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FEDERAL RESERVE BANK OF NEW YORK Fiscal Agent of the United States r Circular No. 5845 1 July 29, 1966 J I R efunding o f Treasury Certificates, Notes, and Bonds Maturing August 15 and Novem ber 15, 1966 To All Banking Institutions, and Others Concerned, in the Second Federal Reserve D istrict: The subscription books will be open Monday, August 1, through Wednesday, August 3, for an offering of— 5!/4 percent Treasury Certificates o f Indebtedness o f Series A-1967, dated August 15, 1966, maturing August 15, 1967, and 5% percent Treasury Notes o f Series A-1971, dated August 15, 1966, maturing May 15, 1971, in exchange for the eligible series of Treasury certificates, notes, and bonds maturing August 15 and November 15, 1966, as set forth in Treasury Department Circulars Nos. 5-66 and 6-66, Public Debt Series, both dated July 28, 1966; a copy of each is printed on the following pages. Any gain or loss on this exchange will be fully recognized under the Internal Revenue Code. Holders of the securities maturing November 15 may exchange them only for the new notes. Coupons dated August 15, 1966 on the securities maturing on that date should be detached and cashed when due. Coupons dated November 15, 1966 on securities maturing on that date must be attached. Tables 1 and 2 on page 6 show details of interest and other adjustments, and approximate investment yields. Only banking institutions may submit subscriptions for account of customers. On such subscriptions, the customers’ names must be furnished. On subscriptions for account of 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. Subscribers are required to certify that at the time the subscription is entered the securities surrendered were owned and delivery was accepted by the subscriber, or that such securities were contracted for purchase for value by the subscriber for delivery to the sub scriber prior to the closing of the subscription books. Subscriptions will be received by this Bank as fiscal agent of the United States. Subscrip tions should be submitted in triplicate on official subscription forms, copies of which are enclosed, and should be mailed immediately. If filed by telegram or letter, the subscriptions should be confirmed immediately by mail on the forms provided. The subscription books will remain open for three days, August 1 through August 3. Any subscription addressed to a Federal Reserve Bank or Branch or to the Treasury Department and placed in the mail before midnight Wednesday, August 3, w ill be considered timely. Cash subscriptions will not be received. A lfred H ayes, President. UNITED STATES OF AMERICA 5'A PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS OF SERIES A-1967 Dated and bearing interest from August 15, 1966 Due August 15, 1967 DEPARTM ENT CIRCULAR TREASURY DEPARTM ENT, Public Debt Series— No. 5-66 O f f ic e o f t h e S e c r e t a r y , Washington, July 28,1966. I. sions o f the United States, or b y any local taxing authority. O F F E R IN G OF CE R T IF IC A T E S 1. The Secretary o f the Treasury, pursuant to the authority o f the Second Liberty Bond Act, as amended, offers certificates o f indebtedness o f the United States, designated percent Treasury Certificates o f In debtedness o f Series A-1967, at par, in exchange fo r the follow ing securities maturing August 15, 1966, singly or in combinations aggregating $1,000 or mul tiples th e re o f: 3. The certificates will be acceptable to secure de posits o f public moneys. They will not be acceptable in payment o f taxes. 4. Bearer certificates with interest coupons at tached will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000, and $500,000,000. The certificates will not be issued in registered form . 4 percent Treasury Notes of Series A-1966; or 3 percent Treasury Bonds o f 1966. The amount o f this offering amount o f eligible securities The books will be open only A u gu st 3, 1966 for the receipt 5. The certificates will be subject to the general regulations o f the Treasury Department, now or here after prescribed, governing United States certificates. will be limited to the tendered in exchange. on A ugust 1 through o f subscriptions. III. 1. Subscriptions accepting the offer made by this circular will be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f the United States, W ashington, D. C. 20220. Banking in stitutions generally may submit subscriptions for account o f customers,’ but only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. 2. In addition, holders o f the maturing securities are offered the privilege o f exchanging all or any part of them fo r o 1/^ percent Treasury Notes o f Series A-1971, which offering is set forth in Department Circular, Public Debt Series— No. 6-66, issued simul taneously with this circular. II. 2. Under the Second Liberty Bond A ct, as amended, the Secretary o f the Treasury has the authority to reject or reduce any subscription, and to allot less than the amount o f certificates applied for 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 o f that authority, all subscriptions will be allotted in full. D E SC R IP T IO N OF C E R T IF IC A T E S 1. The certificates will be dated August 15,' 1966 and will bear interest from that date at the rate o f 5 1 4 percent per annum, payable semiannually on February 15 and August 15, 1967. They will mature August 15, 1967 and will not be subject to call for redemption prior to maturity. 