To Be Submitted on Company S Headed Paper

(TO BE SUBMITTED ON COMPANY’S HEADED PAPER)

The Manager

Grant Payments Section

Enterprise Ireland

The Plaza

East Point Business Park

Dublin 3

Date

Dear Sir/ Madam

Re: (State name of Company)

Letter of Offer Dated:

Claim No. E.I. Project No:

In accordance with the above contract under which a Capital Investment Initiative Grant amounting to €______(state amount) was approved for the above mentioned Company we hereby apply for a grant instalment amounting to €______(state amount).

The following amounts which are exclusive of VAT have been paid to date by the Grantee Company and are in accordance with the books and records of the Company:

Plant & Machinery / Technology Acquisition / Total
€ / € / €
Expenditure per this application / 0.00 / 0.00 / 0.00
Amount of grant payable
(___ %) / 0.00 / 0.00 / 0.00

Foreign currency amounts have been converted to € using the rate of exchange at the date of payment and thus represent the actual € cost paid.

In the case of capital costs included in this claim I/we confirm that such capital costs and assets will not subsequently be leased, sub-let, relocated or disposed of for the duration of the term of the Grant Agreement and the grant liability period.

In the case of leased/HP costs included in the claim I/we confirm that such costs claimed (net of VAT and interest) have been paid by the grantee Company at the date of this claim.

The information contained in this claim documentation is true, accurate and complete.

Details of the expenditure in respect of the present application are attached and are correct and all part payments & machinery are highlighted on attached back-up schedules.

Supporting invoices, statements, quotations etc. in respect of this claim can be inspected at the Company’s premises at ______(state address).

Yours faithfully

To be signed by Managing Director or Two Directors

Version 05/09/2016