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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States
r Circular No. 5 3 3 1 1
L
April 26, 1963
J

31/4 Percent Treasury Certificates of Indebtedness of Series B-1964
or 3 % Percent Treasury Notes of Series B-1966, Additional Issue
OFFERED AT PAR IN EXCHANGE FOR

3*/4 Percent Treasury Certificates of Indebtedness of Series B-1963
or 4 Percent Treasury Notes of Series B-1963
or 3*4 Percent Treasury Notes of Series D-1963

To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve D istrict:

The subscription books will open on Monday, A pril 29, for an offering, at par, of—
3 1 4 percent Treasury Certificates of Indebtedness o f Series B-1964, dated May 15, 1963,

maturing May 15, 1964
or 3 % percent Treasury Notes o f Series B-1966 (originally issued May 15, 1962), with
interest from M ay 15, 1963, maturing February 15, 1966,

in exchange for any of the following securities: S1 percent Treasury Certificates of Indebted­
/^
ness of Series B-1963, or 4 percent Treasury Notes o f Series B-1963, or 3*4 percent Treasury
Notes of Series D-1963, all maturing May 15, 1963.
The terms of this offering are set forth in Treasury Department Circulars Nos. 8-63
and 9-63, Public Debt Series, dated A pril 25, 1963; a copy of each is printed on the follow ­
ing pages.
Subscribers surrendering maturing bearer securities should detach final coupons and cash
them when due. All subscribers for the additional issue of notes must pay accrued interest on
such notes from February 15, 1963 to May 15, 1963, in accordance with Section IV of Treasury
Department Circular No. 9-63, Public Debt Series.
Subscribers requesting registered notes must furnish appropriate identifying numbers
(Social Security account number or Em ployer Identification number) as required on tax
returns.
Subscriptions will be received by this Bank as fiscal agent of the United States. Cash
subscriptions will not be received. Subscriptions should be submitted in triplicate on official
subscription forms, copies o f which are enclosed, and should be mailed immediately. I f filed
by telegram or letter, the subscriptions should be confirmed immediately by mail on the forms
provided. The subscription books will remain open for three days, April 29 through May 1.
Any subscription addressed to a Federal Reserve Bank or Branch or to the Treasury Depart­
ment and placed in the mail before midnight Wednesday, May 1, will be considered timely.




A

lfred

H

ayes,

President.

UNITED STATES OF AMERICA
3 1 4 PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS OF SERIES B-1964
Dated and bearing interest from May 15, 1963

Due May 15, 1964

TREASURY DEPARTM ENT,
DEPARTM ENT

C IR C U L A R

O ffic e o f th e S e c re ta ry ,

P ublic Debt Series— No. 8-63
I.

OFFERING OF CERTIFICATES

1. The Secretary o f the Treasury, pursuant to
the authority o f the Second Liberty Bond A ct, as
amended, invites subscriptions, at par, from the people
o f the United States fo r certificates of indebtedness
of the United States, designated
percent Treasury
Certificates of Indebtedness of Series B-1964, in ex­
change fo r the follow ing securities, all of which mature
M ay 15, 1963:
3 % percent Treasury Certificates of Indebtedness
of Series B -1963;
4 percent Treasury Notes o f Series B -1963; or
3 1/4 percent Treasury Notes o f Series D-1963.

The amount of the offering under this circular will
be limited to the amount o f eligible securities tendered
in exchange and accepted. The books will be open only
on A p ril 29 through May 1, 1963, fo r the receipt of
subscriptions fo r this issue.
2. In addition to the offering under this circular,
holders o f the eligible securities are offered the p rivi­
lege o f exchanging all or any part o f such securities
fo r 3 % percent Treasury Notes of Series B-1966
(A ddition al Issue), which offering is set forth in
Department Circular, Public Debt Series— No. 9-63,
issued simultaneously with this circular.
II.

DESCRIPTION OF CERTIFICATES

1. The certificates w ill be dated May 15, 1963, and
will bear interest from that date at the rate o f 3*4
percent per annum, payable semiannually on Novem­
ber 15, 1963, and M ay 15, 1964. They will mature
M ay 15, 1964, and will not be subject to call fo r re­
demption p rior to m aturity.
2. The income derived from the certificates is sub­
ject to all taxes imposed under the Internal Revenue
Code of 1954. The certificates are subject to estate,
inheritance, g ift 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 o f the possessions of the United
States", or by any local taxing authority.
3. The certificates w ill be acceptable to secure de­
posits of public moneys. They will not be acceptable
in paym ent o f taxes.




