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FED ERAL RE SE R V E BANK O F NEW YORK Fiscal Agent of the United States r Circular No. 4 4 2 1 1 L. February 4, 1957 J 3 % Percent Treasury Certificates o f Indebtedness o f Series A-1958 O FFE R ED IN E X C H A N G E FO R 2 % Percent Treasury Certificates o f Indebtedness o f Series A-1957, or 2 % Percent Treasury Notes o f Series A-1957, or 1 y 2 Percent Treasury Notes o f Series EA-1957 3 l/2 Percent Treasury Notes o f Series A-1960 O FFE R ED IN E X C H A N G E FO R 2 % Percent Treasury Certificates o f Indebtedness o f Series A-1957, or 2 % Percent Treasury Notes o f Series A-1957 To A ll Banking In stitution s, and Others Concerned, in th e Second Federal R eserve D istrict: T he subscription books w ill be open today and tom orrow fo r exchange offerings o f— 3 % percent Treasury Certificates o f Indebtedness o f Series A-1958, and 3i/2 percent Treasury Notes o f Series A-1960. H olders o f the 2 % percent T reasury Certificates o f Indebtedness o f Series A-1957, m aturing F ebru ary 15, 1957, or o f the 2 % percent T rea su ry Notes o f Series A-1957, m aturing M arch 15, 1957, are perm itted to exchange their holdings fo r either o f the new issues. H olders o f the IV 2 percent T reasu ry N otes o f Series EA-1957, m aturing A p r il 1, 1957, w ill be perm itted to exchange their holdings only f o r the new certificates. The new certificates w ill be dated F eb ru a ry 15, 1957, and w ill mature F ebruary 14, 1958; exchanges w ill be made at par and, if notes are being tendered in exchange, with an adjustm ent o f interest as o f F ebru ary 15, 1957. The final coupons m ust be attached to the m aturing notes surrendered in exchange fo r the new certificates. T he new notes w ill be dated F ebru ary 15, 1957, and w ill m ature M ay 15, 1960; exchanges w ill be made at par, and i f notes are being tendered in exchange, w ith an adjustm ent o f interest as o f F ebru ary 15, 1957. The final coupons m ust be attached to the m aturing notes surren dered in exchange fo r the new notes. The terms o f these offerings are set forth in T reasury D epartm ent Circulars No. 983 and No. 984, both dated F ebru ary 4, 1957; a cop y o f each is printed on the follow in g pages. Subscriptions will be received b y this Bank as fiscal agent o f the U nited States. Cash sub scriptions will not be received. Subscriptions should be made on official subscription form s, copies o f which are enclosed, and should be m ailed im m ediately; i f filed b y telegram or letter, the subscriptions should be confirm ed im m ediately b y mail on the form s provided. The sub scrip tion books will rem ain open fo r tw o days only, M onday and Tuesday, F ebruary 4 and 5. A n y subscription addressed to a F ederal R eserve Bank o r B ranch or to the T reasury D epart ment and placed in the mail before midnight F ebru ary 5 w ill be considered timely. A lfred H ayes, President. U N IT E D S T A T E S O F A M E R IC A s y 8 PERCE N T T R E A S U R Y CER TIFICATES OF INDEBTEDNESS OF SERIES A-1958 D a te d an d b earin g interest fr o m F e b ru ary 15, 1957 1957 Department Circular No. 983 D u e F ebruary 14, 1958 TREASURY DEPARTM ENT, O f f ic e Fiscal Service Bureau of the Public Debt L O F F E R IN G O F C E R T IF IC A T E S 1. The Secretary o f the Treasury, pursuant to the authority o f the Second L iberty B on d A ct, as amended, invites subscriptions from the people of the United States fo r certificates o f indebtedness o f the United States, designated 3 % percent Treasury Certificates o f Indebtedness o f Series A-1958, in exchange fo r 2 % percent Treasury Certificates of Indebtedness o f Series A-1957, maturing February 15, 1957, 2 % percent Treasury Notes o f Series A-1957, m aturing March 15, 1957, or l 1/^ percent Treasury Notes o f Series EA-1957, m aturing A p ril 1, 1957. Exchanges will be made par fo r par in the case o f the certificates m aturing February 15, and at par with an adjustm ent o f interest as o f Febru ary 15 in the case o f the notes m aturing March 15 and A p ril 1. The amount o f the offering under this circular will be limited to the amount o f maturing certificates and notes tendered in exchange and ac cepted. The books w ill be open only on F ebru ary 4 through F ebruary 5 fo r the receipt o f subscriptions fo r this issue. 