Capital One Confidential Page 1 of 2 Rev 09/2014
Application for Irrevocable Commercial Letter of Credit
TO: Capital One, N.A. DATE:
Letter of Credit Operations
301 West 11
th
Street, 3
rd
Floor
Wilmington, Delaware 19801
Please issue an irrevocable Commercial Letter of Credit as set forth in this application by:
COURIER TELETRANSMISSION FULL DETAILS
ALL INFORMATION MUST BE TYPED
IN FAVOR OF (BENEFICIARY)
(SPECIFY COMPLETE NAME AND ADDRESS)
OPENER:
FOR ACCOUNT OF (APPLICANT’S NAME AND ADDRESS)
ADVISING BANK/TRANSFERRING BANK
If blank, a Capital One correspondent bank will be used
AMOUNT:
AMOUNT (in words):
PLUS OR MINUS: %
EXPIRATION DATE:
Available by drafts at , drawn on CAPITAL ONE, N.A., NEW YORK, NY 100% of the invoice value.
LATEST SHIP DATE: PRESENTATION PERIOD ______ DAYS (if blank, 21 days will apply)
SHIPMENT FROM: SHIPMENT TO:
PARTIAL SHIPMENTS NOT ALLOWED ALLOWED TRANSHIPMENT NOT ALLOWED ALLOWED
(If not selected, Not Allowed will apply) (If not selected, Not Allowed will apply)
COVERING: Merchandise described in the invoice as
(mention commodity only in generic terms omitting details as to grade, quality, etc.)
DOCUMENTS REQUIRED: (MARK AN “X” IN THE BOXES BELOW THAT APPLY)
COMMERCIAL INVOICE IN ORIGINAL(S) AND COPIES
SPECIAL CUSTOMS INVOICE IN ORIGINAL(S) AND COPIES
NEGOTIABLE INSURANCE POLICY/CERTIFICATE COVERING ALL RISKS IN ORIGINAL
(Specify other risks, if any)
PACKING LIST IN ORIGINAL(S) AND COPIES
INSPECTION CERTIFICATE: ISSUED BY: and SIGNED BY:
CERTIFICATE OF ORIGIN
OTHER DOCUMENTS:
For Bank Use Only
L/C No.:
Approved by:
INITIALS
S U
DATE:
USD
Capital One Confidential Page 2 of 2 Rev 04/2017
AIR WAYBILL CONSIGNED TO CAPITAL ONE, N.A.
MARKED, NOTIFY
MARKED FREIGHT PREPAID COLLECT
FULL SET CLEAN “ON BOARD” OCEAN BILLS OF LADING PLUS NON-NEGOTIABLE COPIES ISSUED TO THE ORDER
OF CAPITAL ONE, N.A. MARKED, NOTIFY
MARKED FREIGHT PREPAID COLLECT
OTHER TRANSPORT DOCUMENT
MARKED FREIGHT PREPAID COLLECT
SHIPPING TERMS (Check one)
SEA TRANSPORT FOB CFR CIF OTHER
OTHER TRANSPORT FCA CPT CIP OTHER
OTHER INSTRUCTIONS
TRANSFERABLE (Restricted to advising bank, unless otherwise instructed)
OTHER BANK’S CHARGES ARE FOR B/A DISCOUNT CHARGES ARE FOR (For Time Letters of Credit Only)
OUR ACCOUNT BENEFICIARY’S ACCOUNT OUR ACCOUNT BENEFICIARY’S ACCOUNT
Discrepancy Waiver(s): The following name(s) is/are designated as persons authorized to waive discrepancies in the documents:
In the event that the Bank requires further information, please contact
NAME E-MAIL ADDRESS: ____________________
TELEPHONE NO. FAX NO.
The Letter of Credit will be subjected to the Uniform Customs and Practice for Documentary Credits of the International
Chamber of Commerce currently in effect. Unless otherwise stipulated, Insurance is to be covered by ourselves and we
agree to keep Insurance coverage in force until this transaction is completed. Unless otherwise instructed documents
shall be forwarded to you in one airmail.
This Application is subject to the terms and conditions of a certain Continuing Agreement for Irrevocable Commercial
Letters of Credit, a copy of which has been furnished by the undersigned.
Name of Applicant Company Opener: Correspondent Bank (Co-Applicant)
Applicant Company Contact Name Correspondent Bank Contact Name
Applicant Authorized Signature, Date Bank Contact Authorized Signature, Date
For Internal Use Only: Officer’s Authorization
Name:
Officer No.: Initials:
Loan Administration Department Post Closing Approval: ACBS ALS
Disbursement Number:
Reviewed By:
Date:
Extension:
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