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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States
/"Circular No. 5 1 4 0 1
L February 5, 1962 J
3/4 Percent Treasury Certificates of Indebtedness of Series A -1963,
or 4 Percent Treasury Notes of Series A -1966
OFFERED IN EXCHANGE FOR
3% Percent Treasury Notes of Series A -1962,
or 4 Percent Treasury Notes of Series D-1962,
or 3% Percent Treasury Notes of Series F-1962,
or IV2 Percent Treasury Notes of Series EA-1962
To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve D istrict:
The subscription books are open for an offering of—
3 Y2
percent Treasury Certificates of Indebtedness of Series A-1963,
dated February 15, 1962, maturing February 15, 1963, at par,
or 4 percent Treasury Notes of Series A-1966, dated February 15,
1962, maturing August 15, 1966, at par,
in exchange for any of the following notes: 3 % percent Treasury Notes of Series A-1962, 4
percent Treasury Notes of Series D-1962, or 3y4 percent Treasury Notes of Series F-1962, all
maturing February 15, 1962; or 1 % percent Treasury Notes of Series EA-1962, maturing
April 1, 1962.
The terms of this offering are set forth in Treasury Department Circulars Nos. 2-62 and
3-62, Public Debt Series, both dated February 5,1962; a copy of each is printed on the following
pages.
Subscribers for either new issue who are surrendering notes maturing February 15 should
detach final coupons before surrendering such securities. Subscribers who are surrendering
notes maturing April 1 must surrender such notes with final coupons attached, and will receive
interest adjustments as of March 1, 1962, in accordance with Sections IV of Treasury Depart
ment Circulars Nos. 2-62 and 3-62, Public Debt Series.
Subscriptions will be received by this Bank as fiscal agent of the United States. Cash
subscriptions will not be received. Subscriptions should be submitted in triplicate on official
subscription forms, copies of which are enclosed, and should be mailed immediately. If filed by
telegram or letter, the subscriptions should be confirmed immediately by mail on the forms
provided. The subscription books will remain open for three days, February 5 through
February 7. Any subscription addressed to a Federal Reserve Bank or Branch or to the
Treasury Department and placed in the mail before midnight Wednesday, February 7, will be
considered timely.
A
lfred
H
ayes,
President.
UNITED STATES OF AM ERICA
3Vz PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS OF SERIES A-1963
Dated and bearing interest from February 15, 1962
Due February 15, 1963
Department Circular
Public Debt Series — No. 2 -6 2
TREASU RY DEPARTM ENT,
O ffice
of t h e
S ecr e ta r y ,
Washington, February 5, 1962.
I.
OFFERING OF CERTIFICATES
$5,000, $10,000, $100,000, $1,000,000, $100,000,000 and
$500,000,000. The certificates will not be issued in reg
istered form.
1. The Secretary of the Treasury, pursuant to the
authority of the Second Liberty Bond Act, as amended,
invites subscriptions, at par, from the people of the
United States for certificates of indebtedness of the
United States, designated 3^ percent Treasury Cer
tificates of Indebtedness of Series A-1963, in exchange
for any of the following notes:
5.
The certificates will be subject to the general
regulations of the Treasury Department, now or here
after prescribed, governing United States certificates.
III.
3% percent Treasury Notes of Series A-1962, ma
turing February 15, 1962
1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of the
Treasurer of the United States, Washington 25, D. C.
Banking institutions generally may submit subscrip
tions for account of customers, but only the Federal
Reserve Banks and the Treasury Department are
authorized to act as official agencies.
4 percent Treasury Notes of Series D-1962, ma
turing February 15, 1962
3y± percent Treasury Notes of Series F-1962,
maturing February 15, 1962
1Y2 percent Treasury Notes of Series EA-1962,
maturing A pril 1, 1962
2. The Secretary of the Treasury reserves the right
to reject or reduce any subscription, and to allot less
than the amount of certificates applied fo r ; and any
action he may take in these respects shall be final.
Subject to these reservations, all subscriptions will be
allotted in full. Allotment notices will be sent out
promptly upon allotment.
Interest will be adjusted in the case of the 1 ^ percent
Treasury Notes of Series EA-1962 as set forth in Sec
tion IV hereof. The amount of the offering under this
circular will be limited to the amount of eligible notes
tendered in exchange and accepted. The books will be
open only on February 5 through February 7, 1962,
for the receipt of subscriptions for this issue.
IV.
DESCRIPTION OF CERTIFICATES
1. The certificates will be dated February 15, 1962,
and will bear interest from that date at the rate of
31/2 percent per annum, payable semiannually on
August 15, 1962, and February 15, 1963. They will
mature February 15, 1963, and will not be subject to
call for redemption prior to maturity.
2. The income derived from the certificates is sub
ject to all taxes imposed under the Internal Revenue
Code of 1954. The certificates are subject to estate,
inheritance, gift 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 of the possessions of the United
States, or by any local taxing authority.
