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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States

'Circular No. 2 2 3 7 T
July 10, 1941
J

Offering of Commodity Credit Corporation 1% Percent Notes of Series G,
Due February 15, 1945
Dated and bearing interest from July 21, 1941
FULLY AND UNCONDITIONALLY GUARANTEED BOTH AS TO INTEREST AND PRINCIPAL BY THE
UNITED STATES, WHICH GUARANTY IS EXPRESSED ON THE FACE OF EACH NOTE

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

The Secretary of the Treasury, on behalf of the Commodity Credit Corporation, is today offering for subscription, at par and accrued interest, through the
Federal Eeserve Banks, notes of the Corporation, designated 1% percent notes of Series
G, in the amount of $400,000,000 or thereabouts, and at the same time is offering to
purchase on July 21,1941, at par and accrued interest, the outstanding notes of Series
D, maturing August 1, 1941, to the extent the holders of such maturing notes subscribe
for the new notes. The amount of the Series D notes outstanding is $202,553,000.
The terms of this offering are set forth in Treasury Circular No. 665, dated
July 10, 1941, copy of which is printed on the following pages.
The subscription books are now open, and applications will be received by this
bank as fiscal agent of the United States. Subscriptions will not be received at the
Commodity Credit Corporation. 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. A telegraphic or letter subscription entered by a bank should state the amount subscribed for the bank's own
account and the number of subscriptions, at each amount, entered for the customers of
the subscribing bank.




ALLAN SPROUL,

President.

COMMODITY CREDIT CORPORATION
1V4 PERCENT NOTES OF SERIES G, DUE FEBRUARY 15, 1945
Dated and bearing interest from July 21, 1941
FULLY AND UNCONDITIONALLY GUARANTEED BOTH AS TO INTEREST AND PRINCIPAL BY THE
UNITED STATES, WHICH GUARANTY IS EXPRESSED ON THE FACE OF EACH NOTE

1941

TREASURY DEPARTMENT,

Department Circular No. 665
•— .

Bureau'cHhePubHcDebt

OFFICE OF T H E SECRETARY,

Washington, July 10, 1941.

I. OFFERING OF NOTES AND INVITATION FOR TENDERS
1. The Secretary of the Treasury, on behalf of the Commodity Credit Corporation, invites
subscriptions, at par and accrued interest, from the people of the United States for notes of the
Commodity Credit Corporation, designated 1% percent notes of Series G. The amount of the
offering is $400,000,000, or thereabouts.
2. The Secretary of the Treasury, on behalf of the Commodity Credit Corporation, offers to
purchase on July 21, 1941, at par and accrued interest, the outstanding notes of the Corporation
designated Series D, maturing August 1, 1941, to the extent to which the holders thereof subscribe
to the issue of Series G notes hereunder. Tenders of Series D notes for that purpose are invited.
II. DESCRIPTION OF NOTES
1. The notes will be dated July 21, 1941, and will bear interest from that date at the rate
of lYg percent per annum, payable on a semiannual basis on February 15 and August 15 in
each year until the principal amount becomes payable, the first coupon being dated February 15,
1942. They will mature February 15, 1945, and will not be subject to call for redemption prior
to maturity.
2. The notes will be issued under authority of the act approved March 8,1938 (52 Stat. 107),
as amended. The income derived from the notes shall be subject to all Federal taxes, now or
hereafter imposed. The notes shall be subject to surtaxes, estate, inheritance, gift or other
excise taxes, whether Federal or State, but shall be exempt from all taxation now or hereafter
imposed on the principal or interest thereof by any State, municipality, or local taxing authority. These notes shall be lawful investments and may be accepted as security for all fiduciary,
trust, and public funds the investment or deposit of which shall be under the authority or control
of the United States or any officer or officers thereof.
3. The authorizing act provides that in the event the Commodity Credit Corporation shall
be unable to pay upon demand, when due, the principal of, or interest on, notes issued by it, the
Secretary of the Treasury shall pay to the holder the amount thereof which is authorized to be
appropriated, out of any money in the Treasury not otherwise appropriated, and thereupon to
the extent of the amount so paid the Secretary of the Treasury shall succeed to all the rights of
the holders of such notes.
4. Bearer notes with interest coupons attached will be issued in denominations of $1,000,
$5,000, $10,000 and $100,000. The notes will not be issued in registered form.




