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FE D E RA L R E SE R V E BANK
OF NEW YORK

Fiscal Agent of the United States
r C ircu la r N o . 4 2 8 ( 1 1
L N ovem ber 2 5 , 1955 J

OFFERING OF

2 % Percent Treasury Certificates o f Indebtedness o f Series D-1956,
or 2~/g Percent Treasury Notes o f Series A-1958
IN EXCHANGE FOR

1 % Percent Treasury Certificates o f Indebtedness o f Series E-1955,
or 1 % Percent Treasury Notes o f Series B-1955

To A ll Banking In stitution s, and O thers Concerned,
in the Second Federal R eserve D istrict :

The follow in g statement was made public to d a y :
The Treasury Department announced today that the subscription books will open on Monday,
November 28, for an optional exchange of its December maturities into 2% percent one-year Treasury
certificates of indebtedness or 2 % percent two and one half year Treasury notes, maturing June 15,
1958. Cash subscriptions will not be received.
These securities will be offered in
due on December 15. These securities
ness and $6,853 million of 1% percent
the option o f exchanging for either of

exchange for $12,212 million of securities which will become
consist of $5,359 million of 1^4 percent certificates of indebted­
Treasury notes. Holders of the maturing securities will have
the issues now offered.

The new certificates and the new notes will be dated December 1, 1955, and exchanges will be
made at par with an adjustment of interest as of that date. Delivery of the new securities will be
made on December 8 , following acceptance of the securities to be exchanged. Coupons dated Decem­
ber 15, 1955, should be attached to the certificates and notes to be exchanged, and accrued interest to
December 1, 1955, will be paid in each case on December 8 .
The subscription books will be open three days for this exchange offering. Any subscription for
either issue addressed to a Federal Reserve Bank or Branch, or to the Treasurer of the United States,
and placed in the mail before midnight Wednesday, November 30, will be considered as timely.

The terms o f these offerings are set forth in T reasury D epartm ent Circulars Nos. 971 and
972, both dated N ovem ber 28, 1955; a cop y o f each is printed on the follow in g pages.
Subscriptions w ill be received by this Bank as fiscal agent o f the U nited States. Subscrip­
tions should be made on official subscription form s, copies o f which are enclosed, and should be
m ailed im m ediately; if filed by telegram or letter, the subscriptions should be confirm ed
im m ediately b y mail on the form s provided. The subscription books w ill rem ain open fo r
three days only, from M onday, N ovem ber 28, until the close o f business, W ednesday, Novem ­
ber 30. A n y subscription addressed to a F ederal R eserve Bank or Branch or to the T reasury
Departm ent and placed in the mail b efore m idnight o f N ovem ber 30 w ill be considered timely.




A

llan

S

proul,

P resident.

UNITED STATES OF AMERICA
2 % PERCE N T T R E A S U R Y CERTIFICATES OF INDEBTEDNESS OF SERIES D-1956
Dated and bearing interest from D ecem ber 1, 1955

1955
D e p a r t m e n t C ir c u la r N o . 971

Due D ecem ber 1, 1956

TRE ASU RY DEPARTM ENT,
O

F is c a l S e r v ic e
B u r e a u o f t h e P u b li c D e b t

I.

O FF E R IN G O F C E R T IFICATES

1. The Secretary of the Treasury, pursuant to
the authority o f the Second Liberty Bond Act, as
amended, invites subscriptions from the people of
the United States for certificates of indebtedness
of the United States, designated 2 % percent
Treasury Certificates o f Indebtedness of Series
D-1956, in exchange for 1*4 percent Treasury
Certificates of Indebtedness o f Series E-1955, ma­
turing December 15, 1955, or 1% percent Treasury
Notes of Series B-1955, maturing December 15,
1955. Exchanges will be made at par with an ad­
justment o f interest as o f December 1, 1955. The
amount of the offering under this circular will be
limited to the amount o f maturing certificates and
notes tendered in exchange and accepted. The books
will be open only on November 28 through Novem­
ber 30 for the receipt o f subscriptions for this issue.
2. In addition to the offering under this circular,
holders of the maturing securities are offered the
privilege of exchanging all or any part of such
securities for 2~/s percent Treasury Notes of Series
A-1958, which offering is set forth in Department
Circular No. 972, issued simultaneously with this
circular.
II.