2. The income derived from the certificates is subject to all taxes imposed under the Internal Revenue Code o f 1954. The certificates are subject to estate, inheritance, 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 o f the posses- S U B SC R IP T IO N A N D A L L O T M E N T IV . PAYM ENT 1. Payment for the face amount o f certificates allotted hereunder must be made on or before August 15, 1966, or on later allotment, and may be made only in a like face amount o f securities o f the two 2 o f the Treasurer o f the United States, Washington, D. C. 20220. The maturing securities must be de livered at the expense and risk o f the holder. issues enumerated in paragraph 1 o f Section I hereof, which should accompany the subscription. W hen pay ment is made with securities in bearer form , coupons dated August 15, 1966 should be detached and cashed when due. W hen payment is made with registered securities, the final interest due on August 15, 1966 will be paid b y issue o f interest checks in regular course to holders o f record on July 15, 1966, the date the transfer books closed. V. V I. 1. As fiscal agents o f the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as may be prescribed by the Secretary o f the Treasury, to issue such notices as may be necessary, and to receive pay ment fo r and make delivery o f certificates on fullpaid subscriptions allotted, and they may issue interim receipts pending delivery o f the definitive certificates. A SS IG N M E N T OF R E G IST E R ED SECU R ITIES 1. Treasury securities in registered form tendered in payment for certificates offered hereunder should be assigned by the registered payees or assignees thereof to “ The Secretary o f the Treasury for ex change for 51/4 percent Treasury Certificates o f In debtedness o f Series A-1967 to be delivered t o ........... ................................................. ” , in accordance with the general regulations o f the Treasury Department gov erning assignments for transfer or exchange, and there after should be surrendered with the subscription to a Federal Reserve Bank or Branch or to the Office G E N E R A L P R O V ISIO N S 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. JOSEPH W . B A R R , A ctin g Secretary o f the Treasury. 3 UNITED STATES OF AMERICA 5*4 PERCENT TREASURY NOTES OF SERIES A-1971 Dated and bearing interest from August 15, 1966 Due May 15, 1971 DEPARTM ENT CIRCULAR TREASU RY DEPARTM ENT, Public Debt Series— No. 6-66 O f f ic e o f t h e S e c r e t a r y , W ashington, July 28,1966. I. of Indebtedness o f Series A-1967, which offering is set forth in Department Circular, Public Debt Series— No. 5-66, issued simultaneously with this circular. O F FE R IN G OF NO TES 1. The Secretary the authority of the amended, offers notes 5 1 4 percent Treasury of the Treasury, pursuant to Second Liberty Bond A ct, as of the United States, designated Notes o f Series A -1 97 1 : II. (1 ) at 100 percent of their face value in exchange for 4 percent Treasury Notes of Series A-1966, dated February 15, 1962, due August 15, 1966; D E SC R IP T IO N OF NO TES 1. The notes will be dated August 15, 1966 and will bear interest from that date at the rate of 5*4 percent per annum, payable on a semiannual basis on November 15, 1966, and thereafter on May 15 and November 15 in each year until the principal amount becomes payable. They will mature May 15, 1971 and will not be subject to call for redemption prior to maturity. (2) at 100 percent of their face value in exchange for 3 percent Treasury Bonds of 1966, dated February 28, 1958, due August 15, 1966, in amounts of $1,000 or multiples th ereof; (3 ) at 100.10 percent of their face value in ex change for 4 % percent Treasury Certificates of Indebtedness of Series A-1966, dated Janu ary 19, 1966, due November 15, 1966; 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code o f 1954. The notes are subject to estate, in heritance, 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 o f the possessions of the United States, or by any local taxing authority. (4 ) at 100.35 percent of their face value in ex change for 4 percent Treasury Notes of Series E-1966, dated February 15, 1965, due Novem ber 15, 1966; or (5 ) at 100.55 percent o f their face value in ex change for 3 % percent Treasury Bonds of 1966, dated March 15, 1961, due November 15, 1966, in amounts o f $1,000 or multiples thereof. 3. The notes will be acceptable to secure deposits of public moneys. They will not be acceptable in payment o f taxes. Interest adjustments as of August 15, 1966, and the cash payments on account of the issue prices o f the new notes, will be made as set forth in Section IV hereof. The amount of this offering will be limited to the amount of eligible securities tendered in exchange. The books will be open only on August 1 through A ugust 3, 1966 for the receipt of subscriptions. 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, will be issued in denominations of $1,0Q0, $5,000, $10,000, $100,000, $1,000,000, $100,000,000, and $500,000,000. Provision will be made for the interchange o f notes of different denominations and of coupon and regis tered notes, and for the transfer o f registered notes, under rules and regulations prescribed by the Secre tary of the Treasury. 2. In addition, holders of the 4 percent Notes of Series A-1966 and the 3 percent Bonds o f 1966 are offered the privilege of exchanging all or any part of such securities for 5*4 percent Treasury Certificates 5. The notes will be subject to the general regula tions o f the Treasury Department, now or hereafter prescribed, governing United States notes. 4 III. ($ 1 0 .0 0 0 0 0 per $ 1 ,0 0 0 ), will be credited, the payment ($3.50 per $1,000) due the United States on account o f the issue price o f the new notes will be charged, and the difference ($6.50000 per $1,000) will be paid to subscribers. SU B SC R IPT IO N A N D A L L O T M E N T 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. Banking institutions generally may submit subscriptions for account o f customers, but only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. 6. 3 % percent bonds of 1966.— Coupons dated November 15, 1966 must be attached to the bonds in bearer form when surrendered. A ccrued interest from May 15, 1966 to August 15, 1966 ($8.43750 per $1,000), will be credited, the payment ($5.50 per $1,000) due the United States on account of the issue price of the new notes will be charged, and the difference ($2.93750 per $1,000) will be paid to subscribers. 