Long-Term Loan or Guarantee

• Legal Form Number: EIB95-10
• Issuer: Export-Import Bank of the United States
• Subject Matter: Guarantee, Loan
• Section: Export-Import Bank of the United States

OMB 3048-0013

Expires 10/31/2025

Export-Import

Bank of the

United States

APPLICATION FOR

CREDIT GUARANTEE

FACILITY AND LONG-

TERM DIRECT LOAN

OR GUARANTEE

This application is for requesting financ ing of a Credit Guarantee Facility (any dollar amount and tenor) and d irect loan

and guarantee transactions with financed amounts ove r $25 million (excluding financed

exposure fee), typically with

tenors over seven years. It may also be used for Large Aircraft, Limited Recourse Project and Structured Financ ing,

Domestic Financing, and Tied Aid.

Additional information on how to apply for an EXIM tr ansaction can be found at

EXIM's website: https://www.exim.gov/ resources/applications-forms/apply ing.

Email this completed application to exim.applications@exim.gov . Please note that applications must be a signed and

dated PDF and include all required application attachments

.

COMMITMENT OR FINANCING TYPE REQUEST ED

Product

☐

Comprehensive Guarantee

☐

Sovereign

☐

Public Non-sovereign

☐

Private Sector

☐

Political Risk Guarantee

☐

Sovereign

☐

Public Non-sovereign

☐

Private Sector

☐

Direct

Loan

☐

Sovereign

☐

Public Non-sovereign

☐

Private Sector

☐

Credit Guarantee Facility

☐

Sovereign

☐

Public Non-sovereign

☐

Private Sector

☐

New

☐

Renewal

For more informat ion: https://www.exim.gov/solutions/loan-guarantee/credit-guarantee-facility

☐

Preliminary Commitment

☐

Sovereign

☐

Public Non-sovereign

☐

Private Sector

A justification for a Preliminary Comm itment needs to be attached.

Conversion of a Preliminary Commitment or a Letter of Interest

☐

No

☐

Yes The EXIM reference number is: __________ ________

Resubmission

☐Check if this is a resubmission of an ap plication that was previously deemed incomplete

or

was withdrawn for other reasons. The EXIM reference num ber is: _____________

PARTICIPANTS:

Items marked with an asterisk (*) are required fields. Under corpor ate ownership, provide the name of the ultimate parent

company, if there is a corporate owner. For num ber of employees and sales volume, a ggregate for the company and all

its affiliates, including corporate ow ners and subsidiaries.

Applicant: The applicant may be any exporter, fina ncial institution, supplier, the primary borrower, buyer or controlling

sponsor associated with the transacti on. ☐ Check if the applicant has been assi sted by a city or state export agency

and provide the name of the agency: __ ________________________________ ________________

*Applicant Name: _________________ ______________________________ ______________________________ ___

Tradestyle: ________________________ ____________________________ ______________________________ ___

*Business Address: _______________ ___________________________ _____________________________ _______

*City: _______________________ *State: _____________ *Zip/Postal Code: __ _______ *Country: ____________

Contact Person: __________________ _______________ Position Title: ____________________ ____________

Phone: ___________________________ _____________ Email: ________ ______________________________

Duns No. ___________________ UEI No.1 __________________ Taxpayer ID No. _______ _________

1A Unique Entity Identifier (UEI) No. is a 12-character unique number assigned to all entities (public and private companies, individuals, institutions or

organizations) who must register in SAM.gov to do business with the federal government. If your entity is registered in SAM.gov, your UEI has already been

assigned and is viewable in SAM.gov. If you do not have a UEI No., then you must register your entity. Visit https://sam.gov/content/home to see if your

entity has a UEI No. or to register your entity. A UEI No. is required for the Applicant at time of application and is also required for the Borrower and

Lender(s). [NOTE: As the UEI No. process becomes fully clarified, EXIM’s instructions will be updated accordingly and more information will be added to

assist an Applicant and any other affected transactional parties with this process, but it was not ready prior to submission for OMB r eview.]

EIB 95-10 (Rev. 5/2022)

Page 1 of 11