Form CS-4300LOC "Line of Credit Statement" - Pennsylvania

What Is Form CS-4300LOC?

This is a legal form that was released by the Pennsylvania Department of Transportation - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the Pennsylvania Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CS-4300LOC by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Transportation.

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Download Form CS-4300LOC "Line of Credit Statement" - Pennsylvania

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LINE OF CREDIT STATEMENT
CS-4300LOC (2-19)
www penndot gov
Name of Bank _______________________________________
Street Address _______________________________________
City/State/Zip _______________________________________
Date ___________
Mail To: Department of Transportation
Prequalification Office
400 North Street – 7th Floor North
Harrisburg, Pennsylvania 17120-0094
BP ID ________________
A line of credit in the maximum amount of $_______________has been placed at the disposal of
___________________________________________________________________________________
for use when, as, and if needed throughout the one-year period beginning ______________, subject to
the usual conditions, including the requirement that the borrower’s financial condition and other
circumstances remain satisfactory to the bank at the time of any proposed borrowing. Should there be
any reduction, termination, or increase in this line of credit, the Department of Transportation would
appreciate being notified of these changes as soon as possible. The banking facility will not be held
accountable in any fashion by the Department.
The following items, listed as liquid assets in Part 1 of the questionnaire being submitted by
___________________________________________________________ have been pledged to secure
the line of credit mentioned above:
*The line of credit mentioned has been given with full knowledge of accommodations extended
by other banks in amounts as follows: $ ________________
**It is not intended that this statement confer to the Department of Transportation or the
Commonwealth of Pennsylvania any rights in and to said line of credit nor shall this statement
create any obligation of ______________________________________________________________
except as expressly set forth herein.
(Name of Bank)
AFFIDAVIT
State of _______________________________________
County of _____________________________________ SS: _____________________
__________________________________________________________________________ being duly
sworn, deposes and says that they are ___________________________________________________
of the ___________________________________________, the bank named in and which executed
the foregoing statement. Sworn to before me this ______ day of ________________, 20___.
___________________________________________________________
(Bank Officer Sign Here)
___________________________________________________________
(Notary Public)
(NOTARIAL SEAL)
LINE OF CREDIT STATEMENT
CS-4300LOC (2-19)
www penndot gov
Name of Bank _______________________________________
Street Address _______________________________________
City/State/Zip _______________________________________
Date ___________
Mail To: Department of Transportation
Prequalification Office
400 North Street – 7th Floor North
Harrisburg, Pennsylvania 17120-0094
BP ID ________________
A line of credit in the maximum amount of $_______________has been placed at the disposal of
___________________________________________________________________________________
for use when, as, and if needed throughout the one-year period beginning ______________, subject to
the usual conditions, including the requirement that the borrower’s financial condition and other
circumstances remain satisfactory to the bank at the time of any proposed borrowing. Should there be
any reduction, termination, or increase in this line of credit, the Department of Transportation would
appreciate being notified of these changes as soon as possible. The banking facility will not be held
accountable in any fashion by the Department.
The following items, listed as liquid assets in Part 1 of the questionnaire being submitted by
___________________________________________________________ have been pledged to secure
the line of credit mentioned above:
*The line of credit mentioned has been given with full knowledge of accommodations extended
by other banks in amounts as follows: $ ________________
**It is not intended that this statement confer to the Department of Transportation or the
Commonwealth of Pennsylvania any rights in and to said line of credit nor shall this statement
create any obligation of ______________________________________________________________
except as expressly set forth herein.
(Name of Bank)
AFFIDAVIT
State of _______________________________________
County of _____________________________________ SS: _____________________
__________________________________________________________________________ being duly
sworn, deposes and says that they are ___________________________________________________
of the ___________________________________________, the bank named in and which executed
the foregoing statement. Sworn to before me this ______ day of ________________, 20___.
___________________________________________________________
(Bank Officer Sign Here)
___________________________________________________________
(Notary Public)
(NOTARIAL SEAL)