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FED ER A L R E SE R V E BAN K OF D ALLAS F IS C A L . A G E N T O F T H E U N IT E D S T A T E S Dallas, Texas, O ctober 28, 1966 CASH OFFERING OF TREASURY NOTES To All Banking Institutions and Others Concerned in the Eleventh Federal Reserve District: There are enclosed Treasury D epartm ent Circulars, P ublic D ebt Series Nos. 7-66 and 8-66, relating to an offering of 5 s /a% Treasury N otes o f Series A-1968, maturing February 15, 1968, and 5 3 % Treasury N otes /s o f Series B-1971, maturing N ovem ber 15, 1971. Subscription form s for your use are also enclosed. PAYM ENT Paym ent for the new notes m ay be m ade in cash or b y the surrender o f the follow ing securities maturing N ovem ber 15, 1966, at par: 3 % % Treasury Bonds o f 1966; 4 % Treasury N otes o f Series E-1966; or 4 3 % Treasury Certificates of Indebtedness of Series A-1966. A T h e notes m ay not be paid for b y credit in Treasury T a x and Loan Accounts. D ow n paym ents in cash, or securities of the three maturing issues, are required o f all subscribers except those specifically exem pted in Section III, paragraph 1 o f the official circulars and are not subject to withdrawal until after allotment. T h e down paym ents received b y com m ercial banks from subscribers should be held by commercial banks until after allotm ent is made. A LLO TM EN T E ach subscription is subject to allotment, but certain classes of subscribers nam ed in paragraph 4 ( 1 ) of Section III o f the official offering circulars m ay obtain full allotm ent up to the total amount of the three eligible securities maturing N ovem ber 15 surrendered in paym ent if the eligible securities were owned or contracted for purchase b y 4 p.m. Eastern D aylight Saving Tim e, O ctober 27, 1966. These subscribers must com plete the certification on the reverse side of the subscription form. I f the certification cannot be com pleted at the time the subscription is entered, a statement to that effect should accom pany the subscription and the certification m ay be submitted separately. A form for furnishing delivery and paym ent instructions will accom pany the notice o f allotment. Provision will be m ade on the form for furnishing the taxpayer identifying number where registered notes are requested. C L O S IN G OF SU BSC RIPTIO N B O O K S T h e subscription books will be open only on Tuesday, Novem ber 1, 1966, and subscriptions postm arked before m idnight on that date will be considered tim ely. Subscriptions will be received at this bank and its branches at E l Paso, H ouston and San Antonio. A dditional circulars and form s will be furnished upon request. Y ou rs very truly, W atrous H. Irons President This publication was digitized and made available by the Federal Reserve Bank of Dallas' Historical Library (FedHistory@dal.frb.org) UNITED STATES OF AMERICA 5% PERCENT TREASURY NOTES OF SERIES A-1968 Dated and bearing interest from November 15, 1966 D EPARTM ENT CIRCU LAR Due February 15, 1938 O ffice Public Debt Series — No. 7-66 TREASURY DEPARTM ENT of th e S e c re t a r y Washington, October 28, 1966 I. O FFERING OF NOTES 1. T h e Secretary o f the Treasury, pursuant to the authority o f the Second Liberty B ond Act, as amended, offers $2,500,000,000, or thereabouts, o f notes of the U nited States, designated 5 % percent Treasury N otes of Series A-1968, at par and accrued interest. T h e follow ing securities, maturing N ovem ber 15, 1966, will be accepted at par in paym ent or exchange, in whole or in part, to the extent subscriptions are allotted b y the Treasury: 3 % percent Treasury Bonds o f 1966; 4 percent Treasury N otes o f Series E-1966; or 4 3 percent Treasury Certificates of Indebtedness o f Series A-1966. A T h e books will be open only on November 1, 1966, for the receipt o f subscriptions. II. DESCRIPTION OF NOTES 1. T h e notes will be dated N ovem ber 15, 1966, and will bear interest from that date at the rate of 5 % percent per annum, payable on a semiannual basis on February 15, and August 15, 1967, and February 15, 1968. T h e y will mature February 15, 1968, and will not be subject to call for redem ption prior to maturity. 