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FEDERAL RESERVE BANK
OF NEW Y O R K
Fiscal Agent of the United States
f Circular N o ." 5 5 6 7 T
I
October 30, 1964 J

CASH OFFERING
4 Percent Treasury Notes of Series D-1966

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

The subscription books will be open Monday, November 2, fo r one day only, for a Treasury
offering, at par, o f 4 percent Treasury Notes of Series D-1966, dated November 15, 1964,
maturing May 15, 1966, in the amount of $9^4 billion, or thereabouts.
Subscriptions will be subject to allotment. Payment must be made by November 16, in
cash, or in 4% percent Treasury Notes of Series C-1964, or in 3% percent Treasury Notes of
Series F-1964, both maturing November 15, 1964. Paym ent cannot be made by credit to
Treasury Tax and Loan Accounts.
The terms of the offering are set forth in Treasury Department Circular No. 12-64, Public
Debt Series, a copy of which is printed on the following pages. Subscriptions from all sub­
scribers, except banking institutions for their own account and others as specified in Section III
of the Treasury circular, must be accompanied by payment of 2 percent (in cash or in maturing
securities) of the amount of securities applied for. I f subscribers required to make deposits
desire to deposit maturing securities but do not have the denominations to meet exactly the
minimum deposit requirement, they are urged to leave any excess on deposit to avoid denomina­
tional exchanges and unnecessary movement of securities.
Commercial banks may submit subscriptions for account of customers, provided the names
of the customers are set forth in such subscriptions; in the case of subscriptions fo r account of
customers other than individuals, their location (City and S tate) must also be furnished. All
others may submit subscriptions only for their own account. Commercial banks are urged to
retain the required deposits (cash or maturing securities) of their customers until after allot­
ment of the new securities; if maturing securities are retained, the risk and expense involved
in forwarding them to this Bank will thus be avoided. Commercial banks are urged to enter
subscriptions fo r their own account and for account of their customers with the Federal
Reserve Bank or Branch in the District in which they are located.
Subscriptions eligible for full allotment.— Subscriptions by or for account of States, political
subdivisions or instrumentalities thereof, public pension and retirement and other public funds,
international organizations in which the United States holds membership, foreign central banks
and foreign States, Government Investment Accounts, and the Federal Reserve Banks will be
allotted in full if accompanied by a certification that the total amount of its subscriptions does
not exceed the amount of the two maturing issues of eligible securities owned or contracted
for purchase for value, at 4 p.m., Eastern Standard time, October 28, 1964. I f any subscription

19



14

FIFTIETH

ANNIVERSARY

19 6 4

is entered by or for account o f such subscriber without a certification or in an amount larger
than the amount certified, then all subscriptions by or fo r account o f such subscriber, including
any accompanied by a certification, will be allotted on the basis of the publicly announced
allotment. Copies of a certification form are enclosed fo r all commercial banks and other
addressees on our mailing lists that may include such subscribers.
Subscriptions will be received by this Bank as fiscal agent o f the United States. Sub­
scriptions should be submitted immediately on the enclosed Form N - l ; if maturing securities
accompany a subscription, the enclosed Form N-2 should be submitted with Form N -l. I f filed
by telegram or letter, the subscriptions should be confirmed immediately by mail on the forms
provided. The subscription books will remain open fo r one day only, Monday, November 2.
A ny subscription addressed to a Federal Reserve Bank or Branch or to the Treasury Depart­
ment and placed in the mail before midnight Monday will be considered timely.

A

lfred

H

ayes,

President.

UNITED STATES OF AMERICA
4 PERCENT TREASURY NOTES OF SERIES D-1966
Dated and bearing interest from November 15, 1964

Due May 15, 1966

TREASU RY DEPARTM ENT,
departm ent

O ffic e o f t h e S e c re ta ry ,

c ir c u l a r

Washington, October 29,1964

Public Debt Series — No. 12-64

I.

OFFERING OF NOTES

1.
The Secretary o f the Treasury, pursuant to the
authority o f the Second Liberty B ond A ct, as amended,
invites subscriptions, subject to allotment, at par and
accrued interest, from the people o f the United States
fo r notes of the United States, designated 4 percent
Treasury Notes o f Series D-1966. The amount o f the
offering under this circular is $9,250,000,000, or there­
abouts. The follow ing securities m aturing November
15, 1964, will be accepted at par in payment or ex­
change, in whole or in part, fo r the notes subscribed
for, to the extent such subscriptions are allotted by
the Treasury:
4 % percent Treasury Notes of Series C-1964; or
3 % percent Treasury Notes o f Series F-1964.
The books will be open only on N ovem ber 2, 1964, for
the receipt o f subscriptions fo r this issue.




H.