V.
3. The certificates will be acceptable to secure de
posits of public moneys. They will not be acceptable in
payment of taxes.
ASSIGNMENT OF REGISTERED NOTES
1.
Treasury Notes of Series F-1962 in registered
form tendered in payment for certificates offered here
under should be assigned by the registered payees or
assignees thereof to “ The Secretary of the Treasury
for exchange for 3^ 2 percent Treasury Certificates of
4. Bearer certificates with interest coupons at
tached will be issued in denominations o f $1,000,
PAYMENT
1. Payment for the face amount of certificates
allotted hereunder must be made on or before Feb
ruary 15, 1962, or on later allotment, and may be made
only in notes of the four series enumerated in Section
I hereof, which will be accepted at par, and should
accompany the subscription. Coupons dated February
15, 1962, should be detached and cashed when due by
holders of the maturing notes of Series A-1962, Series
D-1962 and Series F-1962 in coupon form. In the case
of registered notes of Series F-1962, the final interest
due on February 15, 1962, will be paid by check
drawn in accordance with the assignments on the notes
surrendered, or by credit in any account maintained
by a banking institution with the Federal Reserve
Bank of its District. Coupons dated April 1, 1962,
must be attached to the V/2 percent Treasury Notes of
Series EA-1962 when surrendered and accrued inter
est from October 1, 1961, to March 1, 1962 ($6.22253
per $1,000) will be credited, accrued interest from
February 15, 1962, to March 1, 1962 ($1.35359 per
$1,000) on the certificates to be issued will be charged,
and the difference ($4.86894 per $1,000) will be paid
to subscribers following acceptance of the notes.
2. In addition to the offering under this circular,
holders of the eligible notes are offered the privilege of
exchanging all or any part of such notes for 4 percent
Treasury Notes of Series A-1966, which offering is set
forth in Department Circular, Public Debt Series—
No. 3-62, issued simultaneously with this circular.
II.
SUBSCRIPTION AND ALLOTMENT
2
Indebtedness of Series A-1963 to be delivered to
...................... ” , in accordance with the general regu
lations of the Treasury Department governing assign
ments for transfer or exchange, and thereafter should
be surrendered with the subscription to a Federal
Reserve Bank or Branch or to the Office of the Treas
urer of the United States, Washington 25, D. C. The
notes must be delivered at the expense and risk of the
holder.
Treasury to the Federal Reserve Banks of the respec
tive Districts, to issue allotment notices, to receive
payment for certificates allotted, to make delivery of
certificates on full-paid subscriptions allotted, and
they may issue interim receipts pending delivery of
the definitive certificates.
2.
The Secretary of the Treasury may at any time,
or from time to time, prescribe supplemental or
amendatory rules and regulations governing the offer
VI. GENERAL PROVISIONS
ing, which will be communicated promptly to the Fed
1.
As fiscal agents of the United States, Federal eral Reserve Banks.
Reserve Banks are authorized and requested to receive
DOUGLAS DILLON,
subscriptions, to make allotments on the basis and up
to the amounts indicated by the Secretary of the
Secretary of the Treasury.
UNITED STATES OF AM ERICA
4 PERCENT TREASURY NOTES OF SERIES A-1966
Dated and bearing interest from February 15, 1962
Due August 15, 1966
Department Circular
Public Debt Series — No. 3-82
TREASU RY DEPARTM ENT,
O ffice
of t h e
S ec r e t ar y ,
Washington, February 5, 1962.
I.
OFFERING OF NOTES
cent per annum, payable semiannually on August 15,
1962, and thereafter on February 15 and August 15 in
each year until the principal amount becomes payable.
They will mature August 15, 1966, and will not be
subject to call for redemption prior to maturity.
1. The Secretary of the Treasury, pursuant to the
authority of the Second Liberty Bond Act, as amended,
invites subscriptions, at par, from the people of the
United States for notes of the United States, desig
nated 4 percent Treasury Notes of Series A-1966, in
exchange for any of the following notes:
2. The income derived from the notes is subject to
all taxes imposed under the Internal Revenue Code of
1954. The notes are subject to estate, inheritance, gift
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 of the possessions of the United States, or by any
local taxing authority.
3% percent Treasury Notes of Series A-1962,
maturing February 15, 1962
4 percent Treasury Notes of Series D-1962, ma
turing February 15, 1962
314
percent Treasury Notes of Series F-1962,
maturing February 15, 1962
3. The notes will be acceptable to secure deposits of
public moneys. They will not be acceptable in payment
of taxes.
IV2 percent Treasury Notes of Series EA-1962,
maturing A pril 1, 1962
4. Bearer notes with interest coupons attached, and
notes registered as to principal and interest, will be
issued in denominations of $1,000, $5,000, $10,000,
$100,000, $1,000,000, $100,000,000 and $500,000,000.