III. SUBSCRIPTION AND ALLOTMENT
1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the
Treasury Department, Washington. Subscribers must agree not to sell or otherwise dispose of
their subscriptions, or the securities which may be allotted thereon, prior to the closing of the
subscription books. 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. Others than banking institutions will not be permitted to enter subscriptions except for their own account. Subscriptions from holders of Series D notes tendered for
purchase should be accompanied by such notes to a par amount equal to the par amount of
notes of Series G subscribed for. Other subscriptions from banks and trust companies for
their own account will be received without deposit but will be restricted in each case to an
amount not exceeding one-half of the combined capital and surplus of the subscribing bank or
trust company. Other subscriptions from all others must be accompanied by payment of 10 percent of the amount of notes applied for.
2. The Secretary of the Treasury reserves the right to reject any subscription, in whole
or in part, to allot less than the amount of notes applied for, 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, subscriptions from holders of Series D notes who
tender them for purchase hereunder will be allotted in full. Allotment notices will be sent out
promptly upon allotment, and the basis of the allotment will be publicly announced.
IV. PAYMENT
1. Payment at par and accrued interest, if any, for notes allotted hereunder must be made
or completed on or before July 21, 1941, or on later allotment. In every case where payment
is not so completed, the payment with application up to 10 percent of the amount of notes
applied for shall, upon declaration made by the Secretary of the Treasury in his discretion, be
forfeited to the United States. Notes of Series D tendered for purchase must have coupons
dated August 1, 1941, attached, and payment will be made at par and accrued interest to July 21,
1941. The principal proceeds of the Series D notes will be applied in payment of the Series G
notes, and accrued interest from February 1, 1941 to July 21, 1941 on Series D notes ($2.93508
per $1,000) will be paid following acceptance of the notes.

V. 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.

FEDERAL BESEBVE B A N K OP N E W YORK

Fiscal Agent of the United States

NOTICE OF ALLOTMENT
On Cash Subscription to Commodity Credit Corporation Obligations
Applied for by Subscriber as Described Below
To Subscriber:
1941

Referring to your subscription, numbered as above indicated, for $

(par value)

COMMODITY CREDIT CORPORATION 1% PERCENT NOTES OF SERIES G
DATED JULY 21, 1941, DUE FEBRUARY 15, 194S

for which you have applied under the provisions of the Treasury Department's circular containing the offering of such
securities for subscription, you have been allotted by the Secretary of the Treasury
$

of the amount applied for.

IMPORTANT INFORMATION FOR SUBSCRIBER
1. To expedite delivery of the securities of this issue allotted to subscriber and to facilitate prompt completion of
this transaction, please observe the following directions, and fill in, sign and return immediately the attached letter of
instructions to the Federal Reserve Bank of New York, Fiscal Agent of the United States, New York, N. Y.
Payment by Check, Cash or Charge
2. On or before the date of this issue payment must be made or completed at par, or at par and accrued interest if
payment is to be made after the date of this issue, for the securities allotted to subscriber as stated above, and payment
therefor may be made by check, cash or charge, as follows:
By Check— A check tendered in payment should be made payable to the order of the FEDERAL RESERVE BANK OF NEW YORK*
FISCAL AGENT OF THE UNITED STATES, and the proceeds thereof must be immediately available on the date that payment is doe,
but such check need not necessarily accompany the attached letter of instructions. The proceeds of a check tendered in payment by
subscriber on the date of this issue, drawn on the Federal Reserve Bank of New York, will be immediately available on the date of this
issue. Should a subscriber wish to make payment by certified check on any other bank the securities can not be delivered until the
Federal Reserve Bank of New York, Fiscal Agent of the United States, receives the proceeds of such check, and, therefore, such subscriber
should tender such certified check at least 2 days prior to the date payment is due if he wishes delivery of the securities on the
date of this issne.
By Cash—Payment may be made in cash.
By Charge— A member bank may make payment by requesting us to charge its reserve account, or a nonmember clearing bank may make
payment by requesting us to charge its clearing account.

