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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States

rCircular No. 5 6 1 1 1
L January 29, 1965 J

CASH OFFERING
4 Percent Treasury Notes of Series E-1966

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

The subscription books will be open Monday, February 1, for one day only, for a Treasury
offering, at 99.85, of 4 percent Treasury Notes of Series E-1966, dated February 15, 1965,
maturing November 15, 1966, in the amount of $2.17 billion, or thereabouts.
Subscriptions will be subject to allotment. Payment must be made by February 15, in
cash, or in 2% percent Treasury Bonds of 1965, maturing February 15, 1965. Payment cannot

be made by credit to Treasury Tax and Loan Accounts.
The terms of the offering are set forth in Treasury Department Circular No. 1-65, 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. On subscriptions for account o f customers
other than individuals, their location (City and State) must also be furnished. On subscriptions

for account of customers of correspondent banks, the names of such customers, and if not
individuals, their locations, must be furnished. Others than commercial banks 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 allotment 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
for 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.— A subscription by or for account of any State,
political subdivision or instrumentality thereof, public pension and retirement and other public
fund, international organization in which the United States holds membership, foreign central
bank, foreign State, Government Investment Account, or Federal Reserve Bank will be allotted
in full if accompanied by a certification that at 4 p.m., Eastern Standard time, January 27,1965,
it owned or had contracted to purchase for value maturing bonds in an amount equal to or
greater than the amount of its subscription, and that such bonds will be submitted in payment




fo r its subscription. I f any subscription is entered by or for account of such subscriber without
a certification or in an amount larger than the amount of bonds so owned or contracted for, then
all subscriptions by or for account of such subscriber, including any accompanied by a certi­
fication, will be allotted on the basis of the publicly announced allotment. Copies of a certifi­
cation form are enclosed for all commercial banks and for other addressees on those of our
mailing lists that contain the names of such subscribers.
Subscriptions will be received by this Bank as fiscal agent of 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, February 1.
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 E-1966
Dated and bearing interest from February 15, 1965

Due November 15, 1966

TREASU RY DEPARTM ENT,
departm ent

c ir c u l a r

Public Debt Series — No. 1-65

I.

OFFERING OF NOTES

1.
The Secretary of the Treasury, pursuant to
the authority of the Second Liberty Bond Act, as
amended, offers $2,170,000,000, or thereabouts, of
notes of the United States, designated 4 percent
Treasury Notes of Series E-1966, at 99.85 percent of
their face value and accrued interest. The 2% per­
cent Treasury Bonds of 1965, maturing February 15,
1965, will be accepted at par in payment or exchange,
in whole or in part, to the extent subscriptions are
allotted by the Treasury. The books will be open
only on February 1, 1965, for the receipt of sub­
scriptions.
II.

DESCRIPTION OF NOTES

1.
The notes will be dated February 15, 1965, and
will bear interest from that date at the rate of 4 per­
cent per annum, payable on a semiannual basis on




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

IFfls/wWjffOW, January 28, 1965.
May 15 and November 15, 1965, and on May 15 and
November 15, 1966. They will mature November 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
of 1954. The notes are subject to estate, inheritance,
gift or other excise taxes, whether Federal or State,
but are exempt from all taxation now or hereafter
imposed on the principal or interest thereof by any
State, or any of the possessions of the United States,
or by any local taxing authority.
3. The notes will be acceptable to secure deposits
of public moneys. They will not be acceptable in pay­
ment of taxes.
4. Bearer notes with interest coupons attached,
and notes registered as to principal and interest, will
be issued in denominations of $1,000, $5,000, $10,000,

$100,000, $1,000,000, $100,000,000 and $500,000,000.
Provision will be made for the interchange of notes of
different denominations and of coupon and registered
notes, and for the transfer of registered notes, under
rules and regulations prescribed by the Secretary of
the Treasury.
5. The notes will be subject to the general regula­
tions of the Treasury Department, now or hereafter
prescribed, governing United States notes.

III.

SUBSCRIPTION AND ALLOTMENT

1. Subscriptions accepting the offer made by this
circular 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. Only
the Federal Reserve Banks and the Treasury Depart­
ment are authorized to act as official agencies. Com­
mercial banks, which for this purpose are defined as
banks accepting demand deposits, may submit sub­
scriptions for account of customers provided the
names of the customers are set forth in such sub­
scriptions. Others than commercial banks will not be
permitted to enter subscriptions except for their own
account. Subscriptions from commercial banks for
their own account will be restricted in each case to
an amount not exceeding 50 percent of the combined
capital (not including capital notes or debentures),
surplus and undivided profits of the subscribing bank.
Subscriptions will be received without deposit from
banking institutions for their own account, Federallyinsured savings and loan associations, States, political
subdivisions or instrumentalities thereof, public pen­
sion and retirement and other public funds, interna­
tional organizations in which the United States holds
membership, foreign central banks and foreign States,
dealers who make primary markets in Government
securities and report daily to the Federal Reserve
Bank of New York their positions with respect to
Government securities and borrowings thereon, Fed­
eral Reserve Banks and Government Investment A c­
counts. Subscriptions from all others must be ac­
companied by payment (in cash or in Treasury Bonds
of 1965, maturing February 15, 1965, which will be
accepted at par) of 2 percent of the amount of notes
applied for, not subject to withdrawal until after al­
lotment. Registered bonds submitted as deposits
should be assigned as provided in Section V hereof.
Following allotment, any portion of the 2 percent
payment in excess of 2 percent of the amount of
notes allotted may be released upon the request of the
subscribers.
2. All 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
individual’s social security number or an employer
identification number.
3. All subscribers are required to agree not to
purchase or to sell, or to make any agreements with
respect to the purchase or sale or other disposition




of any notes of this issue at a specific rate or price,
until after midnight February 1, 1965.
4. Commercial banks in submitting subscriptions
will be required to certify that they have no beneficial
interest in any of the subscriptions they enter for
the account of their customers, and that their cus­
tomers have no beneficial interest in the banks’ sub­
scriptions for their own account.
5. Under the Second Liberty Bond Act, as
amended, the Secretary of the Treasury has the
authority to reject or reduce any subscription, to allot
less than the amount of notes applied for, and to
make different percentage allotments to various
classes of subscribers when he deems it to be in the
public interest; and any action he may take in these
respects shall be final. Subject to the exercise of that
authority, subscriptions will be allotted (1) in f ull
for any State, political subdivision or instrumentality
thereof, public pension and retirement and other
public fund, international organization in which the
United States holds membership, foreign central bank
and foreign State, Federal Reserve Bank, or Govern­
ment Investment Account that certifies in writing
that at 4 p.m., Eastern Standard time, January 27,
1965, it owned or had contracted to purchase for
value 2% percent Treasury Bonds of 1965 in an
amount equal to or greater than the amount of its
subscription (if the certification is not made, none
of such subscriber’s subscription shall be subject to
a preferred full allotment) and (2) for all others as
publicly announced. Allotment notices will be sent
out promptly upon allotment.

IV.

PAYMENT

1. Payment at 99.85 percent of their face value
and accrued interest, if any, for notes allotted here­
under must be made or completed on or before Feb­
ruary 15, 1965, or on later allotment. Payment will
not be deemed to have been completed where regis­
tered notes are requested if the appropriate indentifying number, as required by paragraph 2 of Section
III hereof, has not been furnished; provided, how­
ever, 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. In every case
where full payment is not completed, the payment
with application up to 2 percent of the amount of
notes allotted shall, upon declaration made by the
Secretary of the Treasury in his discretion, be for­
feited to the United States. Payment may be made
for any notes allotted hereunder in cash or by ex­
change of 2% percent Treasury Bonds of 1965, which
will be accepted at par. A cash adjustment will be
made for the difference ($1.50 per $1,000) between
the par value of maturing bonds accepted in exchange
and the issue price of the notes. The payment will be
made in the case of bearer bonds following their ac­
ceptance and in the ease of registered bonds follow-

mg discharge of registration. In the case of registered
bonds, the payment will be made by check drawn in
accordance with the assignments on the bonds sur­
rendered or by credit in any account maintained by
a banking institution with the Federal Reserve Bank
of its District. Where payment is made with bonds
in bearer form, coupons dated February 15, 1965,
should be detached and cashed when due. In the case
of registered bonds, the final interest due on February
15, 1965, will be paid by issue of interest checks in
regular course to holders of record on January 15,
1965, the date the transfer books closed.
V.

