Full text of Federal Reserve Bank of New York Circulars : 5516. Advance Refunding of Certain Notes and Bonds Maturing in 1964-67

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FED ERAL RESERVE BANK

OF NEW YORK
Fiscal Agent of the United States

/"Circular No. 5 5 1 61
I July 10, 1964 J

Advance Refunding of Certain Notes and Bonds
Maturing in 1964—67

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

The subscription books will be open Monday, July 13 through Thursday, July 16,
fo r an offering of 4 percent Treasury Bonds of October 1, 1969, 4% percent Treasury
Bonds o f 1973, and 4*4 percent Treasury Bonds of 1987-92, in exchange fo r certain
outstanding issues of notes and bonds maturing in 1964-1967.
Enclosed for banks are copies of a summary of the advance refunding offerings
as a ready reference in handling their customers’ inquiries concerning the offerings.
The official terms of the offerings are set forth in Treasury Department Circulars
Nos. 8-64, 9-64, and 10-64, Public Debt Series, which appear on the following pages.
Subscribers are required to certify that at the time the subscription is entered
the securities surrendered are owned and delivery was accepted by the subscriber,
or that such securities were contracted for purchase for value by the subscriber for
delivery to the subscriber prior to the closing of the subscription books.
Subscriptions will be received by this Bank as fiscal agent of the United States,
and should be submitted immediately on official subscription forms, copies of which
are enclosed. Cash subscriptions will not be received. I f filed by telegram or letter,
the subscriptions should be confirmed immediately by mail on the forms provided.
A ny subscription addressed to a Federal Reserve Bank or Branch and placed in
the mail before midnight Thursday, July 16, will be considered timely.

1 9 1 4

lfred

ayes,

President.

FIFTIETH

ANNIVERSARY

19 6 4

UNITED STATES OF AMERICA
4 PERCENT T R E A S U R Y BONDS OF 1969
Dated October 1, 1957, with interest from July 22, 1964

Due October 1, 1969

Interest payable April 1 and October 1

DEPARTMENT CIRCULAR

TREASU RY DEPARTM ENT,

Public Debt Series— No. 8—64

f f ic e

of th e

ecretary

Washington, July 9, 1964.
I.

OFFERING OF BONDS

2. In addition to the offering under this circular,
holders of securities of the issues enumerated in para
graph 1 of this section are offered the privilege of
exchanging all or any part of such securities for 4%
percent Treasury Bonds of 1973, or 4^4 percent Treas
ury Bonds of 1987-92, which offerings are set forth in
Department Circulars, Public Debt Series— Nos. 9-64
and 10-64, respectively, issued simultaneously with
this circular.

(2) at 99.55 per cent of their face value in exchange
for 5 percent Treasury Notes of Series B-1964,
dated October 15, 1959, due August 15, 1964;
(3) at 99.55 percent of their face value in exchange
for 33/i percent Treasury Notes of Series F 1964, dated August 15, 1963, due November 15,
1964;

3. Nonrecognition of gain or loss for Federal in
come tax purposes.1— Pursuant to the provisions of sec
tion 1037(a) of the Internal Revenue Code of 1954 as
added by Public Law 86-346 (approved September 22,
1959), the Secretary of the Treasury hereby declares
that no gain or loss shall be recognized for Federal
income tax purposes upon the exchange with the
United States of the 3% percent Treasury Notes of
Series C-1965, 3% percent Treasury Notes of Series
B-1966, 3% percent Treasury Bonds of 1966, 4 per
cent Treasury Notes of Series A-1966, or 3% percent
Treasury Notes of Series B-1967, solely for the 4 per
cent Treasury Bonds of 1969. Section 1031(b) of the
Code, however, requires recognition of any gain real
ized on the exchange to the extent that money is re
ceived by the security holder in connection with the
exchange. To the extent not recognized at the time of
the exchange, gain or loss, if any, upon the obligations
surrendered in exchange will be taken into account
upon the disposition or redemption of the new obli
gations.

(4) at 99.20 percent of their face value in exchange
for 4% percent Treasury Notes of Series C1964, dated February 15, 1960, due Novem
ber 15, 1964;
(5) at 99.50 percent of their face value in exchange
for 3% percent Treasury Notes of Series C1965, dated November 15, 1963, due May 15,
1965;
(6) at 99.90 percent of their face value in exchange
for 3% percent Treasury Notes of Series B1966, dated May 15, 1962, due February 15,
1966;
(7) at 99.75 percent of their face value in exchange
for 3% percent Treasury Bonds of 1966, dated
November 15, 1960, due May 15, 1966;
(8) at 99.35 percent of their face value in exchange
for 4 percent Treasury Notes of Series A-1966,
dated February 15, 1962, due August 15, 1966;
or

II.

DESCRIPTION OF BONDS

1.
The bonds now offered will be identical in all
respects with the 4 percent Treasury Bonds of 1969
issued pursuant to Department Circular No. 996,

(9) at 100.30 percent of their face value in ex
change for 3% percent Treasury Notes of Series
B-1967, dated March 15, 1963, due February
15, 1967.

1 Gain or loss, if any, upon the exchange o f the securities o f the
first four issues listed in paragraph 1 o f this section, must be fully
recognized under the code.

bonds received during the closed period for payment
at a date after the books reopen will be paid at par
plus accrued interest from the reopening of the
books to the date of payment. In either case checks
for the full six months’ interest due on the last day
of the closed period will be forwarded to the owner
in due course. All bonds submitted must be accom
panied by Form PD 1782,3 properly completed,
signed and sworn to, and by proof of the representa
tives’ authority in the form of a court certificate or
a certified copy of the representatives’ letters of
appointment issued by the court. The certificate, or
the certification to the letters, must be under the
seal of the court, and except in the case of a cor
porate representative, must contain a statement that
the appointment is in full force and be dated within
six months prior to the submission of the bonds,
unless the certificate or letters show that the ap
pointment was made within one year immediately
prior to such submission. Upon payment of the
bonds appropriate memorandum receipt will be for
warded to the representatives, which will be fol
lowed in due course by formal receipt from the Dis
trict Director of Internal Revenue.

dated September 16, 1957, except that interest will
accrue from July 22, 1964. With this exception the
bonds are described in the following quotation from
Department Circular No. 996:
“ 1. The bonds will be dated October 1, 1957,
and will bear interest from that date at the rate of
4 percent per annum, payable semiannually on
April 1 and October 1 in each year until the prin
cipal amount becomes payable. They will mature
October 1, 1969, and will not be subject to call for
redemption prior to maturity.
“ 2. The income derived from the bonds is sub
ject to all taxes imposed under the Internal Revenue
Code of 1954. The bonds are subject to estate, in
heritance, gift or other excise taxes, whether Fed
eral 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. The bonds will be acceptable to secure de
posits of public moneys.
“ 4. Bearer bonds with interest coupons attached,
and bonds registered as to principal and interest,
will be issued in denominations of $500, $1,000,
$5,000, $10,000, $100,000 and $1,000,000. Provision
will be made for the interchange of bonds of differ
ent denominations and of coupon and registered
bonds, and for the transfer of registered bonds,
under rules and regulations prescribed by the Sec
retary of the Treasury.

“ 6. The bonds will be subject to the general
regulations of the Treasury Department, now or
hereafter prescribed, governing United States
bonds.”
III.

‘ ‘ 5. Any bonds issued hereunder which upon the
death of the owner constitute part of his estate, will
be redeemed at the option of the duly constituted
representatives of the deceased owner’s estate, at
par and accrued interest to date of payment,1
provided:
(a) that the bonds were actually owned by the
decedent at the time of his death; and
(b) that the Secretary of the Treasury be au
thorized to apply the entire proceeds of re
demption to the payment of Federal estate
taxes.

2. All subscribers requesting registered bonds will
be required to furnish appropriate identifying num
bers as required on tax returns and other documents
submitted to the Internal Revenue Service, i.e., an
individual’s social security number or an employer
identification number.
3. The Secretary of the Treasury reserves the
right to reject or reduce any subscription, and to
allot less than the amount of bonds 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.

Registered bonds submitted for redemption here
under must be duly assigned to ‘ The Secretary of
the Treasury for redemption, the proceeds to be
paid to the District Director of Internal Revenue at
..........................for credit on Federal estate taxes
due from estate o f ..........................................’ Owing
to the periodic closing of the transfer books and the
impossibility of stopping payment of interest to the
registered owner during the closed period, regis
tered bonds received after the closing of the books
for payment during such closed period will be paid
only at par with a deduction of interest from the
date of payment to the next interest payment date f

IV.

PAYMENT

1 A n exact half-year’s interest is computed for each full half-year
period irrespective o f the actual number o f days in the half year. For a
fractional part o f any half year, computation is on the basis o f the actual
number o f days in such half year.
3 The transfer books are closed from March 2 to April 1, and from
September 2 to October 1 (both dates inclusive) in each year.

SUBSCRIPTION AND ALLOTMENT

*
Copies o f Form P D 1782 may be obtained from any Federal
Reserve Bank or from the Treasury Department, Washington 25, D. C.

deemed to have been completed where registered bonds
are requested if the appropriate identifying number,
as required by paragraph 2 of Section III hereof, has
not been furnished; provided, however, if a subscriber
has applied for but is unable to furnish the identify
ing number by the payment date only because it has
not been issued, he may elect to receive, pending the
furnishing of the identifying number, interim receipts
and in this case payment will be deemed to have
been completed. Cash payments due from subscribers
(paragraphs 4, 6, and 8 below) should accompany the
subscription. Cash payments due to subscribers (para
graphs 2, 3, 5, 7, 9, and 10 below) will be made in the
case of bearer securities following their acceptance
and in the case of registered securities following dis
charge of registration. In the case of registered
securities, the payment will be made by check drawn
in accordance with the assignments on the securities
surrendered or by credit in any account maintained
by a banking institution with the Federal Reserve
Bank of its District.

6. 37/g percent Notes of Series C-1965.— Coupons
dated November 15, 1964, and May 15, 1965, must be
attached to the notes in bearer form when surrendered.
Accrued interest from May 15 to July 22, 1964
($7.16033 per $1,000) plus the payment ($5.00 per
$1,000) due to the subscriber on account of the issue
price of the bonds will be credited, accrued interest
from April 1 to July 22, 1964 ($12.24044 per $1,000)
on the bonds to be issued will be charged, and the
difference ($0.08011 per $1,000) must be paid by
subscribers.
7. 5% percent Notes of Series B-1966.— Coupons
dated August 15, 1964, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15 to
July 22, 1964 ($15.73489 per $1,000) plus the pay
ment ($1.00 per $1,000) due to the subscriber on ac
count of the issue price of the bonds will be credited,
accrued interest from April 1 to July 22, 1964
($12.24044 per $1,000) on the bonds to be issued will
be charged, and the difference ($4.49445 per $1,000)
will be paid to subscribers.

2. 5 % percent Notes of Series E-1964.— Coupons
dated August 15, 1964, must be attached to the notes
in bearer form when surrendered. Accrued interest
from February 15 to July 22, 1964 ($16.27747 per
$1,000) plus the payment ($3.00 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from April 1
to July 22, 1964 ($12.24044 per $1,000) on the bonds
to be issued will be charged, and the difference
($7.03703 per $1,000) will be paid to subscribers.

8. 5% percent Bonds of 1966.— Coupons dated
November 15, 1964, and all subsequent coupons, must
be attached to the bonds in bearer form when sur
rendered. Accrued interest from May 15 to July 22,
1964 ($6.92935 per $1,000) plus the payment ($2.50
per $1,000) due to the subscriber on account of the
issue price of the new bonds will be credited, accrued
interest from April 1 to July 22, 1964 ($12.24044 per
$1,000) on the bonds to be issued will be charged, and
the difference ($2.81109 per $1,000) must be paid by
subscribers.

3. 5 percent Notes of Series B-1964.— Coupons
dated August 15, 1964, must be attached to the notes
in bearer form when surrendered. Accrued interest
from February 15 to July 22, 1964 ($21.70330 per
$1,000) plus the payment ($4.50 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from April 1
to July 22, 1964 ($12.24044 per $1,000) on the bonds
to be issued will be charged, and the difference
($13.96286 per $1,000) will be paid to subscribers.

9. 4 percent Notes of Series A-1966.— Coupons
dated August 15, 1966, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15 to
July 22, 1964 ($17.36264 per $1,000) plus the pay
ment ($6.50 per $1,000) due to the subscriber on ac
count of the issue price of the bonds will be credited,
accrued interest from April 1 to July 22, 1964
($12.24044 per $1,000) on the bonds to be issued will
be charged, and the difference ($11.62220 per $1,000)
will be paid to subscribers.

4. «?% percent Notes of Series F-1964.— Coupons
dated November 15, 1964, must be attached to the
notes in bearer form when surrendered. Accrued
interest from May 15 to July 22, 1964 ($6.92935 per
$1,000) plus the payment ($4.50 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from April 1
to July 22, 1964 ($12.24044 per $1,000) on the bonds
to be issued will be charged, and the difference
($0.81109 per $1,000) must be paid by subscribers.

10. ,?% percent Notes of Series B-1967.— Coupons
dated August 15, 1964, and all subsequent coupons
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15 to
July 22, 1964 ($15.73489 per $1,000) will be credited,
accrued interest from A pril 1 to July 22, 1964
($12.24044 per $1,000) on the bonds to be issued plus
the payment ($3.00 per $1,000) due the United States
on account of the issue price of the bonds will be
charged, and the difference ($0.49445 per $1,000) will
be paid to subscribers.

5. 4% percent Notes of Series C-1964.— Coupons
dated November 15, 1964, must be attached to the
notes in bearer form when surrendered. Accrued
interest from May 15 to July 22, 1964 ($9.00815 per
$1,000) plus the payment ($8.00 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from April 1
to July 22, 1964 ($12.24044 per $1,000) on the bonds
to be issued will be charged, and the difference
($4.76771 per $1,000) will be paid to subscribers.

ASSIGNMENT OF REGISTERED SECURITIES

lations 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, D. C. 20220. The
securities must be delivered at the expense and risk of
the holder. I f the new bonds are desired registered
in the same name as the securities surrendered, the
assignment should be to “ The Secretary of the Treas
ury for exchange for 4 percent Treasury Bonds of
1969” ; if the new bonds are desired registered in
another name, the assignment should be to “ The Sec
retary of the Treasury for exchange for 4 percent
Treasury Bonds of 1969 in the name o f ......................
.................. ” ; if new bonds in coupon form are de
sired, the assignment should be to “ The Secretary of
the Treasury for exchange for 4 percent Treasury
Bonds of 1969 in coupon form to be delivered to

VI.

GENERAL PROVISIONS

1. As fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to re
ceive subscriptions, to make allotments oil the basis
and up to the amounts indicated by the Secretary of
the Treasury to the Federal Reserve Banks of the
respective Districts, to issue allotment notices, to re
ceive payment for bonds allotted, to make delivery of
bonds on full-paid subscriptions allotted, and they may
issue interim receipts pending delivery of the defini
tive bonds.
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 Fed
eral Reserve Banks.
DOUGLAS DILLON,
Secretary of the Treasury.

UNITED STATES OF AMERICA
4V» PERCENT T R E A SU R Y BONDS OF 1973
Dated and bearing interest from July 22, 1964

Due November 15, 1973
Interest payable May 15 and November 15

D E P A R T M E N T C IR C U L A R

TR EASU RY DEPARTM ENT,

P u b lic D eb t S eries— N o. 9 -6 4

O f f ic e

of t h e

S ecretary,

Washington, July 9, 1964.
I.

OFFERING OF BONDS

(6) at 99.45 percent of their face value in exchange
for 3% percent Treasury Notes of Series B1966, dated May 15, 1962, due February 15,
1966;
(0

(2) at 99.10 percent of their face value in exchange
for 5 percent Treasury Notes of Series B-1964,
dated October 15, 1959, due August 15, 1964;

at 99.30 percent of their face value in exchange
for 3% percent Treasury Bonds of 1966, dated
November 15, 1960, due May 15, 1966;

(8) at 98.90 percent of their face value in exchange
for 4 percent Treasury Notes of Series A-1966,
dated February 15, 1962, due August 15, 1966;
or

(3) at 99.10 percent of their face value in exchange
for 3% percent Treasury Notes of Series F1964, dated August 15, 1963, due November 15,
1964;

(9) at 99.85 percent of their face value in exchange
for 3% percent Treasury Notes of Series B1967, dated March 15, 1963, due February 15,
1967.

(4) at 98.75 percent of their face value in exchange
for 4% percent Treasury Notes of Series C1964, dated February 15, 1960, due Novem
ber 15, 1964;

(5) at 99.05 percent of their face value in exchange
for 3% percent Treasury Notes of Series C1965, dated November 15, 1963, due May 15,
1965;

Interest adjustments as of July 22, 1964, and the cash
payments on account of the issue prices of the new
5

bonds will be made as set forth in Section IV hereof.
The amount of the offering under this circular will be
limited to the amount of eligible securities tendered
in exchange and accepted. Delivery of the new bonds
will be made on July 24, 1964. The books will be open
only on July 13 through July 16, 1964, for the receipt
of subscriptions for this issue.

4. Bearer bonds with interest coupons attached,
and bonds registered as to principal and interest, will
be issued in denominations of $500, $1,000, $5,000,
$10,000, $100,000 and $1,000,000. Provision will be
made for the interchange of bonds of different de
nominations and of coupon and registered bonds, and
for the transfer of registered bonds, under rules
and regulations prescribed by the Secretary of the
Treasury.

2. In addition to the offering under this circular,
holders of securities of the issues enumerated in para
graph 1 of this section are offered the privilege of
exchanging all or any part of such securities for 4
percent Treasury Bonds of 1969 (October), or 4%
percent Treasury Bonds of 1987-92, which offerings
are set forth in Department Circulars, Public Debt
Series— Nos. 8-64 and 10-64, respectively, issued si
multaneously with this circular.

5. Any bonds issued hereunder which are owned
by a decedent at the time of his death and thereupon
constitute a part of his estate will be redeemed at par
and accrued interest prior to maturity, provided the
Secretary of the Treasury is authorized by the repre
sentative of the estate to apply the entire proceeds of
redemption to payment of the decedent’s Federal es
tate taxes.