Provision will be made for the interchange of notes of
different denominations and of coupon and registered
notes, and for the transfer of registered notes, under
rules and regulations prescribed by the Secretary of
the Treasury.
Interest will be adjusted in the case of the 1% percent
treasury Notes of Series EA-1962 as set forth in Sec
tion I\ hereof. The amount of the offering under this
circular will be limited to the amount of eligible notes
tendered in exchange and accepted. The books will be
open only on February 5 through February 7 , 1962,
for the receipt of subscriptions for this issue.
2. In addition to the offering under this circular,
holders of the eligible notes are offered the privilege
of exchanging all or any part of such notes for 3V2
percent Treasury Certificates of Indebtedness of Series
A-1963, which offering is set forth in Department
Circular, Public Debt Series— No. 2-62, issued simul
taneously with this circular.
5. The notes will be subject to the general regula
tions of the Treasury Department, now or hereafter
prescribed, governing United States notes.
III.
SUBSCRIPTION AND ALLOTMENT
1.
Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of the
1.
The notes will be dated February 15, 1962 and Treasurer of the United States, Washington 25, D. C.
will bear interest from that date at the rate of 4 perBanking institutions generally may submit subscripII-
DESCRIPTION OF NOTES
3
signees thereof, in accordance with the general regyriations of the Treasury Department governing assign
ments for transfer or exchange, in one of the forms
hereafter set forth, and thereafter should be sur
rendered with the subscription to a Federal Reserve
Bank or Branch or to the Office of the Treasurer of
the United States, Washington 25, D. C. The notes
must be delivered at the expense and risk of the
holder. I f the new notes are desired registered in the
same name as the notes surrendered, the assignment
should be to “ The Secretary of the Treasury for ex
change for 4 percent Treasury Notes of Series
A-1966” ; if the new notes are desired registered in
another name, the assignment should be to “ The Sec
retary of the Treasury for exchange for 4 percent
Treasury Notes of Series A-1966 in the name of
...................... ’ ’ ; if new notes in coupon form are de
sired, the assignment should be to “ The Secretary of
the Treasury for exchange for 4 percent Treasury
Notes of Series A-1966 in coupon form to be delivered
tions for account o f customers, but only the Federal
Reserve Banks and the Treasury Department are
authorized to act as official agencies.
2.
The Secretary of the Treasury reserves the right
to reject or reduce any subscription, and to allot less
than the amount of notes applied f o r ; and any action
he may take in these respects shall be final. Subject to
these reservations, all subscriptions will be allotted in
full. Allotment notices will be sent out promptly upon
allotment.
IV. PAYMENT
1. Payment for the face amount of notes allotted
hereunder must be made on or before February 15,
1962, or on later allotment, and may be made only in
notes of the four series enumerated in Section I
hereof, which will be accepted at par, and should
accompany the subscription. Coupons dated February
15, 1962, should be detached and cashed when due by
holders of the maturing notes of Series A-1962, Series
D-1962 and Series F-1962 in coupon form. In the case
of registered notes of Series F-1962, the final interest
due on February 15, 1962, will be paid by check drawn
in accordance with the assignments on the notes sur
rendered, or by credit in any account maintained by
a banking institution with the Federal Reserve Bank
of its District. Coupons dated A pril 1, 1962, must be
attached to the l 1/^ percent Treasury Notes of Series
EA-1962 when surrendered and accrued interest from
October 1, 1961, to March 1, 1962 ($6.22253 per
$1,000) will be credited, accrued interest from Feb
ruary 15,1962, to March 1,1962 ($1.54696 per $1,000)
on the new notes to be issued will be charged, and the
difference ($4.67557 per $1,000) will be paid to sub
scribers following acceptance of the notes of Series
EA-1962.
VI. 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 respec
tive 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 defini
tive 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 offer
ing, which will be communicated promptly to the
Federal Reserve Banks.
V. ASSIGNMENT OF REGISTERED NOTES
1.
Treasury Notes of Series F-1962 in registered
form tendered in payment for notes offered hereunder
should be assigned by the registered payees or as
4
DOUGLAS DILLON,
Secretary of the Treasury.
Subscription No.
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
°'or United States of America 3V2 Percent Treasury Certificates of Indebtedness of Series A-1963
Dated February 15, 1962, Due February 15, 1963
1 P“ -------- — ■■■
■
---------------------------------------------------------C E R TIFIC A TE S DESIRED IN EXCH ANG E
Dispose of securities issued as follow s:
Denomi
nation
, ,w
*
(Leave this spare blank)
Face amount
1,000
5,000
10,000
I
1. Deliver over the counter to
the undersigned
□ 2. Hold in safekeeping (for
member bank only)
n 3. Hold as collateral for Treas
ury Tax and Loan Account
□ 4. Ship to the undersigned
□ 5. Special instructions:
□
100,000
«
1,000,000
TO TAL
3
The undersigned hereby certifies that the
securities to be disposed of as indicated
*n item 2 or 3 above are owned solely hy
the undersigned.