2. T h e incom e derived from the notes is subject to all taxes im posed under the Internal R evenue Code of 1954. T h e notes are subject to estate, inheritance, gift or other excise taxes, whether Federal or State, but are exem pt from all taxation now or hereafter im posed on the principal or interest thereof b y any State, or any o f the possessions o f the United States, or b y any local taxing authority. 3. T h e notes will be acceptable to secure deposits o f public moneys. T h ey 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, 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. Provision will be m ade for the interchange o f notes of different denominations and o f coupon and registered notes, and for the transfer o f registered notes, under rules and regulations prescribed b y the Secretary of the Treasury. 5. T h e notes will be subject to the general regulations o f the Treasury Departm ent, now or hereafter prescribed, governing United States notes. III. SUBSCRIPTION A N D ALLOTMENT 1. Subscriptions accepting the offer m ade b y this circular will be received at the Federal R eserve Banks and Branches and at the Office o f the Treasurer of the U nited States, Washington, D. C. 20220. O nly the Federal R eserve Banks and the Treasury D epartm ent are authorized to act as official agencies. Com m ercial banks, which for this purpose are defined as banks accepting dem and deposits, m ay submit subscriptions for account o f customers provided the names o f the customers are set forth in such subscriptions. Others than com m ercial banks will not be perm itted to enter subscriptions except for their own account. Subscriptions from com m ercial banks for their ow n account will be restricted in each case to an amount not exceeding 50 percent of the com bined capital (n ot including capital notes or debentures), surplus and undivided profits o f the subscribing bank. Subscriptions will be received without deposit from banking institutions for their own account, Federally-insured savings and loan associations, States, political subdivisions or instru mentalities thereof, public pension and retirement and other public funds, international organizations in which the U nited States holds membership, foreign central banks and foreign States, dealers who make prim ary markets in Governm ent securities and report daily to the Federal R eserve Bank of N ew Y ork their positions with respect to G overnm ent securities and borrowings thereon, Federal Reserve Banks and G overnm ent Investment Accounts. Subscriptions from all others must be accom panied b y paym ent (in cash or in securities o f the three issues enumerated in paragraph 1 o f Section I hereof, which will be accepted at p a r) o f 2 percent o f the amount o f notes applied for, not subject to withdrawal until after allotment. Registered securities submitted as deposits should be assigned as provided in Section V hereof. Follow ing allotment, any portion o f the 2 percent paym ent in excess o f 2 percent o f the amount o f notes allotted m ay be released upon the request o f the subscribers. 2. A ll subscribers are required to agree not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition o f any notes of this issue at a specific rate or price, until after midnight N ovem ber 1, 1966. 3. Com m ercial banks in submitting subscriptions will be required to certify that they have no beneficial interest in any o f the subscriptions they enter for the account o f their customers, and that their customers have no beneficial interest in the banks’ subscriptions for their own account. 4. Under the Second Liberty B ond Act, as amended, the Secretary of the Treasury has the authority to reject or reduce any subscription, to allot less than the amount of notes applied for, and to make different percentage allotments to various classes o f subscribers when he deems it to be in the public interest; and any action he m ay take in these respects shall be final. Subject to the exercise o f that authority, subscriptions will be allotted: ( 1 ) in full if the subscription is for a State, political subdivision or instrumentality thereof, public pension and retirement and other public fund, international organization in which the United States holds membership, foreign central bank and foreign State, Federal R eserve Bank, or G overnm ent Investment A ccount and such subscriber certifies