2. In addition to the offering under this circular, holders o f the m aturing certificates and holders of the notes m aturing M arch 15 are also offered the privilege o f exchanging all o r any part o f such securities fo r 3^ percent Treasury Notes o f Series A-1960, which offering is set forth in Department Circular No. 984, issued simultaneously with this circular. IL D E S C R IP T IO N O F C E R T IF IC A T E S 1. The certificates will be dated Febru ary 15, 1957, and w ill bear interest from that date at the rate o f 3 % percent p er annum, payable on a semi annual basis on A u gust 15, 1957, and February 14, 1958. They w ill mature February 14, 1958, and w ill not be subject to call fo r redem ption prior to maturity. 2. The income derived from the certificates is subject to all taxes imposed under the Internal Revenue Code o f 1954. The certificates are sub je c t to estate, inheritance, g ift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any o f the pos sessions o f the United States, or by any local taxing authority. 3. The certificates w ill be acceptable to secure deposits o f public moneys. They will not be accept able in paym ent o f taxes. 4. Bearer certificates with interest coupons at tached will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. The certificates will not be issued in registered form . 5. The certificates w ill be subject to the general of th e Secretary, W ashington, F ebru ary 4, 1957. regulations o f the Treasury Department, now or hereafter prescribed, governing United States certificates. in. S U B S C R IP T IO N A N D A L L O T M E N T 1. Subscriptions w ill be received at the Federal Reserve Banks and Branches and at the Office of the Treasurer o f the United States, Washington. Banking institutions generally may submit sub scriptions fo r account o f customers, but only the Federal Reserve Banks and the Treasury Depart ment are authorized to act as official agencies. 2. The Secretary o f the Treasury reserves the right to reject or reduce any subscription, and to allot less than the amount o f certificates applied f o r ; and any action he m ay take in these respects shall be final. A llotm ent notices w ill be sent out prom ptly upon allotment. IV . PAYM ENT 1. Payment at par fo r certificates allotted here under must be made on or before February 15, 1957, or on later allotment, and may be made only in Treasury Certificates o f Indebtedness o f Series A-1957, m aturing Febru ary 15, 1957, Treasury Notes o f Series A-1957, m aturing M arch 15, 1957, or Treasury Notes o f Series E A-1957, maturing A p ril 1, 1957, which will be accepted at par, and should accom pany the subscription. The fu ll amount o f interest due on the m aturing certificates surrendered w ill be paid follow in g acceptance of the certificates. Coupons dated March 15, 1957, must be attached to the notes o f Series A-1957 when surrendered, and accrued interest from September 15, 1956, to Febru ary 15, 1957 ($12.15124 per $1,000) will be paid to subscribers follow ing ac ceptance o f the notes. Coupons dated A p ril 1,1957, must be attached to the notes o f Series EA-1957 when surrendered, and accrued interest from Octo ber 1, 1956 to February 15, 1957 ($5.6456 per $1,000) will be paid to subscribers follow in g accept ance o f the notes. V. G E N E R A L P R O V IS IO N S 1. A s fiscal agents o f the U nited States, Federal Reserve Banks are authorized and requested to re ceive subscriptions, to make allotments on the basis and up to the amounts indicated by the Secretary o f the Treasury to the Federal Reserve Banks o f the respective Districts, to issue allotment notices, to receive paym ent fo r certificates allotted, to make delivery o f certificates on fu ll-p aid subscriptions allotted, and they may issue interim receipts pend ing delivery o f the definitive certificates. 2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offering, which w ill be communicated prom ptly to the Federal Reserve Banks. G. M. H U M PH R E Y , Secretary o f the Treasury. U N IT E D S T A T E S O F A M E R IC A 3 V2 PERCE N T T R E A S U R Y NOTES OF SERIES A-1960 Dated and bearing interest fro m February 15, 1957 1957 Department Circular No. 984 D ue M ay 15, 1960 TREASU RY DEPARTM ENT, O f f ic e Fiscal Service Bureau of the Public Debt L O FFERIN G O F NOTES 1. The Secretary o f the Treasury, pursuant to the authority o f the Second Liberty B ond A ct, as amended, invites subscriptions from the people o f the U nited States fo r notes o f the U nited States, designated 3 % percent Treasury Notes o f Series A-1960, in exchange fo r 2 % percent Treasury Certificates o f Indebtedness o f Series A-1957, m aturing February 15, 1957, or 2 % percent Treas u ry Notes o f Series A-1957, m aturing March 15, 1957. Exchanges will be made par fo r par in the case o f the certificates and at par with an adjust ment o f interest as o f February 15 in the case o f the notes. The amount o f the offering under this circular will be limited to the amount o f m aturing certificates and notes tendered in exchange and ac cepted. The books w ill be open only on F ebruary 4 through F ebru ary 5 for the receipt o f subscriptions fo r this issue. 