Financial Instrument Monetization / Collateral

Type of Instrument

SBLC

MTN

Bank Guarantee

Other

Other type of Instrument

Issuing Bank

Face Value

Maturity Date

ISIN/CUSIP (if applicable)

Instrument Ownership

Owned

Leased

To Be Acquired

Date Acquired

Purchase/Lease Price

Intended Acquisition Date

Seller/Lessor Information

Transaction Request

Monetization

Collateral for Lending

Desired Transaction Amount

Preferred Term (Months)

Purpose of Transaction

Current Market Value

Projected Value at Maturity

Recent Appraisals/Valuations

Yes

Date

Appraiser

Any existing liens or encumbrances?

Yes

Details

Debt Amount

Owed To

Due Date

In Default

Yes

Instrument Jurisdiction

Transferability

Transferable

Non-transferable

Are you aware of all applicable regulations?

Yes

Instrument verifiable via SWIFT

Yes

MT760 available?

Yes

Other verification methods available

Desired Completion Date

Any Time-Sensitive Factors

Additional Services Required

Asset Validation

Legal Due Diligence

Escrow Services

Tax Consultation

Other

Other Additional Service

Liabilities

Other Assets

Annual Revenue

Proposed Repayment Method

Source of Repayment Funds

Previous Experience with Similar Transactions

1-3 Transactions

4+ Transactions

Broker Fee Structure

Broker Agreement in Place

Yes

Copy of Financial Instrument

Yes

Proof of Ownership/Right to Transact

Yes

Corporate/Individual KYC Documents

Yes

Financial Statements

Yes

Broker Agreement (if applicable)

Yes