in writing that at 4 p.m., Eastern D aylight Saving Tim e, O ctober 27, 1966, it owned or had contracted to purchase for value securities o f the three issues enumerated in paragraph 1 of Section I hereof, in an aggregate amount equal to or greater than the amount o f such subscription (a n y such subscriber m ay enter an additional subscription subject to a percentage a llotm en t); and ( 2 ) on a percentage basis, to be publicly announced. A llotm ent notices will b e sent out prom ptly upon allotment. IV. P A Y M EN T 1. Paym ent at par and accrued interest, if any, for notes allotted hereunder must be made or com pleted on or before N ovem ber 15, 1966, or on later allotment. Paym ent will not be deem ed to have been com pleted where registered notes are requested if the appropriate identifying number as required on tax returns and other docum ents submitted to the Internal Revenue Service (an individual’s social security number or an em ployer identification num ber) is not furnished. In every case where full paym ent is not com pleted, the paym ent with application up to 2 percent o f the amount of notes allotted shall, upon declaration m ade b y the Secretary of the Treasury in his discretion, be forfeited to the U nited States. Paym ent m ay be made for any notes allotted hereunder in cash or b y exchange o f securities of the three issues enumerated in paragraph 1 o f Section I hereof, which will be accepted at par. W hen paym ent is made with securities in bearer form, coupons dated N ovem ber 15, 1966, should be detached and cashed when due. W hen paym ent is made with registered securities, the final interest due on N ovem ber 15, 1966, will be paid b y issue of interest checks in regular course to holders o f record on O ctober 14, 1966, the date the transfer books closed. V. A S SIG N M E N T OF REGISTERED SECURITIES 1. Treasury securities in registered form tendered as deposits and in paym ent for notes allotted hereunder should be assigned b y the registered payees or assignees thereof, in accordance with the general regulations of the Treasury Department, in one of the form s hereafter set forth. Securities tendered in paym ent should be surrendered to a Federal R eserve Bank or Branch or to the Office o f the Treasurer of the U nited States, Washington, D. C. 20220. T h e maturing securities must be delivered at the expense and risk o f the holder. If the new notes are desired registered in the same name as the securities surrendered, the assignment should be to “T h e Secretary of the Treasury for 5 s percent Treasury N otes of Series A -1968” ; /s if the new notes are desired registered in another name, the assignment should be to “T h e Secretary of the Treasury for 5 % percent Treasury N otes of Series A-1968 in the name of____________________________________ ” ; if new notes in coupon form are desired, the assignment should be to “T h e Secretary of the Treasury for 5 % percent Treasury N otes of Series A-1968 in coupon form to be delivered t o _ ___________________________ ”. VI. GENERAL PRO V ISIO N S 1. As fiscal agents of the United States, Federal R eserve Banks are authorized and requested to receive subscriptions, to make such allotments as m ay be prescribed b y the Secretary o f the Treasury, to issue such notices as m ay be necessary, to receive paym ent for and make delivery of notes on full-paid subscriptions allotted, and they m ay issue interim receipts pending delivery o f the definitive notes. 2. T h e Secretary o f the Treasury m ay at any time, or from time to time, prescribe supplemental or am endatory rules and regulations governing the offering, which will be com m unicated prom ptly to the Federal R eserve Banks. H E N R Y H. FOW LER, Secretary of the Treasury. UNITED STATES OF AMERICA 5% PERCENT TREASURY NOTES OF SERIES B-1971 Dated and bearing interest from November 15, 1966 Due November 15, 1971 TREASURY DEPARTM ENT Office of the Secretary Washington, October 28, 1966 D EPARTM ENT CIRCU LA R Public D ebt Series — No. 8-66 I. OFFERING OF NOTES 1. T h e Secretary o f the Treasury, pursuant to the authority o f the Second Liberty B ond Act, as amended, offers $1,600,000,000, or thereabouts, o f notes of the United States, designated 5 % percent Treasury N otes o f Series B-1971, at par and