22 C.F.R. Appendix A to Part 230—Application for Compensation
Title 22 - Foreign Relations
United States Agency for International Development Washington, DC 20523 Ref: Guarantee dated as of __________, 19__: Gentlemen: You are hereby advised that payment of $__ (consisting of $__ of principal, $__ of interest and $__ in Further Guaranteed Payments, as defined in §230.02(f) of the Standard Terms and Conditions of the above-mentioned Guarantee) was due on ___, 20_, on $__ principal amount of Notes held by the undersigned of the Government of Israel, on behalf of the State of Israel (the “Borrower”). Of such amount $__ was not received on such date and has not been received by the undersigned at the date hereof. In accordance with the terms and provisions of the above-mentioned Guarantee, the undersigned hereby applies, under §230.08 of said Guarantee, for payment of $__, representing $__, the Principal Amount of the presently outstanding Note(s) of the Borrower held by the undersigned that was due and payable on ___ and that remains unpaid, and $__, the Interest Amount on such Note(s) that was due and payable by the Borrower on____ and that remains unpaid, and $__ in Further Guaranteed Payments,1 1 In the event the Application for Compensation relates to Further Guaranteed Payments, such Application must also contain a statement of the nature and circumstances of the related loss. All capitalized terms herein that are not otherwise defined shall have the meanings assigned to such terms in the Standard Terms and Conditions of the above-mentioned Guarantee. [Name of Applicant] Name: Title: Dated:
Title 22: Foreign Relations
PART 230—ISRAEL LOAN GUARANTEES ISSUED UNDER THE EMERGENCY WARTIME SUPPLEMENTAL APPROPRIATIONS ACT OF 2003, PUB. L. 108–11—STANDARD TERMS AND CONDITIONS
Appendix A to Part 230—Application for Compensation