DESCRIPTION OF NOTES

1. The notes will be dated November 15, 1964, and
will bear interest from that date at the rate o f 4 per­
cent per annum, payable semiannually on May 15 and
November 15, 1965, and on May 15, 1966. They will
mature M ay 15, 1966, and will not be subject to call
for redemption prior to maturity.
2. The income derived from the notes is subject
to all taxes imposed under the Internal Revenue Code
o f 1954. The notes are subject to estate, inheritance,
g ift or other excise taxes, whether Federal or State,
but are exempt from all taxation now or hereafter
imposed on the principal or interest thereof by any
State, or any o f the possessions of the United States,
or by any local taxing authority.
3. The notes will be acceptable to secure deposits
o f public moneys. They will not be acceptable in p ay­
ment of taxes.

4. Bearer notes with interest coupons attached,
and notes registered as to principal and interest, will
be issued in denominations o f $1,000, $5,000, $10,000,
$100,000, $1,000,000, $100,000,000 and $500,000,000.
Provision will be made fo r the interchange o f notes of
different denominations and o f coupon and registered
notes, and fo r the transfer of registered notes, under
rules and regulations prescribed by the Secretary of
the Treasury.
5. The notes will be subject to the general regula­
tions o f the Treasury Department, now or hereafter
prescribed, governing United States notes.
III.

SUBSCRIPTION AND ALLOTMENT

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of the
Treasurer o f the United States, W ashington, D. C.
20220. Only the Federal Reserve Banks and the
Treasury Department are authorized to act as official
agencies. Commercial banks, which fo r this purpose
are defined as banks accepting demand deposits, may
submit subscriptions fo r account o f customers p ro­
vided the names o f the customers are set forth in such
subscriptions. Others than commercial banks will not
be permitted to enter subscriptions except fo r their
own account. Subscriptions from commercial banks
for their own account will be restricted in each case
to an amount not exceeding 50 percent o f the com ­
bined capital (not including capital notes or deben­
tures), surplus and undivided profits of the subscrib­
ing bank. Subscriptions will be received without de­
posit from banking institutions fo r their own account,
Federally-insured savings and loan associations,
States, political subdivisions or instrumentalities
thereof, public pension and retirement and other pub­
lic funds, international organizations in which the
United States holds membership, foreign central banks
and foreign States, dealers who make prim ary markets
in Government securities and report daily to the F ed ­
eral Reserve Bank of New Y ork their positions with
respect to Government securities and borrowings
thereon, Federal Reserve Banks and Government In ­
vestment Accounts. Subscriptions from all others
must be accompanied by payment (in cash or in se­
curities o f the two issues enumerated in paragraph 1
o f Section I hereof, which will be accepted at par) of
2 percent of the amount o f notes applied for, not sub­
ject to withdrawal until after allotment. Registered
notes submitted as deposits should be assigned as p ro­
vided in Section V hereof. Follow ing allotment, any
portion o f the 2 percent payment in excess o f 2 per­
cent o f the amount o f notes allotted may be released
upon the request o f the subscribers.
2. A ll subscribers requesting registered notes 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
individu al’s social security number or an employer
identification number.
3. A ll subscribers are required to agree not to p u r­
chase or to sell, or to make any agreements with re­
spect to the purchase or sale or other disposition o f




any notes o f this issue at a specific rate or price, until
after midnight November 2, 1964.
4. Commercial banks in submitting subscriptions
will be required to certify that they have no beneficial
interest in any o f the subscriptions they enter fo r the
account o f their customers, and that their customers
have no beneficial interest in the banks’ subscriptions
for their own account.
5. The Secretary of the Treasury reserves the right
to reject or reduce any subscription, to allot less than
the amount o f notes applied for, and to make different
percentage allotments to various classes o f subscribers;
and any action he may take in these respects shall be
final. Subject to these reservations, all subscriptions
from States, political subdivisions or instrumentalities
thereof, public pension and retirement and other p ub­
lic funds, international organizations in which the
United States holds membership, foreign central banks
and foreign States, Federal Reserve Banks and Gov­
ernment Investment Accounts will be allotted in fu ll
if the subscriber certifies in w riting that at 4 p.m.,
Eastern Standard Time, October 28, 1964, it owned
or had contracted to purchase fo r value securities o f
the two issues enumerated in paragraph 1 o f Section
I hereof in an aggregate amount equal to or greater
than the amount o f its subscription. I f the certifica­
tion is not made, none o f such subscriber’s subscrip­
tion shall be subject to a preferred fu ll allotment. The
basis of the allotment will be publicly announced, and
allotment notices will be sent out prom ptly upon
allotment.
IY.