3. Nonrecognition of gain or loss for Federal in
come tax purposes.1— Pursuant to the provisions of
section 1037(a) of the Internal Revenue Code of 1954
as added by Public Law 86-346 (approved September
22, 1959), the Secretary of the Treasury hereby de
clares that no gain or loss shall be recognized for
Federal income tax purposes upon the exchange with
the United States of the 3% percent Treasury Notes
of Series C-1965, 3% percent Treasury Notes of Series
B-1966, 3% percent Treasury Bonds of 1966, 4 per
cent Treasury Notes of Series A-1966, or 3% percent
Treasury Notes of Series B-1967, solely for the 4%
percent Treasury Bonds of 1973. Section 1031(b) of
the Code, however, requires recognition of any gain
realized on the exchange to the extent that money is
received by the security holder in connection with
the exchange. To the extent not recognized at the
time of the exchange, gain or loss, if any, upon the
obligations surrendered in exchange will be taken into
account upon the disposition or redemption of the
new obligations.
n.

6. The bonds will be subject to the general regula
tions of the Treasury Department, now or hereafter
prescribed, governing United States bonds.
III.

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of the
Treasurer of the United States, Washington, D. C.
20220. Banking institutions generally may submit
subscriptions for account of customers, but only the
Federal Reserve Banks and the Treasury Department
are authorized to act as official agencies.
2. All subscribers requesting registered bonds will
be required to furnish appropriate identifying num
bers as required on tax returns and other documents
submitted to the Internal Revenue Service, i.e., an
individual’s social security number or an employer
identification number.

DESCRIPTION OF BONDS

3. The Secretary of the Treasury reserves the right
to reject or reduce any subscription, and to allot less
than the amount of bonds 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.

1. The bonds will be dated July 22, 1964, and will
bear interest from that date at the rate of 4% percent
per annum, payable on a semiannual basis on Novem
ber 15, 1964, and thereafter on May 15 and Novem
ber 15 in each year until the principal amount be
comes payable. They will mature November 15, 1973,
and will not be subject to call for redemption prior to
maturity.

IV.

PAYMENT

2. The income derived from the bonds is subject to
all taxes imposed under the Internal Revenue Code
of 1954. The bonds 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. The bonds will be acceptable to secure deposits
of public moneys.
1 Gain or loss, if any, upon the exchange o f the securities o f the
first four issues listed in paragraph 1 o f this Section, must be fully
recognized under the code.

SUBSCRIPTION AND ALLOTMENT

receipts and in this case payment will be deemed to
have been completed. Cash payments due to sub
scribers will be made in the case of bearer securities
following their acceptance and in the case of regis
tered securities following discharge of registration.
In the case of registered, securities, the payment will
be made by check drawn in accordance with the as
signments on the securities surrendered or by credit
in any account maintained by a banking institution
with the Federal Reserve Bank of its District.

1964 ($6.92935 per $1,000) plus the payment ($7.00
per $1,000) due on account of the issue price of the
new bonds will be paid to subscribers.

2. 3 % percent Notes of Series E-1964.— Coupons
dated August 15, 1964, must be attached to the notes
in bearer form when surrendered. Accrued interest
from February 15 to July 22, 1964 ($16.27747 per
$1,000) plus the payment ($7.50 per $1,000) due
on account of the issue price of the bonds will be
paid to subscribers.

10. 5% percent Notes of Series B-1967.— Coupons
dated August 15, 1964, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15 to
July 22, 1964 ($15.73489 per $1,000) plus the pay
ment ($1.50 per $1,000) due on account of the issue
price of the bonds will be paid to subscribers.

9. 4 percent Notes of Series A-1966.— Coupons
dated August 15, 1964, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15 to
July 22, 1964 ($17.36264 per $1,000) plus the pay
ment ($11.00 per $1,000) due on account of the issue
price of the bonds will be paid to subscribers.

1. Eligible Treasury securities in registered form
tendered in payment for bonds offered hereunder
should be assigned by the registered payees or as
signees thereof, in accordance with the general regu
lations of the Treasury Department governing assign
ments for transfer or exchange, in one of the forms
hereafter set forth, and thereafter should be surrend
ered with the subscription to a Federal Reserve Bank
or Branch or to the Office of the Treasurer of the
United States, Washington, D. C. 20220. The securi
ties must be delivered at the expense and risk of the
holder. I f the new bonds are desired registered in the
same name as the securities surrendered, the assign
ment should be to “ The Secretary of the Treasury for
exchange for 4 % percent Treasury Bonds of 1973” ;
if the new bonds are desired registered in another
name, the assignment should be to “ The Secretary of
the Treasury for exchange for 4Yg percent Treasury
Bonds of 1973 in the name of .......................... ” • if
new bonds in coupon form are desired, the assignment
should be to “ The Secretary of the Treasurv for ex
change for 4i/8 percent Treasury Bonds oi 1973 in
coupon form to be delivered t o ....................................

4. 3% percent Notes of Series F-1964.— Coupons
dated November 15, 1964, must be attached to the
notes in bearer form when surrendered. Accrued
interest from May 15 to July 22, 1964 ($6.92935 per
$1,000) plus the payment ($9.00 per $1,000) due on
account of the issue price of the bonds will be paid to
subscribers.
5. 47/s percent Notes of Series C-1964.— Coupons
dated November 15, 1964, must be attached to the
notes in bearer form when surrendered. Accrued
interest from May 15 to July 22, 1964 ($9.00815 per
$1,000) plus the payment ($12.50 per $1,000) due on
account of the issue price of the bonds will be paid
to subscribers.
6. 37/s percent Notes of Series C-1965.— Coupons
dated November 15, 1964, and May 15, 1965, must be
attached to the notes in bearer form when surrendered.
Accrued interest from May 15 to July 22, 1964
($7.16033 per $1,000) plus the payment ($9.50 per
$1,000) due on account of the issue price of the bonds
will be paid to subscribers.

VI.

GENERAL PROVISIONS

7. 3% percent Notes of Series B-1966.— Coupons
dated August 15, 1964, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15 to
July 22, 1964 ($15.73489 per $1,000) plus the pay
ment ($5.50 per $1,000) due on account of the issue
price of the bonds will be paid to subscribers.

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 Fed
eral Reserve Banks.
DOUGLAS DILLON,
Secretary of the Treasury.

8. 3% percent Bonds of 1966.— Coupons dated
November 15, 1964, and all subsequent coupons, must
be attached to the bonds in bearer form when sur
rendered. Accrued interest from May 15 to July 22,

ASSIGNMENT OF REGISTERED SECURITIES

UNITED STATES OF AMERICA
4*4 PERCENT TREASURY BONDS OF 1987-92
Dated August 15, 1962, with interest from July 22, 1964

Due August 15, 1992

REDEEMABLE AT THE OPTION OF THE UNITED STATES AT PAR AND ACCRUED INTEREST ON AND AFTER
AUGUST 15, 1987
Interest payable February 15 and August 15

DEPARTM EN T CIRCULAR

TREASU RY DEPARTM ENT,

Public Debt Series— No. 10—64

f f ic e

of th e

ecretary

Washington, July 9,1964.
I.

OFFERING OF BONDS

1.
The Secretary of the Treasury, pursuant to the
authority of the Second Liberty Bond Act, as
amended, invites subscriptions from the people of
the United States for bonds of the United States,
designated 4*4 percent Treasury Bonds of 1987-92:
(1) at 100.10 percent of their face value in ex
change for 3% percent Treasury Notes of
Series E-1964, dated August 1, 1961, due
August 15, 1964;
(2) at 99.95 percent of their face value in exchange
for 5 percent Treasury Notes of Series B-1964,
dated October 15, 1959, due August 15, 1964;
(3) at 99.95 percent of their face value in exchange
for 3% percent Treasury Notes of Series
F-1964, dated August 15, 1963, due November
15, 1964;
(4) at 99.60 percent of their face value in exchange
for 4% percent Treasury Notes of Series
C-1964, dated February 15, 1960, due Novem
ber 15, 1964;
(5) at 99.90 percent of their face value in exchange
for 3% percent Treasury Notes of Series
C-1965, dated November 15, 1963, due May 15,
1965;
(6) at 100.30 percent of their face value in ex
change for 3% percent Treasury Notes of
Series B-1966, dated May 15, 1962, due Feb
ruary 15, 1966;
(7) at 100.15 percent of their face value in ex
change for 3% percent Treasury Bonds of
1966, dated November 15, 1960, due May 15,
1966;
(8) at 99.75 percent of their face value in exchange
for 4 percent Treasury Notes of Series A-1966,
dated February 15, 1962, due August 15,
1966; or
(9) at 100.70 percent of their face value in ex
change for 3% percent Treasury Notes of
Series B-1967, dated March 15, 1963, due Feb
ruary 15, 1967.

Interest adjustments as of July 22, 1964, and the
cash payments on account of the issue prices of the
new bonds will be made as set forth in Section IV
hereof. The amount of the offering under this circular
will be limited to the amount of eligible securities
tendered in exchange and accepted. The books will
be open only on July 13 through July 16, 1964, for
the receipt of subscriptions for this issue. Delivery
of the new bonds will be made on July 24, 1964.
2. In addition to the offering under this circular,
holders of securities of the issues enumerated in para
graph 1 of this section are offered the privilege of
exchanging all or any part of such securities for 4
percent Treasury Bonds of 1969 (O ct.), or 4% percent
Treasury Bonds of 1973, which offerings are set forth
in Department Circulars, Public Debt Series— Nos.
8-64 and 9-64, respectively, issued simultaneously with
this circular.
3. Nonrecognition of gain or loss for Federal in
come tax purposes.1— Pursuant to the provisions of
section 1037(a) of the Internal Revenue Code of 1954
as added by Public Law 86-346 (approved September
22, 1959), the Secretary of the Treasury hereby de
clares that no gain or loss shall be recognized for
Federal income tax purposes upon the exchange with
the United States of the 3% percent Treasury Notes
of Series C-1965, 3% percent Treasury Notes of
Series B-1966, 3% percent Treasury Bonds of 1966,
4 percent Treasury Notes of Series A-1966, or 3%
percent Treasury Notes of Series B-1967, solely for
the 4!/4 percent Treasury Bonds of 1987-92. Section
1031(b) of the Code, however, requires recognition
of any gain realized on the exchange to the extent
that money is received by the security holder in con
nection with the exchange. To the extent not recog
nized at the time of the exchange, gain or loss, if any,
upon the obligations surrendered in exchange will be
taken into account upon the disposition or redemption
of the new obligations.
II.

