Regulations last checked for updates: Apr 27, 2024

Title 22 - Foreign Relations last revised: Apr 24, 2024
Appendix Appendix A - Appendix A to Part 233—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 § 233.02 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 § 233.08 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 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:
authority: Title III of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2012, Division I, Pub. L. 112-74, as applied to fiscal year 2013 funding by section 1706(j) of the Further Continuing Appropriations Act, 2013, Division F, Pub. L. 113-6
source: 78 FR 64175, Oct. 28, 2013, unless otherwise noted.