PAYMENT

1. Payment at par and accrued interest,1 if any,
fo r notes allotted hereunder must be made or com­
pleted on or before November 16, 1964, or on later
allotment. Payment will not be deemed to have been
completed where registered notes are requested if the
appropriate identifying number, as required b y para­
graph 2 o f Section I I I hereof, has not been fu rn ish ed ;
provided, however, if a subscriber has applied fo r 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 o f the
identifying number, interim receipts and in this case
paym ent will be deemed to have been completed. In
every case where fu ll payment is not completed, the
payment with application up to 2 percent o f the
amount o f notes allotted shall, upon declaration made
by the Secretary o f the Treasury in his discretion, be
forfeited to the United States. Payment may be made
fo r any notes allotted hereunder in cash or b y ex­
change o f securities o f the two issues enumerated in
paragraph 1 o f Section I hereof, which will be ac­
cepted at par. W here payment is made with notes in
bearer form , coupons dated November 15, 1964, should
be detached and cashed when due. In the case o f reg­
istered notes, the final interest due on November 15,
1964, will be paid by check drawn in accordance with
the assignments on the notes surrendered, or by credit
l Accrued interest from November 15 to November 16, 1964, will not
be collected.

in any account maintained by a banking institution
with the Federal Reserve Bank o f its District.
V.

“ The Secretary o f the Treasury for 4 percent Treas
u ry Notes o f Series D-1966 in coupon form to be de­
livered t o ..............................................................

ASSIGNMENT OF REGISTERED NOTES

1.
Treasury Notes o f Series C-1964 and Series
F-1964 in registered form tendered as deposits and in
payment fo r notes allotted hereunder should be as­
signed by the registered payees or assignees thereof,
in accordance with the general regulations o f the
Treasury Department, in one of the forms hereafter
set forth. Notes tendered in paym ent should be sur­
rendered to a Federal Reserve Bank or Branch or to
the Office o f the Treasurer o f the United States,
W ashington, D. C. 20220. The m aturing notes must
be delivered at the expense and risk of the holder. I f
the new notes are desired registered in the same name
as the notes surrendered, the assignment should be to
“ The Secretary o f the Treasury fo r 4 percent Treas­
u ry Notes of Series D -1966” ; if the new notes are
desired registered in another name, the assignment
should be to “ The Secretary o f the Treasury fo r 4
percent Treasury Notes o f Series D-1966 in the name
o f ............................................................ ” ; if new notes in
coupon form are desired, the assignment should be to




VI.

GENERAL PROVISIONS

1. A s fiscal agents o f 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 o f the
Treasury to the Federal Reserve Banks o f the respec­
tive Districts, to issue allotment notices, to receive
payment fo r notes allotted, to make delivery o f notes
on full-paid subscriptions allotted, and they may issue
interim receipts pending delivery o f the definitive
notes.
2. The Secretary o f the Treasury may at any time,
or from time to time, prescribe supplemental or
amendatory rules and regulations governing the offer­
ing, which will be communicated prom ptly to the
Federal Reserve Banks.

DOUGLAS DILLON,
Secretary o f the Treasury.

X*

FORM N -l
Subscriber’s Reference No.

(Please type or print legibly)

Subscription No.

SUBSCRIPTION— SUBJECT TO ALLOTM ENT
For United States o f America 4 Percent Treasury Notes o f Series D-1966
Dated Novem ber 15, 1964, Due May 15, 1966
IM PORTANT INSTRUCTIONS
Payment for the new notes to be allotted hereunder may be made in cash, or by exchange at par of 4 % %
Treasury Notes of Series C-1964 or 3% % Treasury Notes of Series F-1964, both maturing November 15, 1964. Coupons
dated November 15, 1964 should be detached from the maturing notes in bearer form and cashed when due. Paym ent
Payment.

for the new notes cannot be made b y credit through Treasury Tax and Loan Account.
D eposit.
Subscriptions from banking institutions for their own account and from certain others as specified in

Section III of Treasury Department Circular No. 12-64, Public Debt Series, will be received without deposit. Subscrip­
tions from all others must be accompanied by payment (in cash or in maturing securities) of not less than 2 % of the
amount of notes applied for, except that commercial banks subscribing for account of customers are urged to retain
their customers’ deposits until after allotment. Checks accompanying the subscriptions should be made payable to the
Federal Reserve Bank of New York.
Subscription amounts.
Amount of notes applied for must be in multiples of $1,000.

The subscription books will be open only on November 2
for the receipt of subscriptions.
F ed eral R eserve B a n k of N e w Y o r k ,

Fiscal Agent o f the United States,
New York, N. Y . 10045
A tten tion :

Dated at .........................................................
.................................................................... 1964
Government Bond Division

G entlem en :

Pursuant to the provisions o f Treasury Department Circular No. 12-64, Public Debt Series, dated
October 29, 1964, the undersigned hereby subscribes at par for United States o f America 4 percent Treasury
Notes of Series D-1966, as follow s:
F or own a c c o u n t .................................................................................................................

