Appendix A to Part 238 - Application for Compensation
22:1.0.2.22.33.0.30.17.34 : Appendix A
Appendix A to Part 238 - Application for Compensation United States
Agency for International Development Washington, DC 20523 Ref:
Guarantee dated as of __, 20 _:
Gentlemen: You are hereby advised that payment of $__
(consisting of $__ of principal, $__ of interest and $__ in Further
Guaranteed Payments, as defined in § 238.2 of the Standard Terms
and Conditions of the above-mentioned Guarantee) was due on __, 20
__, on $__ Principal Amount of Notes issued by Hashemite Kingdom of
Jordan (the “Borrower”) held by the undersigned. 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 § 238.8 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 plus
accrued and unpaid interest thereon from the date of default with
respect to such payments to and including the date payment in full
is made by you pursuant to said Guarantee, at the rate of __% per
annum, being the rate for such interest accrual specified in such
Note. Such payment is to be made at [state payment instructions of
Noteholder].
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] By: Name: Title: Dated: