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F E D E R A L R E S E R V E B A N K O F D A LL A S FISCA L AGENT OF THE UNITED STATES DALLAS. TEXAS 7 S 2 2 2 Circular 72-20 January 27, 1972 To All Banking Institutions and Others Concerned In the Eleventh Federal Reserve District: Enclosed are Treasury Department Circulars, Public Debt Series Nos. 1-72 and 2-72, and subscription forms relating to the February financing. EXCHANGE OFFERING SECURITIES OFFERED 5-3/Wo Treasury Notes of Series E-1976 6-3/8# Treasury Bonds of 1982 SECURITIES ELIGIBLE FOR EXCHANGE FOR EITHER NOTES OR BONDS *+-3/*+# Treasury Notes of Series A-1972, maturing February 15, 1972 7-1/2# Treasury Notes of Series C-1972, maturing February 15, 1972 *+# Treasury Bonds of 1972, maturing February 15, 1972 SECURITIES ELIGIBLE FOR EXCHANGE FOR BONDS ONLY 7—3/*+# Treasury Notes of Series C-197*+, maturing February 15, 197*+ 4-1/8# Treasury Bonds of 197*+, maturing February 15 197*+ 7-l/*+# Treasury Notes of Series D-197*+, maturing May 15, 197*+ *+-l/*+# Treasury Bonds of 197*+, maturing May 15, 197*+. PAYMENT Payment in the form of the eligible securities should he made before 5:00 p.m., February 2, 1972, and where possible, the securities should accompany the subscriptions. However, where this is not possible the securi ties should he received no later than February 8. Payment for the notes may not he made by cash (see below regarding cash purchase of bonds). This publication was digitized and made available by the Federal Reserve Bank of Dallas' Historical Library (FedHistory@dal.frb.org) - 2 - CASH OFFERING SECURITY OFFERED 6-3/8# Treasury Bonds of 1982 CONDITIONS 1. Available only to individuals. 2. Maximum subscription $10,000 (in multiples of $1,000). 3. Subscription must be accompanied by a payment of at least 10# of amount of bonds applied for. PAYMENT Payment in tbe form of a cashier's check or federal funds draft payable to this Bank (or in cash) should accompany the subscription for the total amount of bonds applied for. In the event a down payment of 10# is submitted with the subscription, the remaining payment must be completed in cash or other immediately available funds by Tuesday, February 15, 1972. In every case where payment is not completed, payment with the application up to 10# of the amount of bonds allotted may be forfeited to the United States. CLOSING OF SUBSCRIPTION BOOKS The subscription books will be open until 5:00 p.m., Central Standard Time, Wednesday, February 2, 1972, except subscriptions placed in tbe mail must be postmarked before midnight, Tuesday, February 1, 1972, to be considered timely. Subscriptions will be received at this Bank and its Branches at El Paso, Houston, and San Antonio, and should be submitted on the enclosed forms. Additional circulars and forms will be furnished upon request. Yours very truly, P. E. Coldwell President Enclosures UNITED STATES OF AMERICA 5% PERCENT TREASURY NOTES OF SERIES E-1976 Dated a n d b ea rin g interest from February 15, 1972 Due M ay 15, 1976 D E P A R T M E N T OF T H E T R E A S U R Y Office of the Secretary W ashington, January 27, 1972 DEPARTMENT CIRCULAR Public D eb t Series No. 1-72 I. OFFERING OF NOTES 1. T he Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as amended, offers notes of the U nited States, designated 5% percent Treasury N otes of Series B-1976, at par, in exchange for the following securities maturing February 15, 1972: ( 1 ) 4% percent Treasury N otes of Series A-1972; ( 2 ) 7V2 percent Treasury N otes of Series C-1972; or ( 3 ) 4 percent Treasury Bonds of 1972, in am ounts of $1,000 or m ultiples thereof. T he am ount of this offering will be lim ited to the am ount of eligible securities tendered in exchange. T he books w ill be open until 5:00 p.m., local time, February 2, 1972, for the receipt of subscriptions. 2. In addition, holders of the securities enumerated in Paragraph 1 of this section are offered the privilege of exchanging all or any part of them for 6 3/s percent Treasury Bonds of 1982, which offering is set forth in D epartm ent Circular, Public D ebt Series — No. 2-72, issued sim ultaneously with this circular. ............... II. DESCRIPTION OF NOTES 1. T h e notes w ill be dated February 15, 1972, and will bear interest from that date at the rate of 53A percent per annum, payable on a semiannual basis on M ay 15 and N ovem ber 15, 1972, and thereafter on M ay 15 and N ovem ber 15 in each year until the principal am ount becom es payable. T h ey will mature M ay 15, 1976, and will not be subject to call for redemption prior to maturity. 