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[[preprinted]
Form TFE-1 (Revised 2-45)
TREASURY DEPARTMENT
FOREIGN FUNDS CONTROL

Application No. [[blank line]] (For Treasury Use Only)

APPLICATION FOR A LICENSE TO ENGAGE IN A FOREIGN EXCHANGE TRANSACTION, TRANSFER OF CREDIT, PAYMENT, EXPORT OR WITHDRAWAL FROM THE UNITED STATES, OR THE EARMARKING, OF GOLD OR SILVER COIN OR BULLION OR CURRENCY, OR THE TRANSFER, WITHDRAWAL OR EXPORTATION OF, OR DEALING IN, EVIDENCES OF INDEBTEDNESS OR EVIDENCES OF OWNERSHIP OF PROPERTY.*

(To be executed and filed in duplicate with the Federal Reserve Bank for the district or with the Governor or High Commissioner of the territory or possession of the United States in which the applicant resides or has his principal place of business or principal office or agency. If the applicant has no legal residence or principal place of business  or principal office or agency in a Federal Reserve District or such territory or possession the application should be filed with the Federal Reserve Bank of New York or the Federal Reserve Bank of San Francisco.)

TO THE SECRETARY OF THE TREASURY
c/o FEDERAL RESERVE BANK OF [[blank line]] DATE: [[blank line]]

Sir:

In accordance with Executive Order No. 8389 of April 10, 1940, as amended, regulating transactions in foreign exchange, etc., and the regulations and rulings issued thereunder, the undersigned hereby applies for a license to execute the transaction described below:

A. (1) The name of the applicant is [[blank line]];

(2) Applicant resides at or, in the case of a corporation, partnership, association or other organization, has its principal place of business at:
(Street)[[blank line]], (City)[[blank line]], (State)[[blank line]], (Country)[[blank line]];

(3)Applicant is and has been a citizen of [[blank line]] since [[blank line]] (Month)(Day)(Year):

(4)The nationality under the Order** of the applicant is [[blank line]]

(5) Since [[blank line]] the applicant has been engaged in the business of [[blank line]] (State nature of business)

B. The applicant desires a license in order to: 
(State in detail the nature, purpose and amount of the transaction, and the name, address, nationality under the Order** and extent of interest of every party, including the applicant, involved or interested in the transaction.)

Applicant's No.

*All definitions appearing in Executive Order No. 8389 of April 10, 1940, as amended, and the regulations and rulings issued thereunder shall apply to the terms employed herein.

**In the case of a corporation, partnership, or association, give country in which organized and indicate the approximate percentages of stock, shares, bonds, debentures, notes, drafts, or other securities or obligations of such organization owned or controlled, directly or indirectly, by a blocked country or one or more nationals thereof.
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