2. In addition to the offering under this circular, holders o f the m aturing certificates and notes are also offered the privilege o f exchanging all or any part o f such securities fo r 3 % percent Treasury Certificates o f Indebtedness o f Series A-1958, which offering is set forth in Department Circular No. 983, issued simultaneously with this circular. II. D E SC R IP TIO N O F NOTES 1. The notes will be dated February 15, 1957, and w ill bear interest from that date at the rate of 3^2 percent per annum, payable on a semiannual basis on November 15, 1957, and thereafter on May 15 and November 15 in each year until the principal amount becomes payable. They will mature May 15, 1960, and will not be subject to call fo r redemption prior to maturity. 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code o f 1954. The notes are subject to estate, in heritance, g ift or other excise taxes, whether Federal or State, but are exempt from all taxation now o r hereafter imposed on the principal or inter est thereof by any State, or any o f the possessions o f the United States, or b y any local taxing authority. 3. The notes will be acceptable to secure deposits o f public moneys. They w ill not be acceptable in paym ent o f taxes. 4. Bearer notes with interest coupons attached will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. The notes will not be issued in regis tered form . of th e S ecretary, W ashington, F ebru ary 4, 1957. 5. The notes w ill be subject to the general regu lations o f the Treasury Department, now or here a fter prescribed, governing U nited States notes. in. SU B SC R IPT IO N A N D A L L O T M E N T 1. Subscriptions w ill be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f the United States, W ashington. Banking institutions generally may submit sub scriptions fo r account o f customers, but on ly the Federal Reserve Banks and the Treasury D epart ment are authorized to act as official agencies. 2. The Secretary o f the Treasury reserves the right to reject o r reduce any subscription, and to allot less than the amount o f notes applied f o r ; and any action he may take in these respects shall be final. Subject to these reservations, all subscrip tions will be allotted in full. A llotm ent notices will be sent out prom ptly upon allotment. IV . PAYM ENT 1. Paym ent at par fo r notes allotted hereunder must be made on or before February 15,1957, or on later allotment, and may be made on ly in Treasury Certificates o f Indebtedness o f Series A-1957, ma turing February 15, 1957, or Treasury Notes of Series A-1957, m aturing March 15,1957, which will be accepted at par, and should accom pany the sub scription. The fu ll amount o f interest due on the m aturing certificates surrendered w ill be paid fo l low ing acceptance o f the certificates. Coupons dated M arch 15,1957, must be attached to the notes o f Series A-1957 when surrendered, and accrued interest from September 15, 1956, to Febru ary 15, 1957 ($12.15124 per $1,000) will be paid to sub scribers follow in g acceptance o f the notes. V. G E N E R A L PRO VISIO N S 1. A s fiscal agents o f the U nited States, Federal Reserve Banks are authorized and requested to re ceive subscriptions, to make allotments on the basis and up to the amounts indicated b y the Secretary o f the Treasury to the Federal Reserve Banks o f the respective Districts, to issue allotment notices, to receive payment fo r notes allotted, to make delivery o f notes on full-paid subscriptions allotted, and they may issue interim receipts pending delivery o f the definitive notes. 