(IMPORTANT: No changes in delivery instructions will be
accepted. A separate subscription form must be submitted for
each group of securities for which different delivery instruc
tions are given.)
Submitted by
(Please print)
The subscription books will open on
ebruary 5, 1 9 6 2, and close at the
close of business February 7, 1962.
B y .....................
By.
(Authorized signature(s) required)
T itle.................
.........................
T itle...........
Address ........
S a f e k e e p in g R ecord
Received
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
States obligations in the amount subscribed for.
Subscriber
.......................
Y
ork
the above described United
ibscriber’s Reference No.
(Please type or print legibly and submit in triplicate)
Subscription No.
C -l
E X C H A N G E S U B S C R IP T IO N
1V)r U nited States o f A m erica
P ercent Treasury Certificates o f Indebtedness o f Series A -1963
Dated F ebruary 15, 1962, D ue F ebruary 15, 1963
Im p o rta n t In stru c tio n s.
1. Securities of different issues surrendered in exchange may be listed together on the
ame subscription form, except that a separate subscription form should be used (a ) for listing bearer securities
urrendered, (b ) for listing registered securities surrendered, and (c ) for each group of new securities for which
lifferent delivery instructions are given. 2. Signatures are required on original only; all other filled-in matter should
^ppear in triplicate.
Dated at ......................................................
Fiscal Agent of the United States,
New York 45, N. Y.
................................................................1962
Attention: Government Bond Division
Federal R eserve B a n k of N e w Y o r k .
) e a r S ir s :
Subject to the provisions of Treasury Department Circular No. 2-62, Public Debt Series, dated
February 5, 1962, the undersigned hereby subscribes for United States of America 3^2 percent Treasury
Certificates of Indebtedness of Series A-1963, in the amount of $
* and tenders in
payment therefor a like par amount of the securities—
Delivered to you herewith............................... ................................................... •• $...............................
To be withdrawn from securities held by you
$ .................................
To be delivered b y .............. ...............................................................................•••••, $........... .....................
_
* (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )
SECU RITIES SURRENDERED
( List serial numbers on reverse side)
% % Treasury Notes of Series A - 1962 (detach coupons) . .
Total amount
................. ...............$ .........................................
Treasury Notes of Series D -1 9 6 2 (detach coupons)
$ .........................................
lA°/o Treasury Notes of Series F -1 9 62 (detach coupons)
$ ......................................
V2°7c Treasury Notes o f Series E A -1 9 6 2 , with coupon No. 10 attached
$
Total
.................................
...................................................................................................... ....... $ .........................................
Pay the difference ($4.86894 per $1,000) in interest adjustment on the U/2 % Notes surrendered in
xehange,* as follow s:
□
By check
j—j By credit to our reserve account
* Sec Section IV of T. D. Circular No. 2-62, Public Debt Series.
(Signature(s) required also on Delivery Instructions below)
(Do not fill in boxes below)
________G o v e r n m e n t B o n d D iv is io n
Received
Checked
----------------
■
Submitted by
(Please print)
Canceled
By
By.
(Authorized signature(s) required)
Title. . .
Address
.....................
Title...............
(I f space is insufficient in schedules below, attach separate listing)
List of Accounts Included in this Subscription
(Indicate amount of each issue surrendered by each customer and by yourself)
(Leave this
space blank)
Name and address of account
( Please print or typewrite)
3 % % Notes
(A-1962)
$ ..................
4% Notes
(D-1962)
$ .............
3^4% Notes
(F-1962)
1 ^ % Notes
(EA-1962)
$ ..................
$ ...................
Total
•
Our own account
Totals
*
*
$
..............
1$ .................... $ ............. 1
Denominations and Serial Numbers of Securities Surrendered
"Til
5S
I ssue
Notes
(A-1962)
3% %
4 % N o te s
(D-1962)
Notes
(F-1962)
3*4%
1 ^ % Notes
(EA-1962)
;
{subscription JNo.
SECURITY RECORDS “OUT TICKET”
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
or United States of America
3V2 Percent
Treasury Certificates of Indebtedness of Series A -1963
Dated February 15, 1962, Due February 15, 1963
CE R TIFIC A TE S DESIRED IN EXCH AN G E
Dispose of securities issued as follow s:
ieces
Denomi
nation
$
Face amount
(Leave this space blank)
1,000
5,000
10,000
100,000
1,000,000
TOTAL
Submitted by .
Address
□
1. Deliver over the counter to
the undersigned
□ 2. Hold in safekeeping (for
member bank only)
□ 3. Hold as collateral for Treas
ury Tax and Loan Account
□ 4. Ship to the undersigned
□ 5. Special instructions:
bscriber’s Reference No.