D E SC R IP TIO N OF C E R T IFICATES

1. The certificates will be dated December 1,
1955, and will bear interest from that date at the
rate of 2 % percent per annum, payable with the
principal at maturity on December 1, 1956. They
will not be subject to call for redemption prior to
maturity.
2. The income derived from the certificates is
subject to all taxes imposed under the Internal
Revenue Code of 1954. The certificates are subject
to estate, inheritance, gift or other excise taxes,
whether Federal or State, but are exempt from all
taxation now or hereafter imposed on the principal
or interest thereof by any State, or any of the
possessions of the United States, or by any local
taxing authority.
3. The certificates will be acceptable to secure
deposits o f public moneys. They will not be ac­
ceptable in payment o f taxes.
4. Bearer certificates will be issued in denomi­
nations of $1,000, $5,000, $10,000, $100,000,
$1,000,000, $100,000,000 and $500,000,000. The
certificates will not be issued in registered form.
5. The certificates wil be subject to the general
regulations of the Treasury Department, now or




f f ic e

of

th e

S

ecretary

,

Washington, November 28, 1955.
hereafter prescribed,
certificates.
III.

governing

United

States

SU BSCRIPTION A N D A LL O TM E N T

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of
the Treasurer of the United States, Washington.
Banking institutions generally may submit sub­
scriptions for account of customers, but only the
Federal Reserve Banks and the Treasury Depart­
ment are authorized to act as official agencies.
2. The Secretary of the Treasury reserves the
right to reject or reduce any subscription, and to
allot less than the amount of certificates applied
fo r ; and any action he may take in these respects
shall be final. Subject to these reservations, all
subscriptions will be allotted in full. Allotment
notices will be sent out promptly upon allotment.
IV .

PAYM ENT

1.
Payment at par for certificates allotted here­
under must be made on or before December S,
1955, or on later allotment, and may be made only
in Treasury Certificates of Indebtedness of Series
E-1955 or Treasury Notes of Series B-1955, matur­
ing December 15, 1955, which will be accepted at
par, and should accompany the subscription.
Coupons dated December 15,1955, must be attached
to the certificates and notes when surrendered, and
accrued interest from December 15,1954, to Decem­
ber 1,1955 ($12.02055 per $1,000) in the case of the
certificates, and accrued interest from June 15,1955,
to December 1, 1955 ($8.0806 per $1,000) in the
ease of the notes, will be paid on December 8 follow­
ing acceptance of the securities to be exchanged.
V.

G E N E R A L PRO VISIO N S

1. As fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to re­
ceive subscriptions, to make allotments on the basis
and up to the amounts indicated by the Secretary
of the Treasury to the Federal Reserve Banks of
the respective Districts, to issue allotment notices,
to receive paj'ment for certificates allotted, to make
delivery of certificates on full-paid subscriptions
allotted, and they may issue interim receipts pend­
ing delivery of the definitive certificates.
2. The Secretary of the Treasury may at any
time, or from time to time, prescribe supplemental
or amendatory rules and regulations governing the
offering, which will be communicated promptly to
the Federal Reserve Banks.
W. RANDOLPH BURGESS,

Acting Secretary of the Treasury.

UNITED STATES OF AMERICA
2 % PERCEN T T R E A S U R Y NOTES OF SERIES A-1958
Dated and bearing interest fro m D ecem ber 1, 1955

1955
D e p a r t m e n t C ir c u la r N o . 9 7 2

Due June 15, 1958

TREASU RY DEPARTM ENT,
O

F i s c a l S e r v ic e
B u r e a u o f t h e P u b li c D e b t

I.