2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offering, which w ill be communicated prom ptly to the Federal Reserve Banks. G. M . H U M PH R E Y , Secretary o f the Treasury. N-l (SUBM IT W IT H D U PLIC ATE W H IT E COPY— N-2) Subscriber’s Reference No. Subscription Number EXCHANGE SUBSCRIPTION For United States o f America 3*4 Percent Treasury Notes o f Series A-1960 Dated February 15, 1957, Due May 15, 1960 I m p o r ta n t I n s t r u c ti o n s 1. P le a s e u se s e p a r a te su b sc r ip tio n f o r m : a . F o r e a c h issu e su r r e n d e r e d in e x c h a n g e . b . F o r e a c h g r o u p o f s e c u r itie s f o r w h ic h d iffe r e n t d e liv e r y in stru c tio n s a r e g iv e n . F ederal R B eserve an k op N e w Y ork, Dated at ....................................... Fiscal A gent o f the United States, Federal Reserve P. 0 . Station, New York 45, N. Y . .......................................................... .1957 Attention Government Bond Division— 2nd Floor D ear S ir s : Subject to the provisions of Treasury Department Circular No. 984, dated February 4, 1957, the undersigned hereby subscribes for United States of America 3Vfc percent Treasury Notes of Series A-1960, as follows: For own a c c o u n t...................................................................................................................................... $................................. For our customers as listed on reverse side (fo r use of banking institutions) ......................... $................................. Total subscription.............................................................. $................................. and tenders in payment therefor a like par amount of the issue cheeked below: (C h e c k o n e o n ly ; u se s e p a r a te fo r m fo r e a c h issu e surrend ered ) Q 2 % % Treasury Certificates of Indebtedness of Series A-1957, maturing February 15, 1957 □ 27/g% Treasury Notes of Series A-1957, maturing March 15,1957, with March 15, 1957 coupons attached Delivered to you herewith............................................................................................................. $................................. To be withdrawn from securities held by y o u .......................................................................... .... $.................................. To be delivered b y ................................................................................................................................ $.................................. Pay interest due subscriber in accordance with Section IV o f Treasury Department Circular No. 984 on certificates or notes surrendered, as follow s: □ B y check □ By credit to our reserve account SE C U R IT IE S SU RRENDERED NOTES D E SIR E D IN E XC H A N G E (List serial numbers an reverse side) Denomi nation eces * Face amount (Leave this space blank) Denomi nation Pieoes 1,000 $ 5,000 5,000 1 0,000 Face amount (Leave this space blank) 1,000 10,000 100,000 100,000 1,00 0,000 1,000,000 TO T A L TOTAL Dispose o f securities issued, as follow s: 1. Deliver over the counter to the undersigned ] 2. H old in safekeeping (fo r member bank only) ] 3. H old as collateral fo r Treasury Tax and Loan Account □ □ 4. Ship to the undersigned 5. Special instructions: ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in stru c tio n s w ill b e a c c e p te d . A s e p a r a te s u b sc rip tio n m u st b e su b m itte d f o r e a c h g r o u p o f se c u ritie s as to w h ich d iffe re n t d e liv e r y in stru ctio n s a r e g i v e n .) T h e u n d e r s ig n e d h e r e b y c e rtifies th a t th e se c u ritie s to b e d isp o se d o f a s in d ic a te d in item 2 or 3 a b o v e a r e the o le p r o p e r ty o f th e u n d e r sig n e d ._______________________________ Submitted by (Please print) The subscription books will open on February 4, and close at the close of business February 5, 1957. By By ................. (Authorized signature(s) required) Title ........................................................................... Title ................. A d d r e s s ....................................................................................................... (S p a c e s b e lo w are f o r th e u se o f th e F e d e ra l R e s e r v e B a n k o f N e w Y o r k ) = = = = ^ ------------G o v e r n m e n t B ond V ault R ecor d S a f e k e e p i n g R ecord Received Counted Received Checked Checked Checked and delivered Received from F e d e r a l R e s e r v e B a n k o f N e w Y o r k the above described United States obligations in the amount subscribed for. D ate........................ B y ........................................................................................................... NOTES ISSUED IN E XC H A N G E ubscription No. Denomi nation Pieces percent Treasury Notes o f Series A-1960 issued ix exchange. $ 1,000 5,000 10,000 S E C U R IT IE S ALLOTTED 100,000 1 , 0 0 0 ,0 0 0 TOTAL Face amount Numbers DENOMINATIONS AND SERIAL NUMBERS OP SECURITIES SURRENDERED List o f Customers Included in this Subscription ( L eave this space blank) Amount Subscribed Name of Customer ( Please print or typewrite) Address (DUPLICATE COPY FOR USE OF FEDERAL RESERVE BANK OF N E W YORK) Subscriber ’ a Reference No. N-2 Subscription Number EXCHANGE SUBSCRIPTION For United States o f America 3% Percent Treasury Notes o f Series A-1960 Dated February 15, 1957, Due May 15, 1960 I m p o r ta n t I n s t r u c t i o n • 1. P le a s e u se s e p a r a te su b sc rip tio n f o r m : a . F o r e a c h issu e su rr e n d e re d in e x c h a n g e . b . F o r e a c h g r o u p o f se c u ritie s f o r w h ich d iffe re n t d e liv e r y in stru ctio n s are g iv e n . F ederal R B eserve an k op N ew Y ork, Fiscal A gent o f the United States, Federal Reserve P. 0 . Station, New York 45, N. Y . Dated at ........................................................................ ................................................................................. 1 9 5 7 Attention Government Bond Division— 2nd Floor D ear S ir s : Subject to the provisions o f Treasury Department Circular No. 984, dated February 4, 1957, the undersigned hereby subscribes for United States of America 3y2 percent Treasury Notes of Series A-1960, as follow s: For own a c c o u n t..................................... ................................................................................................ $................................. F or our customers as listed on reverse side (fo r use o f banking institutions) ......................... $................................. Total subscription.............................................................. $................................. and tenders in payment therefor a like par amount of the issue checked below: ( C h e c k on e o n ly ; use se p a r a te fo r m f o r e a ch issu e surrend ered ) q 2 % % Treasury Certificates o f Indebtedness of Series A-1957, maturing February 15, 1957 □ 2 % % Treasury Notes o f Series A-1957, maturing March 15, 1957, with March 15, 1957 coupons attached — J D ’ Delivered to you herewith............................................................................................................. $................................. To be withdrawn from securities held by y o u .......................................................................... $................................. To be delivered b y ............................................................................................................................ $................................. Pay interest due subscriber in accordance with Section IV of Treasury Department Circular No. 984 on certificates or notes surrendered, as follows: □ B y check S E C U R IT IE S □ By credit to our reserve account SU RRENDERED N O T E S D E S IR E D ( List serial numbers on reverse side) r --.- Denomi nation Denom i nation P lw e . $ Face amount ( Leave this space blank) Pieces 1,000 $ 5,000 10,000 10,000 100,000 100,000 1,000,000 1,000,000 TOTAL TOTAL Dispose of securities issued, as follows: 1- Deliver over the counter to the undersigned □ 2. Hold in safekeeping (fo r member bank only) □ 3. Hold as collateral for Treasury Tax and Loan Account _ J e r s ig n e d h e r e b y c e rtifie s th a t th e se c u ritie s to b e T____ h e _ und d is p o s e d o f a s in d ic a te d in item 2 o r 3 a b o v e are the ■ o le p r o p e r ty o f th e u n d e r sig n e d ._______________________________ □ □ Face amount (L e a v e this space blank) 1,000 5,000 □ IN E X C H A N G E 4. Ship to the undersigned 5. Special instructions: ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in stru c tio n s w ill b e a c c e p te d . A s e p a r a te s u b sc rip tio n m u st b e s u b m itte d fo r e a c h g r o u p o f se cu ritie s as to w h ich d iffe re n t d e liv e r y in stru ctio n s a r e g iv e n .) Submitted by (Please print) The subscription books will open on February 4, and close at the close of business February 5, 1957. By By ................. (Authorized signature(s) required) ..................... Title ............. Title ................. A d d r e s s ....................................................................................................... ( S p a c e s b e lo w a r e f o r the u se o f the F e d e r a l R e s e r v e B a n k o f N e w Y o r k ) G overnm ent B ond V au lt R ecord Safek e e p in g Received Counted Received Checked Checked Checked and d e liv e r e d R ecord R e c e iv e d f r o m F ederal R eserve B an k of N S ta te s o b lig a t io n s in th e a m o u n t s u b s c r ib e d D a t e ................................. ew Y ork th e a b o v e d e s c r ib e d U n it e d fo r . B y .................................................