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

For our customers, shown on reverse side (fo r use o f commercial banks) . . . .

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

Total s u b s cr ip tio n .....................................................

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

(If securities are submitted with this subscription, the securities should be accompanied by Form N-2, which form
shall be made a part of your subscription.)

( I f the subscriber is, or is subscribing for account of, a member o f one o f the investor classes listed
below, a check in the appropriate box should be indicated. Subscriptions from the investor classes listed
below will receive full allotment only if accompanied by a written certification that the total amount o f
its subscriptions does not exceed the amount o f the two maturing eligible issues o f securities owned or
contracted for purchase for value, at 4 p.m., Eastern Standard Time, October 28, 1964. A form for
the certification is enclosed. Commercial banks should not include subscriptions accompanied by such
certifications on the same form with other subscriptions.)
□ States, political subdivisions or instrumentalities thereof
□ Public pension and retirement and other public funds
□ International organizations in which the United States holds membership
□ Foreign central banks and foreign States
( I f a commercial bank is subscribing for its own account or for account of customers, the following certifications are made
a part of this subscription.)
W e H e r e b y C e r t i f y that we have received applications from our customers in the amounts set opposite
the customers’ names on the list which is made a part o f this subscription; that there has been paid to
us by each such customer as required by official offering circular, not subject to withdrawal until after
allotment, not less than 2 percent of the amount applied fo r ; that we have not made unsecured loans, or
loans collateralized in whole or in part by the securities applied for, to supply the amounts o f such payments
to any o f such customers; that we have no beneficial interest in the applications o f such customers, and
that none o f our customers has any beneficial interest in the amount subscribed fo r our own account.
W e F u r t h e r C e r t i f y that all subscribers for whom subscriptions are hereby entered have agreed not
to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition
o f any notes o f this issue at a specific rate or price, until after midnight, November 2, 1964.
W e F u r t h e r C e r t i f y that the subscription for our own account does not exceed 5 0 percent o f our
combined capital (not including capital notes or debentures), surplus and undivided profits.
W e F u r t h e r C e r t i f y that applications received by us, if any, from other commercial banks fo r their
own
account and for the account o f their customers have been entered with us under the same conditions,

agreements, and certifications as set forth in this subscription form.
http://fraser.stlouisfed.org/

Federal Reserve Bank of St. Louis

s'o

The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the pur­
chase or sale or other disposition o f any notes of this issue at a specific rate or price until after midnight,
November 2, 1964.
TO S U B S C R IB E R :

(Fill in all required spaces before signing)

Mark ( X ) in proper space
to indicate if this i s :

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

(Name of subscriber— Please print or typewrite)

O riginal s u b s c r ip tio n ........... □
By

Confirmation o f a telegram

(Official signature)

□

Confirmation o f a letter . . . . □

(Title)

Address

(D o not write in space below)

Deposit received by .................................................................. Allotm ent
Figured ..... ................... Advised

(If acknowledgment of this subscription is desired, complete this stub)

Receipt is acknowledged o f your subscription for $
Series D-1966, dated November 15, 1964, m aturing May 15, 1966.

of 4 % Treasury Notes o f

For use of Federal Reserve Bank

Time Stamp

To




(Name)

(Address)

(F o r use of commercial bank subscribers only)

List o f Accounts Included in this Subscription
(I f space is insufficient in schedule below, attach separate listing)

Leave
blank




Name and Location ( C ity and S tate) o f customer
(Location of individuals not required)

A.mount Subscribed

Leave blank

(Note— Do not include subscriptions entitled to full allotment on the same form as other subscriptions.)




(Submit with subscription)
Certification by States, Political Subdivisions or Instrumentalities Thereof,
Public Pension and Retirement and Other Public Funds, International Organi­
zations in W hich the United States Holds Membership, Foreign Central Banks
and Foreign States, Federal Reserve Banks and Government Investment
Accounts Pursuant to Section III, Treasury Department Circular No. 12-64,
Public Debt Series

(This certificate may be executed by a subscriber in one of the classes listed
above or by a commercial bank entering a subscription for account of such a
subscriber.)

............................................... ,1964

To the Federal Reserve Bank of New Y ork:

The undersigned hereby certifies that the total amount of its
subscriptions for 4 percent Treasury Notes of Series D-1966 offered
pursuant to Treasury Department Circular No. 12-64, Public Debt
Series, is $................................................

The undersigned further cer­

tifies that at 4 p.m., Eastern Standard Time, October 28, 1964, it
owned or had contracted to purchase for value an equal or greater
amount in the aggregate of 4% percent Treasury Notes of Series
C-1964 and 3% percent Treasury Notes o f Series F-1964.