2. Under the Second Liberty Bond A ct, as amended, the Secretary of the Treasury has the authority to reject or reduce any subscription, and to allot less than the amount o f notes applied for 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, all sub scriptions will be allotted in full. IV . V. 1. Treasury securities in registered form tendered in payment for notes offered hereunder should be assigned by the registered payees or assignees thereof, in accordance with the general regulations o f the Treasury Department governing assignments for transfer or exchange, in one of the forms hereafter set forth, and thereafter should be surrendered with the subscription to a Federal Reserve Bank or Branch or to the Office o f the Treasurer of the United States, W ashington, D. C. 20220. The securities must be delivered at the expense and risk o f the holder. I f the new notes are desired registered in the same name as the securities surrendered, the assignment should be to “ The Secretary o f the Treasury for exchange for 5*4 percent Treasury Notes o f Series A -1971” ; if the new notes are desired registered in another name, the assignment should be to “ The Secretary of the Treasury for exchange for 5 % percent Treasury Notes o f Series A-1971 in the name o f ....................... .................................... ” ; if new notes in coupon form are desired, the assignment should be to “ The Secre tary o f the Treasury for exchange for 5^4 percent Treasury Notes of Series A-1971 in coupon form to be delivered to .............................................................. PAYM ENT 1. Payment for the face amount o f notes allotted hereunder must be made on or before August 15, 1966, or on later allotment, and may be made only in a like face amount o f securities of the five issues enumerated in paragraph 1 of Section I hereof, which should accompany the subscription. Payment will not be deemed to have been completed where registered notes are requested if the appropriate identifying number as required on tax returns and other docu ments submitted to the Internal Revenue Service (an individual’s social security number or an employer identification number) is not furnished. Cash pay ments due to subscribers (paragraphs 4, 5, and 6 below) will be made by check or by credit in any account maintained by a banking institution with the Federal Reserve Bank o f its District follow ing accep tance o f the securities surrendered. In the case of registered securities the payment will be made in accordance with the assignments thereon. 2. 4 percent notes of Series A-1966.— Coupons dated August 15, 1966 should be detached and cashed when due. V I. G E N E R A L P R O V ISIO N S 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 o f the Treasury, to issue such notices as may be necessary, and 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. 3. 3 percent bonds of 1966.— Coupons dated A u gust 15, 1966 should be detached and cashed when due. 4. 4% percent certificates of Series A-1966.— Cou pons dated November 15, 1966 must be attached to the certificates when surrendered. A ccrued interest from May 15, 1966 to August 15, 1966 ($11.87500 per $ 1 ,0 0 0 ), will be credited, the payment ($ 1 .0 0 per $ 1 ,0 0 0 ) due the United States on account o f the issue price of the new notes will be charged, and the difference ($10.87500 per $1,000) will be paid to subscribers. 2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offering, which will be communicated prom ptly to the Federal Reserve Banks. 5. 4 percent notes of Series E-1966.— Coupons dated November 15, 1966 must be attached to the notes in bearer form when surrendered. A ccrued interest from May 15, 1966 to August 15, 1966 A SS IG N M E N T OF R E G ISTE R ED SECU RITIES JOSEPH W. B A R R , Acting Secretary of the Treasury. 5 TABLE NO. 1 P a y m e n t s d u e to a n d f r o m S u b s c r ib e r s i n t h e A u g u s t 1966 P r e r e f u n d in g (In dollars per $100 face value) Accrued interest to August 1 5 ,1 9 6 6 on securities exchanged to be paid to subscribers Paym ent by subscribers on account o f issue price o f offered securities Securities to be exchanged F or th e 5 1/4 % N o te N et amount to be paid to subscriber 5 /1 5 /7 1 43,4% C o f I, 1 1 /1 5 /6 6 0 .1 0 1.187500 1.087500 4% Note, 0.35 1.000000 0.650000 33/8 % Bond, 1966 0.55 0.843750 0.293750 1 1 /1 5 /6 6 T A B L E NO. 2 I n v e s t m e n t R e t u r n s in t h e A u g u st Securities eligible fo r exchange1 1966 P r e r e f u n d in g Approxim ate investment yield from 8 /1 5 /6 6 to maturity2 Approxim ate reinvestment rate fo r the extension period3 33/8 % Bond, 1 1/1 5/66 5.24% 5.23% 4% Note, 11/15/66 5.23 5.24 4 % % Certificate, 11/15/66 5.24 5.26 1 Not eligible for nontaxable exchange privilege. 2 Yields to nontaxable holders (or before tax) on issues offered in exchange based on prices of eligible issues (adjusted for payments on account of issue price). Prices are the mean of bid and ask quotations at noon on July 26, 1966. 