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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States
Circular No.
2075
June 11, 1940

Redemption of 3 % Percent Treasury Bonds of 1940-43

Offering of
United States of America 1 Percent Treasury Notes of Series C-1943
Dated and bearing interest from June 15, 1940

Due September 15, 1943

Only Treasury Bonds of 194043 called for redemption on June 15, 1940,
may be tendered in payment

To all Banking Institutions, and Others Concerned,
in the Second Federal Reserve District:

At the request of Secretary of the Treasury Morgenthau we transmit herewith,
printed on the following pages, a copy of Treasury Department Circular No. 634,
dated June 11, 1940, governing the redemption of 3% percent Treasury Bonds of
1940-43 and a copy of Treasury Department Circular No. 635, dated June 11, 1940,
relating to the offering of 1 percent notes of the United States, designated Treasury
Notes of Series C-1943, in payment of which only Treasury Bonds of 1940-43 may be
tendered. The amount of the offering will be limited to the amount of Treasury
Bonds of 1940-43 tendered and accepted. Cash subscriptions will not be received.
The subscription books for this offering are now open, and applications will be
received by this bank as fiscal agent of the United States. Subscriptions should be
made on official subscription blanks and mailed immediately, or if filed by telegram or
letter, should be confirmed immediately by mail on the blanks provided.
Treasury Bonds of 1940-43 called for redemption on June 15, 1940, if not tendered in payment for 1 percent Treasury Notes of Series C-1943, should be presented
and surrendered in the manner prescribed in Treasury Department Circular No. 634.




GEORGE L. HARBISON,

President.

REDEMPTION OF 3% PERCENT TREASURY BONDS OF 1940-43
1940

TREASURY DEPARTMENT,
_
_.

Department Circular No. 634

O F F I C E OF T H E SECRETARY,

Public Debt Service

Washington, June 11, 1940.

To Holders of 3% percent Treasury Bonds of 1940-43, and Others Concerned:
I.

NOTICE OF CALL FOR REDEMPTION BEFORE MATURITY

On February 14,1940, the following public notice of call for redemption was given:
To Holders of 3% percent Treasury Bonds of 1940-43, and Others Concerned:
1. Public notice is hereby given that all outstanding 3% percent Treasury Bonds of 1940-43, dated July 16,
1928, are hereby called for redemption on June 15, 1940, on which date interest on such bonds will cease.
2. Full information regarding the presentation and surrender of the bonds for redemption under this call will
be given in a Treasury Department circular to be issued later.
3. Holders of these bonds may, in advance of the redemption date, be offered the privilege of exchanging all or
any part of their called bonds for other interest-bearing obligations of the United States, in which event public
notice will hereafter be given.
TREASURY DEPARTMENT,

HENRY MORGENTHAU, JR.,

Washington, February 14, 1940.

II.

Secretary of the Treasury.

OPTIONAL EXCHANGE OFFERING

1. Holders of 3% percent Treasury Bonds of 1940-43 are today offered the privilege of exchanging
all or any part of their called bonds for 1 percent Treasury Notes of Series C-1943, bearing interest from
June 15, 1940. Full information concerning the exchange offering is contained in Treasury Department
Circular No. 635, dated June 11, 1940. As the exchange privilege may be terminated at any time without
notice, holders of 3% percent Treasury Bonds of 1940-43 who desire to take advantage of the offering
should act immediately, following the instructions given in Treasury Department Circular No. 635.
III.

