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FE D E R A L R E S E R V E BANK
O F NEW YORK
Fiscal Agent of the United States
r Circular N o. 4 4 5 6 1

L

May 6, 1957

J

3*4 Percent Treasury Certificates of Indebtedness of Series B-1958
or 3% Percent Treasury Notes of Series A-1962
O FFE R ED IN E XC H A N G E FO R

1% Percent Treasury Notes of Series B-1957

T o A ll B anking Institutions, and Others Concerned,
in the Second Federal R eserve D istrict:

The subscription books are open fo r exchange offerings o f—
3y2 percent Treasury Certificates o f Indebtedness o f Series B-1958, and
3 % percent Treasury Notes o f Series A-1962

in exchange fo r the 1 % percent T reasury N otes o f Series B-1957, m aturing M ay 15, 1957.
The new certificates will be dated M ay 1, 1957, and w ill mature A p ril 15, 1958. A ccrued
interest on the m aturing notes from N ovem ber 15,1956, to M ay 1, 1957 ($7.49655 per thousand)
will be paid to subscribers fo r the new certificates follow ing acceptance o f the notes tendered
in exchange. F inal coupons must be attached to the notes tendered in exchange.
The new notes w ill be dated M ay 1, 1957, and w ill mature F ebruary 15, 1962. A ccrued
interest on the m aturing notes from N ovem ber 15,1956, to M ay 1,1957 ($7.49655 per thousand)
will be paid to subscribers fo r the new notes follow in g acceptance o f the notes tendered in
exchange. Final coupons must be attached to the notes tendered in exchange.
The terms o f these offerings are set forth in T reasury D epartm ent Circulars No. 988 and
No. 989, both dated M ay 6, 1957; a cop y o f each is printed on the follow ing 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 submitted in triplicate on official sub­
scription form s, copies o f which are enclosed, and should be mailed im m ediately; i f filed by
telegram or letter, the subscriptions should be confirm ed im mediately by m ail on the form s
provided. The subscription books will remain open fo r three days only, from M onday, M ay 6,
until the close o f business W ednesday, M ay 8. A n y subscription addressed to a F ederal
Reserve Bank or Branch or to the T reasury D epartm ent and placed in the m ail b efore mid­
night M ay 8 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
31/2 PERCE N T T R E A S U R Y CER TIFICATES

OF INDEBTEDNESS OF SERIES B-1958

Dated and bearing interest fro m M ay 1, 1957

1957

Department Circular N o. 988

D ue A p ril 15, 1958

TREASU RY DEPARTM ENT,
O

Fiscal Service
Bureau of the Public Debt

L

O FF E R IN G O F CERT IFIC A T E S

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 of
the United States fo r certificates o f indebtedness of
the United States, designated 3^2 percent Treasury
Certificates o f Indebtedness o f Series B-1958, in
exchange fo r 1 % percent Treasury Notes o f Series
B-1957, m aturing May 15, 1957. Exchanges will be
made at par with an adjustment o f interest as o f
May 1, 1957. The amount o f the offering under this
circular will be limited to the amount o f maturing
notes tendered in exchange and accepted. The books
will be open only on M ay 6 through M ay 8 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 notes are offered the privi­
lege o f exchanging all or any part o f such notes for
3 % percent Treasury Notes o f Series A-1962, which
offering is set forth in Departm ent Circular No.
989, issued simultaneously with this circular.
IL

D E SC R IP TIO N O F CERT IFIC A T E S

1. The certificates will be dated M ay 1, 1957,
and will bear interest from that date at the rate of
3y<2. percent per annum, payable on a semiannual
basis on October 15, 1957, and A p ril 15, 1958.
They will mature A p ril 15, 1958. They will not be
subject to call fo r redemption 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 subject
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 payment o f taxes.
4. Bearer certificates with interest coupons at­
tached w ill 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 will be subject to the general
regulations o f the Treasury Department, now or




f f ic e

of

th e

S

ecretary,

W ashington, M ay 6, 1957.
hereafter prescribed,
certificates.
III.

governing

United

States

SU B SC R IPT IO N A N D A L L O T M E N T

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of
the Treasurer o f the United States, W ashington.
Banking institutions generally may submit sub­
scriptions fo r account o f customers, but only 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 or reduce any subscription, and to
allot less than the amount o f certificates applied
fo r ; and any action he m ay take in these respects
shall be final. Subject to these reservations, all
subscriptions will be allotted in full. Allotm ent
notices will be sent out prom ptly upon allotment.
IV .

PAYM ENT

1.
Paym ent at par fo r certificates allotted here­
under must be made on or before May 15, 1957, or
on later allotment, and may be made only in
Treasury Notes o f Series B-1957, m aturing May 15,
1957, which w ill be accepted at par, and should
accom pany the subscription. Coupons dated May
15, 1957, must be attached to the notes when sur­
rendered, and accrued interest from November 15,
1956, to M ay 1, 1957 ($7.49655 per $1,000) will be
paid to subscribers follow in g acceptance o f the
notes.
V.

G E N E R A L PR O V IS IO N S

1. A s fiscal agents o f the United 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 of
the respective Districts, to issue allotment notices,
to receive payment fo r certificates allotted, to make
delivery o f certificates on full-paid 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 will 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 % PERCEN T T R E A S U R Y N OTES OF SERIES A-1962
Dated and bearing interest from May 1, 1957

1957
Department Circular N o. 989

D ue February 15, 1962

TREASU RY DEPARTM ENT,
O f f ic e

Fiscal Service
Bureau of the Public Debt

L

O FF E R IN G OF 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 United States fo r notes o f the United States,
designated 3 % percent Treasury Notes o f Series
A-1962, in exchange for 1 % percent Treasury Notes
o f Series B-1957, m aturing May 15, 1957. E x ­
changes will be made at par with an adjustment of
interest as o f May 1, 1957. The amount o f the offer­
ing under this circular will be limited to the amount
o f m aturing notes o f this series tendered in ex­
change and accepted. The books w ill be open only
on M ay 6 through M ay 8 fo r the receipt o f sub­
scriptions fo r this issue.
2. In addition to the offering under this circular,
holders o f the m aturing notes are offered the privi­
lege o f exchanging all or any part o f such notes for
3y2 percent Treasury Certificates o f Indebtedness
o f Series B-1958, which offering is set forth in
Department Circular No. 988, issued simultaneously
with this circular.
II.

D ESC R IP TIO N O F NOTES

1. The notes will be dated May 1, 1957, and will
bear interest from that date at the rate o f 3 % per­
cent per annum, payable on a semiannual basis on
A ugust 15, 1957, and thereafter on February 15
and A ugust 15 in each year until the principal
amount becomes payable. They w ill mature Febru ­
ary 15, 1962, and will not be subject to call fo r
redemption p rior 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 or hereafter imposed on the principal or inter­
est thereof b y any State, or any o f the possessions
o f the United States, or by any local taxing
authority.
3. The notes will be acceptable to secure deposits
o f public moneys. They will not be acceptable in
payment 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 t h e

S ecretary,

W ashington, May 6,1957.
5.
The notes will be subject to the general regu­
lations o f the Treasury Department, now or here­
after prescribed, governing United 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 only 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 or 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. Allotm ent notices will
be sent out prom ptly upon allotment.
IV .

PA Y M E N T

1. Payment at par fo r notes allotted hereunder
must be made on or before May 15,1957, or on later
allotment, and may be made only in Treasury Notes
o f Series B-1957, m aturing M ay 15,1957, which will
be accepted at par, and should accom pany the sub­
scription. Coupons dated May 15, 1957, must be
attached to the notes when surrendered, and ac­
crued interest from November 15, 1956, to M ay 1,
1957 ($7.49655 per $1,000) w ill be paid to sub­
scribers follow in g acceptance o f the notes.
V.