O FFERIN G OF NOTES

1. The Secretary of the Treasury, pursuant to
the authority of the Second Liberty Bond Act, as
amended, invites subscriptions from the people of
the United States for notes o f the United States,
designated 2% percent Treasury Notes of Series
A-1958, in exchange for 1*4 percent Treasury
Certificates o f Indebtedness o f Series E-1955,
maturing December 15, 1955, or 1% percent Treas­
ury Notes o f Series B-1955, maturing December 15,
1955. Exchanges will be made at par with an
adjustment of interest as of December 1, 1955. The
amount of the offering under this circular will be
limited to the amount of maturing certificates and
notes tendered in exchange and accepted. The
books will be open only on November 28 through
November 30 for the receipt of subscriptions for
this issue.
2. In addition to the offering under this circular,
holders of the maturing securities are offered the
privilege o f exchanging all or any part o f such
securities for 2% percent Treasury Certificates of
Indebtedness of Series D-1956, which offering is
set forth in Department Circular No. 971, issued
simultaneously with this circular.
II.

D ESC R IP TIO N OF NOTES

1. The notes will be dated December 1, 1955, and
will bear interest from that date at the rate of
27/q percent per annum, payable on a semiannual
basis on June 15 and December 15, 1956, and
thereafter on June 15 and December 15 in each
year until the principal amount becomes payable.
They will mature June 15, 1958, and will not be
subject to call for redemption prior to maturity.
2. The income derived from the notes is subject
to all taxes imposed under the Internal Revenue
Code of 1954. The notes are subject to estate,
inheritance, gift or other excise taxes, whether
Federal or State, but are exempt from all taxation
now or hereafter imposed on the principal or inter­
est thereof by any State, or any o f the possessions
of the United States, or by any local taxing
authority.

f f ic e

of

th e

S

ecretary

,

Washington, November 28, 1955.
5.
The notes will be subject to the general regu­
lations of the Treasury Department, now or here­
after prescribed, governing United States notes.
III.

SU BSCRIPTIO N A N D A L L O TM E N T

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of
the Treasurer of the United States, Washington.
Banking institutions generally may submit sub­
scriptions for account of customers, but only the
Federal Reserve Banks and the Treasury Depart­
ment are authorized to act as official agencies.
2. The Secretary of the Treasury reserves the
right to reject or reduce any subscription, and to
allot less than the amount of notes applied f o r ; and
any action he may take in these respects shall be
final. Subject to these reservations, all subscrip­
tions will be allotted in full. Allotment notices will
be sent out promptly upon allotment.
IV .

PAYM ENT

1. Payment at par for notes allotted here­
under must be made on or before December 8 ,
1955, or on later allotment, and may be made only
in Treasury Certificates of Indebtedness of Series
E-1955 or Treasury Notes of Series B-1955, matur­
ing December 15, 1955, which will be accepted at
par, and should accompany the subscription.
Coupons dated December 15,1955, must be attached
to the certificates and notes when surrendered, and
accrued interest from December 15, 1954, to Decem­
ber 1,1955 ($12.02055 per $1,000) in the case of the
certificates, and accrued interest from June 15,1955,
to December 1, 1955 ($8.0806 per $1,000) in the
case of the notes, will be paid on December 8 follow­
ing acceptance of the securities to be exchanged.
V.

G E N E R A L PRO VISIO N S

3. The notes will be acceptable to secure deposits
of public moneys. They will not be acceptable in
payment of taxes.

1. As fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to re­
ceive subscriptions, to make allotments on the basis
and up to the amounts indicated by the Secretary
of the Treasury to the Federal Reserve Banks of
the respective Districts, to issue allotment notices,
to receive payment for notes allotted, to make de­
livery of notes on full-paid subscriptions allotted,
and they may issue interim receipts pending deliv­
ery of the definitive notes.

4. Bearer notes with interest coupons attached
will be issued in denominations o f $1,000, $5,000.
$ 1 0 ,0 0 0 , $ 1 0 0 ,0 0 0 , $ 1 ,0 0 0 ,0 0 0 , $1 0 0 ,0 0 0 , 0 0 0 and
$500,000,000. The notes will not be issued in regis­
tered form.

2. The Secretary of the Treasury may at any
time, or from time to time, prescribe supplemental
or amendatory rules and regulations governing the
offering, which will be communicated promptly to
the Federal Reserve Banks.




W. RANDOLPH BURGESS,

Acting Secretary of the Treasury.

(SUBMIT W ITH DUPLICATE WHITE COPY—N-2)

N-l

Subscriber’ s Reference No.