3 Rate for nontaxable holder (or before tax). Office o f the Secretary o f the Treasury Office o f Debt Analysis D ELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION For United States of America 5lA Percent Treasury Notes of Series A-1971 Dated August 15,1966, Due May 15, 1971 B E A R E R N O TE S D E S IR E D IN E X C H A N G E (U se schedule on reverse side for REGISTERED notes) D is D o s e Denomi nation Pieces □ 1 . Deliver over the counter to the undersigned 1,000 □ 2. H old in safekeeping member bank on ly) * 5,000 □ CO $ (Leave this space blanTc) Face amount o f securities issued as fo llo w s : H old as collateral fo r Treas u ry Tax and Loan A ccount* 10,000 100,000 □ 4. Ship to the undersigned □ 5. Special instructions: (fo r 1,000,000 TOTAL *If this item is checked, the subscriber certi fies that the allotted securities will be owned solely by the subscriber. The subscription books will open on August 1, and close at the close of business August 3, 1966. (IM PO R TA N T: No changes in delivery instructions will be accepted. A separate subscription form must be submitted for each group o f securities for which different delivery instruc tions are given.) Submitted by ....................................................................... (Please print) By ............................................. ...........B y ................... (Authorized signature(s) required) T i t l e ........................................................... T i t l e ................... Address ................................................................................... (Spaces below are for the use o f the Federal Reserve Bank o f New Y ork ) S a f e k e e p in g R ecord Received Received from F e d e r a l R e s e r v e B a n k o f N e w Y o r k the above described United States obligations in the amount subscribed for. Subscriber Checked and delivered ........................................................................... 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 Name.................. Ident. N o.................................................... A ddress......................................................... Name......................................................................... Ident. No. Address Name .............................................. ... ................................................. ................................................... Ident. N o.................................................................. Address ........................ Name 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 Subscriber’s Reference No. (Please type or print legibly and submit in triplicate) Subscription N o . N -l EXCHANGE SUBSCRIPTION For United States of America 5% Percent Treasury Notes of Series A-1971 Dated August 15, 1966, Due May 15, 1971 Im portant Instructions. 1. Securities of different issues surrendered in exchange may be listed together on the same subscription form , except that a separate subscription form should be used (a ) for listing bearer securities surrendered, ( b ) for listing registered securities surrendered, and ( c ) for each group o f new securities for which different delivery instructions are given. 2. Separate subscription form s should be used for bearer securities and registered securities desired in exchange. 3. Social Security account numbers or Em ployer Identification numbers of all subscribers fo r reg istered notes must be furnished on the reverse side hereof. 4. Signatures are required on original only; all other filled-in matter should appear in triplicate. Dated at ......................................................... F ed eral R eser ve B a n k of N e w Y o r k , Fiscal A gent o f the United States, New York, N. Y . 10045 Attention : .......................................................................1966 Government Bond Division Gentlem en : Subject to the provisions o f Treasury Department Circular No. 6 - 6 6 , Public Debt Series, dated 'J u ly 28, 1966, the undersigned hereby subscribes fo r United States o f Am erica percent Treasury Notes o f Series A-1971, in the amount o f $ ................................................. * and tenders in payment therefor a like par amount o f the securities— Delivered to you herewith .................................................................................................... $ To be withdrawn from securities held by y o u ................................................................ $ To be delivered by ................................................................................................................. $ * (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) S E C U R IT IE S SU R R E N D E R E D (D o not fill in this colum n) T o Subscriber Total Am ount (i) 3% Bonds, 1966 (detach cou pon s) 4% % 4% ..................................................... C of I, A -1 96 6 (with 1 1 /1 5 /6 6 coupons attached) Notes, E-1966 (with 1 1 /1 5 /6 6 coupons attached) 3% % Bonds, 1966 (with 1 1 /1 5 /6 6 coupons attached) .... xxxxxxxxxxx xxxxxxxxxxx $ (2 ) $ (3 ) $ .............. (4 ) $ .............. (5 ) $ $ P ay net amount due subscriber on price and interest adjustm ents:* □ B y check □ B y credit to reserve account * See Section IV of T. D. Circular No. 6-66, Public Debt Series, for method of computing net adjustment. W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted b y the subscriber, or were contracted for purchase for value by the subscriber fo r delivery to the subscriber prior to the closing o f the subscription books. (Signature(s) required also on Delivery Instructions below) (D o not fill in boxes below ) G o v e r n m e n t B o n d D iv is io n Received Checked Submitted by .................................................................................................. (Please print) Canceled By ................................................................. B y ............................................. (Authorized signature(s) required) Title .......................................................... , T i t le ............................................ Address ......... .................................................................................................... ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) ( Leave this space blank) Name and location (C ity and State) of ultimate purchaser (l) (2 ) 4% Notes 3% Bonds ( Location of individuals not required) A -1966 1966 $ ............ $ ............. (3) 4% % C of I ’s Total A -1966 $ $ Ur O ur own a c c o u n t ........................................................... > T o t a l s ....................................... $ .................. $ .............. $ .............. (4) 4% Notes 3 % % Bonds E-1966 1966 (5 ) $ .............. $ .............. Our own account . . . . ............................................................................. Totals .................................................................................................. $ ............. $ ............ $ ..................... Subscription N o . SECURITY RECORDS “ OUT TICKET” D ELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION For United States of America 5% Percent Treasury Notes of Series A-1971 Dated August 15, 1966, Due May 15, 1971 B E A R E R N O TE S D E S IR E D IN E X C H A N G E ( Use sclicdule on reverse side for REGISTERED notes) Denomi nation Pieces $ Dispose o f securities issued as fo llo w s : □ 1. Deliver over the counter to the undersigned 1,000 □ 2. H old in safekeeping member bank o n ly )* 5,000 □ 3. H old as collateral fo r Treas u ry Tax and Loan A ccount* □ 4. Ship to the undersigned □ 5. Special instructions: Face amount (Lea ve this space blank) 10,000 100,000 1,000,000 TOTAL Submitted by Address (fo r 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 Name............................................... I dent. N o..................................................... A ddress....................................................... Name....................................................................... Ident. N o................................................................. A ddress.................................................................... Name........................................................................ Ident. N o............................................................. Address.................................................................... Name........................................................................ Ident. N o.................................................................. 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 t o ........................................................................................................................................................ DUPLICATE— SECURITY RECORDS “ IN TICKET” Subscriber’ s Reference No. Subscription No N -2 EXCHANGE SUBSCRIPTION For United States of America 5lA Percent Treasury Notes of Series A-1971 Dated August 15, 1966, Due May 15, 1971 Dated at ......................................................... F ed er al 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 Attention : .......................................................................1966 Government Bond Division Gentlem en : Subject to the provisions o f Treasury Department Circular No. 6 - 6 6 , Public Debt Series, dated July 28, 1966, the undersigned hereby subscribes fo r United States o f Am erica 5 % percent Treasury Notes o f Series A-1971, in the amount o f $ ................................................. * and tenders in payment therefor a like par amount of the securities— Delivered to you herewith ............................................................................................ ........ $ To be withdrawn from securities held by y o u ................................................................ $ To be delivered by .................................................................................................................$. * (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) S E C U R IT IE S SU R R E N D E R E D Total Am ount $ (2) $................. (3) $ (1 ) 3% Bonds, 4%% C of 4% 1966 (detach cou pon s) I, A -1 96 6 ..................................................... (with 1 1 /1 5 /6 6 coupons attached) Notes, E-1966 (w ith 1 1 /1 5 /6 6 coupons attached) 3% % Bonds, 1966 (with 1 1 /1 5 /6 6 coupons attached) ... .............. (4 ) $ .............. (5 ) $ (D o not fill in this colum n) T o Subscriber xxxxxxxxxxx xxxxxxxxxxx $ P ay net amount due subscriber on price and interest adjustm ents:* □ B y check □ B y credit to reserve account * See Section IV of T. D. Circular No. 6-66, Public Debt Series, for method of computing net adjustment. W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted b y the subscriber, or were contracted for purchase for value by the subscriber fo r delivery to the subscriber prior to the closing o f the subscription books. Submitted by Address ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) (Leave this space blank) Name and location (C ity and State) o f ultimate purchaser ( Location of individuals not required) (i) (2 ) 4 % Notes A -1 96 6 3 % Bonds 1966 r (3 ) 4% % C o f I ’s A -1966 $ .............. $ .............. $ ............. Total $ Our own a c c o u n t ................................................... T o t a ls ................................................................ $ ................ $ .............. $ .............. (4 ) 4 % Notes E-1966 (5) 3 % % Bonds 1966 $ .............. $ .............. Our own a c c o u n t ........................................................................... Totals ...................................................................................... $ ............. $ ............ $ .................... „ x NONNEGOTIABLE RECEIPT To Subscriber: Subscription N o . F e d e r a l R e s e r v e B a n k o f N e w Y o r k , Fiscal A gent o f the United States, hereby acknowledges receipt o f securities tendered with subscription numbered as above in exchange for 5 1 4 P E R C E N T T R E A S U R Y N O TE S OF S E R IE S A-1971 Securities allotted on this subscription will be delivered on August 15, 1966, in accordance with your instructions. ......................................