CAPITAL BUSINESS CREDIT

Equipment Buyer Application

1. General Information:
Name of Company:
Principal Contact:
Street and Number:
Town or Province:
Country:
Phone Number:
Fax Number:
E-Mail:
Web-Site:

2. Please complete table below.

Equipment / Amount in US Dollars
Origin of Equipment
Name of supplier / Tradeway
Phone number of supplier / 661-263-1482
Web-site / http://www.Tradeway.us
Name of supplier contact / Vartan Vahramian, GM
New or used equipment?
Estimated shipment date

3. Explain what the equipment does and why the company needs the equipment. Also, indicate if the equipment is to be located in an existing or a newly built location.

4. Provide a brief description of the company’s activities.

5. Corporate Structure (Check one)

Corporation

Sole Proprietorship

(If Sole Proprietorship, please submit the last three (3) years tax returns.

6. Please list all owners of the company and their corresponding percentage of ownership in the table below.

Name / Percentage of Ownership
Total / 100%

7. Support Credit Export Experience (“ECA”): Please complete the tables below describing any experiences with ECAs.

Table 7-A

ECA Name (ExIm, Hermes, SACE, EDC, etc.) / Creditor Name / Balance / Origination Date / Maturity Date / Rate / Collateral

*If the company has had a claim or if the company is in the process of being claimed by any Export Credit Agency, this application will be declined.

Table 7-B

Does the company have any pending application with an Export Credit Agency? If yes, indicate below which Export Credit Agency and the amount to be financed.

8. Please list all affiliated entities and indicate if there are any intercompany transactions with the applicant.

Name of the company / %of Annual Sales / % of Annual Purchases

9. Please complete the following tables (in local currency):

Table 9-A

2009 / 2010 / 2011 / 2012 Interim
Depreciation Expense
Amortization Expense
Dividends Paid

Table 9-B

2009 / 2010 / 2011 / 2012 Interim
Interest Expense
Interest Income
Exchange Losses
Exchange Gains
Monetary Gains
Monetary Losses
Other
Total Financing Cost

11. Please provide details of the company’s short term and long term loans in the tables below.

Table 11-A

Long Term Loans (with 2 or more year maturity from origination).

Short Term Loans (loans that typically have 1 year term from origination).

Creditor / Balance / Origination Date / Maturity Date / Rate / Collateral / Guarantors

Table 11-B

Long Term Loans (with 2 or more year maturity from origination).

Creditor / Balance / Origination Date / Maturity Date / Rate / Collateral / Guarantors

Table 11-C

Current Portion Long Term Debt (CPLTD): The portion of the balance sheet that represents the total amount of long-term debt that must be paid within the fiscal year.

2009 / 2010 / 2011 / 2012 Interim

12. We will require the documents:

·  Three years of financial statements prepared by an outside accountant (including detailed notes to the financial statements and the financial statements must be signed by a legal representative and the accountant responsible)

·  Interim financial statements must be supplied if the year end statements are more than 3 months old

·  Audited financial statements are required. Please note that the auditor must be acceptable to Ex-Im Bank. Below, complete information about the company’s auditor: Provide auditor’s name, address, telephone and website (if any).

Print Name:______Signature:______

______

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