Export-Import Bank of the United States
Payment Default Report (Online)
Instructions:
You are required to report all amounts that are overdue, even if full payment is subsequently made by the obligor.
Refer to your insurance policy or guarantee with respect to post-default obligations, claim filing requirements, notice and other requirements.
Date of Notice: [_____________]
Ex-Im Bank Guarantee/Insurance Policy number: [____________]
Guarantee/Policy Type: [self-populating]
Information about Installment in Default
1. Current outstanding loan balance: [_____________]
2. Due Date/Payment Date of defaulted installment: [_____________]
Installment number: [____] of [____]
3.
Amount due on Due Date/Payment Date: [______________]
□ Default cured on (insert date): [__________]
□ Partial payment(s) received
in the total amount of: [___________]
on date(s): [__________]
□ No payments received in respect of amounts in default
Reason(s) for non-payment (check all that apply):
□ Slow pay typical
□ Increase in accounts receivable
□ Lack of revenues
□ Natural disaster
□ Poor management
□ Country/sector economic/political events
□ Foreign exchange/transfer problems
□ Equipment failure
□ Bankruptcy
□ Dispute
□ Other (specify): [_________________________]
Lender actions taken to correct the problem (check all that apply):
□ Contacts with buyer/borrower:
□ Letter sent
□ Phone calls
□ Face-to-face meeting with borrower
□ Other (specify): [_________________]
□ Cancel other lines of credit
□ Educate/inform borrower
□ Other (specify): [____________________]
Borrower actions taken to correct the problem (check all that apply):
□ Agreed to pay defaulted amounts
□ Conditional agreement to pay defaulted amounts
□ condition/contingency (specify): [ ____________]
□ Cash flow management:
□ Revising cash flow projections
□ Improving receivables
□ Managing payables
□ Surviving shortfalls
□ Adjusting for business cyclicality and debt service
□ Company reorganization
□ Requested rescheduling of debt
□ Requested waiver (specify): [_____________]
□ Other (specify): [____________________]
Expectations of future performance for this borrower:
□ Expect resolution:
□ high probability
□ reasonable probability
□ low probability
□ Imminent claim likely
Transaction Information [self-populating]
Borrower/Buyer:
[name]
[address]
[contact]
[phone]
[fax]
[email]
Guarantor(s): [for each guarantor]
[name]
[address]
[contact]
[phone]
[fax]
[email]
Goods and Services:
[description]
Exporter(s): [for each exporter]
[name]
[address]
[contact]
[phone]
[fax]
[email]
Broker (if insurance):
[name]
[address]
[contact]
[phone]
[fax]
[email]
Collateral:
[description]
Credit:
Total Financed Amount: [credit amount]
Final Disbursement Date: [date]
First Principal Payment Date: [date]
Payable: [monthly/quarterly/semi-annually/annually]
Number of installments: [#]
Total principal amount in default: [____________]
Total interest amount in default: [_____________]
If any of the contact information for the Borrower (or Guarantor) has changed, please provide current information:
[___________________]
[___________________]
Name of Lender/Insured: [____________]
Contact person:
Name: [________________]
Title: [________________]
Phone: [_______________]
Email: [_______________]
| File Type | application/msword |
| File Title | NEPA Lawsuit |
| Author | cook |
| Last Modified By | whitt |
| File Modified | 2009-05-15 |
| File Created | 2009-05-15 |