(Name of organization)

(Official signature)

(Title)

(A commercial bank executing this certificate should sign below)

(Name of bank)

By....................................................... , ............................
(Official signature)

for above-named organization.

(Title)

FORM N-2 (Submit in triplicate)

Subscriber’s Reference No.

Subscription No.

Securities Accompanying Subscription
For United States of America 4 Percent Treasury Notes o f Series D-1966
Dated November 15,1964, Due May 15,1966
F ed er al R eserve B a n k

of

New Y

ork,

Fiscal A gent o f the United States,
New Y ork, N. Y . 10045

Dated a t .........................................................
1964

Gentlem en :

R eferring to subscription entered in the amount o f $................................................... fo r United States o f
Am erica 4 percent Treasury Notes o f Series D-1966, the undersigned delivers the follow ing securities
herew ith:
Face amount

4 % percent Treasury Notes o f Series C-1964 (detach coupons)
3 % percent Treasury Notes o f Series F-1964 (detach coupons)

(D o not fill in boxes below)

Submitted by

Go v e r n m e n t B ond D iv is io n

Address
Received
Checked
Cancelled
CONTROL COPY




£<*> %>. S S L 7
Subscriber’s Reference No.

Subscription No.

Securities Accompanying Subscription
For United States of America 4 Percent Treasury Notes of Series D-1966
Dated November 15, 1964, Due May 15, 1966
F eder al R eserve B a n k

op

New Y

ork,

Fiscal A gent o f the United States,
New York, N. Y. 10045

Dated at .........................................................
____
.................................................................... 1964

Gentlem en :

R eferring to subscription entered in the amount o f $.................................................. for United States o f
America 4 percent Treasury Notes o f Series D-1966, the undersigned delivers the follow ing securities
herew ith:
Face amount

4 % percent Treasury Notes o f Series C-1964 (detach coupons) .................

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

3 % percent Treasury Notes o f Series F-1964 (detach coupons) .................

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

Submitted by
Address

SECURITY RECORDS “ IN T IC K E T ”




........

Subscriber’s Reference No.

Subscription No.

NONNEGOTIABLE RECEIPT
To S ubscriber:
F e d e r a l R e s e r v e B a n k o f N e w Y o r k , Fiscal A gent o f the United States, hereby acknowledges receipt o f
securities deposited in the amount indicated below with subscription numbered as above in exchange fo r

4 P E R C E N T T R E A S U R Y N O TE S O F S E R IE S D-1966
Securities allotted on this subscription will be delivered on
November 16, 1964, in accordance with your instructions.

Teller
Government Bond Division— Issues & Redemption Section

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
(Date)

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Face amount

Treasury Notes of Series C-1964

$

Treasury Notes of Series F-1964

$

You are hereby authorized to deliver to
(Name of representative)

Submitted by

whose signature appears below,
Address .........
par amount
of securities issued pursuant to this subscription.
Name ..................................... -................ -....
(Please print)

(Official signature required)

(Signature of 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.

1
FED ER A L RESER VE BANK
O F N E W YORK
F iscal

a g e n t

o f

t h e

U n ited

Subscription Number

s t a t e s

NOTICE OF ALLOTMENT
For United States o f America 4 percent Treasury Notes o f Series D-1966

To S ubscriber:

J
On your subscription, numbered as above, fo r $

(par amount) o f—

U NITED S T A T E S OF A M E R IC A 4 PERCENT T R E A S U R Y N O TES OF SERIES D -1966
D A T E D N O V E M B E R 15, 19 64, DUE M A Y 15, 1966

which you filed pursuant to the provisions o f Treasury Department Circular No. 12-64, Public Debt Series, dated October 29,
1964, the Secretary of the Treasury has allotted notes to you in the amount o f—

$
Im portant
1.

To expedite delivery of the notes allotted to you and to facilitate prom pt completion o f this transaction, please

fill in, sign and return immediately the attached Letter of Instructions to the Federal Reserve Bank of New York,
Fiscal Agent of the United States, New Y ork , N. Y.
10045.
Payment
2. Payment at par for notes allotted must be made on or before November 16, 1964, as fo llo w s :
By

C heck — The check should be made payable to the order of the FEDERAL RESERVE BANK OF NEW YORK, FISCAL AGENT OF
THE UNITED STATES. The notes will not be delivered by this Bank until the proceeds of a check have been collected. The proceeds of
a check drawn on the Federal Reserve Bank of New York are immediately available.

B y Cash— Payment may be made in cash.
B y Charge-—-A member bank may make payment by requesting us to charge its reserve account, or a nonmember clearing bank may make
payment by requesting us to charge its clearing account.