ASSIGNMENT OF REGISTERED BONDS

1.
Treasury Bonds of 1965 in registered form
tendered as deposits and in payment for notes allotted
hereunder should be assigned by the registered payees
or assignees thereof, in accordance with the general
regulations of the Treasury Department, in one of
the forms hereafter set forth. Bonds tendered in pay­
ment should be surrendered to a Federal Reserve
Bank or Branch or to the Office of the Treasurer of
the United States, Washington, D. C. 20220. The
bonds must be delivered at the expense and risk of
the holder. I f the notes are desired registered in the
same name as the bonds surrendered, the assignment
should be to “ The Secretary of the Treasury for 4
percent Treasury Notes of Series E-1966” ; if the notes




are desired registered in another name, the assign­
ment should be to “ The Secretary of the Treasury
for 4 percent Treasury Notes of Series E-1966 in the
name o f ...................................... ’ ’ ; if notes in coupon
form are desired, the assignment should be to “ The
Secretary of the Treasury for 4 percent Treasury
Notes of Series E-1966 in coupon form to be delivered

VI.

GENERAL PROVISIONS

1. As fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to
receive subscriptions, to make such allotments as may
be prescribed by the Secretary of the Treasury, to
issue such notices as may be necessary, to receive
payment for and make delivery of notes on full-paid
subscriptions allotted, and they may issue interim
receipts pending delivery of the definitive notes.
2. The Secretary of the Treasury may at any time,
or from time to time, prescribe supplemental or
amendatory rules and regulations governing the offer­
ing, which will be communicated promptly to the
Federal Reserve Banks.

DOUGLAS DILLON,
Secretary of the Treasury.

FORM N -l

(Please type or print legibly)

Subscriber’s Eeference No.

Subscription N o.

SUBSCRIPTION— SUBJECT TO ALLOTMENT
For United States of America 4 Percent Treasury Notes of Series E-1966
Dated February 15, 1965, Due November 15, 1966
IM PO R TAN T INSTRUCTIONS
Paym ent. Payment at 99.85 for the notes to be allotted hereunder may be made in cash, or by exchange o f 2 % %
Treasury Bonds of 1965, maturing February 15, 1965. Coupons dated February 15, 1965 should be d etach ed from
the maturing bonds in bearer form and cashed when due. Paym ent fo r the n ew n otes cannot be m ade by credit
through T reasury T ax and Loan A ccou n t.
D eposit. Subscriptions from banking institutions for their own account and from certain others as specified in
Section III of Treasury Department Circular No. 1-65, Public Debt Series, will be received without deposit. Subscrip­
tions from all others must be accom panied by payment (in cash or in maturing securities) of not less than 2 % of the
amount o f notes applied for, except that com m ercial banks subscribing for account of customers are urged to retain
their customers’ deposits until after allotment. Checks accom panying the subscriptions should be made payable to the
Federal Reserve Bank o f New York.
Subscription am ounts. Am ount o f notes applied for must be in multiples o f $1,000.

The subscription books will be open only on February 1
(or the receipt of subscriptions.
Dated at ......................................................

F ederal R eserve B a n k of N e w Y o r k ,

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

................................................................1965

Attention :

Government Bond Division

G entlem en :

Pursuant to the provisions of Treasury Department Circular No. 1-65, Public Debt Series, dated
January 28, 1965, the undersigned hereby subscribes at 99.85 for United States of America 4 percent
Treasury Notes of Series E-1966, as follow s:
For own a c c o u n t...........................................................................................................

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

For our customers, shown on reverse side (for use of commercial banks) . . . .