RULES AND REGULATIONS GOVERNING REDEMPTION OF 3 % PERCENT
TREASURY BONDS OF 1940-43

Pursuant to the call for redemption, as set forth in Section I of this circular, the following rules and
regulations are hereby prescribed to govern the presentation and surrender for cash redemption on June
15, 1940, of 3% percent Treasury Bonds of 1940-^3:
1. Payment of called bonds on June 15, 1940.—Holders of any outstanding Treasury Bonds of
1940-43 will be entitled to have such bonds redeemed and paid at par on June 15, 1940, with interest in
full to that date. After June 15, 1940, interest will not accrue on any such bonds.
2. Presentation and surrender of coupon bonds.—Treasury Bonds of 1940-43 in coupon form should
be presented and surrendered to any Federal Reserve bank or branch, or to the Treasurer of the United
States, Washington, D. C, for redemption on June 15, 1940. The bonds must be delivered at the expense
and risk of holders (see par. 9 of this section) and should be accompanied by appropriate written advice
(see Form P. D. 1650 attached hereto). Checks in payment of principal will be mailed to the address
given in the form of advice accompanying the bonds surrendered.
3. Coupons dated June 15, 1940, which become payable on that date, should be detached from any
Treasury Bonds of 1940-43 before such bonds are presented for redemption on June 15, 1940, and such
coupons should be collected in regular course when due. All coupons pertaining to such bonds bearing



dates subsequent to June 15, 1940, must be attached to any such bonds when presented for redemption,
•provided, however, if any such coupons are missing from bonds so presented for redemption the bonds
nevertheless will be redeemed, but the full face amount of any such missing coupons will be deducted from
the payment to be made on account of such redemption, and any amounts so deducted will be held in the
Treasury to provide for adjustments or refunds on account of such missing coupons as may subsequently
be presented.
4. Presentation and surrender of registered bonds.—Treasury Bonds of 1940-43 in registered form
must be assigned by the registered payees or assignees thereof, or by their duly constituted representatives, in accordance with the general regulations of the Treasury Department governing assignments, in
the form indicated in the next paragraph hereof, and thereafter should be presented and surrendered to
any Federal Reserve bank or branch, or to the Division of Loans and Currency, Treasury Department,
Washington, D. C, for redemption on June 15, 1940. The bonds must be delivered at the expense and
risk of holders (see par. 9 of this section) and should be accompanied by appropriate written advice (see
Form P. D. 1651 attached hereto). In all cases checks in payment of principal and final interest due will
be mailed to the address given in the form of advice accompanying the bonds surrendered.

^

5. If the registered payee, or an assignee holding under proper assignment from the registered payee,
desires that payment of the principal and final installment of interest be made to him, the bonds should
be assigned by such payee or assignee, or by a duly constituted representative, to "The Secretary of the
Treasury for redemption". If it is desired, for any reason, that payment be made to some other person,
without intermediate assignment, the bonds should be assigned to "The Secretary of the Treasury for
redemption for the account of
", inserting the name
and address of the person to whom payment is to be made. A representative or fiduciary should not
assign for payment to himself individually, unless expressly authorized to do so by court order or by the
instrument under which he is acting; he may, however, assign for payment to himself in his representative or fiduciary capacity.
6. Assignment in blank, or other assignment having similar effect, will be recognized, but in that event
payment will be made to the person surrendering the bond for redemption, since under such assignment
the bond becomes in effect payable to bearer. Assignments in blank or assignments having similar effect
should be avoided, if possible, in order not to lose the protection afforded by registration.
7. A bond registered in the name of, or assigned to, a corporation or unincorporated association will
ordinarily be redeemed for the account of such corporation or unincorporated association upon an appropriate assignment for that purpose executed on behalf of the corporation or unincorporated association
by a duly authorized officer thereof, without proof of the officer's authority. In all such cases payment
will be made only by check drawn to the order of the corporation or unincorporated association.
8. Final interest due on June 15, 1940, on registered Treasury Bonds of 1940-43 will be paid with
the principal in accordance with the assignments on the bonds surrendered.
9. Transportation of bonds.^—Bonds presented for redemption under this circular must be delivered to a Federal Reserve bank or branch, or to the Treasury Department, Washington, D. C, at the
expense and risk of the holder. Coupon bonds should be forwarded by registered mail insured, or by
express prepaid. Registered bonds bearing restricted assignments may be forwarded by registered mail,
but registered bonds bearing unrestricted assignments should bs forwarded by registered mail insured,
or by express prepaid. Facilities for transportation of bonds by registered mail insured may be
arranged between incorporated banks and trust companies and the Federal Reserve banks, and holders
may take advantage of such arrangements when available, utilizing such incorporated banks and trust
companies as their agents. Incorporated banks and trust companies are not agents of the United States
under this circular.
IV.