G E N E R A L PR O V ISIO N S

1. A s fiscal agents o f the United 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 of
the respective Districts, to issue allotment notices,
to receive payment for notes allotted, to make de­
livery o f notes on full-paid subscriptions allotted,
and they m ay issue interim receipts pending de­
livery 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 will be communicated prom ptly to
the Federal Reserve Banks.
G. M. H U M PH R E Y ,

Secretary of the Treasury.

(Please type or print legibly)

Submit in Triplicate

C -l

Subscriber's Reference No.

Subscription Number

EXCHANGE SUBSCRIPTION
For United States o f America 3*4 Percent Treasury Certificates o f Indebtedness of Series B-1958
Dated May 1, 1957, Due April 15, 1958
From.

Dated at
.1957

F

ederal

R

eserve

B

a n e

op

N

e w

Y

ork,

Fiscal A gent o f the United States,
New York 45, N. Y .
Attention Government Bond Division
D

ear

S

ir s

:

Subject to the provisions o f Treasury Department Circular No. 988, dated May 6, 1957, the undersigned hereby
subscribes for United States o f America 3 % percent Treasury Certificates o f Indebtedness o f Series B-1958, as follow s:
F or 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 o f 1 % % Treasury Notes of Series B-1957, maturing May 15,1957, with
May 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. 988 on notes
surrendered, as follow s:

□ By check

□

B y credit to our reserve account

N OTES SU RREN D ERED

C E R T IF IC A T E S D E SIR E D IN E XC H A N G E

( L it* serial Humbert on rev erte tid e)

Denomi­
nation

,c<#
*

Face amount

(Leave this tpace blank)

Denomi­
nation

Pieces

1,000

*

1,000

5,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TOTAL

TOTAL

Dispose 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. H old as collateral fo r Treasury Tax and Loan Account
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 s e c u r itie s t o b e
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 a r e th e
»o le p r o p e r ty o f th e u n d e r sig n e d .

□
□

(L ea ve this space llarilc)

Face amount

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 su b s c rip tio n m u s t b e s u b m itte d f o r e a c h g r o u p o f se c u ritie s
a s to 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 i v e n .)

Submitted by
(P le a s e p r in t )

The subscription books will open on
May 6, and close at the close of
business May 8, 1957.

B y ..................

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 th e u s e 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

overn m en t

B

ond

V

au lt

R

ecord

S

a f e k e e p in g

Received

Counted

Received

Ohecked

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 p N e w Y
States obligations in the amount subscribed for.

ork

the above described United

I

List of Customer! Included in this Subscription
(L tm ttU t
•pace blank)

Subscribed

Name of Customer
(PU *m print «r typewrite)

F

DEN OM IN ATIO N S AN D SE R IA L NUMBERS OP NOTES SURRENDERED

(




Address

Duplicate

SECURITY RECORDS “OUT TICKET”
Subscriber'a Eeferenee N o.

C-2

Subscription Number

EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Certificates of Indebtedness of Series B-1958
Dated May 1, 1957, Due April 15, 1958
From.

Dated at
.1957

F ederal R

eserve

Bank

op

New Y

ork,

Fiscal Agent o f the United States,
New York 45, N. Y.
Attention Government Bond Division
D

ear

S ir s :

Subject to the provisions o f Treasury Department Circular No. 988, dated May 6, 1957, the undersigned hereby
subscribes for United States o f America 3 % percent Treasury Certificates o f Indebtedness o f Series B-1958, as follows :
For own a c c o u n t.........................................................................................................
F or 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 1 % % Treasury Notes of Series B-1957, maturing May 15, 1957, with
May 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 of Treasury Department Circular No. 988 on notes
surrendered, as follows:
□ B y check
□ By credit to our reserve account
NOTES SU RREN D ERED

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)
Denomi­
nation

cea
$

Face amount

( Leave this space blank)

Denomi­
nation

Piecee
$

1,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TOTAL

TO T A L

Dispose of securities issued, as follows:
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
rhe u n d e rsig n e d h e re b y certifies that th e securities t o be
lisp ose d o f as in d ica te d in item 2 or 3 a b o v e are the
tola p r o p e rty o f the u ndersigned.________________ __________
Submitted by

(L ea ve this space blank)

1,000

5,000

□
□

Face amount

..