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

Total su bscription..................................................

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

(If securities are submitted with this subscription, the securities should be accom panied 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 of one of the investor classes listed
below, a check in the appropriate box should be indicated. A subscription from or for account of
such member will receive full allotment only if accompanied by a written certification that at 4 p.m.,
Eastern Standard time, January 27, 1965, it owned or had contracted to purchase for value, an equal or
greater amount of 2% percent Treasury Bonds of 1965, and that such securities will be submitted in
payment for its subscription. 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 of 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 of such payments
to any of such customers; that we have no beneficial interest in the applications of such customers, and
that none of our customers has any beneficial interest in the amount subscribed for 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
of any notes of this issue at a specific rate or price, until after midnight, February 1, 1965.
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 50 percent of 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 for their
own account and for the account of their customers have been entered with us under the same conditions,
agreements, and certifications as set forth in this subscription form.

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 of any notes of this issue at a specific rate or price until after midnight,
February 1, 1965.
TO SUBSCRIBER:
Mark (X ) in proper space
to indicate if this is :

(Fill in all required spaces before signing)

----------------

(Name of subscriber— Please print or typewrite)

Original su bscrip tion .......... □
By

(Official signature)

Confirmation of a telegram . □
Confirmation of a letter . . . . □

(Title)

Address

(D o not write in space below )

Deposit received by .............................................................. Allotment
Figured _____________ Advised

(If acknowledgm ent o f this subscription is desired, com plete this stub)

Receipt is acknowledged of your subscription for $ ......................................... of 4% Treasury Notes of
Series E-1966, dated February 15, 1965, maturing November 15, 1966.
For use of Federal Reserve Bank

Time Stamp

To........................................................




(Name)

(A d d r e s s )

(F or use of commercial bank subscribers only)

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

Leave
blank

Name and location (City and State) of ultimate purchaser
(Location of individuals not required)

Amount Subscribed

Leave blank

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




FORM N-2 (Submit in triplicate)

Subscriber’ s Reference N o.

Subscription N o.

Securities Accompanying Subscription
For United States of America 4 Percent Treasury Notes of Series E-1966
Dated February 15, 1965, Due November 15, 1966
F

R eserve B a n k

ederal

of

New Y

ork,

Dated at

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

................................................................1965

Gentlem en :

Referring to subscription entered in the amount of $................................................ for United States of
America 4 percent Treasury Notes of Series E-1966, the undersigned delivers the following securities
herewith:
Face amount

2% percent Treasury Bonds of 1965 (detach coupons) ..........................

(D o not fill in boxes below )
Governm ent B

ond

D

Submitted by

iv i s io n

Address
Received
Checked
Cancelled
CONTROL COPY




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

Su bscriber’ s Reference N o.

Subscription No.

Securities Accompanying Subscription
For United States of America 4 Percent Treasury Notes of Series E-1966
Dated February 15, 1965, Due November 15, 1966
F

ederal

R eserve B a n k

of

New Y

ork,

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

n

,

uatea a t ......................................................
n _
................................................................ 1965

Gentlem en :

Referring to subscription entered in the amount of $................................................ for United States of
America 4 percent Treasury Notes of Series E-1966, the undersigned delivers the following securities
herewith:
Face amount

2% percent Treasury Bonds of 1965 (detach coupons) ..........................

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

Submitted by .................................................... .....................................................
Address ........... .............. ....... ..................................................................................

SECURITY RECORDS “ IN T IC K E T ”




Subscription N o.

S u bscriber’ s R eference N o.

NONNEGOTIABLE RECEIPT
To Subscriber:
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 , Fiscal Agent of the United States, hereby acknowledges receipt of
securities deposited in the amount indicated below with subscription numbered as above in exchange for

F

4 PERCENT TREASU RY NOTES OF SERIES E-1966
Securities allotted on this subscription will be delivered on ^ ^ M M x x M x x M M x x x x x x M x x x x x x x x x
February 15, 1965, in accordance with your instructions. X X X X X X X X X X X X X X X X X X X X X X X X X

.................................................................................................................
. Teller
.
.