-.................................................................................................... DENOMINATIONS AND SERIAL NUMBERS OF SECURITIES SURRENDERED List o f Customers Included in this Subscription (L t o v t this space blank) Amount Subscribed Name of Customer ( Please print or typewrite) Address C-l (SUBM IT W IT H D U PL IC A T E W H IT E COPY— C-2) Subscriber’s Reference N o. Subscription Number EXCHANGE SUBSCRIPTION For United States o f America 3 % Percent Treasury Certificates o f Indebtedness of Series A-1958 Dated February 15, 1957, Due February 14, 1958 I m p o r ta n t I n s t r u c t io n s 1. F P le a s e u se s e p a r a te su b sc rip tio n f o r m : R ederal a. F o r e a c h issu e su rr e n d e re d in e x c h a n g e . b. F o r e a c h g r o u p o f se c u ritie s f o r w h ich d iffe re n t d e liv e r y in stru c tio n s a r e g iv e n . eserve B an k of N ew Y ork, Fiscal A gent o f the United States, Federal Reserve P. 0 . Station, New Y ork 45, N. Y . Dated a t ......................................................................... ................................................................................... 1957 Attention Government Bond Division— 2nd Floor D ear S ir s : Subject to the provisions of Treasury Department Circular No. 983, dated February 4, 1957, the undersigned hereby subscribes for United States o f America 3 % percent Treasury Certificates of Indebtedness of Series A-1958, as follow s: F or own a c c o u n t......................................................................................................... For our customers as listed on reverse side (fo r use o f banking institutions) Total subscription.............................................................. $................................. and tenders in payment therefor a like par amount of the issue checked below: □ 2 % % Treasury Certificates of Indebtedness of Series A-1957, maturing February 15, 1957 s e p a ra te U/o r m □ 2 % % Treasury Notes o f Series A-1957, maturing March 15, 1957, with March 15, 1957 coupons attached turrenCdere‘d > □ xl/ 2 % Treasury Notes o f Series EA-1957, maturing A pril 1, 1957, with A pril 1, 1957 coupons attached (C h e c k o n e Delivered to you herewith............................................................................................................. $................................. To be withdrawn from securities held by y o u .......................................................................... $................................. To be delivered b y ............................................................................................................................ $................................. Pay interest due subscriber in accordance with Section IV o f Treasury Department Circular No. 983 on certificates or notes surrendered, as follows: □ B y check □ By credit to our reserve account SE C U R IT IE S SU RREN D ERED C E R T IF IC A T E S D E S IR E D IN E XC H A N G E ( List serial numbers on reverse side) ieces Denomi nation Face amount (L ea ve this space blank) Denomi nation Pieces $ 1,000 5 ,000 10,000 1 0 ,000 100,000 100,000 1, 000,000 1,000 ,0 0 0 TO T A L TO T A L □ 5. Special instructions: ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in stru c tio n s w ill b e a c c e p te d . A s e p a r a te s u b sc rip tio n m u st b e s u b m itte d f o r each g rou p o f secu rities a s to w h ic h d iffe r e n t d e liv e r y in stru ctio n s are g iv e n .) __________________________ T h e u n d e r s ig n e d h e r e b y c e rtifies th a t th e se c u ritie s to b e d is p o s e d o f a s in d ic a te d in ite m 2 or 3 a b o v e a r e the s o l e p r o p e r ty o f th e u n d e r s ig n e d . ______________________ Submitted by The subscription books will open on February 4, and close at the close of business February 5, 1957. By (Leave this space blank) 1,000 5,000 Dispose of securities issued, as follows: ]] 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (fo r member bank only) □ 3. H old as collateral for Treasury Tax and Loan Account Face amount (Please print) By ................. (Authorized signature(s) required) Title ........................................................................... Title ................. Address ( S p a c e s b e lo w a r e f o r th e u se o f th e F e d e r a l R e s e r v e B a n k o f N e w Y o r k ) G o ver n m en t B ond V ault R ecord S a f e k e e p i n g R ecord Received Counted Received Checked Checked Checked and delivered Received from F e d e r a l R e s e r v e B a