Free F207-112-111 Amendment of Irrevocable Standby Letter of Credit - Washington


File Size: 109.7 kB
Pages: 1
Date: July 19, 2007
File Format: PDF
State: Washington
Category: Workers Compensation
Author: Forms Management
Word Count: 154 Words, 1,181 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.lni.wa.gov/Forms/pdf/207112cf.pdf

Download F207-112-111 Amendment of Irrevocable Standby Letter of Credit ( 109.7 kB)


Preview F207-112-111 Amendment of Irrevocable Standby Letter of Credit
Amendment of Irrevocable Standby Letter of Credit
Letter of Credit Number Name of Bank Applicant (Employer's Name) Amendment Number Date Letter of Credit Issued Effective Date of Amendment

Beneficiary: State of Washington, Department of Labor and Industries
The irrevocable standby letter of credit (hereafter referred to as 'letter of credit') captioned above is hereby amended as noted below. All other terms and conditions remain unchanged. This amendment forms an integral part of the letter of credit and must be attached to it.

The amount available under the captioned letter of credit is increased/decreased by $___________________, making the total now available to be $ ___________________________. The expiration date of this letter of credit is extended from ___________________ to ______________________. Other: ______________________________________________________________________________________

Issuing Bank
Name Title Signature Date

Confirming Bank
Name Title Signature Date

RESET
Accepted by State of Washington Department of Labor and Industries
Date Program Manager for Self-Insurance

F207-112-111 amendment of irrevocable standby letter of credit 12-06