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXYXXXYYYVVXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Government Bond Division— Issues & Redemption Section

To

Face amount

F ederal R eser ve B a n k of N e w Y o r k ,

Fiscal Agent of the United States
(Date)

2 % % Treasury Bonds of 1965

$

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

whose signature appears below,

Submitted by
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.

(Submit with subscription)
Certification by States, Political Subdivisions or Instrumentalities Thereof,
Public Pension and Retirement and Other Public Funds, International Organi­
zations in Which the United States Holds Membership, Foreign Central
Banks, Foreign States, Federal Reserve Banks, or Government Investment
Accounts, Pursuant to Section III, Treasury Department Circular No. 1-65,
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.)

................................................, 1965

To the Federal Reserve Bank of New Y ork:

The undersigned hereby certifies that the total amount of its
subscription fo r 4 percent Treasury Notes of Series E-1966 offered
pursuant to Treasury Department Circular No. 1-65, Public Debt
Series, is $................................................

The undersigned further cer­

tifies that at 4 p.m., Eastern Standard time, January 27, 1965, it owned
or had contracted to purchase for value an equal or greater amount
of 2% percent Treasury Bonds of 1965, and that such securities will
be submitted in payment for its subscription.




(N am e of organization)

B y...........
(Official signature)

(Title)

(A commercial bank executing this certificate should sign below)

(Name of bank)

B y............................................................. , ................................
(Official signature)

for above-named organization.

(Title)

1
FEDERAL RESERVE BANK
OF N E W Y O R K
FISC A L AGENT

OF TH E UN ITED

Subscription Number

STATES

NOTICE OF ALLOTMENT
For United States of America 4 percent Treasury Notes of Series E-1966

To Subscriber:

On your subscription, numbered as above, for $

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 PERCEN T T R E A S U R Y N OTES OF SERIES E-1966
D A T E D FEB RU A RY 15, 1965, DUE NO VEM BER 15, 1966

which you filed pursuant to the provisions of Treasury Department Circular No. 1-65, Public Debt Series, dated January 28,
1965, the Secretary of the Treasury has allotted notes to you in the amount of—

$
I m p o r ta n t
1. To expedite delivery of the notes allotted to you and to facilitate prompt completion of 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 York, N. Y.
10045.
Payment
2. Payment at 99.85 for notes allotted must be made on or before February 15, 1965, as follows:
By

Check— The check should be made payable to the order of the FEDERAL RESERVE BANK OF NEW YO RK, 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.

By

Cash— Payment

By

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.

By

Maturing Securities—

may be made in cash.

Payment may be made by exchange of 2% percent Treasury Bonds of 3 965.
should be detached from the bonds and cashed in regular course.

The coupons due February 15, 1965

Delivery
3. (a) Delivery of the notes allotted will be made by the Federal Reserve Bank of New York at its Head Office in
New York City, and will not be made before February 15, 1965.
(b) The notes allotted may be received over the counter by a representative of the subscriber, provided the repre­
sentative presents a letter of authority identifying him and signed officially by the subscriber.
Safekeeping
4. Notes allotted to member banks for their own account may be left with this Bank for safekeeping pursuant to
the terms of our Operating Circular No. 14.
F

Checked by




R eserve B a n k o f N e w Y
Fiscal Agent of the United States.

eder al

ork,

Subscription Number

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

LETTER OF INSTRUCTIONS
To

F ederal R eserve B a n k

op

New

Y ork,

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

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated a t ......................................................
...... .............. ........................................1965

On our subscription, numbered as above, for $

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 PERCEN T TR E A S U R Y NOTES OF SERIES E-1966
D A T E D FE B R U A R Y 15, 1965, DUE NO VEM BER 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 1-65, Public Debt Series, dated January 28,
1965, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—

$
and, as requested, we send you the following instructions:
Payment of $..................................... (par amount allotted less discount of $1.50 per $1,000) for the notes allotted will
be made, as follow s:
Deposit has been made—
By check or c a s h .....................................................................................................