accrued interest. T h e follow ing securities, maturing N ovem ber 15, 1966, will be accepted at par in paym ent or exchange, in whole or in part, to the extent subscriptions are allotted by the Treasury: 3 % percent Treasury Bonds of 1966; 4 percent Treasury N otes of Series E -1966; or 4 % percent Treasury Certificates o f Indebtedness o f Series A-1966. T h e books will be open only on November 1, 1966, for the receipt o f subscriptions. II. DESCRIPTION OF NOTES 1. T h e notes will be dated N ovem ber 15, 1966, and will bear interest from that date at the rate of 5 % percent per annum, payable semiannually on M a y 15 and N ovem ber 15 in each year until the principal amount becom es payable. T h ey will mature N ovem ber 15, 1971, and will not be subject to call for redem ption prior to maturity. 2. T h e incom e derived from the notes is subject to all taxes im posed under the Internal R evenue Code o f 1954. T h e notes are subject to estate, inheritance, gift or other excise taxes, whether Federal or State, but are exem pt from all taxation now or hereafter im posed on the principal or interest thereof b y any State, or any of the possessions o f the United States, or b y any local taxing authority. 3. Th e notes will be acceptable to secure deposits o f public moneys. T h e y 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, 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. Provision w ill be made for the interchange o f notes o f different denominations and of coupon and registered notes, and for the transfer of registered notes, under rules and regulations prescribed b y the Secretary o f the Treasury. 5. T h e notes will be subject to the general regulations o f the Treasury Department, now or hereafter prescribed, governing United States notes. 1 1 SUBSCRIPTION A N D ALLOTMENT 1. 1. Subscriptions accepting the offer m ade b y this circular will be received at the Federal R eserve Banks and Branches and at the Office o f the Treasurer of the U nited States, W ashington, D. C. 20220. Only the Federal R eserve Banks and the Treasury Departm ent are authorized to act as official agencies. Com m ercial banks, which for this purpose are defined as banks accepting demand deposits, m ay submit subscriptions for account o f customers provided the names o f the customers are set forth in such subscriptions. Others than com m ercial banks will not be perm itted to enter subscriptions except for their ow n account. Subscriptions from com m ercial banks for their own account will be restricted in each case to an amount not exceeding 50 percent o f the com bined capital (n o t including capital notes or debentures), surplus and undivided profits of the subscribing bank. Subscriptions will be received without deposit from banking institutions for their own account, Federally-insured savings and loan associations, States, political subdivisions or instru mentalities thereof, public pension and retirement and other public funds, international organizations in which the United States holds membership, foreign central banks and foreign States, dealers w ho make prim ary markets in Governm ent securities and report daily to the Federal R eserve Bank o f N ew Y ork their positions with respect to Governm ent securities and borrowings thereon, Federal Reserve Banks and G overnm ent Investment Accounts. Subscriptions from all others must be accom panied b y paym ent (in cash or in securities o f the three issues enumerated in paragraph 1 o f Section I hereof, which will be accepted at p a r) of 2 percent o f the amount o f notes applied for, not subject to withdrawal until after allotment. Registered securities submitted as deposits should be assigned as provided in Section V hereof. Follow ing allotment, any portion o f the 2 percent paym ent in excess of 2 percent of the amount o f notes allotted m ay be released upon the request of the subscribers. 2. A ll subscribers are required to agree not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition o f any notes of this issue at a specific rate or price, until after midnight N ovem ber 1, 1966. 3. Com m ercial banks in submitting subscriptions will be required to certify that they have no beneficial interest in any o f the subscriptions they enter for the account of their customers, and that their customers have no beneficial interest in the banks’ subscriptions for their own account. 