Optional Form for Use by Delegated Authority - Minimum Credit Criteria / Additionality

• Legal Form Number: EBD W-15c
• Issuer: Export-Import Bank of the United States
• Section: Export-Import Bank of the United States

APPENDIX C

OPTIONAL FORM FOR USE BY DELEGATED AUTHORITY LENDERS

IN DOCUMENTING MINIMUM CREDIT CRITERIA AND ADDITIONALITY

Name of Borrower: NAICS Code:

I. Minimum Credit Criteria

A. RMA Ratios B. Calculation of Tangible Net Worth

Statement Date (as of last Fiscal Year End):

RMA Statement Studies (Year): Page:

Sorted by: Range:

RATIO RMA Borrower Exceeds

Req’mt?

Current Ratio

Net Sales / Total Assets

Debt to Worth

(Net Profit + Depreciation +

Depletion + Amortization) /

Current Portion of L/T Debt

EBIT / Interest

Cost of Sales / Inventory

Sales / Accounts Receivable

As of (most recent financial data

available):

Stated Net Worth (Book):

+ Subordinated Debt

- Patents, Trademarks

- Licenses

- Goodwill

- Subscription Lists

- Capitalized Software

- Organization Expense

- Covenants not to Compete

- Investments/Due to Affil’s

- Other Intangibles

TANGIBLE NET WORTH:

II. Why is Ex-Im Bank’s support needed? (“Additionality”)

Exempt from substantiation pursuant to Section II(J) of the Manual? Yes No

(Note: Exemption does not apply if Reduced Facility Fee will be charged).

A. Describe why the Borrower does not have sufficient internally-generated working capital to

support the proposed export sale(s).

B. Describe why funds are not available from external sources.

C. Describe why the Ex-Im Bank guarantee is needed in order for your institution to provide the

funding.

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