B y Maturing Securities — Payment may be made by exchange of 4 % percent Treasury Notes of Series C-1964 or 3 % percent Treasury Notes
of Series F-1964.

The coupons due November 15, 1964 should be detached from the notes surrendered and cashed in regular course.

Delivery
3. (a ) Delivery of the notes allotted will be made by the Federal Reserve Bank of New York at its Ilead Office in
New Y ork City, and will not be made before November 16, 1964.

(b )
The notes allotted may be received over the counter by a representative of the subscriber, provided the repr
sentative presents a letter of authority identifying him and signed officially by the subscriber.

Safekeeping
4. Notes allotted to member banks fo r their own account may be left with this Bank fo r safekeeping pursuant to
the terms of our Operating Circular No. 14.
F e d e r a l R eserve B a n k o f N ew Y
Fiscal Agent of the United States.

Checked by




ork

,

2

(This letter of instructions, accompanied by attached three copies, should
be filled in and returned to Federal Reserve Bank of New York)

Subscription Number

LETTER OF INSTRUCTIONS
To F e d e r a l R e s e r v e B a n k o f N e w Y o r k ,

Fiscal A gent o f the United States,
Federal Reserve P. 0 . Station,
New York, N. Y . 10045

A ttention: Government Bond Division— 2nd Floor

From (N a m e and address of Subscriber)

Dated a t .............
................................................................... 1964

On our subscription, numbered as above, fo r $

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1966
DATED NOVEMBER 15, 1964, DUE MAY 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 12-64, Public Debt Series, dated October
29, 1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount o f—

As requested, we send you the follow ing instructions:
Deposit has been made—
B y check or cash $........................................
B y maturing 4 ~/8 percent Treasury Notes of Series C-1964. . . .

(par amount)

By maturing 3% percent Treasury Notes of Series F-1964. . ..

(par amount)

Payment of balance due, if any, for the new notes allotted will be made as follow s:
□

B y charge to our reserve account, which you are authorized to make

□

B y check

□

B y cash

B y maturing securities—
4 % % Treas. Notes
Series C-1964

3 % % Treas. Notes
Series F-1964

Delivered to you herewith ..........................................................

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

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

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

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

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

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

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

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

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

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

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

I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request fo r Redem ption o f Bearer Securities).
Excess amount o f maturing securities to be redeemed ...................
(use Form G.B.311)
BEARER NOTES DESIRED
( For REGISTERED notes— use only reverse side)
Denomi­
nation

’ieces
$

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

Dispose o f securities issued, as follow s:

(Leave this space blank)

Face amount

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

1,000

Q 1. Deliver over the counter to the undersigned
□ 2. H old in safekeeping (fo r member bank on ly )*
□ 3. H old as collateral fo r Treasury Tax and Loan Account*
□ 4. Ship to the undersigned
□ 5. Special instructions:

5,000
10,000

* If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

100,000
1,000,000

(IM P O R T A N T : No changes in delivery instructions will
be accepted.)

TO TAL

This letter of instructions must be signed
officially in the space provided and returned immediately to
Federal Reserve Bank of New York,

Submitted by

I Please print)

^

By

(Authorized signature(s) required)

T i t le ...............................................................................

Title

Fiscal Agent of the United States.
A d d ress.........................................................................................................

(Spaces below are for the use o f the Federal Reserve Bank o f New York)
G o v e r n m e n t B ond D iv is io n

Received

S a f e k e e p in g D iv is io n

Checked

Cancelled

D E L IV E R Y RECEIPT
Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount
indicated above.

Date.



Subscriber................................................................................. By.

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

[dent No

Ident No

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

$1,000

$5,000

$10,000

$100,000

$1,000,000

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

.

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

Address

...... .......................................................-••••■

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




M ail registered notes to

(D U P L IC A T E F O R USE OF F E D E R A L R E S E R V E B A N K OF N E W Y O R K )

Subscription Number

BLOTTER RECORD— GOVERNMENT BOND DIVISION
T o F eder al R eserve B a n k of N e w Y
Fiscal A gent of the United States,
Federal Reserve P. 0 . Station,
New York, N. Y . 10045

ork,

A ttention: Government Bond Division— 2nd F loor

From (Name and address o f Subscriber)

Dated a t .........................................................
....................................................................1964

On our subscription, numbered as above, fo r $

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1966
DATED NOVEMBER 15, 1964, DUE MAY 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 12-64, Public Debt Series, dated October
29, 1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount o f—

As requested, we send you the follow ing instructions:
Deposit has been made—
B y check or cash $........................................
B y maturing 4 % percent Treasury Notes of Series C -1 9 6 4 .. ..

(par amount)

B y maturing 3 % percent Treasury Notes of Series F-1964. . . .