4. U nder the Second Liberty B on d Act, as amended, the Secretary o f the Treasury has the authority to reject or reduce any subscription, to allot less than the amount of notes applied for, and to make different percentage allotments to various classes o f subscribers when he deems it to be in the public interest; and any action he m ay take in these respects shall be final. Subject to the exercise of that authority, subscriptions will be allotted: ( 1 ) in full if the subscription is for a State, political subdivision or instrumentality thereof, public pension and retirement and other public fund, international organization in which the United States holds membership, foreign central bank and foreign State, Federal Reserve Bank, or Governm ent Investment A ccount and such subscriber certifies in writing that at 4 p.m., Eastern D aylight Saving Tim e, O ctober 27, 1966, it owned or had contracted to purchase for value securities o f the three issues enumerated in paragraph 1 of Section I hereof, in an aggregate am ount equal to or greater than the amount o f such subscription (a n y such subscriber m ay enter an additional subscription subject to a percentage allotm en t); and ( 2 ) on a percentage basis, to be publicly announced. A llotm ent notices will be sent out prom ptly upon allotm en t IV. P A Y M E N T 1. Paym ent at par and accrued interest, if any, for notes allotted hereunder must be made or com pleted on or before N ovem ber 15, 1966, or on later allotment. Paym ent will not be deem ed to have been com pleted where registered notes are requested if the appropriate identifying number as required on tax returns and other documents submitted to the Internal Revenue Service (an individual’s social security number or an em ployer identification num ber) is not furnished. In every case where full paym ent is not com pleted, the paym ent with application up to 2 percent o f the am ount o f notes allotted shall, upon declaration maue b y the Secretary o f the Treasury in his discretion, be forfeited to the U nited States. Paym ent m ay be made for any notes allotted hereunder in cash or b y exchange of securities o f the three issues enumerated in paragraph 1 o f Section I hereof, which will be accepted at par. W hen paym ent is made with securities in bearer form, coupons dated N ovem ber 15, 1966, should be detached and cashed when due. W hen paym ent is m ade with registered securities, the final interest due on N ovem ber 15, 1966, will be paid b y issue of interest checks in regular course to holders o f record on O ctober 14, 1966, the date the transfer books closed. V. A S SIG N M E N T OF REGISTERED SECURITIES 1. Treasury securities in registered form tendered as deposits and in paym ent for notes allotted hereunder should be assigned b y the registered payees or assignees thereof, in accordance with the general regulations o f the Treasury Department, in one o f the form s hereafter set forth. Securities tendered in paym ent should be surrendered to a Federal R eserve Bank or Branch or to the Office o f the Treasurer of the U nited States, Washington, D. C. 20220. T h e maturing securities 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 securities surrendered, the assignment should be to “Th e Secretary o f the Treasury for 5 % percent Treasury N otes of Series B -1971” ; if the new notes are desired registered in another name, the assignment should be to “T h e Secretary of the Treasury for 5 % percent Treasury N otes o f Series B-1971 in the name of____________________________________ ” ; if new notes in coupon form are desired, the assignment should be to “ The Secretary o f the Treasury for 5 % percent Treasury N otes o f Series B-1971 in coupon form to be delivered to______________________________ VI. GENERAL PRO V ISIO N S 1. As fiscal agents o f the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as m ay be prescribed b y the Secretary of the Treasury, to issue such notices as m ay be necessary, to receive paym ent for and make delivery of notes on full-paid subscriptions allotted, and they m ay issue interim receipts pending delivery of the definitive notes. 