PRESENTATION OF CALLED BONDS FOR REDEMPTION

1. Treasury Bonds of 1940-43 should be presented and surrendered in the manner herein prescribed,
and redemption will be expedited if the bonds are presented to Federal Reserve banks, or branches, and not
direct to the Treasury Department.



/•

V.

G E N E R A L PROVISIONS

1. Any further information which may be desired regarding the redemption of Treasury Bonds of
1940-43 under this circular may be obtained from any Federal Reserve bank or branch, or from the
Treasury Department, Washington, D. C, where copies of the Treasury Department's regulations governing assignments also may be obtained.
2. As fiscal agents of the United States, Federal Reserve banks are authorized and requested to perform any necessary acts under this circular. The Secretary of the Treasury may at any time, or from
time to time, prescribe supplemental or amendatory rules and regulations governing the matters covered
by this circular, which will be communicated promptly to the Federal Reserve banks.




HENRY MORGENTHAU, JR.,
Secretary of the Treasury.

UNITED STATES OF AMERICA
1 PERCENT TREASURY NOTES OF SERIES C-1943
Dated and bearing interest from June 15, 1940

Due September 15, 1943

Interest payable March 15 and September 15

1940
Department Circular No. 635

TREASURY DEPARTMENT,
OFFICE OF THE SECRETARY,

Public Debt Service

Washington, June 11, 1940.

I. OFFERING OF NOTES
1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, approved
September 24, 1917, as amended, invites subscriptions, at par, from the people of the United States for
1 percent notes of the United States, designated Treasury Notes of Series C-1943, in payment of which
only Treasury Bonds of 1940-43, called for redemption on June 15, 1940, may be tendered. The amount
of the offering under this circular will be limited to the amount of Treasury Bonds of 1940-43 tendered
and accepted.
II. DESCRIPTION OF NOTES
1. The notes will be dated June 15, 1940, and will bear interest from that date at the rate of 1 percent
per annum, payable on a semiannual basis on September 15,1940, and thereafter on March 15 and September
15 in each year until the principal amount becomes payable. They will mature September 15, 1943, and will
not be subject to call for redemption prior to maturity.
2. The notes shall be exempt, both as to principal and interest, from all taxation (except estate or
inheritance taxes, or gift taxes) now or hereafter imposed by the United States, any State, or any of the
possessions of the United States, or by any local taxing authority.
3. The notes will be accepted at par during such time and under such rules and regulations as shall
be prescribed or approved by the Secretary of the Treasury in payment of income and profits taxes payable at the maturity of the notes.
4. The notes will be acceptable to secure deposits of public moneys, but will not bear the circulation
privilege.
5. Bearer notes with interest coupons attached will be issued in denominations of $100, $500, $1,000,
$5,000, $10,000 and $100,000. The notes will not be issued in registered form.
6. The notes will be subject to the general regulations of the Treasury Department, now or hereafter
prescribed, governing United States notes.
III. SUBSCRIPTION AND ALLOTMENT
1. Subscriptions will be received at the Federal Reserve banks and branches and at the Treasury
Department, Washington. Banking institutions generally may submit subscriptions for account of customers, but only the Federal Reserve banks and the Treasury Department are authorized to act as official
agencies.
2. The Secretary of the Treasury reserves the right to reject any subscription, in whole or in part, and
to close the books as to any or all subscriptions at any time without notice; 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. PAYMENT
1. Payment at par for notes allotted hereunder must be made or completed on or before June 15,1940,
or on later allotment, and may be made only in Treasury Bonds of 1940-43, called for redemption on June
15, 1940, which will be accepted at par, and should accompany the subscription. Payment of final interest