W ashington, A p ril 25, 1963.
4. Bearer certificates with interest coupons at­
tached will be issued in denominations o f $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 will be subject to the general
regulations o f the Treasury Department, now or here­
after prescribed, governing United States certificates.
III.

SUBSCRIPTION AND ALLOTMENT

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office o f the
Treasurer o f the United States, W ashington 25, D. C.
Banking institutions generally may submit subscrip­
tions fo r account o f customers, but only the Federal
Reserve Banks and the Treasury Department are
authorized to act as official agencies.
2. The Secretary o f the Treasury reserves the right
to reject or reduce any subscription, and to allot less
than the amount of certificates applied f o r ; and any
action he may take in these respects shall be final.
Subject to these reservations, all subscriptions will be
allotted in full. Allotm ent notices will be sent out
prom ptly upon allotment.
IV.

PAYMENT

1. Paym ent fo r the face amount o f certificates
allotted hereunder must be made on or before May 15,
1963, or on later allotment, and may be made only in
securities of the three issues enumerated in paragraph
1 o f Section I hereof, which will be accepted at par,
and should accom pany the subscription. Coupons
dated May 15, 1963, should be detached from the cer­
tificates and notes in bearer form and cashed when
due. In the case o f registered notes of Series D-1963,
the final interest due on M ay 15, 1963, will be paid
by check drawn in accordance with the assignments
on the notes surrendered, or by credit in any account
maintained by a banking institution with the Federal
Reserve Bank o f its District.
V.

ASSIGNMENT OF REGISTERED NOTES

1.
Treasury Notes o f Series D-1963 in registered
form tendered in payment fo r certificates offered here­
under should be assigned by the registered payees or
assignees thereof to “ The Secretary o f the Treasury

fo r exchange for 3 1/4 percent Treasury Certificates
o f Indebtedness of Series B-1964 to be delivered
t o ................................ ” , in accordance with the general
regulations of the Treasury Department governing
assignments for transfer or exchange, and thereafter
should be surrendered with the subscription to a F ed ­
eral Reserve Bank or Branch or to the Office of the
Treasurer of the United States, W ashington 25, D. C.
The notes must be delivered at the expense and risk
of the holder.
VI.

GENERAL PROVISIONS

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 re­
ceive paym ent fo r certificates allotted, to make de­
livery of certificates on full-paid subscriptions allotted,
and they may issue interim receipts pending 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 offer­
ing, which will be communicated prom ptly to the
Federal Reserve Banks.

1.
A s fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to re­
ceive subscriptions, to make allotments on the basis

DOUGLAS DILLON ,
Secretary o f the Treasury.

UNITED STATES OF AMERICA
3 % PERCENT TREASURY NOTES OF SERIES B-1966
Dated May 15, 1962, with interest from May 15, 1963

Due February 15, 1966
ADDITIONAL ISSUE

TREASURY DEPARTM ENT,
D E P A R T M E N T C IR C U L A R
Public Debt Series— No. 9-63
I.

OFFERING OF NOTES

1. The Secretary of the Treasury, pursuant to
the authority o f the Second Liberty B ond A ct, as
amended, invites subscriptions, at par and accrued
interest, from the people o f the United States for
notes of the United States, designated 3 % percent
Treasury Notes of Series B-1966, in exchange for the
follow ing securities, all o f which mature May 15,1963:
3 14 percent Treasury Certificates of Indebtedness

of Series B -1963;
4 percent Treasury Notes o f Series B -1963; or
3 1/4 percent Treasury Notes of Series D-1963.

The amount of the offering under this circular will
be limited to the amount o f eligible securities tendered
in exchange and accepted. The books will be open only
on A p ril 29 through May 1, 1963, for the receipt of
subscriptions fo r this issue.
2. In addition to the offering under this circular,
holders o f the eligible securities are offered the privi­
lege of exchanging all or any part o f such securities
fo r 3V4 percent Treasury Certificates of Indebtedness
o f Series B-1964, which offering is set forth in D epart­
ment Circular, Public Debt Series— No. 8-63, issued
simultaneously with this circular.




O ffic e o f th e S e c re ta ry ,

Washington, A p ril 25, 1963.
II.