Delivery
3. (a) Delivery of the securities of this issue will be made by the Federal Reserve Bank of New York at its
head office in New York, N. Y., and will not be made before the issue date.
(b) Securities of this issue allotted to subscriber will be delivered over the counter to a representative of the
subscriber only when a letter of authority signed officially by the subscriber identifying such representative is presented
by him.
(c) Securities of this issue allotted to subscriber will be delivered to others under special instructions from subscriber but only when such securities are either the sole property of the subscriber or are the property of its customers who
have authorized the subscriber in writing to cause their said securities to be so delivered.
Further Instructions
4. (a)
Reserve Bank
member bank.
(b)
this bank and

Securities of this issue will be held for safekeeping by, or delivered to the Discount Department of, the Federal
of New York for the account of member banks only, provided such securities are the sole property of the
It is requested that all blank spaces be typed in where necessary on the attached letter of instructions to
that such letter be signed officially and returned to this bank without delay.
FEDERAL RESERVE BANK OF NEW YORK,

Fiscal Agent of the United States
ecked by
NACCC-N




Application Number

LETTER OF INSTRUCTIONS
To FEDERAL RESERVE BANK OF NEW YORK,

Fiscal Agent of the United States,
Government Bond Department,
New York, N. Y.
From (Name and address of Subscriber)
1941

Referring to our subscription, numbered as above indicated, for $

(par value)

COMMODITY CREDIT CORPORATION \ys PERCENT NOTES OF SERIES G
DATED JULY 2 1 , 1941, DUE FEBRUARY 15, 1945

for which we applied under the provisions of the Treasury Department's circular containing the offering of such
securities for subscription, we have received your notice of allotment stating that we have been allotted by the Secretary
of the Treasury
$
of the amount applied for.
As requested we are sending you the following instructions:
Payment for such securities will be made or completed as indicated below.
By charge to our reserve account, which you are authorized to make

$

By check

$

By cash

$

Tssne and dispose of securities allotted on this subscription as indicated below:
DISPOSITION

DENOMINATIONS
Piecea

Par Value

1. Deliver over the counter to the undersigned
&_
_.
2. Ship to the undersigned.
«p
3. Hold in safekeeping [For member
bank only)
$
4. Hold as collateral for War Loan
denosits
^
$
5. Deliver as indicated bel()W

Leave Blank

XXX
XXX
XXX

$1,000
5,000

Deliver to:

Against
Payment of

Par Amount

10,000

•

1

XX XXX

100,000
Total

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
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.

letter of instructions must be signed
officially in the space provided here and
returned immediately to
Federal Reserve Bank of New York,
Fiscal Agent of the United States.

Name of Subscriber.
(Please print)

By.
(Official signature required)

(Title)

Street address
City, Town or Village, and State.

DO NOT U S E SPACES BELOW

Delivery Receipt

PAYMENT EECOED

Received from FEDERAL RESERVE BANK OF N E W YORK the above described

PAYMENT BECEIVED
DELIVEB AGAINST PAYMENT

B/A$

Commodity Credit Corporation obligations allotted in. the amount indicated
above.
Subscriber
By.

Date.

CASH

Taken from Vault

NA-CCC-N



Counted

Checked

Delivered

FEDERAL RESERVE BANK

CCC-ATS-1.N

OF NEW YORK

ADVICE TO SUBSCRIBER

SECUR.T.ES DEPARTMENT

Acknowledging Receipt of Cash Subscription
For Commodity Credit Corporation Obligations Mentioned Below
To

Application No.
Date

r
L

J
Your cash subscription for $
Commodity Credit Corporation P/g Percent Notes of Series G, Dated July 21, 1941, Due February 15, 1945
has been received by this bank, as fiscal agent of the United States, and, pursuant to the provisions of the Treasury
Department's circular offering the above-mentioned obligations of the Commodity Credit Corporation, allotment
notices will be sent out promptly upon allotment and allotments will be made on the basis and up to the
amounts indicated by the Secretary of the Treasury to this bank.
FEDERAL RESERVE BANK OF NEW YORK,

Fiscal Agent of the United States.

Checked by.



FEDERAL RESERVE BANK
OF NEW YORK

To

CARD

CCC-ATS-2.N
SECURITIES DEPARTMENT

BCPORD

Application No.
Date

Cash subscription received
from above subscriber for $
Commodity Credit Corporation iy 8 Percent Notes of Series G, Dated July 21, 1941, Due February 15, 1945




AMOUNT ALLOTTED $.