4. Ship to the undersigned
5. Special instructions:

(I M P O R T A N T : N o changes in d elivery instructions w ill be a ccep ted .
A separate subscription must b e subm itted f o r each grou p o f securities
as to w h ich differen t d eliv ery instructions are g iv e n .)______________________

(Please print)

The subscription books will open on
May 6, and close at the close of
business May 8, 1957.




A d d r e s s .......................................................................................................
(S p a c e s b e lo w are f o r the u se o f the F ed eral R eserve Bank o f N ew Y o r k )

SECURITY RECORDS “IN TICKET”

Subscription Number

List of Customers Included in this Subscription
( Leave this
space blank)

Am ount Subscribed

Name o f Customer
( Pitase print or typewrit*)

1




DEN OM IN ATIONS AND SE R IA L NUM BERS O F NOTES SURRENDERED

Address

Triplicate

BLOTTER RECORD
Subscriber’ s Reference N o.

C-3
Subscription Number

EXCHANGE SUBSCRIPTION
For United States o f America 3*4 Percent Treasury Certificates o f Indebtedness o f Series B-1958
Dated May 1, 1957, Due April 15, 1958
From.

Dated at
.1957

F

ederal

R

eserve

B

a n k of

New Y

ork,

Fiscal Agent o f the United States,
New Y ork 45, N. Y.
Attention Government Bond Division
D

Sir s :

ear

(Leave blank)

Subject to the provisions of Treasury Department Circular No. 988, dated May 6, 1957, the undersigned hereby
subscribes for United States o f America 3^ percent Treasury Certificates o f Indebtedness o f Series B-1958, as follow s:
F or own account ..
F or our customers
Total subscription..............................................................

$.................................

and tenders in payment therefor a like par amount o f 1 % % Treasury Notes o f Series B-1957, maturing May 15, 1957, with
May 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 of Treasury Department Circular No. 988 on notes
surrendered, as follows:
□ B y check
□ B y credit to our reserve account
C E R T IF IC A T E S D E S IR E D IN E X C H A N G E

NOTES SURRENDERED

see*

Denomi­
nation

$

Face amount

(Leavt this spact blank)

Pieces

Denomi­
nation

*

1,000

1,000

5,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TOTAL

TO T A L

Dispose 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. H old as collateral fo r Treasury Tax and Loan Account
acknowledge receipt o f the notes tendered in exchange for United
itea o f Am erica 3 % % Treasury Certificates o f Indebtedness o f
•ies B-1958, dated M ay 1, 1957, due A pril 15, 1958. The certificates
>tted will be delivered in accordance with your instructions on
,y 15, 1957.

(L eave this space blank)

Face amount

□ 4. Ship to the undersigned
□ 5. Special instructions:

NONNEGOTIABLE RECEIPT
No..

Jotice: I f the new securities are to be delivered at the Federal
Reserve Bank o f New Y ork over the counter to your
representative the follow ing authority should be exeouted
only on the date o f delivery.
Y ou are hereby authorized to deliver to
(Name of Representative)

hose signature appears below $....................................... VP»* amount
f securities issued in exchange fo r those above described.
Name.

F ederal R

eserve

B

a n k of

New Y

ork,

Fiscal Agent o f the United States,
Government Bond Division
Issues & Redemption Section

(Please Print)
(par amount)
(Official Signature Required)

(Signature of Authorized Representative)




Teller

(Please type or print legibly)

Submit in Triplicate

N -l

Subscriber’ s Reference No.