n k o f N e w Y o r k the above described United States obligations in the amount subscribed for. C E R T IFIC A TE S ISSUED IN E XC H A N G E Subscription No. Denomi nation Pieces 1% percent Treasury Certificates o f Indebtedness of Series A-1958 issued in exchange. $ 1,000 5,000 10,000 S E C U R IT IE S ALLOTTED 100,000 1 , 00 0 ,0 0 0 TOTAL Face amount Numbers DEN OM IN ATIONS A N D SE R IA L NUM BERS OP SE C U R ITIE S SURRENDERED = = T = = = = — = — = — = = = — = — = List o f Customers Included in this Subscription ( L eave this space blank) Amount Subscribed Name of Customer ( Please print or typewrite) Address (D U P L IC A T E COPY F O R USE OF F E D E R A L R E SE R V E B AN K OF N EW Y O R K ) Subscriber’s R e fe re n ce N o. „ . . . „ C -2 S u b s c r ip t io n N u m b e r EXCHANGE SUBSCRIPTION For United States of America 3% Percent Treasury Certificates of Indebtedness of Series A-1958 Dated February 15, 1957, Due February 14, 1958 Im p o r ta n t I n s tr u c tio n s 1. P le a se u se s e p a r a te su b sc rip tio n f o r m : a. F o r e a c h issu e su rr e n d e re d in e x c h a n g e . b . F o r e a c h g r o u p o f se c u ritie s fo r w h ich d iffe re n t d e liv e r y in stru ctio n s are give n . F R ederal eserve B an k of N ew Y ork, Fiscal Agent o f the United States, Federal Reserve P. 0 . Station, New York 45, N. Y. _ Dear S ir s : Dated at .1957 Attention Government Bond Division— 2nd Floor Subject to the provisions o f Treasury Department Circular No. 983, dated February 4, 1957, the undersigned hereby subscribes for United States o f America 3 % percent Treasury Certificates of Indebtedness of Series A-1958, as follows: F or own a c c o u n t................................................................................................................. g For our customers as listed on reverse side (fo r use of banking institutions) ......................... $................................. Total subscription.............................................................. $................................. and tenders in payment therefor a like par amount o f the issue checked below: < 2 g * ~ s e p a r a te E 2% y ° Treasury Certificates of Indebtedness of Series A-1957, maturing February 15, 1957 form surrend ered ) □ 2y8% Treasury Notes o f Series A-1957, maturing March 15,1957, with March 15, 1957 coupons attached □ Treasury Notes o f Series EA-1957, maturing April 1, 1957, with April 1, 1957 coupons attached Delivered to you herewith............................................................................................................. $..................... To be withdrawn from securities held by y o u .......................................................................... $................................. * To be delivered b y ............................................................................................................................ $................................. Pay interest due subscriber in accordance with Section IV of Treasury Department Circular No. 983 on certificates or notes surrendered, as follows: □ B y check □ By credit to our reserve account SE C U R IT IE S SU RRENDERED » D enom i nation $ C E R T IF IC A T E S D E SIR E D IN E XC H A N G E ( List serial numbers on reverse side) .. . • Face amount ( Leave this space blank) ,000 J,000 Denomi nation Pieces $ Face amount (L e a v e this spa ce blan k) 1,000 5,000 --------- 10,000 10,000 100,000 100,000 1,000,000 1,000,000 TO T A L TOTAL )ispose o f securities issued, as follows: 1. Deliver over the counter to the undersigned 2. H old in safekeeping (fo r member bank only) 3. Hold as collateral for Treasury Tax and Loan Account u n d e r s ig n e d h e r e b y c e rtifies th a t th e s e c u r itie s to b e o f as in d ic a te d in item 2 or 3 a b o v e a r e the p ro p e rty o f th e u n d e r sig n e d ._______________________________ □ 4. Ship to the undersigned □ 5. Special instructions: ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in stru ctio n s w ill b e a c c e p te d . A s e p a r a te s u b sc rip tio n m u st b e s u b m itte d f o r each g rou p o f se cu ritie s a s to w h ich d iffe re n t d e liv e r y in stru c tio n s a r e g iv e n .) Submitted by (Please print) The subscription books will open on February 4, and close at the close of business February 5, 1957. By ................. By (Authorized signature(s) required) Title ........................................................................... Title ................. Address (S p a c e s b e lo w are f o r th e u se o f