DESCRIPTION OF NOTES

1.
The notes now offered will be an addition to
and will form a part of the 3 % percent Treasury
Notes of Series B-1966 issued pursuant to Department
Circular, Public Debt Series— No. 10-62, dated A p ril
30, 1962, will be freely interchangeable therewith, and
are identical in all respects therewith except that inter­
est on the notes to be issued under this circular will
accrue from May 15, 1963. Subject to the provision
fo r the accrual of interest from M ay 15, 1963, on the
notes now offered, the notes are described in the fo l­
lowing quotation from Departm ent Circular, Public
Debt Series— No. 10-62:
‘ ‘ 1. The notes w ill be dated M ay 15,1962, and will
bear interest from that date at the rate o f 3 % per­
cent per annum, payable on a semiannual basis on
A ugust 15,1962, and thereafter on February 15 and
A ugust 15 in each year until the principal amount
becomes payable. They will mature February 15,
1966, 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, in­
heritance, g ift 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 o f the possessions o f the United
States, or by any local taxing authority.
“ 3. The notes w ill be acceptable to secure deposits
of public moneys. They will not be acceptable in
paym ent o f taxes.
‘ ‘ 4. Bearer notes with interest coupons attached,
and notes registered as to principal and interest,
w ill be issued in denominations of $1,000, $5,000,
$10,000, $100,000, $1,000,000, $100,000,000 and
$500,000,000. Provision w ill be made fo r the inter­
change o f notes o f different denominations and o f
coupon and registered notes, and fo r the transfer of
registered notes, under rules and regulations pre­
scribed by the Secretary of the Treasury.
‘ ‘ 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.

SUBSCRIPTION AND ALLOTMENT

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office o f the
Treasurer o f the United States, W ashington 25, D. C.
Banking institutions generally may submit subscrip­
tions fo r account o f customers, but only the Federal
Reserve Banks and the Treasury Department are
authorized to act as official agencies.
2. A ll subscribers requesting registered notes will
be required to furnish appropriate identifying num­
bers as required on tax returns and other documents
submitted to the Internal Revenue Service, i.e., an in­
d ivid u a l’s social security number or an employer
identification number.
3. The Secretary of the Treasury reserves the right
to reject or reduce any subscription, and to allot less
than the amount o f notes applied f o r ; and any action
he may take in these respects shall be final. Subject
to these reservations, all subscriptions will be allotted
in full. Allotm ent notices will be sent out prom ptly
upon allotment.

because it has not been issued, he may elect to receive,
pending the furnishing o f the identifying number, in­
terim receipts and in this case payment w ill be deemed
to have been completed. Coupons dated May 15, 1963,
should be detached from the certificates and notes in
bearer form and cashed when due. In the case of
registered notes of Series D-1963, the final interest
due on M ay 15, 1963, w ill be paid by check drawn in
accordance with the assignments on the notes surren­
dered, or by credit in any account maintained by a
banking institution with the Federal Reserve Bank of
its District.
V.

ASSIGNMENT OF REGISTERED NOTES

1. Treasury Notes o f Series D-1963 in registered
form tendered in paym ent fo r notes offered hereunder
should be assigned by the registered payees or as­
signees thereof, in accordance with the general regu­
lations of the Treasury Department governing assign­
ments fo r transfer or exchange, in one o f the forms
hereafter set forth, and thereafter should be surren­
dered with the subscription to a Federal Reserve Bank
or Branch or to the Office of the Treasurer o f the
United States, W ashington 25, D. C. The maturing
notes must be delivered at the expense and risk o f the
holder. I f the new notes are desired registered in the
same name as the notes surrendered, the assignment
should be to “ The Secretary o f the Treasury fo r ex­
change fo r 3 % percent Treasury Notes o f Series
B -1966” ; if the new notes are desired registered in
another name, the assignment should be to “ The Sec­
retary o f the Treasury fo r exchange fo r 3 % per­
cent Treasury Notes of Series B-1966 in the name
o f .....................................” ; if new notes in coupon form
are desired, the assignment should be to “ The Secre­
tary of the Treasury fo r exchange fo r 3 % percent
Treasury Notes of Series B-1966 in coupon form to
be delivered t o .............................................
VI.