Subscription Number

EXCHANGE SUBSCRIPTION
For United States o f America 2 % Percent Treasury Notes of Series A-1958
Dated December 1, 1955, Due June 15, 1958
Im porta n t In stru ction s

-

1.

F

P lease use sepa ra te su b scrip tion fo r m :
a. F or ea ch issue surren d ered in exch ange.
b . F or each g rou p o f securities f o r w hich differen t d eliv ery instructions are given.

ederal

R

eserve

B

a n k of

N ew Y

ork,

Fiscal Agent of the United States,
Federal Reserve P. 0 . Station,
New York 45, N. Y.

Dated a t ................................
.1955

Attention Government Bond Department— 2nd Floor
D

ear

Sir s :

Subject to tlie provisions of Treasury Department Circular No. 972, dated November 28, 1955, the undersigned hereby
subscribes for United States of America 2% percent Treasury Notes of Series A-1958, as follows:
For own accou n t...................................................................................................
For our customers as listed on reverse side (for use of banking institutions)
Total subscription..........................................................

$...............................

and tenders in payment therefor a like par amount of the issue checked below:
(C h e c k one
o n ly ; use
se p a ra te fo r m

□ iy^% Certificates of Indebtedness due December 15, 1955, with December 15, 1955, coupons attached

surrend*.rVd)

^ 1'%% Treasury Notes due December 15, 1955, with December 15, 1955, coupons attached

t—

’

’

^

Delivered to you herewith.......................................................................................................

$...............................

To be withdrawn from securities held by you......................................................................

$...............................

To be delivered b y ..................................................................................................................

$...............................

Pay adjusted accrued interest due subscriber ($12.02055 per $1,000 on certificates surrendered, and $8.0806 per $1,000
‘ on notes surrendered) as follows:
□ By check

□ By credit to our reserve account

SECURITIES SURRENDERED

NOTES DESIRED IN EXCHANGE

( List serial numbers on reverse side)

t

Denomi­
nation

Pieces
$

Face amount

(Leave this space blank)

Denomi­
nation

Pieces

1,000

$

Face amount

(Leave this space blank)

1,000

8,000

5,000

10,000

10,000

100,000

100,000

--------------

1,000,000

1,000,000

TOTAL

TOTAL

□ 4. Ship to the undersigned
□ 5. Special instructions:

Dispose of securities issued, as follows:
□ 1. Deliver over the counter to the undersigned
□ 2. Hold in safekeeping (for member bank only)
□ 3. Hold as collateral for Treasury Tax and Loan Account

(I M P O R T A N T : N o ch anges in d eliv ery instructions w ill b e a cce p te d . A
separate su b scrip tion must be subm itted fo r each grou p o f securities as to
w h ich d ifferen t d eliv ery instructions are g iv e n .)________________________

T h e u n dersign ed h e re b y certifies that th e secu rities to be
d isp o se d o f as in d ica ted in item 2 or 3 a b o v e a re the
sole p r o p e rty o f th e u n d ersig n ed . ________________________

The subscription books will open on
November 28, and close at the close
of business November 30, 1955.

Submitted by
(Please print)

By..............

(Official signature required)

(Title)

Address
(S p a c e s b e lo w are fo r the use o f the F ed eral R eserve Bank o f N ew Y o r k )
G o v e r n m e n t B ond

Received

S a f e k e e p i n g R ecor d

V a u l t R ecord

Received

C ou n ted

Checked

Checked

R e c e iv e d f r o m F e d e r a l R e s e r v e B a n k o f N e w Y
S ta te s o b lig a t io n s in t h e a m o u n t s u b s c r ib e d f o r .

ork

t h e a b o v e d e s c r ib e d U n ite d

Checked
and
d e liv e re d

--------- ---------

NOTES ISSUED IN EXCHANGE
Subscription N o.......................................................................

Denomi­
nation

Pieces
2 % percent Treasury
in exchange.

