Policy (!!-expires 4/30/25, not "1/31/2025" as indicated in file page headers.)

• Legal Form Number: EIB 92-36
• Issuer: Export-Import Bank of the United States
• Subject Matter: Insurance
• Section: Export-Import Bank of the United States

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OMB No. 3048-0016

5/31/2028

APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL)

UNDER BANK LETTER OF CREDIT OR MULTI-BUYER EXPORTER-HELD

App. Number

EXPORT CREDIT INSURANCE POLICIES

(EXIM Use Only)

An online version of this application is available on EXIM’s web site. EXIM encourages customers to apply online, to facilitate our review and allow customers a

faster response time. Additional information on how to apply for EXIM insurance can be found at EXIM’s web site www.exim.gov

Send this completed application to EXIM, 811 Vermont Ave NW, Washington, D.C. 20571. EXIM will also accept E-mailed PDF and faxed applications. EXIM

will not require the originals of these applications to be mailed. The application must be PDF scan of the original application and all required documents.(Fax

number: 202.565.3380, E-mail: exim.applications@exim.gov)

Policyholder

State:

Name of Policyholder: Policy Number:

Contact Person: Title:

Email: Fax:

Phone:

Issuing Bank

1. Issuing Bank Legal Name:Country:

Street: City: State/Province: Postal Code:

2. Is this application a resubmission of a previously submitted application? Yes No

3. Is the issuing bank an affiliate of the policyholder as defined in the insurance policy? Yes No

If "Yes", please describe the relationship:

4. Select the issuing bank financial institution type:Head Office Branch Subsidiary Agency

5. Country of the head office of the issuing bank:

6. Does the policyholder extend insured or uninsured credit facilities to the issuing bank? Yes No

a. If "Yes", provide details about the type, size, and usage of the credit facilities the policyholder extends to the issuing bank

b. If "Yes", does the issuing bank consistently meet its credit obligations in accordance with the agreed terms? Yes No

Details of letter of credit the policyholder wishes to insure

1. Coverage option: Comprehensive Political Only

2. LC Number (if available):

3. LC Payment Country:

4. LC Payment Currency:

5. L/C Amount $:

Letter of Credit Refinanced Letter of Credit

6. L/C Transaction Type:

7. LC Tenor: Actual # of days: or Sight LC

8. LC Effective Date:

9. LC Expiration Date:Expiry Date Comments:

EIB 92-36 (Rev. 07/2024)

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