GENERAL PROVISIONS

1. A s fiscal agents o f the United States, Federal
Reserve Banks are authorized and requested to receive
subscriptions, to make allotments on the basis and up
IV. PAYMENT
to the amounts indicated by the Secretary o f the
Treasury to the Federal Reserve Banks of the respec­
1.
Paym ent fo r the face amount and accrued inter­
tive Districts, to issue allotment notices, to receive
est from February 15 to May 15, 1963 ($8.91229 per
paym ent fo r notes allotted, to make delivery o f notes
$1,000) fo r notes allotted hereunder must be made on
on full-paid subscriptions allotted, and they may issue
or before M ay 15, 1963, or on later allotment. P a y­
interim receipts pending delivery o f the definitive
ment fo r the notes allotted may be made only in
notes.
securities o f the three issues enumerated in paragraph
2. The Secretary of the Treasury may at any time,
1 of Section I hereof, which will be accepted at par,
or from time to time, prescribe supplemental or
and should accom pany the subscription. Payment will
amendatory rules and regulations governing the offer­
not be deemed to have been completed where registered
ing, which will be communicated prom ptly to the
notes are requested if the appropriate identifying
Federal Reserve Banks.
number, as required by paragraph 2 of Section I I I
hereof, has not been fu rn ish ed ; provided, however, if
DOUGLAS DILLON,
a subscriber has applied fo r but is unable to furnish
the iden tifyin g number by the payment date only
Secretary of the Treasury.




Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
or United States of America 3/4 Percent Treasury Certificates of Indebtedness of Series B-1964
Dated May 15, 1963, Due May 15, 1964

C E R T IF IC A T E S D E S IR E D IN E X C H A N G E
Dispose o f securities issued as fo llo w s :
Denomi­
nation

1. Deliver over the counter to
the undersigned

1,000

□

2. H old in safekeeping
member bank o n ly )*

□

3. H old as collateral fo r Treas­
ury Tax and Loan A ccount*

10,000

$

□

5,000

ieces

□

4. Ship to the undersigned

□

5. Special instructions:

(Leave this space blank)

Face amount

100,000

(fo r

1,000,000
TOTAL

*If this item is ch e ck e d , the su b scrib er certi­
fies that the allotted securities will be ow n ed
solely b y the subscriber.

(IM P O R T A N T : N o ch anges in delivery in stru ction s w ill be
a ccep ted . A separate su b scrip tion fo rm must b e subm itted fo r
each g rou p o f securities fo r w h ich differen t delivery in stru c­
tions are g iv e n .)

Submitted by

T h e subscription books w ill open

(Please print)

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

on A p r il 2 9 , and close at th e close

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

o f business M a y 1, 1 9 6 3 .

T it le ................................................... T i t l e .................

(Authorized signature(s) required)

Address ..........................................................................
(S p a ces b elow are fo r the use o f the Federal R eserve Bank o f New Y o r k )
S a f e k e e p i n g R ec or d

Received

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
States obligations in the amount subscribed for.
Subscriber

Checked
and
delivered




D ate..........

By.

Y ork

the above described United

(Please type or print legibly and submit in triplicate)

)scriber’s Reference No.

Subscription No.

C-l

EXCHANGE SUBSCRIPTION
or United States of America 3/4 Percent Treasury Certificates of Indebtedness of Series B-1964
Dated May 15, 1963, Due May 15, 1964

Im p o rta n t In stru ctio n s.
1.
Securities of different issues surrendered in exchange may be listed together on the
ime subscription form , except that a separate subscription form should be used ( a ) for listing bearer securities
irrendered, ( b ) for listing registered securities surrendered, and ( c ) for each group of new securities for which
ifferent delivery instructions are given.
2.
Signatures are required on original on ly ; all other filled-in matter should
ppear in triplicate.

Dated at .........................................................
Fiscal Agent of the United States,
New Y ork 45, N. Y .
....................................................................1963
A tten tion : Government Bond Division

'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 ,

ENTLEMEN :

Subject to the provisions of Treasury Department Circular No. 8-63, Public Debt Series, dated
.pril 25, 1963, the undersigned hereby subscribes, at par, for United States of America 3*4 percent
reasury Certificates o f Indebtedness o f Series B-1964, in the amount of $ ........................................................... *
rid tenders in payment therefor a like par amount o f the securities —
Delivered to you h e re w ith ............................................................................................

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

To be withdrawn from securities held by y o u ........................................................