2. T h e Secretary o f the Treasury m ay at any time, or from time to time, prescribe supplemental or am endatory rules and regulations governing the offering, which will be com m unicated prom ptly to the Federal R eserve Banks. H E N R Y H. FOW LER, Secretary of the Treasury. CASH SUBSCRIPTION 5 % % Treasury Notes of Series A-1968 At Par Due February 15, 1968 To: Federal Reserve Bank, Station K, Dallas, Texas 75222 or — The................................................. E l Paso 79999 Houston 77001 Branch San Antonio 78206 LIST ALL SUBSCRIPTIONS ON REVERSE SIDE EACH SUBSCRIPTION TO THIS ISSUE MUST BE IN A MULTIPLE OF $1,000 All subscriptions except those specifically exempted in Section III, paragraph 1 of the official circular, must be accompanied by a cash deposit of not less than 2% of the amount of securities applied for. In the cases of subscriptions entered through commercial banks the deposits should be retained by the bank entering the subscriptions until allotment has been made and final payment is completed. All other required deposits must accompany this subscription. PAYMENT FOR NOTES ALLOTTED MAY NOT BE MADE BY CREDIT IN TREASURY TAX AND LOAN ACCOUNTS. CLASS OF SUBSCRIPTION Form for indicating METHOD OF PAYMENT, DELIVERY INSTRUCTIONS and DENOMI NATIONS of securities desired will accompany NOTICE OF ALLOTMENT. (List again on reverse) S Customers s u b s c r ip tio n s ..................................... TOTAL. . . CERTIFICATION BY COMMERCIAL BANKS We hereby certify that we have received applications from our customers in the amounts set opposite the customers’ names on the list which is made a part of this subscription; that there has been paid to us by each such customer as required by official offering circular, not subject to withdrawal until after allotment, not less than 2 percent of the amount applied for; that we have not made unsecured loans, or loans collateralized in whole or in part by the securities applied for, to supply the amounts of such payments to any of such customers; that we have no beneficial interest in the applications of such customers, and that none of our customers has any beneficial interest in the amount subscribed for our own account. We further certify that the subscription for our own account does not exceed 50 percent of our combined capital (not including capital notes or debentures), surplus and undivided profits. We further certify that applications received by us, if any, from other commercial hanks for their own account and for the ac count of their customers have been entered with us under the same conditions, agreements and certifications as set forth in this sub scription form. CERTIFICATION BY ALL SUBSCRIBERS We certify that all subscribers listed hereon have agreed not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition of any of the notes of this issue at a specific rate or price, until after midnight November 1, 1966. CERTIFICATION BY SPECIAL CLASSES OF SUBSCRIBERS (If Applicable) (See reverse side) □ This is an original subscription □ This is a confirmation (N am e o f subscriber) (Address) ENTERED SUBSCRIPTIONS O N Our own s u b s c r ip tio n .......................................... _____ By........ (Authorized signature) Dated.— PLEASE FILL IN THE FORM BELOW WHICH WILL BE RETURNED TO YOU AS AN ACKNOWLEDGMENT OF YOUR SUBSCRIPTION (O V E R ) This acknowledges your subscription fo r $______________ 5 % % Treasury Notes of Series A-1968 REQUIRED DEPOSITS Amount (Show in schedule on reverse) - THROUGH COMMERCIAL BANKS SHOULD B RETAINED E T E H Pursuant to the provisions of Treasury Department Circular, Public Debt Series No. 7-66 dated October 28,1966, the undersigned hereby subscribes for $----------------------------- 5%% Treasury Notes of Series A-1968, dated November 15,1966, maturing February 15, 1968, and will make payment in accordance with the provisions of Section IV of the offering circular. B Y COMMERCIAL BANKS Dated November 15, 1966 FJt.B. Subscription No. IMPORTANT — Please use the above number in all matters — whether payment or correspondence — re lating to this subscription. The Federal Reserve Bank or Branch will acknowledge by stamping below. MAIL TO Name Address Please list name and address o f each subscriber, indicating by number in the first column the class ol investor, m accordance with the following schedule: INVESTOR CLASSES AND NUMBERS 1. 