2. T he income derived from the notes is subject to all taxes im posed under the Internal R evenue Code of 1954. The 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 by any State, or any of the possessions of the U nited States, or by any local taxing authority. 3. T h e notes w ill be acceptable to secure deposits of public m oneys. T h ey will not be acceptable in paym ent of taxes. 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, w ill be issued in denom inations of $1,000, $5,000, $10,000, $100,000 and $1,000,000. Provision will be made for the interchange of notes of different denom inations and of coupon and registered notes, and for the transfer of registered notes, under rules and regulations prescribed by the Secretary of the Treasury. 5. T he notes will be subject to the general regulations of the D epartm ent of the Treasury, now or hereafter prescribed, governing U nited States notes. III. SUBSCRIPTION AND ALLOTMENT 1. Subscriptions accepting the offer made by this circular will be received at the Federal R eserve Banks and Branches and at the Office of the Treasurer of the U nited States, W ashington, D. C. 20220. Banking insti tutions generally m ay submit subscriptions for account of customers, but only the Federal R eserve Banks and the D epartm ent of the Treasury are authorized to act as official agencies. 2. Under the Second Liberty Bond Act, as amended, the Secretary of the Treasury has the authority to reject or reduce any subscription, and to allot less than the am ount of notes applied for when he deem s 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, all subscriptions will be allotted in full. IV. PAYMENT 1. P aym ent for the face am ount of notes allotted hereunder must be m ade on or before February 15, 1972, or on later allotment, and m ay be made only in a like face am ount of securities of the issues enum erated in Paragraph 1 of Section I hereof, which should accom pany the subscription. P aym 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 subm itted to the Internal R evenue Service (an individual’s social security number or an em ployer identification num ber) is not furnished. W hen paym ent is m ade with securities in bearer form, coupons dated February 15, 1972, should be d e ta c h e d and cashed when due. W hen paym ent is made with registered securities, the final interest due on February 15, 1972, will be paid by issue of interest checks in regular course to holders of record on January 14, 1972, the date the transfer books closed. V. ASSIGNMENT OF REGISTERED SECURITIES 1. R egistered securities tendered in paym ent for notes offered hereunder should be assigned by th e registered payees or assignees thereof, in accordance w ith the general regulations of the D epartm ent of th e Treasury governing assignments for transfer or exchange, in one of the forms hereafter set forth, and thereafter should be surrendered with the subscription to a Federal R eserve Bank or Branch or to the Office of th e Treasurer of the U nited States, Washington, D. C. 20220. T he securities must be delivered at the expense and risk of the holder. If the notes are desired registered in the same name as the securities surrendered, the assign m ent should be to “T he Secretary of the Treasury for exchange for 5% percent Treasury N otes of Series E -1976”; if the notes are desired registered in another name, the assignment should be to “T he Secretary o f the Treasury for exchange for 5 3A percent Treasury N otes of Series E -1976 in the nam e of______________ _ --------------------------------------------if notes in coupon form are desired, the assignment should be to “T he Secretary of the Treasury for exchange for 53A percent Treasury N otes of Series E -1976 in coupon form to be delivered to VI. GENERAL PROVISIONS 1. As fiscal agents of the U nited States, Federal R eserve Banks are authorized and requested to receive subscriptions, to m ake such allotm ents as m ay be prescribed by 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 he Secretary of the Treasury m ay at any time, or from tim e to time, prescribe supplem ental or am endatory rules and regulations governing the offering, which will be comm unicated prom ptly to the Federal R eserve Banks. J O H N B. CON N A LLY , Secretary of the Treasury. UNITED STATES OF AMERICA 6% PERCENT