due June 15, 1940, on bonds exchanged hereunder will be effected, in the case of coupon bonds, by payment
of June 15,1940 coupons, which should be detached by holders before presentation of the bonds for exchange,
and in the case of registered bonds, by checks drawn in accordance with the assignments on the bonds
surrendered.
V. SURRENDER OF CALLED BONDS
1. Coupon bonds.—Treasury Bonds of 1940-43 in coupon form tendered in payment for notes offered
hereunder should be presented and surrendered with the subscription to a Federal Reserve bank or branch
or to the Treasurer of the United States, Washington, D. C. Coupons dated December 15, 1940, and all coupons bearing subsequent dates, should be attached to such bonds when surrendered, and if any such coupons
are missing, the subscription must be accompanied by cash payment equal to the face amount of the missing
coupons. The bonds must be delivered at the expense and risk of the holder. Facilities for transportation
of bonds by registered mail insured may be arranged between incorporated banks and trust companies and
the Federal Reserve banks, and holders may take advantage of such arrangements when available, utilizing
such incorporated banks and trust companies as their agents.
2. Registered bonds.—-Treasury Bonds of 1940-43 in registered form tendered in payment for notes
offered hereunder should be assigned by the registered payees or assignees thereof to '' The Secretary of the
Treasury for exchange for Treasury Notes of Series C-1943 to be delivered to
",
in accordance with the general regulations of the Treasury Department governing assignments for transfer
or exchange, and thereafter should be presented and surrendered with the subscription to a Federal
Reserve bank or branch or to the Treasury Department, Division of Loans and Currency, Washington, D. C.
The bonds must be delivered at the expense and risk of the holder.
VI. GENERAL PROVISIONS
1. As fiscal agents of the United States, Federal Reserve banks are authorized and requested to receive
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 delivery of notes on full-paid subscriptions allotted, and they may issue
interim receipts pending delivery of the definitive notes.
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.




HENRY MORGENTHAU, Jr.,
Secretary of the Treasury.

TREASURY

DEPARTMENT

PUBLIC DEBT SERVJCE

Form PD 1650

(For registered bonds use Form PD 1651)
FORM OF ADVICE TO ACCOMPANY 3% PERCENT TREASURY BONDS OP 1940-43 IN COUPON
FORM PRESENTED FOR BEDEMPTION ON JUNE 15, 1940

To the FEDERAL RESERVE BANK OF

,

or
TREASURER OF THE UNITED STATES, Washington, D. C:

Pursuant to the provisions of Treasury Department Circular No. 634, dated June 11, 1940, the undersigned presents and
surrenders herewith for redemption on June 15, 1940, $
, face amount of 3% percent Treasury Bonds of
1940-43 in coupon form, with coupon due December 15, 1940, and all subsequent coupons attached, as follows:
Number of bonds

Face amount

Serial numbers of bonds

Denomination

$50
100
500
1,000
5,000
10,000
100,000

$

TOTAL

$

and requests that remittance covering payment therefor be forwarded to the undersigned at the address indicated below.
Signature
Name
(Please print)

Address in full
Date
TREASURY DEPARTMENT
PUBLIC DEBT SERVICE

F n R
r O R

Form PD 1651

RprTSTTTRKn
AlEGISTERED

RoTVTiq
BONDS

(For coupon bonds use Form PD 1650)
FORM OF ADVICE TO ACCOMPANY 3% PERCENT TREASURY BONDS OF 1940-43 IN REGISTERED
FORM PRESENTED FOR REDEMPTION ON JUNE 15, 1940

To the FEDERAL RESERVE BANK OF

,

or
TREASURY DEPARTMENT, DIVISION OF LOANS AND CURRENCY, Washington, D. C.:

Pursuant to the provisions of Treasury Department Circular No. 634, dated June 11, 1940, the undersigned presents and
surrenders herewith for redemption on June 15, 1940, $

, face amount of 3% percent Treasury Bonds of

1940-43 in registered form, inscribed in the name of
redemption, as follows:
Number of bonds

Denomination

and duly assigned for
Serial numbers of bonds

Face amount
*

$50
100
500
1,000
5,000
10,000
50,000
100,000
TOTAL....

