This Guarantee shall be governed by and construed in accordance with the laws of the United States of America governing contracts and commercial transactions of the United States Government.
Sec. Appendix A to Part 221--Application for Compensation [----------------]
Agency for International Development, International Development Cooperation Agency, Washington, DC 20523.Ref: Guarantee dated as of ------------, 19----:Gentlemen:
You are hereby advised that payment of $------------ (consisting of $------------ of principal, $------------ of interest and $------------ in Further Guaranteed Payments, as defined in Sec. 221.01(f) of the Standard Terms and Conditions of the above-mentioned Guarantee) [(consisting of $-------- maturity amount and $-------- in Further Guaranteed Payments, as defined in Sec. 221.01(f) of the Standard Terms and Conditions of the above-mentioned Guarantee)] \1\ was due on ------------, 19 ----, on $------------ principal [maturity] \1\ amount of Notes held by the undersigned of the Government of Israel, on behalf of the State of Israel (the ``Borrower''). 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 Sec. 221.21 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 $------------, the interest amount on such Note(s) that was due and payable by the Borrower on -------- and that remains unpaid, [$------------, the maturity amount of such Note that was due and payable on ---------------- and that remains unpaid] \2\ and $------------ in Further Guaranteed Payments, \3\ 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\ Alternate language for zero-coupon Eligible Notes.
\2\ Alternate language for zero-coupon Eligible Notes.
\3\ 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. ---------------------------------------------------------------------------[Name of Applicant] By______________________________________________________________________Name____________________________________________________________________Title___________________________________________________________________Dated___________________________________________________________________