DUPLICATE — SEGURIT\ RECORDS "IN TICK.EI ”
Subscription No.
C-2
EXCHANGE SUBSCRIPTION
?or United States of America V/z Percent Treasury Certificates of Indebtedness of Series A -1963
Dated February 15, 1962, Due February 15, 1963
F ederal R eserv e B a n k o f N ew Y o rk ,
Dated a t ......................................................
I Fiscal Agent of the United States,
New York 45, N. Y.
................................................................ 1962
} ear S irs :
Subject to the provisions of Treasury Department Circular No. 2-62, Public Debt Series, dated
February 5, 1962, the undersigned hereby subscribes for United States of America 3^ percent Treasury
Certificates of Indebtedness of Series A-1963, in the amount of $ ......................................... * and tenders in
>ayment therefor a like par amount of the securities—
Delivered to you herew ith...........................................................................................
$.................................
To be withdrawn from securities held by y o u ...................................................... ..
$.................................
To be delivered b y .......................................................................................................
$.................................
(Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” )
SECU RITIES SURRENDERED
(List serial numbers on reverse side)
Total amount
% % Treasury Notes of Series A -1 9 6 2 (detach coupons) .........................................$
°7o Treasury Notes of Series D -1 9 6 2 (detach coupons)
...................................... ........$
/ 4 % Treasury Notes of Series F -1 9 62 (detach coupons) .........................................$
V z% Treasury Notes of Series E A -1 9 6 2 , with coupon No. 10 attached . .
Total
$_
...................................................................................................... ....... $
Pay the difference ($4.86894 per $1,000) in interest adjustment on the 1% % Notes surrendered in
xchange,* as follow s:
^
check
j—j
credit to our reserve account
See Section IV of T. D. Circular No. 2-62, Public Debt Series.
Submitted by
Address
(I f space is insufficient in schedules below, attach separate listing)
List of Accounts Included in this Subscription
(Indicate amount of each issue surrendered by each customer and by yourself)
(Leave this
space blank)
Name and address of account
(Please print or typewrite)
3 % % N o te s
(A-1962)
4% Notes
(D-1962)
3 Vi°7c N o te s
(F-1962)
Notes
(EA-1962)
$ .............. $ .............. $ ............. $
Total j
$ ..........
Our own account ........................................
Totals ....................................................
$................ $ .............. $ .............. $........... |
Denominations and Serial Numbers of Securities Surrendered
I ssue
3 % % Notes
(A -1 9 6 2 )
4 % Notes
(D -1962)
3 % % Notes
(F -1 9 6 2 )
1 % % Notes
(E A for
-1 9FRASER
62)
Digitized
Subscription No.
NONNEGOTIABLE RECEIPT
To Subscriber:
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 , Fiscal A gent o f the United States, hereby acknowledges receipt o f
securities tendered with subscription numbered as above in exchange for
31/2 P E R C E N T T R E A S U R Y C E R T IF IC A T E S O F IN D E B T E D N E S S OF S E R IE S A-1963
Securities allotted on this subscription will be delivered on
February 15, 1962, in accordance with your instructions.
..................................................................................
Teller
Government Bond Division — Issues & Redemption Section
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
Dispose o f securities issued as fo llo w s:
’ ieces
Denomi
nation
$
Face amount
(Leave this space blank)
□
□
1,000
□
5,000
□
□
10,000
1. Deliver over the counter to
the undersigned
2. H old in safekeeping (fo r
member bank only)
3. H old as collateral for Treas
u ry Tax and Loan A ccount
4. Ship to the undersigned
5. Special instructions:
100,000
1,000,000
total
0 1 ed era l R eserve B a n k o f N ew Y o rk
Fiscal Agent o f the United States
(Date)
Submitted
bv
ou are hereby authorized to deliver to
(Name of representative).....................................
hose signature appears below,
Address
* ............................................par amount
securities issued pursuant to this subscription.
Name
(Please print)
(Official signature required)
of authorized represema'tiv'e) '
Digitized(Signature
for FRASER
Subscriber: I f securities are to be delivered over the
counter at this Bank to your representative,
the authority in the box to the left should
•be executed on the date o f delivery.
ibseriber’s Reference
No.
TRIPLICATE— TREASURY REPORTS COPY
Subscription No.
C-3
EXCHANGE SUBSCRIPTION
For United States of America V/2 Percent Treasury Certificates of Indebtedness of Series A -1963
Dated February 15, 1962, Due February 15, 1963
Dated a t ......................................................
Federal R eserve B ank of N ew Y ork.
, Fiscal Agent of the United States,
New York 45, N. Y.