DESCRIPTION OF BONDS

1.
The bonds now offered will be identical in all
respects with the 4*4 percent Treasury Bonds of
1 Gain or loss, if any, upon the exchange o f the securities o f the
first four issues listed in paragraph 1 o f this Section, must be fully recog
nized under the code.

1987-92 issued pursuant to Department Circular,
Public Debt Series— No. 14-62, dated July 30, 1962,
except that interest will accrue from July 22, 1964.
With this exception the bonds are described in the
following quotation from Department Circular, Public
Debt Series— No. 14-62 :

the Treasury for redemption, the proceeds to be
paid to the District Director of Internal Revenue
at .......................... for credit on Federal estate
taxes due from estate o f ........................................ ’
Owing to the periodic closing of the transfer books
and the impossibility of stopping payment of
interest to the registered owner during the closed
period, registered bonds received after the closing
of the books for payment during such closed period
will be paid only at par with a deduction of interest
from the date of payment to the next interest pay
ment date ;2 bonds received during the closed period
for payment at a date after the books reopen will
be paid at par plus accrued interest from the re
opening of the books to the date of payment. In
either ease checks for the full six months’ interest
due on the last day of the closed period will be
forwarded to the owner in due course. All bonds
submitted must be accompanied by Form PD 1782,3
properly completed, signed and certified, and by
proof of the representatives’ authority in the form
of a court certificate or a certified copy of the
representatives’ letters of appointment issued by
the court. The certificate, or the certification to the
letters, must be under the seal of the court, and ex
cept in the case of a corporate representative, must
contain a statement that the appointment is in full
force and be dated within six months prior to the
submission of the bonds, unless the certificate or
letters show that the appointment was made
within one year immediately prior to such sub
mission. Upon payment of the bonds appropriate
memorandum receipt will be forwarded to the
representatives, which will be followed in due
course by formal receipt from the District Director
of Internal Revenue.

“ 1. The bonds will be dated August 15, 1962,
and will bear interest from that date at the rate of
414 percent per annum, payable semiannually on
February 15 and August 15 in each year until the
principal amount becomes payable. They will
mature August 15, 1992, but may be redeemed
at the option of the United States on and after
August 15, 1987, in whole or in part, at par and
accrued interest, on any interest day or days, on 4
months’ notice of redemption given in such manner
as the Secretary of the Treasury shall prescribe.
In case of partial redemption the bonds to be re
deemed will be determined by such method as may
be prescribed by the Secretary of the Treasury.
From the date of redemption designated in any such
notice, interest on the bonds called for redemption
shall cease.
“ 2. The income derived from the bonds is sub
ject to all taxes imposed under the Internal Revenue
Code of 1954. The bonds are subject to estate, in
heritance, gift 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 by any State, or any of the possessions of
the United States, or by any local taxing authority.
“ 3. The bonds will be acceptable to secure de
posits of public moneys.
“ 4. Bearer bonds with interest coupons attached,
and bonds registered as to principal and interest,
will be issued in denominations of $500, $1,000,
$5,000, $10,000, $100,000 and $1,000,000. Provision
will be made for the interchange of bonds of dif
ferent denominations and of coupon and registered
bonds, and for the transfer of registered bonds,
under rules and regulations prescribed by the
Secretary of the Treasury.

“ 6. The bonds will be subject to the general
regulations of the Treasury Department, now or
hereafter prescribed, governing United States
bonds.”
III.

“ 5. Any bonds issued hereunder which upon the
death of the owner constitute part of his estate,
will be redeemed at the option of the duly con
stituted representatives of the deceased owner’s
estate, at par and accrued interest to date of pay
ment,1 provided:

(a) that t'ie bonds were actually owned by the
decedent at the time of his death; and
(b) that the Secretary of the Treasury be au
thorized to apply the entire proceeds of re
demption to the payment of Federal estate
taxes.

3. The Secretary of the Treasury reserves the
right to reject or reduce any subscription, and to

Registered bonds submitted for redemption here
under must be duly assigned to ‘ The Secretary of

An exact half-year’ s interest is computed for each full half-year
period irrespective of the actual number of days in the half year. For a
fractional part of any half year, computation is on the basis of the actual
number of days in such half year.

SUBSCRIPTION AND ALLOTMENT

2The transfer books are closed from January 16 through February
15, and from July 16 through August 15 (both dates inclusive) in each
year.
3 Copies of Form PD 1782 may be obtained from any Federal Reserve
Bank or from the Treasury Department, Washington 25, D. C.

allot less than the amount of bonds 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.
IV.

interest from May 15 to July 22, 1964 ($6.92935 per
$1,000) plus the payment ($0.50 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from Feb
ruary 15 to July 22, 1964 ($18.44780 per $1,000) on
the bonds to be issued will be charged, and the dif
ference ($11.01845 per $1,000) must be paid by
subscribers.

PAYMENT

1. Payment for the face amount of bonds allotted
hereunder must be made on or before July 24, 1964,
or on later allotment, and may be made only in a like
face amount of securities of the nine issues enumer
ated in paragraph 1 of Section I hereof, which should
accompany the subscription. Payment will not be
deemed to have been completed where registered
bonds are requested if the appropriate identifying
number, as required by paragraph 2 of Section III
hereof, has not been furnished; provided, however, if
a subscriber has applied for but is unable to furnish
the identifying number by the payment date only
because it has not been issued, he may elect to
receive, pending the furnishing of the identifying
number, interim receipts and in this case payment
will be deemed to have been completed. Cash pay
ments due from subscribers (paragraphs 2, 4, 5, 6,
7, 8, and 10 below) should accompany the subscrip
tion. Cash payments due to subscribers (paragraphs
3 and 9 below) will be made in the case of bearer
securities following their acceptance and in the case
of registered securities following discharge of reg
istration. In the case of registered securities, the pay
ment will be made by check drawn in accordance with
the assignments on the securities surrendered or by
credit in any account maintained by a banking in
stitution with the Federal Reserve Bank of its
District.

5. 47/s percent Notes of Series C-1964.— Coupons
dated November 15, 1964, must be attached to the
notes in bearer form when surrendered. Accrued
interest from May 15 to July 22, 1964 ($9.00815 per
$1,000) plus the payment ($4.00 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from Feb
ruary 15 to July 22, 1964 ($18.44780 per $1,000) on
the bonds to be issued will be charged, and the dif
ference ($5.43965 per $1,000) must be paid by
subscribers.
6. 3~/g percent Notes of Series C-1965.— Coupons
dated November 15, 1964, and May 15, 1965, must be
attached to the notes in bearer form when sur
rendered. Accrued interest from May 15 to July 22,
1964 ($7.16033 per $1,000) plus the payment ($1.00
per $1,000) due to the subscriber on account of the
issue price of the bonds will be credited, accrued
interest from February 15 to July 22, 1964
($18.44780 per $1,000) on the bonds to be issued will
be charged, and the difference ($10.28747 per $1,000)
must be paid by subscribers.
7. 3% percent Notes of Series B-1966.— Coupons
dated August 15, 1964, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15
to July 22, 1964 ($15.73489 per $1,000) will be
credited, accrued interest from February 15 to July
22, 1964 ($18.44780 per $1,000) on the bonds to be
issued plus the payment ($3.00 per $1,000) due the
United States on account of the issue price of the
bonds will be charged, and the difference ($5.71291
per $1,000) must be paid by subscribers.

2. 5% percent Notes of Series E-1964.— Coupons
dated August 15, 1964, must be attached to the notes
in bearer form when surrendered. Accrued interest
from February 15 to July 22, 1964 ($16.27747 per
$1,000) will be credited, accrued interest from Feb
ruary 15 to July 22, 1964 ($18.44780 per $1,000) on
the bonds to be issued plus the payment ($1.00 per
$1,000) due the United States on account of the issue
price of the bonds will be charged, and the difference
($3.17033 per $1,000) must be paid by subscribers.

8.
percent Bonds of 1966.— Coupons dated
November 15, 1964, and all subsequent coupons must
be attached to the bonds in bearer form when sur
rendered. Accrued interest from May 15 to July 22,
1964 ($6.92935 per $1,000) will be credited, accrued
interest from February 15 to July 22, 1964 ($18.44780
per $1,000) on the bonds to be issued plus the pay
ment ($1.50 per $1,000) due the United States on
account of the issue price of the new bonds will be
charged, and the difference ($13.01845 per $1,000)
must be paid by subscribers.