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

By maturing 2% % Treasury Bonds of 1965 (par a m ou n t)......................

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

Balance due, if any—
□ By charge to our reserve account, which you are authorized to make

□

By check

□

By cash

By maturing 2 % % Treasury Bonds of 1965 (par amount) :
Delivered to you herewith ...............................................................................

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

To be withdrawn from safekeeping with y o u ..............................................

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

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

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

Total ................................ •...............................................................................

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

If payment for the notes allotted is by maturing securities, pay the discount of $1.50 per $1,000 on the issue price of
the new securities, as follows:
□ By check
□ By credit to our reserve account
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 Redemption of Bearer Securities).
Excess amount of maturing securities to be redeem ed........................................
(use Form G.B.311)
B E ARE R NOTES DESIRED
(For REGISTERED notes— use only reverse side)
Denomi­
nation

$

Dispose of securities issued, as follows:

(Leave this space blank)

race amount

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

1,000

□ 1. Deliver over the counter to the undersigned
□ 2. Hold in safekeeping (for member bank only)*
□ 3. Hold as collateral for Treasury Tax and Loan Account*
□ 4. Ship to the undersigned
□ 5. Special instructions:

5,000
10,000
100,000

* If this item is checked, the undersigned certifies that the
allotted notes w ill be ow ned solely by the undersigned.

1,000,000

(IM P O R T A N T :
be a ccep ted .)

TO TAL

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

No changes in delivery instructions will

Submitted by
( i ’ iease print)

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

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

Title

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

(S p aces below are fo r the use o f the Federal Reserve Bank o f New Y o rk )
Governm ent B

ond

D iv i s io n

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

Received

Checked

| Cancelled

Payment received .......................

Checked .

Deliver against payment of $.

Delivered
D E L IV E R Y RECETPT

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

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

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

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

$1,000

$5,000

$10,000

$100,000

$1,000,000

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

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

Ident N o..............................................................................
Address.........................................................................................

Ident. 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.)




Mail registered notes to

Subscription. Number

(D U PLIC A TE FOR USE OF F E D E R A L RESE RVE BANK OF NEW YO RK )

BLOTTER RECORD— GOVERNMENT BOND DIVISION
To

F e d er al R eserve B a n k

of

New Y

ork,

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

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated a t ......................................................
............................................................... 1965

On our subscription, numbered as above, for $

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 PERCEN T T R E A S U R Y NO TES OF SERIES E-1966
D A T E D FE B R U A R Y 15, 1965, DUE NO VEM BER 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 1-65, Public Debt Series, dated January 28,
1965, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—

and, as requested, we send you the following instructions:
Payment of $..................................... (par amount allotted less discount of $1.50 per $1,000) for the notes allotted will
be made, as follow s:
Deposit has been made—
By check or c a s h ..................................................................................................... .$........................................
By maturing 2 % % Treasury Bonds of 1965 (par a m ou n t)...................... .$........................................
Balance due, if any—
□ By charge to our reserve account, which you are authorized to make

□

By check

□

By cash

By maturing 2% % Treasury Bonds of 1965 (par amount) :
Delivered to you herewith ................................................................................$........................................
To be withdrawn from safekeeping with y o u .............................................. .$........................................
To be delivered by ............................................................................................. .$........................................
Total .................................................................................................................

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

If payment for the notes allotted is by maturing securities, pay the discount of $1.50 per $1,000 on the issue price of
the new securities, as follows:
□ By check
□ By credit to our reserve account
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 Redemption of Bearer Securities).
<
<

Excess amount of maturing securities to be redeem ed........................................
(use Form G.B.311)
BEARER NOTES DESIRED
(For REGISTERED notes— use only reverse side)
Denomi­
nation

$

Dispose of securities issued, as follows:

(Leave this space blank)

Face amount

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

1,000

□ 1. Deliver over the counter to the undersigned
□ 2. Hold in safekeeping (for member bank only)*
□ 3. Hold as collateral for Treasury Tax and Loan Account*
□ 4. Ship to the undersigned
□ 5. Special instructions:

5,000
10,000
i OOjOOO

* If this item is check ed, the undersigned certifies that the
allotted notes w ill be ow ned solely by the undersigned.