FEDERAL RESERVE BANK
OF NEW YORK

CCC-ATS-3.N
SECURITIES DEPARTMENT

PAYMENT AND DISPOSITION RECORD

To

Application No.
Date

Cash subscription received
from above subscriber for $
Commodity Credit Corporation

Percent Notes of Series G, Dated July 21, 1941, Due February 15, 1945
CHARGE

DATE

PREMIUM AND/OR
INTEREST
PURCHASE PRICE

PRINCIPAL DUE
REFUND
BALANCE
ACCRUED INT.

Digitized forDUE
AMOUNT FRASER


DELIVERY TELLER

GOV. DEPOSIT

SHIP

1

ALLOTMENT

DEPOSIT

CASH

DISPOSITION
OVER COUNTER

1

SAFEKEEPING

1
SPECIAL DELIVERY INSTRUCTIONS

ORIGINAL

NR-CCC

NON-NEGOTIABLE RECEIPT
For Commodity Credit Corporation Obligations as Mentioned Below
Number

Issued to.

Date

Street
Town

State.

Receipt is hereby acknowledged of $
par amount % Percent Commodity Credit Corporation Notes of Series D, maturing
August 1, 1941, tendered for purchase by the Secretary of the Treasury, the principal proceeds of which are to cover payment of a like amount of
1% Percent Commodity Credit Corporation Notes of Series G, maturing February 15, 1945, subscribed for and allotted in full subject to the terms of
Treasury Department Circular No. 665, dated July 10, 1941. If such new notes are to be delivered at the Federal Reserve Bank of New York over the
counter to your representative the ' ' authority to deliver'' set forth below should be duly executed and returned to us.
FEDERAL RESERVE BANK or NEW YOBK

Date Received

Fiscal Agent of the United States.

Mail Sheet No.

Refer to your letter dated

No.

Teller.

AUTHORITY TO DELIVER
FEDERAL RESERVE BANE or NEW YORK

Fiscal Agent of the United States.
You are hereby authorized to deliver to

DELIVERY RECEIPT
Received from the Federal Reserve Bank of New York Commodity Credit Corporation obligations at par in the amount and as
indicated in the above non-negotiable receipt.

(Name of representative i

whose signature appears below $ .
.. par amount
of Commodity Credit Corporation obligations subscribed for and
allotted in full as indicated in the above non-negotiable receipt.
Name

(Please print)

By

(Official signature required)

(Signature of authorized representative)




Date

DUPLICATE

NON-NEGOTIABLE RECEIPT
For Commodity Credit Corporation Obligations as Mentioned Below
Number

Issued to.
Street.

Date

Town
. State.
Receipt is hereby acknowledged of $
par amount % Percent Commodity Credit Corporation Notes of Series D, maturing
August 1, 1941, tendered for purchase by the Secretary of the Treasury, the principal proceeds of which are to cover payment of a like amount of
lYs Percent Commodity Credit Corporation Notes of Series G, maturing February 15, 1945, subscribed for and allotted in full subject to the terms of
Treasury Department Circular No. 66~, dated July 10, 1941. If such new notes are to be delivered at the Federal Reserve Bank of New York over the
counter to your representative the "authority to deliver" set forth below should be duly executed and returned to us.
FEDERAL RESERVE BANK OF NEW YORK

Date Received

Fiscal Agent of the United States.

Mail Sheet No.

Refer to your letter dated

No.
DATE

Teller.
OVER COUNTER

SOURCE OF RECEIPT
GOVERNMENT DEPOSIT
SAFEKEEPING

REGISTERED MAIL

ALLOTMENT

DISPOSITION

PREMIUM
INTEREST DUE

OVER COUNTER

SAFEKEEPING

GOVERNMENT DEPOSIT

TOTAL
INTEREST PAYABLE

SPECIAL DELIVERY INSTRUCTIONS

AMOUNT PAID
AMOUNT RECEIVED




•

SHIP

IB-CCC-N

Application Number

FEDERAL RESERVE B A N K OP N E W YOBK

Fiscal Agent of the United States

CASH SUBSCRIPTION
BY OTHER THAN A BANKING INSTITUTION
To Commodity Credit Corporation Obligations
Described Below
Dated at
.1941

This application must be accompanied by payment of 10 percent of the amount applied for.
Subscriptions must be for even multiples of $1,000.