................................................................1962
3 ear Sirs :
Subject to the provisions of Treasury Department Circular No. 2-62, Public Debt Series, dated
February 5, 1962, the undersigned hereby subscribes for United States of America 3% percent Treasury
Certificates of Indebtedness of Series A-1963, in the amount of $ ......................................... * and tenders in
>ayment therefor a like par amount of the securities—
Delivered to you herew ith...........................................................................................
$.................................
To be withdrawn from securities held by y o u .................................................. ..
$ ................................
To be delivered b y .......................................................................................................
$.................................
* (Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” )
SECURITIES SURRENDERED
(List serial numbers on reverse side)
Total amount
■ % % Treasury Notes of Series A - 1962 (detach coupons) .........................................$ .........................................
% Treasury Notes of Series D -1 9 6 2 (detach coupons)
................................. .............$
V 4 % Treasury Notes of Series F -1962 (detach coupons) .............................. .......... $ ........................................
A°Zo Treasury Notes of Series E A -1 9 6 2 , with coupon No. 10 attached
Total
$ .........................................
...................................................................................................... ........$ .........................................
Pay the difference ($4.86894 per $1,000) in interest adjustment on the 1% % Notes surrendered in
xchange,* as follows:
?□
y check
q g y cre(jit to our reserve account
r -—
, * See Section IV of T. D. Circular No. 2-62, Public Debt Series.
11
Submitted by
Address
(I f space is insufficient in schedules below, attach separate listing)
List of Accounts Included in this Subscription
(Indicate amount of each issue surrendered by each customer and by yourself)
( Leave this
space blank)
Name and address of account
( Please print or typewrite)
3 % % Notes
(A-1962)
$ ....
4% Notes
(D-19C2)
$ ...
314 % Notes iy 2% Notes
(F-1962)
(EA-1962)
$ .................... z $
Total
*
Our own account
Totals ..................................................... $ ..................... ! $ ..................... %................... $ ................... $
.................
Denominations and Serial Numbers of Securities Surrendered
I ssu e
3 % % Notes
(A-1962)
4 % Notes
(D-1962)
3 ^ 4 % Notes
(F-1962)
1 % % Notes
(EA-1962)
———
Subscription No.
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Notes of Series A-1966
Dated February 15, 1962, Due August 15, 1966
B E A R E R N O TE S D E S IR E D IN E X C H A N G E
(U s e schedule on reverse side for R EGISTERED notes )
'ieces
Denomi
nation
$
Dispose o f securities issued as fo llo w s :
(Leave this space blank)
Face amount
□
□
1,000
□
□
10,000
CO
□
5,000
Deliver over the counter to
the undersigned
2. H old in safekeeping (fo r
member bank only)
H old as collateral for Treas
u ry Tax and Loan A ccount
4. Ship to the undersigned
5. Special instructions :
1.
100,000
1,000,000
TO TAL
The undersigned hereby certifies that the
securities to be disposed of as indicated
in item 2 or 3 above are owned solely b y
the undersigned.
(IMPORTANT: No changes in delivery instructions will be
accepted. A separate subscription form must be submitted for
each group of securities for which different delivery instruc
tions are given.)
Submitted by
(Please print)
The subscription books will open on
February 5, 1962, and close at the
close of business February 7, 1 96 2.
B y .....................
By.
(Authorized signature(s) required)
T itle.................
.........................
T itle...........
A d d re ss
(Spaces below are for the use of the Federal Reserve Bank of New York)
S a f e k e e p in g R e c o r d
Received
Received fro m F e d e r a l R e s e r v e B a n k o r N e w Y
Sta tes o b ligation s in the am oun t subscribed fo r .
Subscriber
Checked
arid
delivered
D ate..........
By.
ork
the above described U n ite d
Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)
(Indicate under appropriate denominations, number of notes desirec
Name in which notes shall be registered and post-office
address for interest checks and other mail.
( Please print or typewrite)
Mail registered notes to
Amount
$1,000
$5,000
$10,000
$100,000
$1,000,001
lbscriber’ s Reference No.
(Please type or print legibly and submit in triplicate)
Subscription N o .
N-l
EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Notes of Series A-1966
Dated February 15, 1962, Due August 15, 1966
Important Instructions.
1. Securities of different issues surrendered in exchange may be listed together on the
■*me subscription form, except that a separate subscription form should be used (a ) for listing bearer securities
Wf-re ered,. (b) for listing registered securities surrendered, and (c ) for each group of new securities for which
!i erent delivery instructions are given. 2. Separate subscription forms should be used for bearer securities and
egistered securities desired in exchange. 3. Signatures are required on original only; all other filled-in matter should
ippear in triplicate.
Fe d e r a l R e s e r v e R a n k o f N e w Y o r k ,
Dated a t ......................................
(► Fiscal Agent of the United States,
New York 45, N. Y.
........................................................