1,000,000

(IM P O R T A N T :
be a ccep ted .)

TO TAL

be signed
jfficiaily in the space provided arid re­
am ed immediately to
This letter o f instructions must

Federal Reserve Bank of New York,

No changes in delivery instructions w ill

Submitted by
(.Please print)

............. > B y..........

By

(Authorized signature(s) required)

Title

Title

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

(S p aces below are for the use o f the Federal Reserve Bank o f New Y o rk )
G o v e r n m e n t B o n d D iv is io n

S a f e k e e p in g

Received

Checked

| Cancelled

Pavment received ...................................................................
Deliver against payment of $.............................................

D iv is io n

Checked .

1

Delivered

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

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.......................................................................................
A ddress................. ......................................................................
E

AD*

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

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

Ident. 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.)




Mail registered notes to

4
(T R IP L IC A T E F O R U S E 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 ed eral R eserve B a n k

N ew

of

Y ork,

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

, _,
Attention: Government Bond Division— 2nd h loor

From (Name and address of Subscriber)

Dated at ......................................................
............................................................... 1965

On our subscription, numbered as above, for $

(par amount) of

UNITED S T A T E S OF A M E R IC A 4 PERCEN T T R E A S U R Y NOTES OF SERIES E-1966
D A T E D FEB RU A RY 15, 1965, DUE NO VEM EER 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 1-65, Public Debt Series, dated January 28,
1965, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—

and, as requested, we send you the following instructions:
Payment of $..................................... (par amount allotted less discount of $1.50 per $1,000) for the notes allotted will
be made, as follow s:
Deposit has been made—
By check or c a s h ..................................................................................................... $.....................................
By maturing 2 % % Treasury Bonds of 1965 (par a m ou n t)......................

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

Balance due, if any—
□ By charge to our reserve account, which you are authorized to make □

By check

□

By cash

By maturing 2 % % Treasury Bonds of 1965 (par amount) :
Delivered to you herewith ...............................................................................

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

To be withdrawn from safekeeping with y o u ..............................................

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

To be delivered by .............................................................................................

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

Total .................................................................................................................

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

If payment for the notes allotted is by maturing securities, pay the discount of $1.50 per $1,000 on the issue price of
the new securities, as follows:
□ By check
□ By credit to our reserve account
If 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 Redemption of Bearer Securities).
$.....................................

Excess amount of maturing securities to be redeem ed........................................
(use Form G.B.311)

Dispose of securities issued, as follows:

B EARER N O T E S D E S IR E D
(For R E G IS T E R E D notes— use only reverse side )

eces

Denom i­
nation

$

(Leave

Face amount

1,000

this space blank)

•

□
□
□
□
□

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
Hold in safekeeping (for member bank only)*
Hold as collateral for Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000
10,000
100,000

i

1,000,000

I

* If this item is checked, the undersigned certifies that the
allotted notes w ill be ow ned solely by the undersigned.
(IM P O R T A N T :
be a ccep ted .)

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 b y .........................................
^

No changes m delivery instructions will

( Picase print)

By

(Authorized signature(s) required)

T it le ...............................................................................

Title

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

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

(Sp aces below are fo r the use o f the Federal Reserve Bank o f New Y o rk )
G o v e r n m e n t B o n d D iv is io n

S a f e k e e p in g

Received
Payment received ....................................................................

Checked

D iv is io n

| Cancelled

1

Deliver against payment of $.............................................

Checked .
Delivered

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.
D a te ....................................................S u bscriber.......................................................................................B y ...............................................................................




: )•

'

' • - / v* r- - .

.

*• r e*

f

h
'X
'

■

..

.

■■ H

'■.

i/

}] f'i /['-]

.

: ;: ;

VI /. ’ :

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)

Tdent No

.....

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

$1,000

$5,000

$10,000

$100,000

$1,000,000

....___ ... ................ .......................... ..........