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

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

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

•(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

S E C U R IT IE S S U R R E N D E R E D
(all coupons should be detached)

$

Treasury Certificates o f Indebtedness of Series B -1 9 6 3
°7 o

Treasury Notes of Series B -1 9 6 3
Treasury Notes of Series D -1 9 6 3

$
$

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

V \ °Z c

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

Total

T ota l A m ou n t

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

(S ig n a tu r e (s ) required also on D elivery In stru ction s b elow )

( D o n ot fill in b o x e s b e lo w )
G o vern m en t B ond D

Received

iv is io n

Checked




Submitted by .........................
(Please print)

Canceled
By

. . . . . . . . . . B y ........................
(Authorized signature (s) required)

Title ..
Address

( I f space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate total amount o f all issues surrendered by each customer and by yourself)

Name and address o f account

( L eave this
space blank)

Total

( Please print or typew rite)

$

Our own a c c o u n t ......................................................................................................
Totals




•

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

$

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

Subscription No.

SECURITY RECORDS “ O U T TIC K E T”
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
’or United States of America 3l Percent Treasury Certificates of Indebtedness of Series B-1964
A
Dated May 15, 1963, Due May 15, 1964

C E R T IF IC A T E S D E S IR E D IN E X C H A N G E
Dispose o f securities issued as fo llo w s :
Denomi­
nation
$

□

1. Deliver over the counter to
the undersigned

1,000

□

2. H old in safekeeping
member bank only)

5,000

ieces

□

3. H old as collateral fo r Treas­
u ry Tax and Loan A ccount

□

4. Ship to the undersigned

□

5. Special instructions:

Face amount

(Leave this space blank)

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




Submitted by

Address

(fo r

ibscriber’ s Reference No.

DUPLICATE— SECURITY RECORDS “ IN TICKET”

Subscription No.

0-2

EXCHANGE SUBSCRIPTION
"or United States of America VA Percent Treasury Certificates of Indebtedness of Series B-1964
Dated May 15, 1963, Due May 15, 1964

of N e w Y o r k ,
Dated at .........................................................
Fiscal Agent o f the United States,
New Y ork 45, N. Y .
....................................................................1963
A tten tion : Government Bond Division

Fe d e r a l R e se r v e B a n k

SrENTLEM EN :

Subject to the provisions o f Treasury Department Circular No. 8-63, Public Debt Series, dated
Lpril 25, 1963, the undersigned hereby subscribes, at par, for United States o f America 3^

percent

’ reasury Certificates of Indebtedness o f Series B-1964, in the amount of $

*

nd tenders in payment therefor a like par amount o f the securities —
Delivered to you h e re w ith ............................................................................................

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

To be withdrawn from securities held by y o u ........................................................

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

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

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

*(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

S E C U R IT IE S S U R R E N D E R E D
(all coupons should be detached)

Total Amount

* /4 %
%

Treasury Certificates o f Indebtedness of Series B -1 9 6 3
Treasury Notes of Series B -1 9 6 3

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

$

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

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

Treasury Notes o f Series D -1 9 6 3 .........................................................................

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

Total




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

Submitted by

Address

$

( I f space is insufficient in schedules below, attach separate listing)

List of ‘A ccounts Included in this Subscription
(Indicate total amount o f all issues surrendered by each customer and by yourself)

Name and address o f account

( L eave this
space blank)

Total

( Please print or typew rite)

$

J3

Our own a c c o u n t ......................................................................................................
Totals



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

$

NONNEGOTIABLE RECEIPT

Subscription No.

7 Subscriber:
o
of N e w Y o r k , Fiscal A gent o f the United States, hereby acknowledges receipt of
jcurities tendered with subscription numbered as above in exchange for

' e d e r a l R e se r v e B a n k

P E R C E N T T R E A S U R Y C E R T IF IC A T E S OF IN D E B T E D N E S S O F S E R IE S B-1964

3 14

ecurities allotted on this subscription will be delivered on
[ay 15, 1963, in accordance with your instructions.

............................................................................... ......
Teller
Government Bond Division — Issues & Redemption Section

C E R T IF IC A T E S D E S IR E D IN E X C H A N G E
Dispose o f securities issued as fo llo w s :
Denomi­
nation

1. Deliver over the counter to
the undersigned

1,000

□

2. H old in safekeeping
member bank only)

□

3. H old as collateral fo r Treas­
u ry Tax and Loan A ccount

10,000

$

□

5,000

'ieces

□

4. Ship to the undersigned

□

5. Special instructions:

( Leave this space blank)

Face amount

100,000

(fo r

1,000,000
TOTAL

0F ed era l

R eserve B an k o f N ew Y ork

Fiscal Agent of the United States
(D ate)

ou are hereby authorized to deliver to

Submitted by . .

