Trade Reference Form

• Legal Form Number: EIB 99-14
• Issuer: Export-Import Bank of the United States
• Subject Matter: Guarantee, Insurance, Loan
• Section: Export-Import Bank of the United States

OMB 3048-0042

07/31/2025

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EIB 99-14 (Rev. 12/2018)

EXIM TRADE REFERENCE FORM

Note: Trade Experience Form should be signed and dated by the person taking the information and

should be a person that is not from the foreign buyer or a company related to the foreign buyer.

Foreign buyer name & address

Name and address of company giving reference:

Name of person giving reference:

Title: Phone:

Email:Fax:

Payment Terms:

Estimated annual sales to buyer (specify currency):

Years of experience with buyer:

Credit limit (specify currency):

Please describe security, if any, such as a standby letter of credit, personal guarantee or collateral. If there is no security, so state.

Date of last sale:

Current outstanding balance (specify currency):

Past due balance, if any (specify currency):

1-30 days slow: Prompt:

Payment Experience:

91+ days slow: 31-60 days slow:

Comments:

Signature of person taking reference:

Name of person taking reference:

Name of company taking reference:

Phone:Title:

Fax: Email:

Date:

Highest amount owed at one time that was paid in past 12 months (specify currency):

61-90 days slow:

Number of days past due:

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