3. 5 percent Notes of Series B-1964.— Coupons
dated August 15, 1964, must be attached to the notes
in bearer form when surrendered. Accrued interest
from February 15 to July 22, 1964 ($21.70330 per
$1,000) plus the payment ($0.50 per $1,000) due to
the subscriber on account of the issue price of the
bonds will be credited, accrued interest from Feb
ruary 15 to July 22, 1964 ($18.44780 per $1,000) on
the bonds to be issued will be charged, and the dif
ference ($3.75550 per $1,000), will be paid to
subscribers.

4. 3% percent Notes of Series F-1964.— Coupons
dated November 15, 1964, must be attached to the
notes in bearer form when surrendered. Accrued

account of the issue price of the bonds will be credited,
accrued interest from February 15 to July 22, 1964
($18.44780 per $1,000) on the bonds to be issued
will be charged, the difference ($1.41484 per $1,000)
will be paid to subscribers.
10.
35/$ percent Notes of Series B-1967.— Coupons
dated August 15, 1964, and all subsequent coupons,
must be attached to the notes in bearer form when
surrendered. Accrued interest from February 15
to July 22, 1964 ($15.73489 per $1,000) will be
credited, accrued interest from February 15 to July
22, 1964 ($18.44780 per $1,000) on the bonds to be
issued plus the payment ($7.00 per $1,000) due the
United States on account of the issue price of the
bonds will be charged, and the difference ($9.71291
per $1,000) must be paid by subscribers.
V.

ASSIGNMENT OF REGISTERED SECURITIES

surrendered, the assignment should be to “ The Sec
retary of the Treasury for exchange for 4*4 percent
Treasury Bonds of 1987-92” ; if the new bonds are
desired registered in another name, the assignment
should be to “ The Secretary of the Treasury for
exchange for 4*4 percent Treasury Bonds of 1987-92
in the name o f ........................................ ” ; if new bonds
in coupon form are desired, the assignment should be
to “ The Secretary of the Treasury for exchange for
4*4 percent Treasury Bonds of 1987-92 in coupon
form to be delivered to ........................................ ” .
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
respective Districts, to issue allotment notices, to
receive payment for bonds allotted, to make delivery
of bonds on full-paid subscriptions allotted, and they
may issue interim receipts pending delivery of the
definitive bonds.
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.
DOUGLAS DILLON,
Secretary of the Treasury.

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Bonds of 1969
Dated October 1, 1957, With Interest from July 22, 1964, Due October 1, 1969

BE A R E R BONDS DESIRED IN EXCH AN GE
(U se schedule on reverse side for REGISTERED bonds)

500

1,000

5,000

□

Deliver over the counter to
the undersigned

□

Hold in safekeeping
member bank only)*

(Leave this space blank)

Face amount

□

Denomi
nation

Pieces

Dispose of securities issued as follow s:

Hold as collateral for Treas
ury Tax and Loan Account*

□

4. Ship to the undersigned

□

5. Special instructions:

(for

10,000
100,000
1,000,000
TO TAL

*If thi* item is checked, the subscriber certi
fies that the allotted securities will be owned
solely by the subscriber.

(IM P O R TA N T: 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

The subscription books will open
on July 13, and close at the close
of business July 16, 1964.

(Please print)

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

..........................., B y ........................
(Authorized signature(s) required)

T it le ...................................................... . T i t le ..................
Address

(Spaces below are for the use of the Federal Reserve Bank of New Y ork)
S a f e k e e p in g R ecord

Received

Checked
and
Digitizeddelivered
for FRASER

Received from F e d eral R e se 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.
Subscriber ......................................................................................................................

Schedule for Issue of Registered Bonds

( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to

Subscriber’s Reference No.

(Please type or print legibly and submit in triplicate)

Subscription No.

A -l

EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Bonds of 1969
Dated October 1, 1957, With Interest from July 22, 1964, Due October 1, 1969
Im p o rta n t In stru ctio n s.
1.
Securities of different issues surrendered in exchange may be listed together on the
same subscription form, except that a separate subscription form should be used (a ) for listing bearer securities
surrendered, (b ) for listing registered securities surrendered, and ( c ) for each group of new securities for which
different delivery instructions are given.
2.
Separate subscription forms should be used for bearer securities and
registered securities desired in exchange.
3.
Social Security account numbers or Employer Identification numbers of
all subscribers for r e g is te r e d bonds must be furnished on the reverse side hereof.
4.
Signatures are required on
original only; all other filled-in matter should appear in triplicate.

Dated at ......................................................

F e d e r a l R eserve B a n k o f N ew Y o rk ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention :

.................................................................. 1964
Government Bond Division

Gentlem en :

Subject to the provisions of Treasury Department Circular No. 8-64, Public Debt Series, dated July 9,
1964, the undersigned hereby subscribes for United States of America 4 percent Treasury Bonds of
October 1, 1969, 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 by ............................................
‘ (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all w ith u n m atu red c o u p o n s a tta c h e d )
(Do not fill in last two columns)
From Subscriber
To Subscriber

Total Amount
3 % % Notes E -1964 ...............................................
(1 ) $
5 % Notes B -1964 ....................................................
( 2 ) $.
3 % % Notes F -19 64 ...............................................
(3 ) $
4 % % Notes C -196 4 ...............................................
( 4 ) $.
3 7/8 % Notes C -1 9 6 5 ...............................................
( 5 ) $..
3 % % Notes B -1966
(6 ) $
3 % % Bonds 1966 ..................................................
(7 ) $
4 % Notes A -1 9 6 6
( 8 ) $.
3 % % Notes B-1967 ...............................................
( 9 ) $_
Total ............................................... ................$

XXXXXXXXXXX

xxxxxxxxxxx
XXXXXXXXXXX

xxxxxxxxxxx

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities
surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the
subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior
to the closing of the subscription books.
(Signature(s) required also on Delivery Instructions below)

(D o not fill in boxes below)
G o v e r n m e n t B ond D iv is io n

Received

Checked

Submitted by

...........................
(Please print)

Canceled
By

. -------- - . ., B y .............................
(Authorized signature(s) required)

Title

Address

, Title

(If 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
space blank)

Name and address of account
( Please print or typewrite )

(2)
5% Notes
B-1964

(i)
3 % % Notes
E-1964

$ ......

(3)
(4)
(5)
3 % % Notes 4 % % Notes 3 % % Notes
F-1964
C-1964
C-1965

......

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

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

Total

Our own a cco u n t..........
T o ta ls ......................

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966

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

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

(8)

(9)

4 % Notes
A-1966

3 % % Notes
B-1967

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

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

* .............

$...............! $............... .

Our own a cco u n t..............................
T o ta ls ..........................................

- $ ..

Subscription No.

SECURITY RECORDS “ OUT TICKET”
D E LIV E R Y INSTRUCTIONS— EXCH ANGE SUBSCRIPTION
For United States o f America 4 Percent Treasury Bonds o f 1969
Dated O ctober 1, 1957, With Interest from July 22, 1964, Due October 1, 1969

BE A R E R BONDS D ESIRED IN EXCH ANGE
(Use schedule on reverse side for REGISTERED bonds)
Denomi
nation

Pieces

D isn o se o f sem in'ties issuer! as fo llo w s :

□

I-

Deliver over the counter to
the undersigned

500

□

Hold in safekeeping
member bank only)

1,000

□

Hold as collateral for Treas
ury Tax and Loan Account

5,000

□

Ship to the undersigned

□

Special instructions:

Face amount

(Leave this space blanlc)

10,000
100,000
1,000,000
TO TAL

Submitted by

Address

(for

Schedule for Issue of Registered Bonds
Name in which bonds shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification N um ber), and post-office
address for interest checks and other mail.
( Please print or typewrite)

Name

(Indicate under appropriate denominations, number of bonds desired.)

Amount

$500

$1,000

$5,000

$10,000 I $100,000

$1,000,000

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

Ident No

Name

Name
Ident No

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

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

(I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to

Subscriber’s Reference No.

DUPLICATE— SECURITY RECORDS “ IN TICKET”

Subscription No.

A -2

EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Bonds of 1969
Dated October 1, 1957, With Interest from July 22, 1964, Due October 1, 1969

Dated at ......................................................

F e d e r a l R eserve B a n k o f N ew Y o rk ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention:

.................................................................. 1964
Government Bond Division

Gentlem en :

Subject to the provisions of Treasury Department Circular No. 8-64, Public Debt Series, dated July 9,
1964, the undersigned hereby subscribes for United States of America 4 percent Treasury Bonds of
October 1, 1969, in the amount of $
* and tenders in payment therefor a
like par amount of the securities —
Delivered to you h erew ith ................................
To be withdrawn from securities held by you
To be delivered by ............................................
*(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)
Total Amount

(Do not fill in last two columns)
To Subscriber
From Subscriber

3% % Notes E -1964

( 1 ) $..
Notes B -1964 ......................................................... ( 2 ) $ .
3% % Notes F -19 64 ............................................... ..... (3) $
4 % % Notes C -1 9 6 4 .................................................... ( 4 ) $
3 % % Notes C -1 9 6 5 ............................................... ..... ( 5 ) $..
3 % % Notes B -1966
( 6 ) $.
3 % % Bonds 19 66 ....................................................... ( 7 ) $
4 % Notes A -1 9 6 6
(8 ) $
3 % % Notes B -1967 ............................................... ..... ( 9 ) $_
T otal ............................................... ............... S..
5%

XXXXXXXXXXX

xxxxxxxxxxx
XXXXXXXXXXX

xxxxxxxxxxx

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

Submitted by

Address

(If 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)

(2)
5 % Notes
B-1964

(1)

( Leave this
space blank) N a m e an d address o f account 3 % % Notes
{Please print or typewrite)
E-1964

•

(4)
(5)
(3)
3 % % Notes 4 % % Notes 3 % % Notes
F-1964
C-1964
C-1965

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

Total

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

O u r ow n a c c o u n t .............