Notes of Series

A -1 9 5 8 ,

issued

$

1,000
5,000
10,000

D E L IV E R Y C O M P L E T E D
1

]


http://fraser.stlouisfed.org/
i
Federal
Reserve Bank of St. Louis

100,000
1,000,000
TOTAL

Face amount

Numbers

DENOMINATIONS AND SERIAL NUMBERS OP SECURITIES SURRENDERED

List o f customers included in this subscription
(Ltav* Ihu
s P o c t b la n k )

Amount Subscribed




Name of Customer
( P ita st print or typewrite)

Address

(DUPLICATE COPY FOR USE OF FEDERAL RESERVE BANK OF NEW YORK)
Subscriber >s Reference N o.

N 2

Subscription N u m W

EXCHANGE SUBSCRIPTION
For United States o f Am erica 2 % Percent Treasury Notes o f Series A-1958
Dated D ecem ber 1, 1955, Due June 15, 1958
Im p orta n t Inatructiona
1.

Please use sepa ra te su b scrip tion fo r m :
a. F or each issue su rren d ered in exch ange.
b. F or each g ro u p o f securities f o r w hich differen t d eliv ery instructions are given.

F

ederal

R eserve B

a n k op

New Y

ork,

Fiscal Agent o f the United States,
Federal Reserve P. 0 . Station,
New York 45, N. Y.
_

_

Dated at
..................................................................

1 9 5 5

Attention Government Bond Department— 2nd Floor

D e a r S ir s :

Subject to the provisions of Treasury Department Circular No. 972, dated November 28, 1955, the undersigned hereby
subscribes for United States of America 2% percent Treasury Notes of Series A-1958, as follows:
For own account....................................................................................................................

$

For our customers as listed on reverse side (for use of banking institutions)

.......................

$...............................

Total subscription..........................................................

$...............................

and tenders in payment therefor a like par amount of the issue checked below:
(C h e c k one
separateUfo rm

^

Certificates of Indebtedness due December 15, 1955, with December 15, 1955, coupons attached

s u rr e n d e re d )

^

Treasury Notes due December 15, 1955, with December 15, 1955, coupons attached

Delivered to you herewith......................................................................................................

$...............................

To be withdrawn from securities held by you......................................................................

$...............................

To be delivered b y ..................................................................................................................

$...............................

Pay adjusted accrued interest due subscriber ($12.02055 per $1,000 on certificates surrendered, and $8.0806 per $1,000
on notes surrendered) as follows:
□ By check

□ By credit to our reserve account

.
S E C U R IT IE S

SU RREN DERED

N O T E S D E S IR E D

Denomi-

IN E X C H A N G E

DenomiFace amount

( L e a v e this space blank)

5,000

TOTAL

TOTAL
.....

□ 1. Deliver over the counter to the undersigned
□ 2. Hold in safekeeping (for member bank only)
□ 3. Hold as collateral for Treasury Tax and Loan Account
T h e u n d e rsig n e d h e re b y certifies that the secu rities to be
d is p o s e d o f as in d ica te d in item 2 or 3 a b ov e are the
•ole p r o p e rty o f the u n d ersigned.
_______________

□ 5. Special instructions:

(I M P O R T A N T : N o changes in d eliv ery instructions w ill b e a cce p te d . A
separate subscription must b e subm itted fo r each grou p o f securities as to
w hich differen t d elivery instructions are g iv e n .)_____________________________

The subscription books will open on
o f business November 3 0 , 1 9 5 5 .

—

(Please print)
(Official signature required)

(T itle)

(S p a c e s b e lo w are fo r the use o f the F ed eral R eserve Bank o f N ew Y o r k )
Governm ent B

ond

V

ault

R ec or d

S a f e k e e p i n g R ec or d

R e c e iv e d

C ou n ted

R e c e iv e d

C h e ck e d

C h eck ed

C h eck ed
and
d e liv e r e d




R e c e iv e d f r o m F e d e r a l R e s e r v e B a n k o f N e w Y o r k t h e a b o v e d e s c r ib e d U n ite d
S ta te s o b lig a t io n s in t h e a m o u n t s u b s c r ib e d f o r .

—

DENOM INATIONS AND SE R IA L NUM BERS OF SE C U R ITIE S SURRENDERED

List o f customers included in this subscription
IpfcVbhnk)

Amount Subscribed




Name of Customer
( Please print or typewrite)

Address

C-l

(SUBMIT W ITH DUPLICATE W HITE COPY— C-2)
Subscriber ’■ Reference No.