^titter....................................... Government Bond Division — Issues & Redemption Section B E A R E R N O TE S D E S IR E D IN E X C H A N G E (U se schedule on reverse side for REGISTERED notes) $ □ 1. Deliver over the counter to the undersigned 1,000 □ 2. H old in safekeeping member bank o n ly )* 5,000 CO Pieces DisDose o f securities issued as fo llo w s : □ Denomi nation H old as collateral fo r Treas u ry Tax and Loan A ccount* 10,000 □ 4. Ship to the undersigned □ 5. Special instructions: (Leave this space Manic) Face amount 100,000 (fo r 1,000,000 TOTAL T o F e d e r a l R e s e rv e B a n k o f N e w Y o rk Fiscal A gent of the United States (Date) You are hereby authorized to deliver to Submitted by ................................................................................................................. (Name of representative) whose signature appears below, $ ...................................................... par amount o f securities issued pursuant to this subscription. (Please print) To Subscriber: I f (Official signature required) securities are to be delivered over the authority in the box to the left (Signature of authorized representative) the counter at this Bank to your representative, be executed on the date of delivery. should Schedule for Issue of Registered Notes ( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the registered owner, give mailing instructions below.) M ail registered notes to Subscriber’ s Reference No. T R IP L IC A T E — T R E A S U R Y R E P O R T S C O PY Subscription No. N-3 E XC H A N G E SUBSCRIPTION For United States of America 5/4 Percent Treasury Notes of Series A -1971 Dated August 15, 1966, Due May 15, 1971 Dated at ......................................................... 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 Attention : ...................................................................... 1966 Government Bond Division Gentlem en : Subject to the provisions o f Treasury Department Circular No. 6-66, Public Debt Series, dated July 28, 1966, the undersigned hereby subscribes fo r United States o f Am erica 5 % percent Treasury Notes o f Series A-1971, in the amount o f $ ................................................. * and tenders in payment therefor a like par amount of the securities— Delivered to you herewith ............................................................................................ $.................................. To be withdrawn from securities held by y o u ........................................................ $.................................. To be delivered by ......................................................................................................... $.................................. '(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) S E C U R IT IE S SU R R E N D E R E D Total Am ount 4% Notes, A -1 96 6 (detach coupon s) ................................................... ( 1 ) $ ................................... 3% Bonds, 1966 (detach coupon s) 4% % 4% ..................................................... Bonds, 1966 (with 1 1 /1 5 /6 6 coupons attached) Total XXXXXXXXXXX ( 2 ) $ ................................... XXXXXXXXXXX ... ( 3 ) $ ................................... ................................... .............. ( 4 ) $ ................................... ................................... ............... ( 5 ) $ ................................... ................................... C of I, A -1 96 6 (with 1 1 /1 5 /6 6 coupons attached) Notes, E-1966 (with 1 1 /1 5 /6 6 coupons attached) 3% % (D o not fill in this colum n) T o Subscriber ......................................................................... $ .................................................................................. Pay net amount due subscriber on price and interest adjustm ents:* □ B y check □ B y credit to reserve account * See Section IV of T. D. Circular No. 6-66, Public Debt Series, for method of computing net adjustment. W e H ereb y C e r t ify that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the subscriber, or were contracted for purchase for value by the subscriber fo r delivery to the subscriber prior to the closing o f the subscription books. Submitted by AddreM ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) (Leave this space blank) Name and location (C ity and State) o f ultimate purchaser 4% Notes (2) 3% Bonds ( Location of individuals not required) A -1966 1966 (1 ) $ ............. $ .......... (3 ) 4% % C of I ’s Total A -1966 $ . .. . $ ................................ Our own a c c o u n t ........................................................... T o t a l s .......................................................................... $ ................... $ .............. $ .............. (4) 4% Notes 3 % % Bonds E-1966 1966 (5 ) $ .............. $ .............. Our own a c c o u n t ...................................................................................... Totals .................................................................................................. $ ............ $ ............ $ .................... Subscription N o . D E L IV E R Y INSTRUCTIONS— E XC H A N G E SUBSCRIPTION For United States of America 5lA Percent Treasury Certificates of Indebtedness of Series A-1967 Dated August 15, 1966, Due August 15,1967 C E R T IF IC A T E S D E S IR E D IN E X C H A N G E Dispose o f securities issued as fo llo w s : Denomi nation Pieces $ □ 1. Deliver over the counter to the undersigned 1,000 □ 2. H old in safekeeping member bank o n ly )* 5,000 □ 3. H old as collateral fo r Treas u ry Tax and Loan A ccount* □ 4. Ship to the undersigned □ 5. Special instructions: (Leave this space blank) Face amount 10,000 100,000 (fo r 1,000,000 TOTAL *If this item is checked, the subscriber certi fies that the allotted securities will be owned solely by the subscriber. The subscription books will open on August 1, and close at the close of business August 3, 1966. (IM PO R TA N T: No changes in delivery instructions will be accepted. A separate subscription form must be submitted for each group o f securities for which different delivery instruc tions are given.) Submitted by ....................................................................... (Please print) By ........................................................... , B y ....................... (Authorized signature(s) required) T i t l e ........................................................... T i t l e ................... Address ............................................................................ (Spaces below are for the use o f the Federal Reserve Bank of New Y ork ) S a f e k e e p in g R ecord Received Checked and delivered Received from F e d e r a l R e s e r v e B a n k o f N e w Y o r k the above described United States obligations in the amount subscribed for. Subscriber ............................................. Subscription N o . SECURITY RECORDS “ OUT TICKET” D ELIVER Y INSTRUCTIONS— EXCHANGE SUBSCRIPTION For United States of America SV4, Percent Treasury Certificates of Indebtedness of Series A-1967 Dated August 15, 1966, Due August 15,1967 C E R T IF IC A T E S D E S IR E D IN E X C H A N G E Dispose o f securities issued as fo llo w s : Denomi nation Pieces $ □ 1. Deliver over the counter to the undersigned 1,000 □ 2. H old in safekeeping member bank on ly) * 5,000 □ 3. H old as collateral fo r Treas u ry Tax and Loan A ccount* □ 4. Ship to the undersigned □ 5. Special instructions: Face amount (Lea ve this space blank) 10,000 100,000 1 ,000,000 TOTAL Submitted by Address (fo r Subscriber’ s Reference No. DUPLICATE— SECURITY RECORDS “ IN TICKET” Subscription No. C -2 EXCHANGE SUBSCRIPTION For United States of America 5*/4 Percent Treasury Certificates of Indebtedness of Series A-1967 Dated August 15, 1966, Due August 15,1967 Dated a t .......................................................... F ed eral R eserve B a n k of N e w Y o r k , Fiscal A gent o f the United States, New York, N. Y . 10045 .................................................... ....................1966 A tten tion : Government Bond Division Gentlem en : Subject to the provisions of Treasury Department Circular No. 5-66, Public Debt Series, dated July 28, 1966, the undersigned hereby subscribes, at par, fo r United States o f Am erica 5*4 percent Treasury Certificates o f Indebtedness of Series A-1967, in the amount of $ ......................................................* and tenders in payment therefor a like par amount o f the securities — Delivered to you h e r e w ith ............................................................................................ $ .................................. To be withdrawn from securities held by y o u ........................................................ $.................................. To be delivered b y ......................................................................................................... $.................................. * (Please fill in on the reverse side the schedule “ L ist of Accounts Included in this Subscription.” ) S E C U R IT IE S S U R R E N D E R E D (all coupons should be detached) T ota l A m o u n t 4% Treasury Notes of Series A -1 9 6 6 3 °7c Treasury Bonds of 196 6 Total ..................................................................... .................................................................................... ................................................................................................. $ $ $ ................................... W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior to the closing o f the subscription books. S u b m it t e d Address by ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate total amount of each issue surrendered by each customer and by yourself) m a x NONNEGOTIABLE RECEIPT To Subscriber: Subscription No. F e d e r a l R e s e r v e B a n k o f N e w Y o r k , Fiscal A gent o f the United States, hereby acknowledges receipt o f securities tendered with subscription numbered as above in exchange for 51/4 P E R C E N T T R E A S U R Y C E R T IF IC A T E S OF IN D E B T E D N E S S OF S E R IE S A-1967 Securities allotted on this subscription will be delivered on A ugust 15, 1966, in accordance with your instructions. ......................................Tdier....................................... Government Bond Division — Issues & Redemption Section C E R T IF IC A T E S D E S IR E D IN E X C H A N G E Dispose o f securities issued as fo llo w s : Denomi nation Pieces □ 1. Deliver over the counter to the undersigned 1,000 □ 2. H old in safekeeping member bank o n ly )* 5,000 □ 3. H old as collateral fo r Treas u ry Tax and Loan A ccount* 10,000 □ 4. Ship to the undersigned □ 5. Special instructions: $ ( Leave this space blank) Face amount 100,000 (fo r 1,000,000 TOTAL To F ederal R eserve B a n k of N ew Y ork Fiscal A gen t of the United States (D ate) Y o u a r e h e r e b y a u t h o r iz e d t o d e liv e r t o S u b m it t e d b y ............................................................................................................................ (Nam e of representative) w h o s e s ig n a t u r e a p p e a r s b e lo w , $ ........................................................... p a r a m o u n t of securities issued pursuant to this subscription. N a m e ............................................................................... (Please print) To Subscriber: I f (Official signature required) Digitized (Signature for FRASER of authorized representative) s e c u r it ie s cou n ter th e be at are th is a u t h o r it y e x ecu ted in on to be B ank to th e box th e d a te d e liv e r e d your to of over th e r e p r e s e n t a tiv e , th e le ft d e liv e r y . s h o u ld Subscriber’s Reference No. TRIPLICATE— TREASURY REPORTS COPY Subscription No. C -3 EXCHANGE SUBSCRIPTION For United States of America 5/4 Percent Treasury Certificates of Indebtedness of Series A-1967 Dated August 15, 1966, Due August 15, 1967 Dated a t ......................................................... 