th e F e d e r a l R e s e r v e B a n k o f N e w Y o r k ) 30V E R N M E N T B O N D V au lt R ecord S a f e k e e p in g Received Counted Received Checked Checked Checked and delivered R ecord Received from F e d e r a l R e s e r v e B a n k o f N e w Y States obligations in the amount subscribed for. ork the above described United DENOMINATIONS AND SERIAL NUMBERS OF SECURITIES SURRENDERED List of Customers Included in this Subscription ( L eave this space blank) Amount Subscribed Name of Customer ( Please print or typewrite) Address Federal Reserve Bank o f New York NONNEGOTIABLE RECEIPT No. TO ................................................................................. Receipt is acknowledged of (N o te : I f the securities you subscribed for are to be delh'ered at the Federal Reserve Bank of N ew Y ork over the counter to your representative, the follow ing authority should be executed.) $................................................. T „ .' " - • /' V par amount of -- ... "■ Date....... i □ 2 % % TREAS. CERT. OF IND. OF SERIES A-1957 □ 2 % % TREAS. NOTES OF SERIES A-1957 □ 1 V2% TREAS. NOTES OF SERIES EA-1957 tendered in payment o f your exchange subscription for a like amount o f— □ 3 % % TREAS. CERT. OF IND. OF SERIES A-1958 □ 3i/2% TREAS. NOTES OF SERIES A-1960 F ederal Y ou R eserve B a n k of N ew Y o r k : a r e h e r e b y a u t h o r iz e d t o d e liv e r to ( N a m e o f re p r e s e n ta t iv e ) w h o s e s ig n a tu r e a p p e a rs b e lo w $ . ............. .....................................p a r a m o u n t o f t h e s e c u r it ie s is s u e d in e x c h a n g e f o r th e s e c u r it ie s c o v e r e d N a m e . ---------------------- ------------------------- ----------------- ---------(P le a s e p r in t ) FEDERAL RESERVE BANK OF NEW YORK Fiscal Agent o f the United States Government Bond Division Issues and Redemption Section T e lle r (Official signature required) (Signature of authorized representative) by t h is r e c e ip t . SECURITY FILES DUE CUSTOMERS OUT No Date..... ' • ' ^ Receipt is acknowledged of $................................................. par amount o f □ 2 % % TREAS. C E R T OF IND. OF SERIES A-1957 □ 2 % % TREAS. NOTES OF SERIES A-1957 □ i y 2% TREAS. NOTES OF SERIES EA-1957 tendered in payment o f your exchange subscription for a like amount o f— □ 3 % % TREAS. CERT. OF IND. OF SERIES A-1958 □ 3i/2% TREAS. NOTES OF SERIES A-1960 FEDERAL RESERVE BAN K OF NEW YO R K Fiscal Agent o f the United States Government Bond Division Issues and Redemption Section Teller 4421 2 — 4 —8 7 REPORTS COPY N o....................................... Date............................................. Receipt i9 acknowledged o f subscription L ist o f Subscribers o f $5,000,000 and over Address Name Amount for $.................................................... I exchanging a par amount of— | □ 2 % % TREAS. CERT. OF IND. OF SERIES A-1957 , □ 2 % % TREAS. NOTES OF SERIES A-1957 □ 1 y2% TREAS. NOTES OF SERIES EA-1957 tendered in payment o f your exchange subscription for a like amount o f— □ ! i 3 % % TREAS. CERT. OF IND. OF SERIES A-1958 □ 314 % TREAS. NOTES OF SERIES A-1960 : , - - '•- FEDERAL RESERVE BANK OF NEW YORK Fiscal Agent o f the United States Government Bond Division Issues and Redemption Section 3 Teller Federal Reserve Bank of New York ACKNOWLEDGMENT OF EXCHANGE SUBSCRIPTION (Security Files Record) TO ................................................................................. Receipt is acknowledged o f subscription for $..................................................... exchanging a par amount of— □ 2%% TREAS. CERT. OF IND. OF SERIES A-1957 □ 2%% TREAS. NOTES OF SERIES A-1957 □ 1*4% TREAS. NOTES OF SERIES EA-1957 tendered in payment o f your exchange subscription for a like amount o f— □ 33^% TREAS. CERT. OF IND. OF SERIES A-1958 □ 3»4% TREAS. NOTES OF SERIES A-1960 FEDERAL RESERVE BAN K OF NEW YORK Fiscal Agent o f the United States Government Bond Division Issues and Redemption Section Teller No. Date....... SECURITY FILES DUE CUSTOMERS IN Date Receipt is acknowledged of $ ...................... par amount of □ 2 % % TREAS. CERT. OF IND. OF SERIES A-1957 □ 2"/8% TREAS. NOTES OF SERIES A-1957; □ l»/2% TREAS. NOTES OF SERIES EA-1< tendered in payment o f your exchange subscript for a like amount o f— □ 3 % % TREAS. CERT. OF IND. OF SERIES A-1958 □ 3i/2% TREAS. NOTES OF SERIES A-1960 FEDERAL RESERVE BANK OF NEW YORK Fiscal Agent o f the United States Government Bond Division Issues and Redemption Section Teller
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