$

and requests that remittance covering payment of principal and final interest be forwarded to the undersigned at the
address indicated below.
Signature
Name
(Please print)
Address in full....
Date



NR-CB

ORIGINAL

NON-NEGOTIABLE RECEIPT
For United States Government Obligations as Mentioned Below
Number.

ssued to...

Date

Street.
Town

State.

Eeceipt is hereby acknowledged of $
par amount United States of America 3 % Percent Treasury Coupon Bonds of 1940-43
urrendered in payment for United States of America 1 Percent Treasury Notes of Series C-1943 subscribed for and allotted in full pursuant to the
erms of Treasury Department Circular No. 635, dated June 11, 1940. If such new securities issued in exchange for those surrendered are to be delivered
t the Federal Reserve Bank of New York over the counter to your representative the "letter of authority to deliver" set forth below should be
uly executed and returned to us.

FEDERAL RESERVE BANK OF NEW YOEK

Fiscal Agent of the United States.
Date Received

Mail Sheet No

Refer to your letter dated

No.

Teller

LETTER OF AUTHORITY TO DELIVER
FEDERAL RESERVE BANK OF NEW YORK

Fiscal Agent of the United States.
You are hereby authorized to deliver to
(Name of representative)

DELIVERY RECEIPT
Received from the Federal Reserve Bank of New York United
States Government obligations at par in the amount stated in the
accompanying •' letter of authority to deliver'' in exchange for
United States Government obligations surrendered in payment as
indicated in the above non-negotiable receipt.

whose signature appears below $
par amount
of United States Government obligations subscribed for and allotted
in full in exchange for United States Government obligations surrendered in payment as indicated in the above non-negotiable receipt.
Name

_

By.

(Please print)
(Official signature required)

Date.
(Signature of authorized representative)




DUPLICATE

FILE COPY OF NON-NEGOTIABLE RECEIPT
For United States Government Obligations as Mentioned Below
issued to
Street.

„

.

Number

_

Town

Date
„

State

Receipt is hereby acknowledged of $
par amount United States of America 3% Percent Treasury Coupon Bonds of 1940-43
urrendered in payment for United States of America 1 Percent Treasury Notes of Series C-1943 subscribed for and allotted in full pursuant to the
errns of Treasury Department Circular No. 635, dated June 11, 1940. If such new securities issued in exchange for those surrendered are to be delivered
it the Federal Reserve Bank of New York over the counter to your representative the "letter of authority to deliver" set forth below should be
luly executed and returned to us.

Date Received
Refer to your letter dated




FEDERAL RESEBVE BANK OF NEW YOEK

Fiscal Agent of the United States.

Mail Sheet No
No.

Teller

_

ORIGINAL

NR-RB

NON-NEGOTIABLE RECEIPT
For United States Government Obligations as Mentioned Below
Issued to

Number

Street

Date

Town

.. State

Eeceipt is hereby acknowledged of $
par amount United States of America 3% Percent Treasury Registered Bonds of 1940-43
mrrendered in payment for United States of America 1 Percent Treasury Notes of Series C-1943 subscribed for and allotted in full pursuant to the
,erms of Treasury Department Circular No. 635, dated June 11, 1940. If such new securities issued in exchange for those surrendered are to be
lelivered at the Federal Reserve Bank of New York over the counter to your representative the "letter of authority to deliver" set forth below should
>e duly executed and returned to us.