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 ........................................................................ 1966 A tten tion : Government Bond Division Gentlem en : Subject to the provisions o f Treasury Department Circular No. 5-66, Public Debt Series, dated July 28, 1966, the undersigned hereby subscribes, at par, for United States o f Am erica 5*4 percent Treasury Certificates o f Indebtedness o f Series A-1967, in the amount o f $ ..................................................... * and tenders in payment therefor a like par amount o f the securities — Delivered to you h e r e w it h ............................................................................................ $.................................. To be withdrawn from securities held by y o u ........................................................ $.................................. To be delivered by ......................................................................................................... $.................................. * (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) S E C U R IT IE S SU R R E N D E R E D (all coupons should be detached) T ota l A m o u n t 4% Treasury Notes of Series A -1 9 6 6 3% Treasury Bonds of 1966 Total ............. ................................................................................................ $ ................................... W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior to the closing o f the subscription books. Submitted by Address ( i f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate total amount of each issue surrendered by each customer and by yourself) Name and location (C ity and State) o f ultimate purchaser (Leave this space blank) ( Location of individuals not required) 4 % Notes A -1 96 6 3 % Bonds 1966 $ ................................. $ ................................. Totals $ ................................. 3 $ ................................. Subscriber’s Reference No. (Please type or print legibly and submit in triplicate) Subscription No. C -l EXCHANGE SUBSCRIPTION For United States of America 5M Percent Treasury Certificates of Indebtedness of Series A-1967 Dated August 15, 1966, Due August 15, 1967 Im p ortan t In stru ction s. 1. Securities o f different issues surrendered in ex ch a n g e m ay be listed tog eth er on the sam e subscrip tion form , e x ce p t that a separate subscrip tion fo rm sh ou ld be used ( a ) fo r listing b ea rer securities surrendered, ( b ) fo r listing registered securities surrendered, and ( c ) fo r ea ch g ro u p o f n ew securities fo r w h ich differen t delivery instructions are given. 2. Signatures are req u ired on original o n ly ; all oth er filled-in m atter shou ld a pp ea r in triplicate. Dated at ......................................................... F ed eral 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 ........................................................................ 1966 Attention : Government Bond Division Gentlem en : Subject to the provisions o f Treasury Department Circular No. 5-66, Public Debt Series, dated July 28, 1966, the undersigned hereby subscribes, at par, for United States o f Am erica 5^4 percent Treasury Certificates o f Indebtedness of Series A-1967, in the amount o f $ * and tenders in payment therefor a like par amount o f the securities — Delivered to you herewith ............................................................................................ $.................................. To be withdrawn from securities held by y o u ........................................................ $.................................. To be delivered by ......................................................................................................... $.................................. * (Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) S E C U R IT IE S SU R R E N D E R E D (all coupons should be detached) T ota l A m o u n t 4 °/o Treasury Notes of Series A -1 9 6 6 3% Treasury Bonds of 1966 Total ..................................................................... .................................................................................... ................................................................................................. $ $ $ ............................ W e H e r e b y C e r t i f y that at the time this subscription was entered the above-described securities surrendered or to be surrendered in connection with this exchange were owned and delivery accepted by the subscriber, or were contracted for purchase for value by the subscriber for delivery to the subscriber prior to the closing o f the subscription books. (S ignatu re(s) required also on Delivery Instructions below) ( D o n o t fill in b o x e s b e lo w ) G o v e r n m e n t B o n d D iv is io n R e c e iv e d Checked Submitted by ....................................................................................................... (Please print) Canceled B y .................................................................. .. B y ............................................... (Authorized signature(s) required) Title ................................................................ T i t l e ............................................. Address .............................................................................................................. (I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate total amount of each issue surrendered by each customer and by yourself) (Leave this space blank) Name and location (C ity and State) o f ultimate purchaser ( Location of individuals not required) 4 % Notes A -1 96 6 3 % Bonds 1966 $ ................................. $......................... u II f» Totals $ ................................. - Totals ........................................................ $ ........................ ■ $ ................................ $ .................................
@FedFRASER