2. 0 o. 4. 5. 6. Individuals, partnerships and personal trust accounts Mutual savings banks Insurance companies Dealers and brokers Pension and retirement funds of State and local governments Other pension and retirement funds 7. State and local government funds other than pension and retirement 8. Commercial banks 9. Corporations other than banks and insurance companies 10. Savings and building and loan associations 11. All others LIST OF SUBSCRIBERS Investor Class NAME OF SUBSCRIBER AMOUNT ADDRESS DO NOT USE Our own subscription TOTAL $ CERTIFICATION BY STATES, POLITICAL SUBDIVISIONS OR INSTRUMENTALITIES THEREOF, PUBLIC PENSION AND RETIREMENT AND OTHER PUBLIC FUNDS, INTERNATIONAL ORGANIZATIONS IN WHICH THE UNITED STATES HOLDS MEMBERSHIP, FOREIGN CENTRAL BANKS AND FOREIGN STATES, FEDERAL RESERVE BANKS AND GOVERNMENT INVESTMENT ACCOUNTS PURSUANT TO SECTION III PARAGRAPH 4 (1 ), TREASU RY DEPARTMENT CIRCULAR, PUBLIC DEBT SERIES — NO. 7-66. To the Federal Reserve Bank of Dallas The undersigned hereby certifies: (1) That it is one of the types of subscribers designated above and has entered for preferred full allotment under the provisions of section III, paragraph 4 (1), of Treasury Department Circular, Public Debt Series — No. 7-66, subscription(s) in the amount of $----------------------------------; (2) That at 4 p.m., Eastern Daylight Saving Time, October 27, 1966, it owned or had contracted to purchase for value 4% % Treasury Certificates of Indebtedness of Series A-1966, 4% Treasury Notes of Series E-1966 and 3%% Treasury Bonds of 1966 in an amount equal to or greater than the amount of said subscription(s ) ; and (3) That such securities will be submitted in payment for said subscription(s). (N a m e o f S u b s c r ib e r ) (A d d r e s s ) by.-----------------------------------------------------------( S ig n a tu r e o f P e r s o n A u th o riz e d to S ig n o n B e h a lf o f S u b s c r ib e r ) ( T i t l e an d A d d r e s s ) Dated______________________________ Note: If the above certification cannot be completed at the time the subscription is entered, a statement to that effect should accom pany the subscription, and the certification in the above form should be submitted separately as soon as possible. CASH SUBSCRIPTION 5% % Treasury Notes of Series B-1971 At Par Due November 15, 1971 To: Federal Reserve Bank, Station K, Dallas, Texas 75222 or — The .... E l P a s o 79999 H o u s to n 77001 Branch S an A n t o n io 78206 LIST ALL SUBSCRIPTIONS ON REVERSE SIDE EACH SUBSCRIPTION TO THIS ISSUE MUST BE IN A MULTIPLE OF $1,000 All subscriptions except those specifically exempted in Section III, paragraph 1 of the official circular, must be accompanied by a cash deposit of not less than 2% of the amount of securities applied for. In the cases of subscriptions entered through com mercial banks the deposits should be retained by the bank entering the subscriptions until allotment has been made and final payment is completed. All other required deposits must accompany this subscription. PAYMENT FOR NOTES ALLOTTED MAY NOT BE MADE BY CREDIT IN TREASURY TAX AND LOAN ACCOUNTS. Form for indicating METHOD OF PAYMENT, DELIVERY INSTRUCTIONS and DENOMI NATIONS of securities desired will accompany NOTICE OF ALLOTMENT. Our own su b scrip tio n .......................................... ? (List again on reverse) Customers s u b s c r i p t i o n ..................................... (Show in schedule on reverse) TOTAL . . . $ CERTIFICATION BY COMMERCIAL BANKS We hereby certify that we have received applications from our customers in the amounts set opposite the customers’ names on the list which is made a part of this subscription; that there has been paid to us by each such customer as required by official offering circular, not subject to withdrawal until after allotment, not less than 2 percent of the amount applied for; that we have not made unsecured loans, or loans collateralized in whole or in part by the securities applied for, to supply the amounts of such payments to any of such customers; that we have no beneficial interest in the applications of suchcustomers, and that none of ourcustomers has any beneficial interest in the amount subscribed for our own account. We further certify that