TREASURY BONDS OF 1982 Dated a n d b earin g interest from February 15, 1972 DEPARTMENT CIRCULAR P ublic D eb t Series No. 2-72 Due February 15, 1982 D E P A R T M E N T OF T H E T R E A S U R Y Office of the Secretary Washington, January 27, 1972 I. OFFERING OF BONDS 1. T he Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as amended, offers bonds of the U nited States, designated 6 3/s percent Treasury Bonds of 1982, at par, in exchange for the following securities, singly or in combinations aggregating $ 1,000 or m ultiples thereof: ( 1 ) 4% percent Treasury N otes of Series A-1972, dated February 15, 1967, due February 15, 1972; ( 2 ) 7 Vi percent Treasury N otes of Series C-1972, dated August 17, 1970, due February 15, 1972; ( 3 ) 4 percent Treasury Bonds of 1972, dated N ovem ber 15, 1962, due February 15, 1972; ( 4 ) 7% percent Treasury N otes of Series C-1974, dated August 15, 1970, due February 15, 1974, with a cash paym ent of $53.21583 per $1,000 to subscribers; ( 5 ) 4 Vs percent Treasury Bonds of 1974, dated January 15, 1965, due February 15, 1974, with a cash paym ent of $14.40167 per $1,000 to the U nited States; ( 6 ) 7 Vi percent Treasury N otes of Series D -1974, dated N ovem ber 15, 1970, due M a y 15, 1974, with a cash paym ent of $47.56228 per $1,000 to subscribers; or ( 7 ) 4 Vi percent Treasury Bonds of 1974, dated M ay 15, 1964, due M a y 15, 1974, with a cash paym ent of $15.04946 per $1,000 to the U nited States. Interest will be adjusted on the securities due in 1974 as of February 15, 1972. Paym ents on account of accrued interest and cash adjustm ents will be m ade as set forth in Section IV hereof. In addition, the Secretary of the Treasury offers the bonds to natural persons in their own right for cash, not to exceed $10,000 to any one person. T he books will be open until 5:00 p.m., local time, February 2, 1972, for the receipt of subscriptions. 2. In addition, holders of the securities maturing on February 15, 1972 enum erated in Paragraph 1 of this section are offered the privilege of exchanging all or any part of them for 5 3A percent Treasury N otes of Series E-1976, which offering is set forth in D epartm ent Circular, Public D eb t Series No. 1-72, issued sim ultaneously with this circular. 3. Optional recognition of gain or loss for Federal income ta x pu rp o ses on securities due in 1974. — Pursuant to the provisions of section 1 0 3 7 (a ) of the Internal R evenue Code of 1954, the Secretary of the Treasury hereby declares that gain or loss for Federal income tax purposes upon the exchange with the U nited States of the securities due in 1974 enumerated in Paragraph 1 of this section solely for the 6% percent Treasury Bonds of 1982 m ay be recognized either — ( 1 ) in the taxable year of the exchange, or ( 2 ) in the taxable year of disposition or redemption of the new obligations. In the case of either option, any gain realized on the exchange to the extent that m oney (other than as an interest adjustm ent) is received by the security holder in connection w ith the exchange m ust be recognized as gain for the taxable year of the exchange. II. DESCRIPTION OF BONDS 1. T he bonds will be dated February 15, 1972, and will bear interest from that date at the rate of 6% percent per annum payable sem iannually on August 15, 1972, and thereafter on February 15 and August 15 in each year until the principal amount becom es payable. T h ey w ill mature February 15, 1982, and w ill not be subject to call for redemption prior to maturity. 2. T he incom e derived from the bonds is subject to all taxes im posed under the Internal R evenue Code of 1954. T he bonds 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 by any State, or any of the possessions of the U nited States, or by any local taxing authority. 3. T he bonds will be acceptable to secure deposits of public m oneys. T h ey w ill not be acceptable in paym ent of taxes. 4. Bearer bonds with interest coupons attached, and bonds registered as to principal and interest, will be issued in denom inations of $1,000, $5,000, $10,000, $100,000 and $1,000,000. Provision will be m ade for the interchange of bonds of different denom inations and of coupon and registered bonds, and for the transfer of registered bonds, under rules and regulations prescribed by the Secretary of the Treasury. 