(Nam e o f representative)

hose signature appears below,

Address ............

$ ............................................... par amount
f securities issued pursuant to this subscription.
(Please print)

(Official signature required)

(Signature o f authorized representative)




To Subscriber: I f securities are to be delivered over the
counter at this Bank to your representative,
the authority in the box to the left should
be executed on the date of delivery.

bscriber’s Reference No.

TRIPLICATE— TREASURY REPORTS COPY

Subscription No.

C-3

EXCHANGE SUBSCRIPTION
ror United States of America 3/4 Percent Treasury Certificates of Indebtedness of Series B-1964
Dated May 15, 1963, Due May 15, 1964

of N e w Y o r k ,
Dated at .........................................................
Fiscal A gent o f the United States,
New Y ork 45, N. Y .
....................................................................1963
A tten tion : Government Bond Division

F d e r a l R e se r v e B a n k
e

tENTLEMEN

:

Subject to the provisions of Treasury Department Circular No. 8-63, Public Debt Series, dated
Lpril 25, 1963, the undersigned hereby subscribes, at par, for United States of Am erica 3 ^

percent

'ceasury Certificates o f Indebtedness of Series B-1964, in the amount o f $ .......................................................... *
nd tenders in payment therefor a like par amount o f the securities —
Delivered to you h e re w ith ............................................................................................

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

To be withdrawn from securities held by y o u ........................................................

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

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

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

(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

S E C U R IT IE S SU R R E N D E R E D
(all coupons should be dctachcd)

Total Am ount

<
l
A%

Treasury Certificates of Indebtedness of Series B -1 9 6 3

\

Treasury Notes of Series B -1 9 6 3

° /o

il/4 %

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

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

Treasury Notes of Series D -1 9 6 3 .................................................................................. $
Total




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

Submitted by

Address

( I f space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate total amount of all issues surrendered by each customer and by yourself)

Name and address o f account

( Leave this
space blank)

Total

(Please print or typewrite)

$

#

•

....................£

Onr own a c c o u n t ......................................................................................................
Totals



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

$

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

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Notes of Series B-1966
Dated May 15, 1962, With Interest from May 15, 1963, Due February 15, 1966
ADDITIONAL ISSUE

B E A R E R N O TE S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side for R E G IS T E R E D notes)

Denomi­
nation

Dispose o f securities issued as fo llo w s :
1. Deliver over the counter to
the undersigned

1,000

$

□
□

2. H old in safekeeping
member bank o n ly )*

5,000

ieces

□

3. H old as collateral fo r Treas­
ury Tax and Loan A ccount*

□

4. Ship to the undersigned

□

5. Special instructions:

Face amount

(Leave this space blank)

10,000
100,000

(fo r

1,000,000
TOTAL

*If this item is ch e ck e d , the su b scrib er certi­
fies that the allotted securities will be ow n ed
solely b y the subscriber.

(IM P O R T A N T : N o ch a n ges in delivery in stru ction s w ill be
accep ted . A separate su b scrip tion fo rm must b e subm itted fo r
each g ro u p o f securities fo r w h ich differen t delivery in stru c­
tions are g iv e n .)

Submitted by

T h e subscription books w ill open

(Please print)

. . . . . . . . . v , B y .....................

on A p r il 2 9 , and close at the close

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

o f business M a y 1, 1 9 6 3 .

T it le .................................................., T i t l e ..................

(Authorized signature(s) required)

Address ........................................................................
(S p a ce s b elow are fo r the use o f the Federal R eserve Bank o f N ew Y o r k )
S a f e k e e p in g R

ec or d

Received

Received fr 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
States obligations in the amount subscribed for.
Subscriber

Checked
and
delivered




D ate..........

By.

Y ork

the above described United

Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered notes to




scriber’s Reference No.

(Please type or print legibly and submit in triplicate)

Subscription No.

