/ APPLICATION FORM

PLEASE FILL IN ALL RELEVANT FIELDS

CheckType of Services:
Documentary L/C / Standby L/C / Bank Guarantee
MT799/999 POF / RWA Letter / Bank Letter POF
Other:

Applicant Details

1. Company Name

2. First Name

3. Last Name

4. Address

5. City and Zip Code

6. Country

7. Phone

8. Fax

9. E-mail

10. Passport Number

11. Date Issued/Expired

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Amount you are applying for:

Amount:

Currency:

Transaction Questions

1. Provide a Brief Description of your transaction, and how the instrument is to be used:

2. If the Investor requires escrow of the fee money can you comply?

3. Is the instrument being used as collateral for a loan? If so, can you provide guarantees the instrument wont be called upon? Please explain:

4. Are you able to work with a 2nd Tier bank if the fees are more affordable? Please explain:

Beneficiary Bank Information

1. Name

2. Full Address

3. SWIFT Code

4. Account Number

5. Account Name

6. Bank Officer Name

7. Phone

8. Fax

9. Email

Beneficiary Information

1. Name

2. Address

3. City and Zip Code

4. Country

5. Phone

6. Fax

7. E-mail

APPLICATION CONTINUES ON NEXT PAGE

FOR IMPORT/EXPORT TRANSACTIONS ONLY (continue to last page)

Shipment Information

1. Expiration Date

2. Latest Shipment Date

3. Shipping From

4. Shipping To

5. Shipping Medium

Sea / Air
Land

Merchandise Description

ADDITIONAL IMPORT-EXPORT INFORMATION

Freight:

Prepaid / Collect

Who is covering Insurance?

Shippers / Buyers

Are partial Shipments allowed?

Allowed / Not Allowed

Is transshipment allowed?

Allowed / Not Allowed

What are the terms?

FOB / CIF
CFR / DDP

Is the Letter of Credit Transferable?

Yes / No

Notes and Other Conditions

ADDITIONAL DOCUMENTATION REQUIRED

Please attach the following documents when submitting your application:

•Companies: Corporate applicants must provide a Certificate of Incorporation or Certificate of Good Standing.

•Authorized Persons: Associated or authorized applicants must provide passport identification.

•Proof Of Funds: all applications must provide a statement showing the funds available for payment of bank fees. All broker fees are paid following the successful deliver of the instrument.

•Short Summary of Business Plan

•Bio of Management Group

•Balboa Trade, Inc. Non-Solicitation Non-Disclosure Statement

•Third Party Contracts: provide any sales contracts, agreements, letters of intent, etc regarding the proposes transaction with third parties.

•SBLC/BG/POF Letter and SWIFT Text:Provide (if relevant) the SWIFT text required by the receiving Beneficiary Bank with full Beneficiary banking coordinates.

I Attest as a legally appointed director, member, executive, or otherwise legally authorized and appointed individual to the applicant company that theinformationinputted here with any and all attached documentation is true and correct to the best of my knowledge.

Authorized Digital Signature

Date

• Phone: +1 323-522-5433 • • •