_
Attention: Government Bond Division
.1962
J e a r S ir s :
Subject to the provisions of Treasury Department Circular No. 3-62, Public Debt Series, dated
February 5, 1962, the undersigned hereby subscribes for United States of America 4 percent Treasury
'Totes of Series A-1966, in the amount of $............................................ * and tenders in payment therefor a
ike par amount of the securities—
Delivered to you h erew ith ...........................................................................................
$.................................
To be withdrawn from securities held by y o u .........................................................
$.................................
To be delivered b y .......................................................................................................
$.................................
(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )
SECU RITIES SURRENDERED
(List serial numbers on reverse side)
Total amount
5/s% Treasury Notes of Series A -1 9 6 2 (detach coupons) ........................................ $
% Treasury Notes of Series D -1 9 6 2 (detach coupons)
...................................... ....... $
V\% Treasury Notes of Series F -1962 (detach coupons) ........................................ $
/ 2% Treasury Notes of Series E A -1 9 6 2 , with coupon No. 10 attached . . . .
Total
$_
...................................................................................................... ....... $
Pay the difference ($4.67557 per $1,000) in interest adjustment on the 1M>% Notes surrendered in
i
schange,* as follow s:
□
By check
□
By credit to our reserve account
* See Section IV of T. D. Circular No. 3-62, Public Debt Series.
(Signature(s) required also on Delivery Instructions below)
(Do not fill in boxes below)
G o v e r n m e n t B o n d D iv is io n
Received
Checked
Submitted by
.............................
(Please print)
Canceled
By..............................
By.
(Authorized signature(s) required)
Title. . .
Address
.....................
T itle...............
( I f space is insufficient in schedules below, attach separate listing)
List of Accounts Included in this Subscription
(Indicate amount o f each issue surrendered by each customer and by yourself)
( Leave this j
space blank),
Name and address of account
(Please print or typewrite)
3 % % Notes
(A-1962)
4 % Notes
(D-19G2)
3*4% Notes
(F-1962)
1 % % Notes
(EA-1962)
Our own account
Totals ..........
Denominations and Serial Numbers of Securities Surrendered
I ssue
Notes
(A-1962)
3% %
Notes
(D-1962)
4%
Notes
(F-1962)
3% %
1
Notes
(EA-1962)
Total
Subscription No.
SECURITY RECORDS “OUT TICKET”
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Notes of Series A-1966
Dated February 15, 1962, Due August 15, 1966
B E A R E R NOTES D ESIRED IN E XCH AN G E
( U se schedule on reverse side for REGISTERED notes)
p ie c e s
Denomi
nation
1
Face amount
(Leave this space
Dispose of securities issued as follow s :
b la n k )
1,000
5,000
10,000
100,000
1,000,000
TOTAL
=E =
---
Submitted by
Address
□
1.
□
2.
□
3.
□
□
4.
5.
Deliver over the counter to
the undersigned
Hold in safekeeping (for
member bank only)
Hold as collateral for Treas
ury Tax and Loan Account
Ship to the undersigned
Special instructions :
t u s
Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D.
registered owner, give mailing instructions below.)
...-.......
-- -
C .,
are not to be sent to the
-........................
(Indicate under appropriate denominations, number o f notes desirec
Name in which notes shall be registered and post-office
address for interest checks and other mail.
( Please print or typewrite )
Amount
$1,000
$5,000
$10,000
$100,000
$1,000,00<
1 1
.................
Mail registered notes to .................................................................................................................. ..
b r i b e r ' s Reference N o.
DUPLICATE— SECURITY RECORDS “ IN TICKET”
Subscription N o.
N-2
EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Notes of Series A-1966
Dated February 15, 1962, Due August 15, 1966
Dated a t ......................................................
Fe 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 ,
Fiscal Agent of the United States,
New York 45, N. Y.
................................................... *........... 1962
~) e a r S ir s :
Subject to the provisions of Treasury Department Circular No. 3-62, Public 'Debt Series, dated
.’ebruary 5, 1962, the undersigned hereby subscribes for United States of America 4 percent Treasury
3<otes of Series A-1966, in the amount of $ ............................................ * and tenders in payment therefor a
^ke par amount of the securities—
Delivered to you h erew ith ...........................................................................................
$.................................
To be withdrawn from securities held by y o u .........................................................
$.................................
To be delivered b y .......................................................................................................
$.................................
(Please fill in on the reverse side the schedule “ List o f Accounts Included in thiS Subscription.” )
SECU RITIES SURRENDERED
(List serial numbers on reverse side)
Total amount
% % Treasury Notes of Series A -1 9 6 2 (detach coupons) .........................................$
°7o Treasury Notes of Series D -1 9 6 2 (detach coupons)
...................................... ........$
/4%> Treasury Notes of Series F -1 9 62 (detach coupons) .........................................$
/2 'To Treasury Notes of Series E A -1 9 6 2 , with coupon No. 10 attached . .