Subscription Number

EXCHANGE SUBSCRIPTION
For United States o f America 3 % Percent Treasury Notes o f Series A-1962
Dated May 1, 1957, Due February 15, 1962
From.

Dated at
.1957

F

ederal

R e serve B a n k

op

N ew Y

ork,

Fiscal Agent o f the United States,
New York 45, N. Y.
Attention Government Bond Division
D ear S ir s :

Subject to the provisions of Treasury Department Circular No. 989, dated May 6, 1957, the undersigned hereby
subscribes for United States o f America 3 % percent Treasury Notes o f Series A-1962, as follow s:
F or 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 o f 1 % % Treasury Notes of Series B-1957, maturing May 15, 1957, with
May 15, 1957 coupons attached.
Delivered to you herewith.............................................................................................................

$.................................

To be withdrawn from securities held by yo u ..........................................................................

$.................................

To be delivered b y ............................................................................................................................

$.............................

Pay interest due subscriber in accordance with Section IV o f Treasury Department Circular No. 989 on notes
surrendered, as follows:
□

B y check

□ B y credit to our reserve account

N OTES SU RREN D ERED

NOTES D E SIR E D IN E XC H A N G E

(List serial numbers on reverse side)
Denomi­
nation

•08
t

Face amount

(Leave this space blank)

Denomi­
nation

Pieces

1,000

$

(Leave this space blanlc)

Face amount

1,000

5,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TOTAL

TO T A L
...

Dispose 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. H old as collateral fo r Treasury Tax and Loan Account

□ 4. Ship to the undersigned
□ 5. Special instructions:

(IM P O R T A N T : N o changes in d eliv ery instructions w ill b e a ccep ted .
A separate subscrip tion must be subm itted f o r each grou p o f securities
as to w hich differen t d eliv ery instructions are g iv e n .)

'h e u n dersig n ed h ereb y certifies th at th e securities t o be

>osed o f as in d ica ted in item 2 or 3 a b o v e are the
o le p ro p e rty o f the u ndersigned .
Submitted by

The subscription books will open on
May 6, and close at the close of
business May 8, 1957.

(Please print)

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

By
(Authorized signature(s) required)

Title . .

.....................

Title .................

Address
(S p a ce s b e lo w are fo r the use o f the F ed eral R eserve Bank o f New Y o r k )
G

overn m en t

B

ond

V

au lt

B

ecord

S

a f e k e e p in g

Beceived

Counted

Beceived

Checked

Checked

Checked
and
delivered




B

ecord

Beceived from F e d e r a l B e s e r v e B a n k o k N e w Y
States obligations in the amount subscribed for.

ork

the above described United

List of Customers Included in this Subscription
<Ltav* this
space blank)

Amount Subscribed




Name o f Customer
( Please Print or typewrite)

DENOMINATIONS AND SERIAL NUMBERS OF NOTES SURRENDERED

Address

Duplicate

SECURITY RECORDS “ OUT TICKET”

N-2

Subscriber’s Reference No.

Subscription Number

EXCHANGE SUBSCRIPTION
For United States o f America 3 % Percent Treasury Notes o f Series A-1962
Dated May 1, 1957, Due February 15, 1962
F rom .

Dated at
.1957

F

ederal

R eserve B

a n k op

N ew Y

ork,

Fiscal Agent o f the United States,
N ew Y o r k 45, N . Y .