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

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

Ident. 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

Subscription Number

(Q U A D R U P L IC A T E F O R U S E OP 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 )

DELIVERY
To

F

ederal

R eserve B a n k

op

N ew Y

TICKET— SAFEKEEPING DIVISION

ork,

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

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated at .............................................................
............................................................... 1965

On our subscription, numbered as above, for $

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 PERCENT TR E A SU R Y NOTES OF SERIES E-1966
D A T E D FEB RU A RY 15, 1965, DUE NOVEM BER 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 1-65, Public Debt Series, dated January 28,
1965, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—

and, as requested, we send you the following instructions:
Payment of $..................................... (par amount allotted less discount of $1.50per $1,000) for the notes allotted will
be made, as follow s:
Deposit has been made—
By check or c a s h .....................................................................................................

$

By maturing 2 % % Treasury Bonds of 1965 (par a m ou n t)......................

$

Balance due, if any—
□ By charge to our reserve account, which you are authorized to make

□

By check

□

By maturing 2% % Treasury Bonds of 1965 (par amount) :
Delivered to you herewith ...............................................................................

$

To be withdrawn from safekeeping with y o u ..............................................

$

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

$

Total .................................................................................................................

$

By cash

If payment for the notes allotted is bj' maturing securities, pay the discount of $1.50 per $1,000 on the issue price of
the new securities, as follows:
□

By check

□

By credit to our reserve account

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 Redemption of Bearer Securities).
$.....................................

Excess amount o f maturing securities to be redeem ed........................................
(use Form G.B.311)
B E ARE R NOTES DESIRED
(For REGISTERED notes— use only reverse side)
Denomi­
nation

jces
$

Face amount

Dispose of securities issued, as follows:

(Leave this space blank)

1,000

□
□
□
□
□

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
Hold in safekeeping (for member bank only)*
Hold as collateral for Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000
10,000
] 00,000

* If this item is checked, the undersigned certifies that the
allotted notes w ill be ow ned solely by the undersigned.

1,000,000

!

TO TAL

1

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

(IM P O R T A N T :
be a cce p te d .)

No changes in delivery instructions will

Submitted by
(I')taie print)

By •

By
(Authorized signature(s) required)

Title

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

Title

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

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

(S p aces below are fo r the use o f the Federal R eserve Bank o f New Y ork )
G o v e r n m e n t B o n d D iv is io n

S a f e k e e p in g

Received

Checked

D iv is io n

Cancelled

Payment received ...................................................................

Checked .

Deliver against payment of $........................

Delivered
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.
D a te ....................................................S u bscriber.......................................................................................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. N o........ ............... ................................................... ..........
Address..................... ....................................................................

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

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

(I f registered notes, which are mailed directly by Treasury Department, Washington, D. 0., are not to be sent to the registered
owner, give mailing instructions below.)




M ail registered notes to

ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION

Subscription

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

(par amount) of-

UNITED S T A T E S OF A M E R IC A 4 PERCEN T T R E A S U R Y NOTES OF SERIES E-1966
D A T E D FEB RU A RY 15, 1965, DUE NO VEM BER 15, 1966

Allotment
D I S P O S I T I O N
Over Counter
DEPOSIT

Cheek or Cash
Safekeeping
2 % % Treasury Bonds of 1965 .............................................................

Excess amount 2 % % Treasury Bonds of 1965 to be redeemed.
T. T .& L .
Excess cash payment to be refunded

Balance due Treasury
Ship
PAYM ENT

Check or Cash
Special Instructions
2 % % Treasury Bonds of 1965

Reserve account

Balance

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




$-

7

ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT

Subscription

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

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 PERCEN T T R E A S U R Y NOTES OF SERIES E-1966
D A T E D FE B RU A RY 15, 1965, DUE NO VEM BER 15, 1966

Allotment




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

8
ALLOTMENT NOTICE FOR SECURITY FILES

Subscription

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

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 PERCEN T T R E A S U R Y NOTES OF SERIES E-1966
D A T E D F E B R U A R Y 15, 1965, DUE NOVEM BER 15, 1966




Allotment

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