FEDERAL RESERVE BANK OF NEW YORK

Fiscal Agent of the United States.
Date Received

Mail Sheet No. „

Refer to your letter dated

No.

Teller

LETTER OF AUTHORITY TO DELIVER

DELIVERY RECEIPT
Received from the Federal Reserve Bank of New York United
States Government obligations at par in the amount stated in the
accompanying "letter of authority to deliver'* in exchange for
United States Government obligations surrendered in payment as
indicated in the above non-negotiable receipt.

FEDERAL RESERVE BANK or NEW YORK

Fiscal Agent of the United States.
You are hereby authorized to deliver to
(Name of representative)

whose signature appears below $
par amount
of United States Government obligations subscribed for and allotted
in full in exchange for United States Government obligations sur^ rendered in payment as indicated in the above non-negotiable receipt.
Name

.....

(Please print)

.

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

(Official signature required)
(Signature of authorized representative)




Date

DUPLICATE

FILE COPY OF NON-NEGOTIABLE RECEIPT
For United States Government Obligations as Mentioned Below
Issued to
Street

Number
„

Town

_

Date
State

Receipt is hereby acknowledged of $
par amount United States of America 3% Percent Treasury Registered Bonds of 1940-43
surrendered in payment for United States of America 1 Percent Treasury Notes of Series C-1943 subscribed for and allotted in full pursuant to the
terms of Treasury Department Circular No. 635, dated June 11, 1940. If such new securities issued in exchange for those surrendered are to be
ielivered at the Federal Reserve Bank of New York over the counter to your representative the ' ' letter of authority to deliver'' set forth below should
be duly executed and returned to us.

FEDERAL RESERVE BANK OF NEW YORK

Fiscal Agent of the United States.
Date Eeceived
Refer to your letter dated

v




Mail Sheet No
No.

Teller

EA-B-C

COUPON BOND EXCHANGE SUBSCRIPTION
For Use When United States of America 3% Percent Treasury Bonds of 1940-43 in
Coupon Form, Called for Redemption on June 15,1940, Are Tendered in Payment

FOR UNITED STATES OF AMERICA 1 PERCENT TREASURY NOTES OF SERIES C-1943
Dated June 15, 1940

Due September 15, 1943

One day's interest on $1,000 on coupon payable September 15, 1940 (92 days in 184 day period) is $.027173913

NOTE:
Coupons dated December 15, 1940, and all coupons bearing subsequent dates, should be attached to such bonds when
surrendered, and if any such coupons are missing, the subscription must be accompanied by cash payment equal to the face
amount of the missing coupons.
Subscriptions for which securities of the United States are tendered in payment and accepted will be allotted in full.

Dated at.
FEDERAL EESEBVE BANK OP NEW YORK,

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

.1940

DEAR SIRS:

Pursuant to the provisions of Treasury Department Circular No. 635, dated June 11, 1940, the undersigned hereby
subscribes for United States of America 1 percent Treasury Notes of Series C-1943, in the amount and as stated below,
and tenders in payment therefor United States of America c'% percent Treasury Bonds of 1940-43 which are:
In the amount of $.

Delivered to you herewith
To be delivered to you for our account
by
To be withdrawn from securities
you are holding for our account

0-

Total amount of subscription
Issue and dispose of securities allotted on this subscription as indicated below:
DISPOSITION
DENOMINATIONS
Pieces

1. Deliver over the counter to the undersigned
2. Ship to the undersigned
3. Hold in safekeeping (For member
bank only)
4. Hold as collateral for War Loan
deposits
5. Deliver as indicated below

Leave Blank

Par Value
XXX

S 100
SCO
1.000

Deliver to:

5,000

$.
$.
$.
$.