Subscription Number

EXCHANGE SUBSCRIPTION
F or United States o f Am erica 2 % Percent Treasury Certificates o f Indebtedness o f Series D-1956
Dated D ecem ber 1, 1955, Due D ecem ber 1, 1956
Im p orta n t In stru ction s
1.

F

P lease use sepa ra te su b scrip tion fo r m :
a. F or ea ch issue su rren d ered in exch ange.
b. F or each grou p o f securities f o r w h ich differen t d eliv ery instructions are given.

ederal

R eserve B

a n k op

New Y

ork,

Fiscal Agent o f the United States,
Federal Reserve P. 0 . Station,
New York 45, N. Y.

Dated a t ....................................................................
............................................................................. 1 9 5 5

Attention Government Bond Department— 2nd Floor
D

ear

S ir s :

Subject to the provisions of Treasury Department Circular No. 971, dated November 28, 1955, the undersigned hereby
subscribes for United States of America 2% percent Treasury Certificates of Indebtedness of Series D-1956, as follows:
For own accou n t..............................................................................................................................

$...............................

For our customers as listed on reverse side (for use of banking institutions)

.......................

$...............................

Total subscription..........................................................

$...............................

and tenders in payment therefor a like par amount of the issue checked below:
m

(C h e c k on e
• o n ly ; use
sepa ra te fo rm
to r ea ch issue
su rr e n d e re d )

□

1% % Certificates of Indebtedness due December 15, 1955, with December 15, 1955, coupons attached

□ 1% % Treasury Notes due December 15, 1955, with December 15, 1955, coupons attached

Delivered to you herewith.......................................................................................................

$...............................

To be withdrawn from securities held by you......................................................................

$...............................

To be delivered b y ..................................................................................................................

$...............................

Pay adjusted accrued interest due subscriber ($12.02055 per $1,000 on certificates surrendered, and $8.0806 per $1,000
on notes surrendered) as follows:
□

By check

□ By credit to our reserve account

SECURITIES SURRENDERED

CERTIFICATES DESIRED IN EXCHANGE

(List serial numbers on reverse side)

Denomi­
nation

(Pieces
$

g j'& k '

Face amount

( Leave this space blank)

Denomi­
nation

Pieces
$

1,000

Face amount

(L e a v e this sp a ce blanlc)

1,000

5,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TOTAL

TOTAL

□ 4. Ship to the undersigned
□ 5. Special instructions:

Dispose of securities issued, as follows:
1. Deliver over the counter to the undersigned
2. Hold in safekeeping (for member bank only)
3. Hold as collateral for Treasury Tax and Loan Account

(I M P O R T A N T : N o ch a n ges in d e liv e ry instructions w ill b e a cce p te d . A
separate su b scrip tion m ust be subm itted f o r each grou p o f securities as to
w hich differen t d e liv e ry instructions are g iv e n .)_____________________________

T h e u n dersign ed h e re b y certifies that the securities to be
d is p o s e d o f as in d ica te d in item 2 or 3 a b o v e are the
s o le p ro p e rty o f the u ndersigned .__________________
Submitted by

The subscription books will open on
November 28, and close at the close
o f business November 30, 1955.

(Please print)

B y ...........

(Official signature required)

(T itle)

Address
(S p a c e s b e lo w are fo r the use o f th e F ed eral R eserve Bank o f N ew Y o r k )
G o v e r n m e n t B ond

V a u l t B ec oe d

S a f e k e e p in g B

Received

Counted

Received

Checked

Checked

Checked
and
delivered

ecoed

Received from F e d e b a l R e s e b v e B a n k o r N e w Y o e k the above described United
States obligations in the amount subscribed for.

CERTIFICATES ISSUED IN EXCHANGE
iubBcription No.
Pieces

Denomi­
nation

percent Treasury Certificates o f Indebtedness o f
ies D-1956, issued in exchange.

1,000
5,000

10,000
D E L IV E R Y C O M P L E T E D




100,000

,

1 000,000
TOTAL

Face amount

Numbers

DENOMINATIONS AND SERIAL NUMBERS OF SECURITIES SURRENDERED




(DUPLICATE COPY FOR USE OF FEDERAL RESERVE BANK OF NEW YORK)
Subscriber’s Reference No.