Attention Government Bond Division
D e a r S ir s :

Subject to the provisions o f Treasury Department Circular No. 989, dated May 6, 1957, the undersigned hereby
subscribes for United States of America 3 % percent Treasury Notes of Series A-1962, as follow s:
F or 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 o f 1 % % Treasury Notes o f Series B-1957, maturing May 15,1957, with
May 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 of Treasury Department Circular No. 989 on notes
surrendered, as follows:
□

B y check

□ B y credit to our reserve account

N OTES SURRENDERED

NOTES D E SIR E D IN EXCH AN G E

(List serial numbers on reverse side)

Denomi­
nation

ces
$

Face amount

(Leave this space blank)

Denomi­
nation

Pieces

1,000

$

5,000

Face amount

(Leave this space blank)

1,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TO T A L

TO TAL

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
T h* u n d e r s ig n e d h e re 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 item 2 or 3 a b o v e a r e the
to le p r o p e r ty o f th e u n d e r s ig 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 c tio n s w ill b e a c c e p te d .
A s e p a r a te su b s c rip tio n m u st b e s u b m itte d f o r e a c h g r o u p o f se c u ritie s
a s to 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 i v e n .)

Submitted by
(Please print)

The subscription books will open on
May 6, and close at the close of
business May 8, 1957.




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 )

SECURITY RECORDS “IN TICKET”

Subscription Number

List of Customers Included in this Subscription
( Leave this
space blank)

Amount Subscribed,




Name of Customer
( Please print or typewrite)

DENOMINATIONS AND SERIAL NUMBERS OF NOTES SURRENDERED

Address

Triplicate

BLOTTER RECORD

N -3

Subscriber’s Beference No.

Subscription Number

EXCHANGE SUBSCRIPTION
F o r U n ited States o f A m erica 3 % P e rce n t T reasu ry N otes o f Series A -1 96 2
D ated M ay 1, 1 95 7, D u e F e b ru a ry 15, 1962
?rom.

Dated at
.1957

F ederal R

eserve

B

a n k op

New Y

ork,

Fiscal Agent of the United States,
New York 45, N. Y.
Attention Government Bond Division
D e a r S ir s :

(Leave blank)

Subject to the provisions o f Treasury Department Circular No. 989, dated May 6, 1957, the undersigned hereby
subscribes for United States o f America 3 % percent Treasury Notes of Series A-1962, as follows:
F or own account ..
F or our customers
Total subscription..............................................................

$.................................

and tenders in payment therefor a like par amount o f 1 % % Treasury Notes of Series B-1957, maturing May 15,1957, with
May 15, 1957 coupons attached.
Delivered to you herewith.............................................................................................................

$.................................

To be withdrawn from securities held by y o u ..........................................................................

$.................................

To be delivered b y ............................................................................................................................

$.................................

Pajr interest due subscriber in accordance with Section IV o f Treasury Department Circular No. 989 on notes
surrendered, as follows:
□

B y check

□

By credit to our reserve account
NOTES D E SIR E D IN E XC H A N G E

N OTES SU RREN D ERED
Denomi­
nation
$

Face amount

(Leave this space blank)

Denomi­
nation

Pieces

$

1,000

1,000

5,000

5,000

10,000

10,000

100,000

100,000

1,000,000

1,000,000

TOTAL

TO T A L

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
icknowledge receipt o f the notes tendered in exchange for United
38 o f Am erica 3 % % Treasury Notes o f Series A-1962, dated
1, 1957, due February 15, 1962. The notes allotted will be
ered in accordance with your instructions on M ay 15, 1957.

□
□

(Leave this space blank)

Face amount

4. Ship to the undersigned
5. Special instructions:

NONNEGOTIABLE RECEIPT
No..

tic e : I f the new securities are to be delivered at the Federal
Reserve Bank o f New Y ork over the counter to your
representative the follow ing authority should be executed
only on the date o f delivery.
You are hereby authorized to deliver to
(Name of Representative)

ose signature appears below $....................................... ..par amount
securities issued in exchange for those above described.
Name.
(Please Print)

F e d eral R eserve B

a n k op




ork,

(par amount)

(Official Signature Required)
(Signature of Authorized Representative)

New Y

Fiscal Agent o f the United States,
Government Bond Division
Issues & Redemption Section

Teller