T o t a l s .............................

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966

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

(8)
4 % Notes
A-1966

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

$ ....................
(9)
3 % % Notes
B-1967

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

O u r ow n a c c o u n t ........................................

T o t a l s ........................................................

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

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

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

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

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

NONNEGOTIABLE RECEIPT

Subscription No.

To Subscriber:
F e d e r a l R e s e r v e B a n k op N e w Y o r k , Fiscal Agent o f the United States, hereby acknowledges receipt of
securities tendered with subscription numbered as above in exchange for
4 PERCENT TREASU RY BONDS OF OCTOBER 1, 1969

Securities allotted on this subscription will be delivered
on July 24, 1964, in accordance with your instructions.

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

Teller
Government Bond Division — Issues & Redemption Section

BE A R E R BONDS D ESIRED IN EXCH ANGE
(Use schedule on reverse side for REGISTERED bonds)

Denomi
nation

Pieces

Dispose of securities issued as follow s:
□

1. Deliver over the counter to
the undersigned

500

□

2. Hold in safekeeping
member bank only)

1,000

□

3. Hold as collateral for Treas
ury Tax and Loan Account

5,000

□ 4. Ship to the undersigned

(Leave this space blank)

Pace amount

□

10,000

(for

5. Special instructions:

100,000
1,000,000
TO TAL

To F e d e r a l R e s e r v e B a n k or N e w Y o r k
Fiscal Agent of the United States
(D ate)

Submitted by ..................................................................................................

You are hereby authorized to deliver to

(Nam e o f representative)

whose signature appears below,
$ ................................................... par amount
of securities issued pursuant to this subscription.
Name

........................
(Please print)

To Subscriber: I f
(Official signature required)

Digitized for (Signature
FRASER o f authorized

representative)

securities

are

delivered

over

the

counter at this Bank to your representative,
the authority in the box to the left should
be executed on the date of delivery.

Schedule for Issue of Registered Bonds

( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to

Subscriber’s Reference No.

TRIPLICATE— TREASURY REPORTS COPY

Subscription No.

A -3

EXCHANGE SUBSCRIPTION
For United States of America 4 Percent Treasury Bonds of 1969
Dated October 1, 1957, With Interest from July 22, 1964, Due October 1, 1969

Dated at ......................................................

F e d e r a l R eserve B a n k o f N ew Y o rk ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention :

.................................................................. 1964
Government Bond Division

Gentlem en :

Subject to the provisions of Treasury Department Circular No. 8-64, Public Debt Series, dated July 9,
1964, the undersigned hereby subscribes for United States of America 4 percent Treasury Bonds of
October 1, 1969, 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 y o u .................................................... ....... $
To be delivered by .......................................................................................................... $
* (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)
Total Amount
5 % Notes B -1964
3 % % Notes F -19 64
................
3 % % Notes C -1 9 6 5
3 % % Notes B -1966
4 % Notes A -1 9 6 6
3 % % Notes B -1967
Total

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

(1 )
(2 )
(3 )
(4 )
(5 )
(6 )
(7 )
(8 )
(9 )

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

(D o not (ill in last two columns)
From Subscriber
To Subscriber
XXXXXXXXXXX

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

Submitted by

Address

(If 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)

(2)

(1)
3 % % Notes
E-1964

5 % Notes
B-1964

(4)
(5)
(3)
3 % % Notes 4 % % Notes 3 % % Notes
C-1964
F-1964
C-196o

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

Total

'■ ' '

Our own a cco u n t..........
T o ta ls ...................... $ ..............

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966
$ ..............

(8)
4 % Notes
A-1966

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

(9)
3 % % Notes
B-1967

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

i i

Our own a cco u n t..............................
T o ta ls .......................................... $ .............. $ .............. $ .............. $ ............. $ ......................

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4Vs Percent Treasury Bonds of 1973
Dated July 22, 1964, Due November 15, 1973

BEA R E R BONDS DESIRED IN EXCH AN GE
( Use schedule on reverse side for REGISTERED bonds)

Denomi
nation

Pieces

Dispose of securities issued as follow s:
□

1. Deliver over the counter to
the undersigned

500

□

2. Hold in safekeeping
member bank only) *

1,000

□

3. Hold as collateral for Treas
ury Tax and Loan Account*

5,000

□

4. Ship to the undersigned

□

5. Special instructions:

(Leave this space blank)

Face amount

10,000

(for

100,000
1,000,000
TO TAL

*If this item is checked, the subscriber certi
fies that the allotted securities will be owned
solely by the subscriber.

The subscription books will open
on July 13, and close at the close
of business July 16, 1964.

(Please print)

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

. . . . . . . . . . . . . . B y ..........................
(Authorized signature(s) required)

T it le ......................................................, T i t le ...................
Address

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

(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 ecobd

Received

Checked
and

delivered

Received from F e d eral R ese 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.
Subscriber ................................................................................................
D ate....................................

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

Schedule for Issue of Registered Bonds

( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to

(Please type or print legibly and submit in triplicate)

Subscriber’s Reference No.

Subscription No.

B -l

EXCHANGE SUBSCRIPTION
For United States of America 4Vi Percent Treasury Bonds of 1973
Dated July 22, 1964, Due November 15, 1973
Important Instructions.
1.
Securities of different issues surrendered in exchange may be listed together on the
same subscription form, except that a separate subscription form should be used (a ) for listing bearer securities
surrendered, (b ) for listing registered securities surrendered, and ( c ) for each group of new securities for which
different delivery instructions are given.
2.
Separate subscription forms should be used for bearer securities and
registered securities desired in exchange.
3.
Social Security account numbers or Employer Identification numbers of
all subscribers for registered bonds must be furnished on the reverse side hereof.
4.
Signatures are required on
original only; all other filled-in matter should appear in triplicate.
F e d e r a l R eserve B a n k

o f

Dated at ......................................................

N ew Y o rk ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention :

.........................1964
Government Bond Division

G entlem en :

Subject to the provisions of Treasury Department Circular No. 9-64, Public Debt Series, dated
July 9, 1964, the undersigned hereby subscribes for United States of America 4y8 percent Treasury Bonds
of 1973, 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 y o u ....................................................
$ ...............................
To be delivered by ..................................................................................................
$
* (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)
Total Amount
3%
5%
3%
4%
3%
3%
3%
4%
3%

(D o not fill in
this column)
To Subscriber

(1)

% Notes E -1964
Notes B -1964
% Notes F -1964
% Notes C -196 4
% Notes C -1 9 6 5
% Notes B -1966
% Bonds 1966
Notes A -1 9 6 6
% Notes B -1967

(2 )
(3 )
(4 )
(5 )

(6)
(7 )

(8 )
(9 )

Total
Pay to subscriber net amount due subscriber on price and interest adjustments:*
□

By check

□

By credit to reserve account

* See Section IV of T. D. Circular No. 9-64, Public Debt Series, for method o f computing net adjustment.

W e H e r e b y C e r t i f y t h a t a t th e tim e t h is s u b s c r i p t i o n w a s e n t e r e d th e a b o v e - d e s c r i b e d s e c u r it ie s
s u r r e n d e r e d o r t o b e s u r r e n d e r e d in c o n n e c t i o n w it h t h is e x c h a n g e w e r e o w n e d a n d d e l i v e r y a c c e p t e d b y th e
s u b s c r ib e r , o r w e r e c o n t r a c t e d f o r p u r c h a s e f o r v a lu e b y th e s u b s c r ib e r f o r d e l i v e r y t o th e s u b s c r ib e r p r i o r
t o th e c l o s i n g o f th e s u b s c r i p t i o n b o o k s .

(Signature(s) required also on Delivery Instructions below)

(D o not fill in boxes below)
G o ver n m en t B ond D

Received

Checked

iv is io n

Submitted by

...........................
(Please print)

Canceled
By

. . . . . . . . . . B y .............................
(Authorized signature(s) required)

Title

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

Address

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

(If 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)

(2)
Notes
B-1964

(1)
3 % % Notes
E-1964

(3)
(4)
(5)
3 % % Notes 4 % % Notes 3 7/s % Notes
C-1964
C-1965
F-1964

...........

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

Total
$ .......

Onr own a cco u n t..........
T o ta ls ......................

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

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
B-1966
1966

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

Our own a ccou n t..............................
T o ta ls ..........................................

■■
$

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

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

(8)
4 % Notes
A-1966

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

(9)
3 % % Notes
B-1967

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

------ --- ------ ----------------------------------------........... $............... $

.......... $

Subscription No.

SECURITY RECORDS “ OUT TICKET”
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4 Vs Percent Treasury Bonds of 1973
Dated July 22, 1964, Due November 15, 1973

B E A R E R BONDS D ESIRED IN EXCH AN GE
( Use schedule on reverse side for REGISTERED bonds)
Denomi
nation

Pieces

Face amount

( Leave

Dispose of securities issued as follow s:

this space blank)

500

(

1,000

5,000

1. Deliver over the counter to
the undersigned

□

2. Hold in safekeeping
member bank only)

□

3. Hold as collateral for Treas
ury Tax and Loan Account

□ 4. Ship to the undersigned
□

10,000
100,000
1,000,000
TO TAL

□

Submitted by

Address

5. Special instructions:

(for

Schedule for Issue of Registered Bonds
Name in which bonds shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification Number), and post-office
address for interest checks and other mail.
(Please print or typewrite)

(Indicate under appropriate denominations, number of bonds desired.)
Amount

$500

$1,000

$5,000

$10,000

I $100,000

$1,000,000

Nam e.............................................................