(par amount)

Payment of balance due, if any, for the new notes allotted will be made as fo llo w s:
□

B y charge to our reserve account, which you are authorized to make

□

B y check

□

B y cash

B y maturing securities—
4 % % Treas. Notes
Series C-1964

3 % % Treas. Notes
Series F-1964

Delivered to you herewith ..........................................................

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

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

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

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

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

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

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

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

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

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

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

I f the amount of maturing securities delivered is in excess o f the amount of new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities).
Excess amount o f maturing securities to be redeemed
(use Form G.B.311)

$-

BEARER NOTES DESIRED
( For REGISTERED notes— use only reverse side)

Dispose of securities issued, as follow s:
□

'ieces

Denomi­
nation

$

(Leave this space blank)

Face amount

□
□
□

1,000

□

1. Deliver over the counter to the undersigned
2. H old in safekeeping (fo r member bank on ly)*
3. H old as collateral for Treasury Tax and Loan Account*
4. Ship to the undersigned
5. Special instructions:

5,000
10,000

* If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

100,000
1,000,000

-------

(IM PO R TA N T : No changes in delivery instructions will
be accepted.)

TO TAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to

Submitted by

Federal Reserve Bank of New York,

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

(Please print)

By
(Authorized signature(s) required)

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

Title

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

Fiscal Agent of the United States.
A d d ress.........................................................................................................

(Spaces below are for the use o f the Federal Reserve Bank o f New Y ork)
G o v e r n m e n t B ond D iv is io n

S a f e k e e p in g D iv is io n

Received

Checked

Cancelled
Checked .
Delivered

Deliver against payment of $.................................. ..........
D E LIV E R Y RECEIPT

Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount
indicated above.

Date..................................



, Subscriber................................................................................. By.

Schedule for Issue of Registered Notes
Name in which notes 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)

Ident No
Address

.

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

$1,000

$5,000

$10,000

1
$100,000 j $1,000,000

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

I dent No.............................................. ..............................................
Address...............................................................................................

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




M ail registered notes to

(T R IP L IC A T E F O R USE OF F E D E R A L R E S E R V E B A N K OF N E W Y O R K )

Subscription Number

RELOCATION OFFICE— OUT
To F e d e r a l R e s e r v e B a n k o f N e w Y o r k ,
Fiscal A gent o f the United States,
Federal Reserve P. 0 . Station,
New York, N. Y . 10045

A ttention: Government Bond Division— 2nd F loor

From (Name and address o f Subscriber)

Dated a t .............
.1964

On our subscription, numbered as above, fo r $

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1966
DATED NOVEMBER 15, 1964, DUE MAY 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 12-64, Public Debt Series, dated October
29, 1964, we have received your notice o f allotment stating that the Secretary o f the Treasury has allotted notes to us in the
amount o f—

A s requested, we send you the follow ing instructions:
Deposit has been made—
B y check or cash $.......................................
B y maturing 4 % percent Treasury Notes o f Series C -1964___

(par amount)

B y maturing 3 % percent Treasury Notes of Series F -1 9 6 4 .. . .

(par amount)

Payment of balance due, if any, for the new notes allotted will be made as follow s:
□

B y charge to our reserve account, which you are authorized to make

□

B y check

□

B y cash

B y maturing securities—
3 % % Treas. Notes
Series F-1964

4 % % Treas. Notes
Series C-1964

Delivered to you herewith ..........................................................

$_

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

$.

To be delivered b y .........................................................................
T o t a l ...................................................................................................
I f the amount of maturing securities delivered is in excess of the amount o f new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request for Redem ption of Bearer Securities).
Excess amount o f maturing securities to be r e d e e m e d ...................
(use Form G.B.311)
BEARER NOTES DESIRED
(For REGISTERED notes— use only reverse side)
Denomi­
nation

$

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

Dispose o f securities issued, as follow s:

(Leave this space blank)

Face amount

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

1,000

□
□
□
□
□

12.
3.
4.
5.

Deliver over the counter to the undersigned
H old in safekeeping (fo r member bank on ly )*
H old as collateral for Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000
10,000

* If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

100,000

1,000,000

(IM PO RTAN T:
be accepted.)

TO TAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to
Federal Reserve Bank of New York,

Submitted by

No changes in delivery instructions will

( Please print)

By

By .

(Authorized signature(s) required)

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

Title

Title

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

Fiscal Agent of the United States.
A d d ress.........................................................................................................

(Spaces below are for the use o f the Federal Reserve Bank o f New York)
G o v e r n m e n t B ond D iv is io n

S a f e k e e p in g D iv is io n

Received

Checked

Cancelled

Deliver against payment of $..... .......................................
D E LIV E R Y RECEIPT
Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount
indicated above.