5. T he bonds w ill be subject to the general regulations of the D epartm ent of the Treasury, now or hereafter prescribed, governing U nited States bonds. III. SUBSCRIPTION AND ALLOTMENT 1. Subscriptions accepting the offer m ade by this circular w ill be received at the Federal R eserve Banks and Branches and at the Office of the Treasurer of the U nited States, W ashington, D. C. 20220. Only the Federal R eserve Banks and the D epartm ent of the Treasury are authorized to act as official agencies. Banking institutions generally m ay submit subscriptions for account of customers, provided the nam es of customers subscribing for cash are set forth in such subscriptions. Others than banking institutions w ill not be perm itted to enter cash subscriptions except for their own account. ^ 2. Cash subscriptions, which m ay not exceed $10,000 from any one person, m ust be accom panied b y paym ent of 10 percent of the face amount of bonds applied for. 3 . Banking institutions in submitting cash subscriptions for customers w ill be required to certify that th e y have no beneficial interest in any such subscriptions. 4. U nder the Second Liberty Bond Act, as amneded, the Secretary of the Treasury has the authority to reject or reduce any subscription, and to allot less than the amount of bonds applied for when he deem s 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, all subscriptions will be allotted in full. IV. PAYMENT 1. P aym ent for the face am ount of bonds allotted hereunder in exchange for securities of the issues enum erated in Paragraph 1 of Section I hereof, m ust be m ade on or before February 15, 1972, or on later allotment, and m ay be m ade only in a like face am ount of such securities, which should accom pany the subscription. On cash subscriptions paym ent at par and accrued interest, if any, for bonds allotted hereunder, m ust be com pleted on or before February 15, 1972, in cash or other funds fully collectible b y that date. In every case where full paym ent is not completed, the paym ent with the application up to 10 percent of the am ount of bonds allotted shall, upon declaration m ade by the Secretary of the Treasury in his discretion, be for feited to the U nited States. P aym ent will not be deem ed to have been com pleted where registered bonds are requested if the appropriate identifying number as required on tax returns and other docum ents subm itted to the Internal R evenue Service (an individual’s social security number or an em ployer identification num ber) is not furnished. P aym ents due to subscribers (paragraphs 3 and 5 b elow ) will be made by check or by credit in any account m aintained by a banking institution with the Federal Reserve Bank of its District, follow ing acceptance of the securities surrendered. In the case of registered securities, the paym ent will be m ade in accordance with the assignments thereon. Paym ents due from subscribers (paragraphs 4 and 6 b elow ) should accom pany the subscription. 2. 4 % percent notes of Series A -1972, 7V2 percent notes of Series C-1972 a n d 4 percent b o n d s of 1972. — W hen paym ent is made with securities in bearer form, coupons dated February 15, 1972, should be d e ta c h e d and cashed when due.* 3. 7Ya percent notes of Series C - 1 9 7 4 .— W hen paym ent is made with notes in bearer form, coupons dated August 15, 1972, and all subsequent coupons, m ust be a tta c h e d (February 15, 1972, coupons should be d e t a c h e d * ) to the notes when surrendered. T he cash paym ent of $53.21583 per $1,000 w ill be paid to subscribers. 4. 4 Vs p ercent b o n d s of 1974. — W hen paym ent is made w ith bonds in bearer form, coupons dated August 15, 1972, and all subsequent coupons, m ust be a tta c h e d (February 15, 1972, coupons should be d e t a c h e d * ) to the bonds w hen surrendered. T he cash paym ent of $14.40167 per $1,000 due the U nited States m ust be paid by subscribers. 5. 7V4 percent notes of Series D - 1 9 7 4 .— W hen paym ent is made with notes in bearer form, coupons dated M a y 15, 1972, and all subsequent coupons, m ust be a tta c h e d to the notes when surrendered. Accrued interest from N ovem ber 15, 1971, to February 15, 1972 ($18.32418 per $1,000), plus the cash paym ent ($ 4 7 .5 6 2 2 8 per $ 1,000), a total of $65.88646 per $1,000 will be paid to subscribers. 6. 