Name

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

Name

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

Name

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

Ident No.......................................................
Address

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

( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to

Subscriber’s Reference No.

DUPLICATE— SECURITY RECORDS “ IN TICKET”

Subscription No.

B-2

EXCHANGE SUBSCRIPTION
For United States of America 4% Percent Treasury Bonds of 1973
Dated July 22, 1964, Due November 15, 1973

Dated at ......................................................

F e d e ra l R eserve B an k o f N ew Y o rk ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention :

.................................................................. 1964
Government Bond Division

G entlem en :

Subject to the provisions of Treasury Department Circular No. 9-64, Public Debt Series, dated
July 9, 1964, the undersigned hereby subscribes for United States of America 4% percent Treasury Bonds
of 1973, 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 y o u ....................................................
To be delivered by ..................................................................................................

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

* (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)

Total Amount
3 % % Notes E -19 64 .............................................................................. ...........O )
5 % Notes B -1964 ..............................................................................................( 2 )
3 % % Notes F -1964 .............................................................................. .......... ( 3 )
4 % % Notes C -1 9 6 4 .............................................................................. ...........( 4 )
3 7/g % Notes C -1 9 6 5 .............................................................................. ...........( 5 )
3 % % Notes B -1966
(6 )
3 % % Bonds 1966
(7 )
4 % Notes A -1 9 6 6 ...............................................................................................( 8 )
3 % % Notes B -1967 .............................................................................. .......... ( 9 )
Total

(D o not fill in
this column)
To Subscriber

$
$
$
$.
$
$
$
$.
$_

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

Pay to subscriber net amount due subscriber on price and interest adjustments:*
□

By check

□

By credit to reserve account

* See Section IV of T. D. Circular No. 9-64, Public Debt Series, for method of computing net adjustment.

Submitted by

Address

(If 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)

(1)
3 % % Notes
E-1964

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

(2)
5 % Notes
B-1964

(3)
(4)
(5)
3 % % Notes 4 % % Notes 3 % % Notes
F-1964
C-1964
C-1965

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

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

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

Total

Our own a cco u n t..........
T o ta ls ......................

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966

(8)
4 % Notes
A-1966

(9)
3 % % Notes
B-1967

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

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

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

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

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

Our own a cco u n t..............................
T o ta ls .......................................... $..............

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

NONNEGOTIABLE RECEIPT

Subscription No.

To Subscriber:
Fiscal Agent of the United States, hereby acknowledges receipt of
securities tendered with subscription numbered as above in exchange for
41/g PERCENT TREASU RY BONDS OF 1973

F e d e r a l R e s e r v e B a n k op N e w Y o r k ,

Securities allotted on this subscription will be delivered
on July 24, 1964, in accordance with your instructions.

Teller
Government Bond Division — Issues & Redemption Section

B E A R E R BONDS D ESIRED IN EXCH ANGE
(Use schedule on reverse side for REGISTERED bonds)

Pieces

Dispose of securities issued as follow s:
□

1. Deliver over the counter to
the undersigned

□

2. Hold in safekeeping
member bank only)

1,000

□

3. Hold as collateral for Treas
ury Tax and Loan Account

5,000

□ 4. Ship to the undersigned

Denomi
nation

(L ea ve this space blatik)

Face amount

500

□

(for

5. Special instructions:

10,000

100,000
1,000,000
TO TAL

To F ed 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
(Date)
You are hereby authorized to deliver to

Submitted by

(Name of representative)

whose signature appears below,

Address

I ................................................... par amount
of securities issued pursuant to this subscription.
N a m e .....................................................................
(Please print)

(Official signature required)

(Signature of authorized representative)

To S u bscriber: 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 of delivery.

Schedule for Issue of Registered Bonds
Name in which bonds shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification Number), and post-office
address for interest checks and other mail.

(Please print or typewrite)

(Indicate under appropriate denominations, number of bonds desired.)
Amount

$500

$1,000

$5,000

$10,000

$100,000

$1,000,000

Name.......
Ident. No.
Address...

Name......
Ident. No,
A ddress...

Name......
Ident. No
Address . .

Name.
Ident. No.
Address
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

M ail registered bonds to

Subscriber’s Eeference No.

TRIPLICATE— TREASURY REPORTS COPY

Subscription No.

B-3

EXCHANGE SUBSCRIPTION
For United States of America 4Vs Percent Treasury Bonds of 1973
Dated July 22, 1964, Due November 15, 1973

Dated at ......................................................

F e d e ra l R eserve B an k o f N ew Y ork ,

Fiscal Agent of the United States.
New York, N. Y. 10045
Attention :

.................................................................. 1964
Government Bond Division

Gentlem en :

Subject to the provisions of Treasury Department Circular No. 9-64, Public Debt Series, dated
July 9, 1964, the undersigned hereby subscribes for United States of America 4% percent Treasury Bonds
of 1973, 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 y o u ....................................................
To be delivered by ..................................................................................................

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

(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)

Total Amount
3 % % Notes E -1964
5 % Notes B-1964
3 % % Notes F -1964
4 7/s % Notes C -1964
3 % % Notes C -196 5
3 % % Notes B -1966
3 % % Bonds 1966
4 % Notes A -1 9 6 6 . .
3 % % Notes B -l 967

(1 )
(2 )
(3 )
(4 )
(5 )
(6 )
(7 )
(8 )
(9 )

Total

(D o not fill in
this column)
To Subscriber

$
$
$
$
$
$
$
$
$

Pay to subscriber net amount due subscriber on price and interest adjustments:*
□

By check

□

By credit to reserve account

* See Section IV of T. D. Circular No. 9-64, Public Debt Series, for method of computing net adjustment.

Submitted by

Address

(If 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)

(l)

(2)
5 % Notes
B-1964

3 % % Notes
E-1964

(4)
(5)
(3)
3 % % Notes 4 % % Notes 3 % % Nates
F-1964
C-1964
C-1965

..........

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

Total

$ .....

Our own a ccou n t..........
T o ta ls ......................

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

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

(6)
(7)
3 % % Notes 3 % % Bonds
B-1966
1966

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

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

(8)

(9)

4 % Notes
A-1966

3 % % Notes
B-1967

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

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

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

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

Our own a cco u n t..............................
T o ta ls ..........................................

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4/4 Percent Treasury Bonds of 1987-92
Dated August 15, 1962, With Interest from July 22, 1964, Due August 15, 1992

BE A R E R BONDS D ESIRED IN EXCH ANGE
(Use schedule on reverse side for REGISTERED bonds)

Pieces

(Leave this space blank)

Face amount

nation

500

Deliver over the counter to
the undersigned

□

Hold in safekeeping
member bank only)*

Hold as collateral for Treas
ury Tax and Loan Account*

□

1,000

□

Dispose of securities issued as follow s:

Denomi

5,000

□

4. Ship to the undersigned

□

5. Special instructions:

10,000

(for

100,000

1,000,000
TO TAL

KIf this item is checked, the subscriber certi
fies that the allotted securities will be owned
solely by the subscriber.

The subscription books will open
on July 13, and close at the close
of business July 16, 1964.

(Please print)

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

. . -------- -------- -

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

(Authorized signature(s) required)

T it le ...................................................... .. T i t le ..................
Address

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

(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 ecord

Received

Checked
and

delivered

Received from F ederal R eserve B a n k of N e w Y o rk the above described United
States obligations in the amount subscribed for.
Subscriber ...........................................................................................................................
Date....................................

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

Schedule for Issue of Registered Bonds
Name in which bonds shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification Number), and post-office
address for interest checks and other mail.
(Please print or typewrite)

(Indicate under appropriate denominations, number of bonds desired.)
Amount

$500

$1,000

$5,000

$10,000

1 $100,000

$1,000,000

Name..........................................
Ident. No....................................

Name
Ident No
Address

Name......................................................

Address

Name.............................................................
Ident No
A drlrpss

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

(I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to ................................................................................................................................

Subscriber’s Reference No.

(Please type or print legibly and submit in triplicate)

Subscription No.

C -l

EXCHANGE SUBSCRIPTION
For United States of America 4% Percent Treasury Bonds of 1987-92
Dated August 15, 1962, With Interest from July 22, 1964, Due August 15, 1992
Im p o rta n t In stru ctio n s.
1.
Securities of different issues surrendered in exchange may be listed together on the
same subscription form, except tbat a separate subscription form should be used (a ) for listing bearer securities
surrendered, (b ) for listing registered securities surrendered, and ( c ) for each group of new securities for which
different delivery instructions are given.
2. Separate subscription forms should be used for bearer securities and
registered securities desired in exchange.
3.
Social Security account numbers or Employer Identification numbers of
all subscribers for r e g is t e r e d bonds must be furnished on the reverse side hereof.
4.
Signatures are required on
original only; all other filled-in matter should appear in triplicate.

Dated at ......................................................