FEDERAL RESERVE BANK OF NEW YORK,

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

Pursuant to the provisions of Treasury Department Circular No. 665, dated July 10, 1941, please enter our
(my) subscription for $
(par value)

COMMODITY CREDIT CORPORATION iy 8 PERCENT NOTES OF SERIES G
DATED JULY 21, 1941
DUE FEBRUARY 15, 1945
The undersigned subscriber
(a) certifies that this subscription is solely for subscriber's own account; that no arrangements have been or will be made
for the sale or other disposition of this subscription, or of the securities which may be allotted thereon, prior to the
closing of the subscription books; and
(b) agrees, in consideration of the receipt by you of this subscription, to make payment in full for the entire amount
which may be allotted on this subscription, at par on or before the date of issue, or at par and accrued interest if
on later allotment. If such payment is in excess of the amount deposited with this application the balance of the
payment due you will be made by the undersigned or (name)
in the manner indicated below.

By check

By cash

•
Subscriber . . .

(Print name)

TO 8UBSCBIBEB:
Mark (X) in proper space
to indicate if this is:

Sign here
(Official Signature Required)

Street address.

Original subscription
Confirmation of a telegram
Confirmation of a letter

(City, Town or Village, and State)

SPACES BELOW ABE FOB THE USE OF THE FEDEBAL EESERVE BANK OF NEW YOBK
SUBSCRIPTION RECORD

ALLOTMENT AND PAYMENT

BLOTTER

EXAMINED FOR
CLASSIFICATION

ALLOTMENT

OWN ACCOUNT
CHECKED

CHECKED

DEPOSIT

EXAMINED

CARDED

REFUNDED

ACKNOWLEDGED

BALANCE




DISPOSITION

FIGURED CHECKED ADVISED
DATE
DATE
DATE PAID

BY

EA-CCC-N

For use when Commodity Credit Corporation %% notes of
Series D maturing August 1, 1941 are tendered for purchase.
FEDERAL RESERVE B A N K OF N E W YORK

Fiscal Agent of the United States
SUBSCRIPTION FOR COMMODITY CREDIT CORPORATION 1% PERCENT
NOTES OF SERIES G, DATED JULY 21, 1941, DUE FEBRUARY 15, 1945
Dated at.
FEDERAL RESERVE BANK OF NEW YORK,

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

.1941

DEAR SIRS :

Subject to the provisions of Treasury Department Circular No. 665, dated July 10, 1941, the undersigned hereby
subscribes for $
(face amount) notes of the Commodity Credit Corporation designated V/8 percent
notes of Series G, dated July 21, 1941, and tenders herewith for purchase at par and accrued interest by the Secretary of
the Treasury, on behalf of the Commodity Credit Corporation, a like face amount of notes of the corporation designated
Series D, maturing August 1, 1941, with August 1, 1941 coupons attached, the principal proceeds to cover payment of
notes of Series G, subscribed for and allotted, and requests that the difference representing accrued interest from February
1, 1941 to July 21, 1941 ($2.93508 per $1,000) be paid to the undersigned upon acceptance of the Series D notes and that
such payment be disposed of as follows:
By check made payable to our order

r-j

By credit to our Reserve account •

By credit to our account with

^ Issue notes of Series G allotted on this subscription in the denominaNotes of Series D tendered for purchase by
tions and amounts as indicated below:
the Secretary of the Treasury are, as indicated
below,—
Number of Pieces

Denominations

Par Amount

Leave this Space Blank

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

Delivered to you herewith

$...

To be withdrawn from securities you are holding for our
account
$

$1,000
5,000
10,000
X

X

X

X

X

To be delivered to you for our
account by

100,000
Total
Dispose of the securities allotted on this subscription in the amounts and as indicated below:
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

i

5. Deliver as indicated below

J

Deliver to:

Par Amount

Against
Payment of

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

By
(Official signature required)

(Title)

Street address
City, Town or Village, and State

Spaces below are for the use of the Federal Reserve Bank of New York
Released
Taken from Vault

Delivery Receipt
Received from FEDERAL RESERVE BANK OF NEW YORK the above described

Checked

Commodity Credit Corporation notes of Series G in the amount indicated
above.
Subscriber
_
_
„._

Delivered

Date.