4V» percent b o n d s of 1974. — W hen paym ent is m ade with bonds in bearer form, coupons dated M a y 15, 1972, and all subsequent coupons, m ust be a tta c h e d to the bonds when surrendered. Accrued interest from N ovem ber 15, 1971, to February 15, 1972 ($ 1 0 .74176 per $1,0 0 0 ), will be credited, the cash paym ent ($ 1 5 .0 4 9 4 6 per $1,000) due the U nited States will be charged, and the difference of $4.30770 per $1,000 m ust be paid by subscribers. V. ASSIGNMENT OF REGISTERED SECURITIES 1. R egistered securities tendered in paym ent for bonds offered hereunder should be assigned by the registered payees or assignees thereof, in accordance with the general regulations of the D epartm ent of the Treasury governing assignments for transfer or exchange, in one of the forms hereafter set forth, and thereafter should be surrendered w ith the subscription to a Federal R eserve Bank or Branch or to the Office of the Treasurer of the U nited States, W ashington, D. C. 20220. T he securities m ust be delivered at the expense and risk of the holder. If the bonds are desired registered in the same nam e as the securities surrendered, th e assignm ent should be to ‘T h e Secretary of the Treasury for exchange for 6% percent Treasury Bonds of 1982”; if the bonds are desired registered in another name, the assignment should be to “The Secretary of th e T reasury for exchange for 6% percent Treasury Bonds of 1982 in the name of___________________________ if bonds in coupon form are desired, the assignm ent should be to “T he Secretary of the Treasury for exchange for 6% percent Treasury Bonds of 1982 in coupon form to be delivered to_____________________________ ” VI. GENERAL PROVISIONS 1. As fiscal agents of the U nited States, Federal R eserve Banks are authorized and requested to r e c e i v e subscriptions, to m ake such allotm ents as m ay be prescribed by the Secretary of the Treasury, to issue such notices as m ay be necessary, to receive paym ent for and make delivery of bonds on full-paid subscriptions allotted, and they m ay issue interim receipts pending delivery of the definitive bonds. 2. T he Secretary of the Treasury m ay at any time, or from tim e to time, prescribe supplem ental or am endatory rules and regulations governing the offering, which will be com m unicated prom ptly to the F ederal R eserve Banks. JO H N B. C O N N A LLY , Secretary of the Treasury. * Interest due on February 15, 1972, on registered securities w ill be paid by issue of interest checks in regular course to holders o f record on January 14, 1972, the date the transfer books closed. EXCHANGE SUBSCRIPTION 5%% Treasury Notes of Series E-1976 At Par Dated and bearing interest from February 15,1972 Due May 15,1976 To: Federal Reserve Bank, Station K, Dallas, Texas 75222 or — The...........................................................................................Branch E l Paso 79999 Houston 77001 San A ntonio 78295 EACH SUBSCRIPTION TO THIS ISSUE MUST BE IN A MULTIPLE OF $1,000 Pursuant to the provisions of Treasury Department Circular, Public Debt Series No. 1-72, dated January 27, 1972, the undersigned hereby subscribes for $_________________ 5%% Treasury Notes of Series E-1976, dated February 15, 1972, maturing May 15, 1976, and tenders the following securities in payment: Securities Tendered Face Amount 4% % Notes, Series A-1972 7y2% Notes, Series C-1972 4% Bonds of 1972, due 2-15-72 $________________ $________________ $________________ TOTAL $________________ The securities to be applied in payment should be listed on the reverse side and should accompany this subscription. If the securities do not accompany this subscription, please attach a letter giving complete information regarding their location and approximate date of surrender. SCHEDULE FOR ISSUE OF BEARER SECURITIES INSTRUCTIONS FOR DELIVERY OF NEW SECURITIES F i ll in N u m b er o f P iece s by D en o m in a tio n Number of Pieces DO NOT U SE THIS COLUMN At Amount □ □ $1,000 □ $5,000 Custody — Member bank for own account $----------As collateral — Treasury Tax and Loan account (Bank’s own securities) $----------In joint safekeeping for own account and ----------- $10,000 - $ ----------------- Deliver to__________________________ ______________ $100,000 $1,000,000 (State whether free or against funds) TOTAL $ SCHEDULE FOR ISSUE OF REGISTERED SECURITIES Name or names in which securities are to be registered, tax account number of _owner and mailing address for interest checks._________________________________ Denominations Desired No. of Pieces $- ? ?