F e d e ra l R eserve B a n k o f N ew Y o rk ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention:
G

entlem en

1964
Government Bond Division

Subject to the provisions of Treasury Department Circular No. 10-64, Public Debt Series, dated
July 9, 1964, the undersigned hereby subscribes for United States of America 41/4 percent Treasury Bonds
o f 1987-92, 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 by ............................................
f(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.’ ’ )

SECURITIES SURRENDERED
( a ll w ith u n m atu red c o u p o n s a t ta c h e d )
(D o not fill in last two columns)
To Subscriber
From Subscriber

Total Amount

XXXXXXXXXXX

3 % % Notes E -1964
(1 )
5 % Notes B -1964
(2 )
3 3A % Notes F -19 64
(3 )
4% % Notes C -196 4 .................................................... ( 4 )
3% % Notes C -1 9 6 5 ............................................... ..... ( 5 )
Notes B -1966
(6 )
3% %
3% % Bonds 1 9 66 ................................................. ..... ( 7 )
4 % Notes A -1 9 6 6
(8 )
3 % % Notes B -1967
(9 )
Total ...............................................

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

xxxxxxxxxxx

Pay net amount due subscriber on price and interest adjustments:*
□ By check
□ By credit to reserve account
Payment by subscriber of net amount due on price and interest adjustments is made as follows:
D By check herewith
□ By charge to reserve account
*See Section IV of T. D. Circular No. 10-64, Public Debt Series, for method of computing net adjustment.
W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities
surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the
subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior
to the closing of the subscription books.

(Signature(s) required also on Delivery Instructions below)

(D o not fill in boxes below)
G o v e r n m e n t B ond D iv is io n

Received

Checked

Submitted by ...........................
(Please print)

Canceled
By

B y .............................
(Authorized signature(s) required)

Title

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

Address

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

(If 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)

(2)
5 % Notes
B-1964

(1)
(Leave this
space blank) N a m e an d address o f accou n t 3 % % Notes
(Please print or typewrite)
E-1964

(4)
(3)
(5)
3 % % Notes 4 % % Notes 3 % % Notes
C-1964
F-1964
C-1965

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

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

Total

$ .........

.............. ‘

O u r ow n a c c o u n t .............

T o t a l s .............................

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966

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

(8)
4 % Notes
A-1966

$ .................
(9)
3 % % Notes
B-1967

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

O u r ow n a c c o u n t ........................................ -------------------------------------------T o t a l s ........................................................

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

$ .................... * .................... $

........... i j

Subscription No.

SECURITY RECORDS “ OUT TICKET”
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 4/4 Percent Treasury Bonds of 1987-92
Dated August 15, 1962, With Interest from July 22, 1964, Due August 15, 1992

BE A R E R BONDS D ESIRED IN EXCH ANGE
(U se schedule on reverse side for REGISTERED bonds)

Denomi
nation

Pieces

Dispose of securities issued as follow s:
□

1. Deliver over the counter to
the undersigned

500

□

2. Hold in safekeeping
member bank only)

1,000

□

3. Hold as collateral for Treas
ury Tax and Loan Account

5,000

□ 4. Ship to the undersigned

Face amount

(Leave this space blank)

□

10,000

100,000
1,000,000
TO TAL

Submitted by

Address

5. Special instructions:

(for

Schedule for Issue of Registered Bonds
Name in which bonds shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification Number), and post-office
address for interest checks and other mail.
( Please print or typewrite)

(Indicate under appropriate denominations, number of bonds desired.)
Amount

$500

$1,000

$5,000

$10,000

$100,000

$1,000,000

Name.......
Ident. No.
Address...

Name.......
Ident. No.
A ddress...

Name.......
Ident. No.
Address...

(I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

M ail registered bonds to

Subscriber’s Reference No.

DUPLICATE—SECURITY RECORDS “IN TICKET”

Subscription No.

C-2

EXCHANGE SUBSCRIPTION
For United States of America 4% Percent Treasury Bonds of 1987-92
Dated August 15, 1962, With Interest from July 22, 1964, Due August 15, 1992

Dated at ......................................................

F e d e r a l R eserve B a n k o f N ew Y o r k ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention:

.................................................................. 1964
Government Bond Division

Gentlem en :

Subject to the provisions of Treasury Department Circular No. 10-64, Public Debt Series, dated
July 9, 1964, the undersigned hereby subscribes for United States of America 4*4 percent Treasury Bonds
o f 1987-92, in the amount of $
* and tenders in payment therefor a like par
amount of the securities —
Delivered to you h erew ith ................................
To be withdrawn from securities held by you
To be delivered by ............................................
f(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)
Total Amount
3%
5%
3%
4%
3%
3%
3%
4%
3%

% Notes E -1964 ............................................... ......( 1 ) $ .
Notes B -1964 ..........................................................( 2 ) $ .
% Notes F -1 9 6 4 .....................................................( 3 ) $
% Notes C -1 9 6 4
( 4 ) $.
% Notes C -1 9 6 5 ............................................... ......( 5 ) $
% Notes B -1966 .............................................. ......( 6 ) $..
% Bonds 1 9 66 ........................................................( 7 ) $
Notes A -1 9 6 6 .................................................... ......( 8 ) $
% Notes B - l 9 6 7 ............................................... ......( 9 ) $
Total ..................... ......................................... $

(D o not fill in last two columns)
From Subscriber
To Subscriber
XXXXXXXXXXX

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

XXXXXXXXXXX

xxxxxxxxxxx

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)

(2)
5% Notes
B-1964

(i)
3 % % Notes
E-1964

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

(3)
(4)
(5)
3 % % Notes 4 % % Notes 3 % % Notes
F-1964
C-1964
C-1965

Total

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

♦._

Our own a cco u n t..........
T o ta ls......................

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

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966

..........

(8)
4 % Notes
A-1966

$ ..............
(9)
3 % % Notes
B-1967

4*' /

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

Our own a cco u n t..............................
T o ta ls..........................................

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

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

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

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

NONNEGOTIABLE RECEIPT

Subscript™ No.

To Subscriber:
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 Agent of the United States, hereby acknowledges receipt of
securities tendered with subscription numbered as above in exchange for
414 PERCENT TREASU RY BONDS OF 1987-92

Securities allotted on this subscription will be delivered
on July 24, 1964, in accordance with your instructions.

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

Teller
Government Bond Division — Issues & Redemption Section

BE A R E R BONDS D ESIRED IN EXCH ANGE
(U s e schedule on reverse side for R E G IS T E R E D bonds)

Denomi
nation

Pieces
$

Dispose of securities issued as follow s:
□

1. Deliver over the counter to
the undersigned

500

□

2. Hold in safekeeping
member bank only)

1,000

□

3. Hold as collateral for Treas
ury Tax and Loan Account

5,000

□ 4. Ship to the undersigned

(Leave this space blank)

Face amount

□

10,000

(for

5. Special instructions:

100,000
1,000,000
TO TAL

To F ed eral R e s e r v e B a n k of N e w Y o r k
Fiscal Agent of the United States
(D ate)

You are hereby authorized to deliver to

Submitted by ...........

(Nam e o f representative)

whose signature appears below,

Address ......................

$ ................................................... par amount
of securities issued pursuant to this subscription.
(Please print)

(Official signature required)

(Signature o f authorized representative)

To 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 of delivery.

(Indicate under appropriate denominations, number o f bonds desired.)

Amount

$1,000

$500

$5,000

$10,000

$100,000

$1,000,000

Name
Ident No

Name
Ident No
Address

Name.......................................................
Ident No

Name

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

( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

Mail registered bonds to ................................................................................................................................

Subscriber’s Reference No.

TRIPLICATE— TREASURY REPORTS COPY

Subscription No.

C-3

EXCHANGE SUBSCRIPTION
For United States of America 4lA Percent Treasury Bonds of 1987-92
Dated August 15, 1962, With Interest from July 22, 1964, Due August 15, 1992

Dated at

F e d e r a l R e s e rv e B a n k op N ew Y o r k ,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention

1964
Government Bond Division

G e n tle m e n :

$•

* (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( all with unmatured coupons attached)
Total Amount
3%
5%
3%
4%
3%
3%
3%
4%
3%

% Notes E -1964
(1 ) $
Notes B -1964 ................................................... ..... ( 2 ) $
% Notes F -19 64 .................................................... ( 3 ) $
% Notes C -1 9 6 4
(4 ) $
% Notes C -1 9 6 5 ............................................... ..... ( 5 ) $
% Notes B -1966
(6 ) $
% Bonds 1 9 66 ................................................. ..... ( 7 ) $
Notes A -1 9 6 6 .................................................... .....( 8 ) $
% Notes B -1967 ............................................... ..... ( 9 ) $_
$.
Total ...............................................

(D o not (ill in last two columns)
From Subscriber
To Subscriber

xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx
xxxxxxxxxxx

XXXXXXXXXXX

xxxxxxxxxxx

Submitted by

Address

(If 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 )

(1)

(2)
5 % Notes
B-1964

3 % % Notes
E-1964

$ .....

(5)
(4)
(3)
3% % Notes 4 % % Notes 3 % % Notes
C-1964
C-1965
F-1964

...........

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

Total
$ .........

Our own a cco u n t..........
T o ta ls ......................

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

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

(7)
(6)
3 % % Notes 3 % % Bonds
1966
B-1966

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

(8)
4 % Notes
A-1966

$ ..............
(9)
3 % % Notes
B-1967

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

•

Our own a cco u n t..............................
T o ta ls .......................................... $ .............

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