Counted




BTC-CCC-N
FEDERAL RESERVE B A N K OP N E W YORK

Application Number

Fiscal Agent of the United States

Cash Subscription by Banking Institution
To Commodity Credit Corporation Obligations
Described Below
Dated at.
.1941

FEDERAL RESERVE BANK OF NEW YORK,

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

Pursuant to the provisions of Treasury Department Circular No. 665, dated July 10, 1941, please enter subscription as follows for

COMMODITY CREDIT CORPORATION iy 8 PERCENT NOTES OF SERIES G
DATED JULY 21, 1941
DUE FEBRUARY 15, 1945
(Subscriptions must be for even multiples of $1,000.)
(Not to exceed one-half of combined capital
and surplus as certified in (c) below).

For our own account (not classified below).. $_
For our customers (classified below)
Total Subscription

$

CLASSIFICATION OF CUSTOMERS' SUBSCRIPTIONS
(For example: Class A—3 at $1,000)
(To

SUBSCRIBER: DO

not show on this form denominations oj securities of this issue to be desired on allotment.)

CLASS A
Subscriptions of $1,000
Amount
Leave Blank
Subscript's
of Each

CLASS B2
CLASS Bl
CLASS C
Subscriptions over $1,000 to $5,000 Inclusive Subscriptions over $5,000 to $10,000 Inol. Subscriptions over $10,000 to $50,000 Inol.
Number of
Amount
Amount
Number of
Amount
Number of
Leave Blank
Leave Blank Subscript's
Leave Blank
of Each
Subscript's
of Each
of Each
Subscript's

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at
at
at
_

_

=

CLASS D
CLASS F
CLASS G
CLASS E
Subscriptions ot over $1,000,000
Subscriptions over $50,000 to $100,000 Incl. Pub's over $100,000 to $500,000 Inclusive Sub's over $500,000 to $1,000,000 Inclusive
Number of 1
Amount
Number of
Amount
Amount
Number of 1
Amount
Number of
Leave Blank
Leave Blank Subscript's
Leave Blank Subscript's |
Leave Blank Subscript's
Subscript's!
of Each
of Each
of Each
of Each
at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

We hereby certify:
(a) that we have received applications from our customers in the amounts set opposite the customers' names on the
attached list which is made a part of this subscription ; that there has been paid to us by each such customer, not subject to withdrawal until after allotment and payment in full for securities allotted, 10 percent of the amount applied
for; that each such application, to the best of our knowledge and belief, is made in good faith for the customer's
legitimate requirements; and that we have no beneficial interest therein;
(b) that this subscription is solely for our own account or for the account of the customers specified herein; that no
arrangements have been or will be made for the sale or other disposition of our subscription, or of the securities
which may be allotted thereon, prior to the closing of the subscription books; and that our customers whose subscriptions are included herein will be requested to confirm to us their agreement to the same conditions with respect
to their subscriptions; and
(c) that our capital and surplus (not including undivided profits, reserves, etc.) is $
We agree:
in consideration of the receipt by you of this subscription, to make payment in full for the entire amount which
may be allotted on this subscription, at par on or before the date of issue, or at par and accrued interest if on later
allotment. Such payment will be made by the method indicated hereon.
By charge to our reserve account, which you are authorized to make -

-

By check

•

•

"Fill in all required spaces before signing.
TO SUBSCRIBER:
Mark ( X ) in proper space
to indicate if this i s :
Original subscription
Confirmation of a telegram

(Name of Banking Institution)
By.

•

(Official signature)

(Title)

Address

Confirmation of a letter

(City, Town or Village, and State)
SPACES BELOW ARE FOR THE USE OF THE FEDERAL RESERVE BANK

SUBSCRIPTION RECORD
BLOTTER

EXAMINED FOR
CLASSIFICATION

OWN ACCOUNT
CHECKED

CHECKED

EXAMINED
ACKNOWLEDGED




CARDED

PAYMENT

ALLOTMENT
D
DISPOSITION

R/A
C

List of customers' applications included in the foregoing subscription
entered and certified by
(Name of banking institution)

Post office address

Name of Customer
(PIfast print or utt typewrittr)




Address

State.

Amount Subscribed