- or Social Security No. Amount Denom ination Employer Identification No. Face Amount • 1= We hereby certify that at the time this subscription was entered the above-described securities surrendered or to be surrendered •JJ connection with this exchange were owned and delivery accepted by the subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior to the closing of the subscription books. □ This is an original subscription □ This is a confirmation (N am e o f subscriber) (Address) By...... (Authorized signature) Dated.. PLEASE PILL IN THE FORM BELOW WHICH WILL BE RETURNED TO YOU AS AN ACKNOWLEDGMENT OF YOUR SUBSCRIPTION (OVER) ’2-20 This acknowledges your subscription for 5%% Treasury Notes of Series E-1976. F R TL S u h e m 'in tiA n N n Name Address The Federal Reserve Bank or Branch will acknowledge by stamping below. Please list name and address of each subscriber, indicating by number in the first column the class of investor, in accordance wit' the following schedule: INVESTOR CLASSES AND NUMBERS 1. 2. 3. 4. 5. 6. Individuals, partnerships and personal tru st accounts Mutual savings banks Insurance companies Dealers and brokers Pension and retirem ent 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 v e st o r Class NAME OF SUBSCRIBER AMOUNT ADDRESS .......... .......i---------------- ------- * DO NOT U S E Our own subscription TOTAL $ LIST OF SECURITIES SURRENDERED IN PAYMENT (C O U P O N S M A T U R I N G F E B R U A R Y 15, 1972, M U S T B E D E T A C H E D ) Description No. Pieces Denomination Serial Nos. Location A m ount EXCHANGE SUBSCRIPTION 6%% Treasury Bonds of 1982 At Par Due February 15,1982 Dated and bearing interest from February 15,1972 To: Federal Reserve Bank, Station K, Dallas, Texas 75222 or — The .......... E l Paso 79999 Houston 77001 Branch San Antonio 78295 EACH SUBSCRIPTION TO THIS ISSUE MUST BE IN A MULTIPLE OF $1,000 Pursuant to the Provisions of Treasury Department Circular, Public Debt Series No. 2-72, dated January 27, 1972, the undersigned hereby subscribes for $_____________ 6%% Treasury Bond of 1982, dated February 15, 1972, maturing February 15, 1982, and tenders the following securities in payment: Net Cash Adjustment* Cash Adjustment (per $1,000 face amount) Payable by Subscriber Due to Due from Payable to Subscriber Face Amount securities Tendered Subscriber Subscriber 4%% Notes, Series A-1972 7 ^ % Notes, Series C-1972 4% Bonds of 1972 due 2-15-72 7%% Notes, Series C-1974 $53.21583 $4%% Bonds of 1974 due 2-15-74 $14.40167 7%% Notes, Series D-1974 $65.88646 in $4%% Bonds of 1974 due 5-15-74 $ 4.30770 TOTAL $ _____________ $_____________ *See official circular for details METHOD OF PAYMENT FOR ADJUSTMENT: □ Reserve account. . . □ check. . . □ O therw ise ......................................................................................................................... ................ The securities to be applied in payment should be listed on the reverse side and should accompany this subscription. If the securities do not accompany this subscription, please attach a letter giving complete information regarding their location and approximate date of surrender. SCHEDULE FOR ISSUE OF BEARER SECURITIES INSTRUCTIONS FOR DELIVERY OF NEW SECURITIES F ill in Number o f Pieces by Denom ination Number of Pieces DO NOT U SE THIS COLUMN At Amount □ □ $1,000 $5,000 □ Custody — Member bank for own account $_ As collateral — Treasury Tax and Loan account (Bank’s own securities) $_ In joint safekeeping for own account and _ $10,000 $- Deliver to_ $100,000 $1,000,000 $- (State whether free or against funds) TOTAL $ SCHEDULE FOR ISSUE OF REGISTERED SECURITIES Name or names in which securities are to be registered, tax account number of owner and mailing address for interest checks. ____________________________ Denominations Desired No. o f Pieces Am ount D enom ination ?$Employer Identification No. Social Security No. Face Amount $- We hereby certify that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior to the closing of the subscription books. □ This is an original subscription □ This is a confirmation (N am e o f subscriber) (Address) By....... (Authorized signature) Dated.. PLEASE FILL IN THE FORM BELOW WHICH WILL BE RETURNED TO YOU AS AN ACKNOWLEDGMENT OF YOUR SUBSCRIPTION (OVER) 72-20 This acknowledges your subscription for $_ 1o Treasury Bond of 1982. UC bllCl relating to this subscription. Name Address The Federal Reserve Bank or Branch will acknowledge by stamping below. I I > Please list name and address of each subscriber, indicating by number in the first column the class of investor, in accordance with j the following schedule: INVESTOR CLASSES AND NUMBERS 1. 