Q .

. ..

„

'

C 9

Subscription Number

EXCHANGE SUBSCRIPTION
F or United States o f Am erica 2 % Percent Treasury Certificates o f Indebtedness o f Series D-1956
Dated D ecem ber 1, 1955, Due D ecem ber 1, 1956
Im p o rta n t In atra ction t
1.

P lea se use sepa ra te su b scrip tion fo r m :
a. F or ea ch issue surrend ered in exch a n ge.

ft

b. Fo* ea ch grou p o f securities f o r w h ich differen t d eliv ery instructions are given.

I

F

ederal

R eserve B

a n k op

N ew Y

ork,

Fiscal Agent o f the United States,
Federal Reserve P. 0 . Station,
New York 45, N. Y.

Dated at
.................................................................

2 9 5 5

Attention Government Bond Department— 2nd Floor

D e a r S ir s :

Subject to the provisions of Treasury Department Circular No. 971, dated November 28, 1955, the undersigned hereby
subscribes for United States of America 2% percent Treasury Certificates of Indebtedness of Series D-1956, as follows:
For own account..............................................................................................................................

$

For our customers as listed on reverse side (for use of banking institutions)

.......................

$..............................

Total subscription..........................................................

$...............................

and tenders in payment therefor a like par amount of the issue checked below:
(C h e c k on e
*eparateUfo r m

^ ^ ^ 7 ° Certificates of Indebtedness due December 15, 1955, with December 15, 1955, coupons attached

su rren d ered*

^

Treasury Notes due December 15, 1955, with December 15, 1955, coupons attached

Delivered to you herewith.......................................................................................................

$...............................

To be withdrawn from securities held by you......................................................................

$...............................

To be delivered b y ..................................................................................................................

$...............................

Pay adjusted accrued interest due subscriber ($12.02055 per $1,000 on certificates surrendered, and $8.0806 per $1,000
on notes surrendered) as follows:
□ By check
,

□ By credit to our reserve account

SECURITIES SURRENDERED

CERTIFICATES DESIRED IN EXCHANGE

(List serial numbers on reverse side)
Denomi­
nation

"^ ces
$

I’ ace amount

( Leave this spac blank)

Denomi­
nation

Pieces

1,000

*

( Leave

Face amount

this s; lace tlanlc)

1,000

5,000

5,000

10,000

10,000
100,000

100,000
9

1

. .

1,000,000

1,000,000

T O TA T,

TOTAL

□ 4. Ship to the undersigned
□ 5. Special instructions:

Dispose of securities issued, as follows:
0 1. Deliver over the counter to the undersigned
Q 2. Hold in safekeeping (for member bank only)
/ Q 3 . Hold as collateral for Treasury Tax and Loan Account

(IM P O R T A N T : No changes in d elivery instructions w ill b e a cce p te d . A
separate subscription m ust b e subm itted f o r each grou p o f securities as to
w hich d ifferen t d elivery instructions are g iv e n .)_____________________________

undersigned h e re b y certifies that the securities to be
disp osed o f as in d ica ted in item 2 or 3 a b o v e are the
so le p rop erty o f the u n dersig ned.__________________________

The subscription books will open on
November 28, and close at the close
of business November 30, 1955.

Submitted by
(P le a s e p r in t )

B y ....................
(O ff ic ia l s ig n a t u r e r e q u ir e d )

(T it le )

Address
(S p a ce s b e lo w are fo r the use o f the F ed eral R eserve Bank o f N ew Y o r k )
G

overnm ent

B

ond

V

a u lt

R

ecord

S

a f e k e e p in g

Received

Counted

Received

Checked

Checked

Checked
and
delivered

R

ecord

Received from F e d e r a l R e s e r v e B a n k o f N e w Y
States obligations in the amount subscribed for.

ork

the above described United

CERTIFICATES ISSUED IN EXCHANGE
Subscription N o............................................. .........................
Pieces
2 % percent Treasury Certificates o f Indebtedness o f
Series D-1956, issued in exchange.