Total
$
...................................................................................................... ....... $
l a y the difference ($4.67557 per $1,000) in interest adjustment on the l 1/2 % Notes surrendered in
£• ange,* as follow s:
: •^
check
Q By credit to our reserve account
^ec Section IV of T. D. Circular No. 3-62, Public Debt Series.
Submitted by
Address
Subscription N o.
N O N N E G O T IA B L E R E C E IP T
'
^
To Subscriber:
^
Fiscal Agent of the United States, hereby acknowledges receipt of
securities tendered with subscription numbered as above in exchange for
F ed eral R eserve B a n k of N e w Y o r k ,
4 PERCENT TREASU RY NOTES OF SERIES A-1966
Securities allotted on this subscription will be delivered on
February 15, 1962, in accordance with your instructions.
it
...............................................................................
T
.ll.r
Teller
Government Bond Division — Issues & Redemption Section
B E A R E R NOTES DESIRED IN EXCH AN G E
(.Use schedule on reverse side for R EGISTERED notes)
Pieces
Denomi
nation
$
Face amount
Disnose of securities issued as follow s:
(Leave this space blank)
1,000
□
1.
□
2.
□
3.
□
□
4.
5.
5,000
10,000
Deliver over the counter to
the undersigned
Hold in safekeeping (for
member bank only)
Hold as collateral for Treas
ury Tax and Loan Account
Ship to the undersigned
Special instructions:
100,000
1,000,000
TOTAL
o I* e d er al R e s e r v e B a n k o f N e w Y o r k
Fiscal Agent of the United States
Submitted
b.v
(Date)
ou are hereby authorized to deliver to
(Name of representative)
hose signatu re appears below ,
Address
* ...................................................... par am ount
' securities issued pursuant to this subscription.
Name
(Please print)
(Official signature required)
Digitized(Signature
for FRASER
of authorized representative)..............
V
--S u b s c r i b e r . I f securities are to be delivered over the
counter at this Bank to your representative,
the authority in the box to the left should
bt executed on the date o f delivery.
!c
'e
Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)
(Indicate under appropriate denominations, number of notes desired.
Name in which notes shall be registered and post-office
address for interest checks and other mail.
(Please print or typewrite)
Amount
$1,000
$5,000
$10,000
$100,000
$1,000,000“
r....... :........JLi.
-
Mail registered notes to
TRIPLICATE— TREASURY REPORTS COPY
abscriber >s Reference No.
Subscription No.
N-3
EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Notes of Series A -1966
Dated February 15, 1962, Due August 15, 1966
Dated a t ......................................................
F ed era l R eserve B a n k o f N ew Y o rk ,
Fiscal Agent of the United States,
New York 45, N. Y.
................................................................1962
D e a r S ir s :
Subject to the provisions of Treasury Department Circular No. 3-62, Public Debt Series, dated
February 5, 1962, the undersigned hereby subscribes for United States of America 4 percent Treasury
^otes of Series A-1966, in the amount of $
* and tenders in payment therefor a
ike par amount of the securities—
Delivered to you herew ith...........................................................................................
$ ................................
To be withdrawn from securities held by y o u ........................................................
$.................................
To be delivered b y .......................................................................................................
$.................................
(Please fill in on the reverse side the schedule “ List, of Accounts Included in this Subscription.” )
SECURITIES SURRENDERED
{List serial numbers cm reverse side)
Total amount
% % Treasury Notes of Series A -1 9 6 2 (detach coupons) ........................................ $
% Treasury Notes of Series D -1 9 6 2 (detach coupons)
...................................... ....... $
’ / 4 % Treasury Notes of Series F -1 9 62 (detach coupons) .........................................$
A % Treasury Notes of Series E A -1 9 6 2 , with coupon No. 10 attached
Total
$
...................................................................................................... ....... $
Pay the difference ($4.67557 per $1,000) in interest adjustment on the V/2 % Notes surrendered in
xcliange,* as follow s:
□
y check
j—j g y credit to our reserve account
* See Section IV of T. D. Circular No. 3-62, Public Debt Series.
Submitted by
(I f space is insufficient in schedules below, attach separate listing)
List of Accounts Included in this Subscription
(Indicate amount of each issue surrendered by each customer and by yourself)
(Leave this
space blank)
Name and address of account
(Please print or typewrite)
3 % % Notes
(A-1962)
$ ..........
4% Notes
(D-1962)
3*4% Notes
(F-1962)
Notes
(EA-1962)
\ xh %
Total
$
$ .............. $ .............. $ ......................
$ ........................
$
Our own a c c o u n t........................................
Totals .................................................... $ ..............
....................... 1 $ .......................... $
Denominations and Serial Numbers of Securities Surrendered
I ssue
Notes
(A-1962)
3% %
Notes
(D-1962)
4%
3 % % Notes
(F-1962)
#
Notes
(EA-1962)
1
...............................
@FedFRASER