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Letter of Indemnity / Air Release Application
DATE:
TO: Capital One N.A.
Letter of Credit Operations
301 West 11
th
Street, 3
rd
Floor
Wilmington, Delaware 19801
CUSTOMER NAME:
Please issue your authorization to release the following described goods under your reference
no.
_ ___________
Attached is a copy of the Airway Bill and the invoice for USD________________.
Master
Airway Bill No.:
to the Carrier company or its Agent named below.
House Airway Bill No.:
Bill of Lading No.:
Vessel’s Name:
Shipment Date:
Shipment From:
Shipment To:
Merchandise Description:
Name / Address of Airline / Courier / Steamship Company:
Telephone No.:
Facsimile No.:
We understand that the issuance of such guarantee precludes us from subsequently claiming that the
documents are not in accordance with the terms and conditions of the Letter of Credit/Documentary
Collection.
(Organization’s/Client’s Legal Name)
[Dated]
[Print Name of Authorized Representative]
[Print Title of Authorized Representative]
[Signature of Authorized Representative]
click to sign
signature
click to edit
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