2. 3. 4. 5. 6. Individuals, partnerships and personal tru st accounts Mutual savings banks Insurance companies Dealers and brokers Pension and retirem ent funds of State and local governments Other pension and retirem ent funds 7. State and local government funds other than pension and retirem ent 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 ADDRESS N A M E O F S U B S C R IB E R AMOUNT Our own subscription DO NOT U SE ^ - j -------- ! - ✓ TOTAL $ ----------- * LIST OF SECURITIES SURRENDERED IN PAYMENT (C O U P O N S M A T U R IN G F E B R U A R Y 15, 1972, M U S T B E D E T A C H E D A N D A L L C O U P O N S D A T E D S U B S E Q U E N T TO F E B R U A R Y 15, 1972 A T T A C H E D .) Description No. Pieces Denomination Serial Nos. Location MUST Amount BE CASH SUBSCRIPTION 6%% Treasury Bonds of 1982 At Par Dated and bearing interest from February 15,1972 s Due February 15,1982 To: Federal Reserve Bank, Station K, Dallas, Texas 75222 or — The...................................................................................................Branch E l Paso 79999 §Ss H ouston 77001 San Antonio 78295 LIST ALL SUBSCRIPTIONS ON REVERSE SIDE S EACH SUBSCRIPTION TO THIS ISSUE MUST BE IN A MULTIPLE OF $1,000 Pursuant to the provisions of Treasury Department Circular, Public Debt Series No. 2-72, dated January 27, 1972, the undersigned hereby subscribes for $_____________________6%% Treasury Bonds of 1982, dated February 15, 1972, m aturing February 15, 1982, and will make payment in accordance with the provisions of Section IV of the offering circular. §1 E°5 All cash subscriptions m ust be accompanied by a deposit of not less than 10 percent 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 subscrip tions until final payment is completed. All other required deposits must accompany this subscription. u?” IP SCHEDULE FOR ISSUE OF BEARER SECURITIES INSTRUCTIONS FOR DELIVERY OF NEW SECURITIES F ill in Number o f Pieces by Denom ination Number of Pieces At DO NOT U SE THIS COLUMN A m ount go go Deliver to:_ $1,000 gH M $5,000 k g $10,000 $100,000 $1,000,000 1. TOTAL $ 'S 165 I SCHEDULE FOR ISSUE OF REGISTERED SECURITIES Name or names in which securities are to be registered, tax account number of owner and mailing address for interest checks. Denominations Desired Pieces 1 I 1■ 1 ■ Social Security No. or Denom ination @ $ @ $ ___ _ ■ Employer Identification No. A m ount $ $ Face A m o u n t................. $ I CASH SUBSCRIPTIONS AVAILABLE ONLY TO INDIVIDUALS AND MUST NOT EXCEED $10,000 PER PERSON METHOD OF PAYMENT At Par ^ Cashier’s check enclosed (effectual delivery of enclosed check shall be on the latest day which will permit presentment : in order to obtain irrevocably collected funds on payment d a t e ) ............................................................................................ $_ P Charge to our reserve account on payment date (February 1 5 ) ................................................................................................ $_ * Otherwise as specified h erein.................................................................................................................................................................$_ ALL SUBSCRIPTIONS MUST BE SIGNED ON THE REVERSE SIDE. This acknowledges your subscription for ro Treasury Bonds of 1982. F.R.B. Subscription No. IMPORTANT — Please use the above number in all acknowledge by stamping below. I Name Address Please list name and address of each subscriber. LIST OF SUBSCRIBERS ............. " NAME OF SUBSCRIBER AMOUNT ADDRESS ... ... — DO NOT U S E TOTAL $ CERTIFICATION BY COMMERCIAL BANKS ENTERING FOR INDIVIDUALS ON A CASH BASIS We hereby certify that we have received applications from our customers in the amounts set opposite the customers’ nam es 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 less than 10 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; and that we have no bene ficial interest in the applications of such customers. We further certify that applications received by us, if any, from other commercial banks for the account of their customers have been entered with us under the same conditions, agreements and certifications as set forth in this subscription form. □ This is an original subscription □ (Name of subscriber) (Address) By— (Authorized signature) Dated. This is a confirmation
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