Denomi­
nation
$

1,000
5,000
10,000
100,000
1,000,000
TOTAL

Face amount

Numbers

DENOMINATIONS AND SERIAL NUMBERS OF SECURITIES SURRENDERED




F ed era l R eserv e B a n k
o f N ew Y ork

NON-NEGOTIABLE RECEIPT

No.

TO ................................................................................

Receipt is acknowledged of
$ ................................................

Date.......

(N o te :

I f the securities you subscribed fo r ore to be delivered o t the
Federal R eserv e Bank o f N e w Y ork o v er the counter to your
representative, the follow in g authority should be execu ted .)

par amount of
□

l]/4% CERT. OF IND. SERIES E-1955

□

1% % TREAS. NOTES OF SERIES B-1955

tendered in payment o f your exchange subscription
for a like par amount of
□ 2 % % CERT. OF IND. SERIES D-1956

F e d e ra l R eserve B a n k o f N ew

Y ork:

You are hereby authorized to deliver to

(N am e o f representative)

whose signature appears below $................................. par amount of the
securities issued in exchange for the securities covered by this receipt.

□ 2/8% TREAS. NOTES OF SERIES A-1958
N am e......................................................................

FEDERAL RESERVE BANK OF NEW YORK
Fiscal Agent o f the United States
Government Bond Department
Issues and Redemption Section


http://fraser.stlouisfed.org/
T elle r
Federal Reserve Bank of St. Louis

(Please print)

(Official signature required)

(Signature o f authorized representative)

1

SECURITY FILES DUE CUSTOMERS OUT

Bate.

■*Receipt is acknowledged of
$ ................................................

par amount of
□

iy 4% CERT. OF IND. SERIES E-1955

□

1% % TREAS. NOTES OF SERIES B-1955

\

tendered in payment of your exchange subscription
for a like par amount of
□

2 % % CERT. OF IND. SERIES D-1956

□

2 % % TREAS. NOTES OF SERIES A-1958

FEDERAL RESERVE BANK OF NEW YORK
Fiscal Agent o f the United States
Government Bond Department
Issues and Redemption Section

http://fraser.stlouisfed.org/
Teller
Federal Reserve Bank of St. Louis

2

No..

REPORTS COPY

Date.......

Receipt is acknowledged of subscription

List of Subscribers of $5,000,000 and over
Name

for $...................................................
exchanging a par amount of—
□

1% %

C E R T . O F IN D . S E R IE S E-1955

□

1 % % T R E A S . N O T E S O F S E R IE S B-1955

for a like amount of—
□

2 % % C E R T . O F IN D . S E R IE S D-1956

□

2% %

T R E A S . N O T E S O F SE R IE S A-1958

FEDERAL RESERVE BANK OF NEW YORK
Fiscal Agent of the United States
Government Bond Department
Issues and Redemption Section

Teller

Address

Amount

F ed era l R e se r v e B a n k
o f N ew Y o rk

ACKNOWLEDGMENT OF EXCHANGE SUBSCRIPTION
(Security Files Record)
TO ................................................................................

No..

Date........

Receipt is acknowledged o f subscription
for $...................................................
exchanging a par amount of—

□ iy4% CERT.
□

OF IND. SERIES E-1955

1% % TREAS. NOTES OF SERIES B-1955

for a like amount of—
□ 2% % CERT. OF IND. SERIES D-1956
□ 2 % % TREAS. NOTES OF SERIES A-1958
FEDERAL RESERVE BANK OF NEW YORK
Fiscal Agent of the United States
Government Bond Department
Issues and Redemption Section

Teller


4

No..

SECURITY FILES DUE CUSTOMERS IN

Date.

Receipt is acknowledged of

par amount of
□

iy 4% CERT. OF IND. SERIES E-1955

□

iy 4% TREAS. NOTES OF SERIES B-1955

tendered in payment of your exchange subscription
for a like par amount of
□

2 % % CERT. OF IND. SERIES D-1956

□ 2 % % TREAS. NOTES OF SERIES A-1958
FEDERAL RESERVE BANK OF NEW YORK
Fiscal Agent o f the United States
Government Bond Department
Issues and Redemption Section

http://fraser.stlouisfed.org/
Teller
Federal Reserve Bank of St. Louis

5