Par Amount

Payment

10,000
XX XXX

100,000
and credit proceeds to our Reserve account

Total

•

or to our account with
The undersigned, if a bank or trust company, hereby certifies (a) that the securities which you are hereby or hereafter instructed
to dispose of in the manner indicated in item numbered 3 above are the sole property of the undersigned, and (b) that the securities
which you are hereby or hereafter instructed to dispose of in the manner indicated in items numbered 4 and 5 above are either the sole
property of the undersigned or the property of its customers who have authorized in writing such disposition.
(Fill in all required spaces before signing)

TO SUBSCRIBER:

Name of Subscriber
(Please print)

Please indicate if this is a confirmation.

By
(Official signature required)
Street address

If subscriber is a Bank or Trust Company,
please indicate amount of this subscription
for own account.

(Title)

City, Town or Village, and State.

Spaces below for the use of the Federal Reserve Bank
RECEIVED

CHECKED




TAKEN FROM VAULT

COUNTED

CHECKED

BLOTTER

DELIVERED

AUDIT

EA-B-R

REGISTERED BOND EXCHANGE SUBSCRIPTION
For Use When United States of America 3% Percent Treasury Bonds of 1940-43 in
Registered Form, Called for Redemption on June 15, 1940, Are Tendered in Payment

FOR UNITED STATES OF AMERICA 1 PERCENT TREASURY NOTES OF SERIES C-1943
Dated June 15, 1940

Due September 15, 1943

One day's interest on $1,000 on coupon payable September 15, 1940 (92 days in 184 day period) is $.027173913

NOTE:
Subscriptions for which securities of the United States are tendered in payment and accepted will be allotted in full.

Dated at.
FEDERAL RESERVE BANK OF NEW YORK,

.1940

Fiscal Agent of the United States,
New York, N. Y.
DEAR SIRS :

Pursuant to the provisions of Treasury Department Circular No. 635, dated June 11, 1940, the undersigned,
being the true owner, assignee of, or the duly authorized agent of the true owner or assignee, hereby subscribes for United
States of America 1 percent Treasury Notes of Series C-1943, in the amount and as stated below, and tenders in payment
therefor United States of America 3 % percent Treasury Bonds of 1940-43 which are:
In the amount of $.

Delivered to you herewith
To be delivered to you for our account
To be withdrawn from securities
you are holding for our account
*>

Total amount of subscription

DENOMINATIONS DESIRED

DENOMINATIONS SURRENDERED
Par Value

Pieces

Leave Blank

Par Value

Pieces

Leave Blank

$50
100
500

500

1,000

1,000

5,000

5,000

10,000

10,000

50,000

XX XXX

100,000

100,000

Total

Total

Dispose of securities allotted on this subscription as indicated below:
1. Deliver over the counter to the undersigned

5. Deliver as indicated below
Deliver to:

. Ship to the undersigned.
3. Hold in safekeeping
bank only)

Against
Payment of

Par Amount

(For member

4. Hold as collateral for War Loan
deposits

and credit proceeds to our Reserve account
or to our account with

•

The undersigned, if a bank or trust company, hereby certifies (a) that the securities which you are hereby or hereafter instructed
I dispose of in the manner indicated in item numbered 3 above are the sole property of the undersigned, and (b) that the securities
hich you are hereby or hereafter instructed to dispose of in the manner indicated in items numbered 4 and 5 above are either the sole
roperty of the undersigned or the property of its customers who have authorized in writing such disposition.
(Fill in all required spaces before signing)

'0 SUBSCRIBER:

Name of Subscriber
(Please print)

Please indicate if this is a confirmation.

By.
(Official signature required)

[f subscriber is a Bank or Trust Company,
Dlease indicate amount of this subscription
'or own account.
A

(Title)

Street address
City, Town or Village, and State.

Spaces below for the use of the Federal Reserve Bank
BECEIVED

CHECKED

TAKEN FROM VAULT




COUNTED

CHECKED

BLOTTER

DELIVERED

AUDIT

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