Date.........................................


. Subscriber................................................................................. B y.

Schedule for Issue of Registered Notes
Name in which notes 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 notes desired.)
Amount

$1,000

$5,000

$10,000

$100,000

$1,000,000

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

Address

Address. .

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

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

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




M ail registered notes to

5
(QU ADRUPLICATE FOR USE OF F E D E R A L RESERVE BANK OF NEW YO RK )

Subscription Number

DELIVERY TICKET— SAFEKEEPING DIVISION
To F e d e r a l R e s e r v e B a n k

of

New Y

ork,

Fiscal A gent of the United States,
Federal Reserve P. 0 . Station,
New York, N. Y . 10045

A tten tion: Government Bond Division— 2nd F loor

From ( Name and address o f Subscriber)

Dated a t .........................................................
................................................................... 1964

On our subscription, numbered as above, for $

(par amount) o f—

UNITED S T A T E S OF A M E R IC A 4 PERCENT T R E A SU R Y N OTES OF SERIES D -1966
D A T E D N OVE M BER 15, 1964, DUE M A Y 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 12-64, Public Debt Series, dated October
29, 1964, we have received your notice o f allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount o f—

As requested, we send you the follow ing instructions:
Deposit has been made—
B y check or cash $........................................
By maturing 4 % percent Treasury Notes of Series C-1964......... $........................................ (par amount)
By maturing 3 % percent Treasury Notes of Series F -1964......... $........................................ (par amount)
Payment of balance due, if any, for the new notes allotted will be made as follow s:
□

B y charge to our reserve account, which you are authorized to make

□

B y check

□

B y cash

B v maturing securities—
4 % % Treas. Notes
Series C-1964

3 % % Treas. Notes
Series F-1964

Delivered to you herewith ..........................................................

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

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

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

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

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

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

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

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

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

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

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

I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request for Redem ption of Bearer Securities).
Excess amount of maturing securities to be redeemed ...................
(use Form G.B.311)
BEARER N O T E S D E S I R E D
( F o r

R E G I S T E R E D notes— u s e

Denomi­
nation

ieces
$

o n ly

$-

Dispose of securities issued, as follow s:

re v e rs e

s id e )

(Leave this space blank)

Face amount

$.

1,000

□
□
□
□
□

1,
2.
3.
4.
5.

Deliver over the counter to the undersigned
H old in safekeeping (fo r member bank on ly )*
H old as collateral for Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000
10,000

* If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

100,000
1,000,000

(IM PO R TA N T: No changes in delivery instructions will
be accepted.)

TO TAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to
Federal Reserve Bank of New York,

Submitted by

( Please print)

By .

By
(Authorized signature(s) required)

Title

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

Title

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

Fiscal Agent of the United States.
A d d ress.........................................................................................................

(Spaces below are for the use o f the Federal Reserve Bank o f New York)
G o v e r n m e n t B ond D iv is io n

Received

S a f e k e e p in g D iv is io n

Checked

Cancelled
Checked .
Delivered

Deliver against payment of $.............................................
D E LIV E R Y RECEIPT

Received from Federal R eserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount
indicated above.

Date.for FRASER
Digitized


Subscriber................................................................................. By.

Schedule for Issue of Registered Notes
Name in which notes 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)

Ident No

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

\d dress

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

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

$1,000

$5,000

$10,000

$100,000

$1,000,000

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




M ail registered notes to

6

ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION

Subscription

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

(p ar amount) o f—

UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1966
DATED NOVEMBER 15, 1964, DUE MAY 15, 1966

Allotm ent

.......................... $
D I S P O S I T I O N
Over Counter
DEPOSIT

Check or cash .....................................................................................................

$.

Treasury Notes Series C-1964 ...................................................................

$.

Treasury Notes Series F -1 9 6 4 .....................................................................

$.

Excess amount Treasury Notes Series C-1964 to be redeem ed....

$.

Excess amount Treasury Notes Series F-1964 to be redeem ed....

$.

Excess cash payment to be refunded ......................................................

$.

Balance due Treasury.....................................................................................

$.

Safekeeping

T. T. & L.

Ship

Special Instructions
PA Y M E N T

Check or cash .....................................................................................................

$.

Treasury Notes Series C-1964 ...................................................................

$.

Treasury Notes Series F-1964 ......................................................................

$.

Reserve account .................................................................................................

$-

Balance

$-

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




ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT

Subscription

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

$

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1966
DATED NOVEMBER 15, 1964, DUE MAY 15, 1966




Allotment

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

8
ALLOTMENT NOTICE FOR SECURITY FILES

Subscription

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

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1966
DATED NOVEMBER 15, 1964, DUE MAY 15, 1966

Allotment




$