N-l

EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Notes of Series B-1966
Dated May 15, 1962, With Interest from May 15, 1963, Due February 15, 1966
A D D IT IO N A L ISS U E

Im p o rta n t In stru ctio n s.
1.
Securities o f different issues surrendered in ex ch a n g e m ay be listed tog eth er on the
m e subscrip tion form , e x ce p t that a separate subscription form sh ou ld be used ( a ) fo r listing b ea rer securities
irrendered, ( b ) fo r listing registered securities surrendered, and ( c ) fo r each g ro u p o f new securities fo r w h ich
fferen t delivery instructions are given.
2.
Separate subscription form s shou ld be used fo r b ea rer securities and
•gistered securities desired in e x ch a n ge.
3.
S ocia l Security a cco u n t num bers o r E m p loy er Identification num bers o f
1 subscribers fo r r e g is te r e d securities must be furnished on the reverse side h ereof.
4.
Signatures are req u ired on
-iginal o n ly ; all oth er filled-in m atter should a pp ea r in triplicate.

Dated at .........................................................
Fiscal Agent o f the United States,
New Y ork 45, N. Y .
....................................................................1963
A tten tion : Government Bond Division

e d e r a l R e s e r v e B a n k op N e w Y o r k ,

ENTLEM EN :

Subject to the provisions of Treasury Department Circular No. 9-63, Public Debt Series, dated
pril 25, 1963, the undersigned hereby subscribes for United States of Am erica 3 % percent Treasury
otes of Series B-1966, in the amount o f $ .................................................................* and tenders in payment
lerefor a like par amount of the securities —
Delivered to you h e re w ith ............................................................................................

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

To be withdrawn from securities held by y o u ........................................................

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

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

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

•(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SE C U R IT IE S SU R R E N D E R E D
(all coupons should be detached)

T ota l A m o u n t

x c Treasury Certificates of Indebtedness of Series B -1 9 6 3 ...........................
A /o
.........................................................................

$

l
/\°7o Treasury Notes of Series D -1 9 6 3 .........................................................................

$

° /c

Treasury Notes of Series B -1 9 6 3

$

Total

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

<
j;

Payment for accrued interest on the notes subscribed for from February 15 to May 15 1963 ($8
er $1,000) will be made as follow s:
□

By check herewith

□

B y charge to reserve account

(Signature(s) required also on Delivery Instructions below)

( D o n ot fill in b ox es b e lo w )
G overn m en t B ond D

Received

iv i s i o n

Checked




Submitted by .........................................
(Please print)

Canceled
B7

....................................................................... t B y ..................................
(Authorized signature(s) required)

Title ....................................................... Title
Address

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

( I f space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate total amount o f all issues surrendered by each customer and by yourself)

Name and address o f account

(L bave this
s-pace blank)

Total

( Please print or typew rite)

$

Our own a c c o u n t ......................................................................................................
Totals




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

$

Subscription No.

SECURITY RECORDS “ O U T TIC KET”
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Notes of Series B-1966
Dated May 15, 1962, With Interest from May 15, 1963, Due February 15, 1966
A D D IT IO N A L ISSU E

B E A R E R N O TE S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side for R E G IS T E R E D notes)

Dispose o f securities issued as fo llo w s :
Denomi­
nation

eces

$

□

1. Deliver over the counter to
the undersigned

1,000

□

2. H old in safekeeping
member bank only)

5,000

□

3. H old as collateral fo r Treas­
u ry Tax and Loan A ccount

□

4. Ship to the undersigned

□

5. Special instructions:

Face amount

(Leave this space blank)

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




Submitted by

Address

(fo r

Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered notes to




DUPLICATE— SECURITY RECORDS “ IN TICKET”

eriber’s Reference No.

Subscription No.

N-2

EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Notes of Series B-1966
Dated May 15, 1962, With Interest from May 15, 1963, Due February 15, 1966
A D D IT IO N A L ISS U E

R e se r ve B a n k of N e w Y o r k ,
Dated at .........................................................
Fiscal A gent o f the United States,
New Y ork 45, N. Y .
....................................................................1963
A tten tion : Government Bond Division

ideral

1N TLEM EN :

Subject to the provisions o f Treasury Department Circular No. 9-63, Public Debt Series, dated
>ril 25, 1963, the undersigned hereby subscribes for United States of Am erica 3 % percent Treasury
'tes o f Series B-1966, in the amount of $................................................................. * and tenders in payment
irefor a like par amount of the securities —
Delivered to you h e re w ith ............................................................................................

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

To be withdrawn from securities held by y o u .......................................................

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

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

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

•(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.’ ’ )

S E C U R IT IE S SU R R E N D E R E D
(all coupons should be detached)

T ota l A m o u n t

4%

Treasury Certificates o f Indebtedness of Series B -1 9 6 3

4%

$

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

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

Treasury Notes of Series D -1 9 6 3 .........................................................................