the subscription for our own account does not exceed 50percent capital notes or debentures), surplus and undivided profits. of our combined capital (not including We further certify that applications received by us, if any, from other commercial banks for their own account and for the ac count of their customers have been entered with us under the same conditions, agreements and certifications as set forth in this sub scription form. CERTIFICATION BY ALL SUBSCRIBERS We certify that all subscribers listed hereon have agreed not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition of any of the notes of this issue at a specific rate or price, until after midnight November 1, 1966. CERTIFICATION BY SPECIAL CLASSES OF SUBSCRIBERS (If Applicable) (See reverse side) □ This is an original subscription □ This is a confirmation ( N a m e o f su b sc r ib e r ) ENTERED ON: SUBSCRIPTIONS REQUIRED DEPOSITS Amount CLASS OF SUBSCRIPTION THROUGH COMMERCIAL BANKS SHOULD B RETAINED E T E H Pursuant to the provisions of Treasury Department Circular, Public Debt Series No. 8-66 dated October 28,1966, the undersigned hereby subscribes for $___________________ 5% % Treasury Notes of Series B-1971, dated November 15, 1966, maturing November 15, 1971, and will make payment in accordance with the provisions of Section IV of the offering circular. B Y COMMERCIAL BANKS Dated November 15, 1966 (A d d r e s s ) By........................................................................... (Authorized signature) Dated..................................................................... PLEASE FILL IN THE FORM BELOW WHICH WILL BE RETURNED TO YOU AS AN ACKNOWLEDGMENT OF YOUR SUBSCRIPTION (O V E R ) This acknowledges your subscription for 5 % % Treasury Notes o f Series B-1971 F.R.B. Subscription No. IMPORTANT — Please use the above number in all matters — whether payment or correspondence — relating to this subscription. The Federal Reserve Bank or Branch will acknowledge by stamping below. MAIL TO Name Address Please list name and address o f each subscriber, indicating by number in the first column the class ol investor, m accordance with the following schedule: INVESTOR CLASSES AND NUMBERS 1. Individuals, partnerships and personal trust accounts Mutual savings banks Insurance companies Dealers and brokers Pension and retirement funds of State and local governments Other pension and retirement funds 7. State and local government funds other than pension and retirement 8. Commercial banks 9. Corporations other than banks and insurance companies 10. Savings and building and loan associations 11. All others LIST OF SUBSCRIBERS In estor v NAME OF SUBSCRIBER Class AMOUNT ADDRESS DO NOT USE Our own subscription TOTAL ? CERTIFICATION BY STATES, POLITICAL SUBDIVISIONS OR INSTRUMENTALITIES THEREOF, PUBLIC PENSION AND RETIREMENT AND OTHER PUBLIC FUNDS, INTERNATIONAL ORGANIZATIONS IN WHICH THE UNITED STATES HOLDS MEMBERSHIP, FOREIGN CENTRAL BANKS AND FOREIGN STATES, FEDERAL RESERVE BANKS AND GOVERNMENT INVESTMENT ACCOUNTS PURSUANT TO SECTION III PARAGRAPH 4 (1), TREASURY DEPARTMENT CIRCULAR, PUBLIC DEBT SERIES — NO. 8-66. To the Federal Reserve Bank of Dallas The undersigned hereby certifies: (1) That it is one of the types of subscribers designated above and has entered for preferred full allotment under the provisions of section III, paragraph 4(1), of Treasury Department Circular, Public Debt Series — No. 8-66, subscription(s) in the amount of $_ ( 2 ) That at 4 p.m., Eastern Daylight Saving Time, October 27, 1966, it owned or had contracted to purchase for value 4% % Treasury Certificates of Indebtedness of Series A-1966, 4% Treasury Notes of Series E-1966 and 3% % Treasury Bonds of 1966 in an amount equal to or greater than the amount of said subscription(s ) ; and (3) That such securities will be submitted in payment for said subscription(s). (N am e of Subscriber) (A d d r e s s ) by( S ig n a t u r e o f P e r s o n A u th o riz e d to S ig n on B e h a lf o f S u b s cr ib e r ) (T itle and A d d ress) DatecL Note: I f the above certification cannot be completed at the time the subscription is entered, a statement to that effect should accom pany the subscription, and the certification in the above form should be submitted separately as soon as possible.
@FedFRASER