Bank of the James

Borrowing Base Certificate

Complete the following information for the corresponding Accounts Receivable Aging Report and Balance Sheet for the Month reported.

Company Name *

Loan Number *

Month Reported *

Accounts Receivable Summary

Total Accounts Receivable *

Less: Accounts over 90 days *

Less: Inter-company Accounts *

Less: Bonded Accounts *

Less: Concentration of Accounts in excess of 10% *

Less: Other as defined by Bank *

Total Eligible Receivables

Advance Rate (not to exceed 80%)

Total Margined Receivables

Inventory Summary

Total Inventory *

Advance Rate (not to exceed 50%)

Total Margined Inventory

Available Borrowing Base

Note: If the current line of credit funded loan amount is greater than the borrowing base limit, the loan must be paid down accordingly.

Less: Current Loan Balance (maximum commitment) *

Available Funds (Remaining Line Limit or Payment Due)

Supporting Documents

Click here to upload the Accounts Receivable Aging Report and Balance Sheet for the reported Month. *

Certification and Acknowledgement

This certificate is made and given in compliance with the laon agreement dated

For purposes of securing credit from Bank of the James, I hereby certify that I am authorized by this company to provide this information on its behalf and the above information is true and correct in all material respects and the assets are assigned and pledged to the Bank. This certificate is made and given in compliance with the Loan Agreement and Security Agreement with the following date. *

This Certificate was prepared by: *

First Name Last Name

Email *

example@example.com

Title *

Date Prepared *

Date

Sign with DocuSign *