°7 c

Treasury Notes of Series B -1 9 6 3

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

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

Total

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

$

Payment for accrued interest on the notes subscribed for from February 15 to May 15, 1963 ($8.91229
r $1,000) will be made as follow s:
□

B y check herewith




□

B y charge to reserve account

Submitted by

Address

( I f space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate total amount o f all issues surrendered by each customer and by yourself)

Name and address o f account

( L eave this
space blank)

Total

( Please print or typew rite)

$

Our own a c c o u n t ......................................................................................................
Totals



•

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

$

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

NONNEGOTIABLE RECEIPT

Subscription No.

o Subscriber:
e d e r a l R e se r v e B a n k of N e w Y o r k , Fiscal A gent o f the United States, hereby acknowledges receipt of
scurities tendered with subscription numbered as above in exchange for

3 % P E R C E N T T R E A S U R Y N O TE S OF S E R IE S B-1966, A D D IT IO N A L ISSU E
ecurities allotted on this subscription will be delivered on
.ay 15, 1963, in accordance with your instructions.
’
.....................................................................................

Teller

Government Bond Division — Issues & Redemption Section

B E A R E R N O TE S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side for R E G IS T E R E D notes)

Dispose o f securities issued as fo llo w s :
Denomi­
nation
$

□

1. Deliver over the counter to
the undersigned

1,000

□

2. H old in safekeeping
member bank only)

5,000

ieces

□

3. H old as collateral fo r Treas­
u ry Tax and Loan A ccount

□

4. Ship to the undersigned

□

5. Special instructions:

(Leave this space blank)

Face amount

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

o F ed era l R eserve B an k o r N ew Y ork

Fiscal Agent o f the United States
(Date)

ou are hereby authorized to deliver to

Submitted by

(Nam e o f representative)

hose signature appears below,

Address

$ ............................................... par amount
' securities issued pursuant to this subscription.
N a m e ................................... ............................
(Please print)

(Official signature required)

(Signature o f authorized representative)




To Subscriber: I f securities are to be delivered over the
counter at this Bank to your representative,
the authority in the box to the left should
be executed on the date o f delivery.

(fo r

Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)
Name in which notes shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification Num ber), and post-office
address for interest checks and other mail.
( Please print or typew rite)

Name
Ident. No
Address

Address

...........

Name
Ident No

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

Mail registered notes to




(Indicate under appropriate denominations, number o f notes desir<
Amount

$1,000

$5,000

$10,000

$100,000

$1,000,(

TRIPLICATE— TREASURY REPORTS COPY

iscriber’s Reference No.

Subscription No.

N-3

EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Notes of Series B-1966
Dated May 15, 1962, With Interest from May 15, 1963, Due February 15, 1966
A D D IT IO N A L ISSU E

’ e d e r a l R e se r ve B a n k

of

N ew Y

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

ork,

Fiscal Agent of the United States,
New York 45, N. Y .

................................................................... 1963

Attention: Government Bond Division
rE N T L E M E N :

Subject to the provisions of Treasury Department Circular No. 9-63, Public Debt Series, dated
Lpril 25, 1963, the undersigned hereby subscribes for United States of America 3 % percent Treasury
Jotes o f Series B-1966, in the amount of $

...................................................* and tenders in payment

lerefor a like par amount o f the securities —
Delivered to you herewith............................................................................................

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

To be withdrawn from securities held by y o u .......................................................

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

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

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

•(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

S E C U R IT IE S SU R R E N D E R E D
(all coupons should be detached)

Total Am ount
° /o

Treasury Certificates of Indebtedness of Series B -1 9 6 3

°7 c

Treasury Notes of Series B -1 9 6 3 .........................................................................

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

Treasury Notes of Series D -1 9 6 3 .........................................................................

lA

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

Total

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

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

$

$

Payment for accrued interest on the notes subscribed for from February 15 to May 15, 1963 ($8.91229
er $1,000) will be made as follow s:
Q

B y check herewith




□

B y charge to reserve account

Submitted by

Address

( I f space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate total amount o f all issues surrendered by each customer and by yourself)

Name and address o f account

( Leave this
space blank)

Total

(Please print or typew rite)

$

Our own a c c o u n t ......................................................................................................
Totals



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

$

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


Federal Reserve Bank of St. Louis, One Federal Reserve Bank Plaza, St. Louis, MO 63102