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FED ER AL RESERVE BANK O F NEW YORK Fiscal A gen t of the United States r Circular N o. 6 1 3 6 T L March 11, 1968 J Deposit of Federal Taxes Without Prepunched and Preinscribed Federal Tax Deposit Card Form To All BanTcs and Trust Companies in the Second Federal Reserve District: The Treasury Department has instructed all Federal Reserve Banks to inform all Depositaries for Federal Taxes in their respective Districts of the following notice: Effective immediately, depositaries are prohibited from accepting any Federal tax deposit tendered to them by a taxpayer without the appropriate prepunched and preinscribed Federal tax deposit card form prescribed in Department Circular No. 1079 (First Revision). Depositaries are requested to advise taxpayers that do not have prescribed prepunched and preinscribed forms to mail their remittances directly to the Internal Revenue Service center or district office where they file their tax returns, together with a letter stating the taxpayer’s name and address, tax payer’s identifying number, type of tax, tax period ending date, and amount o f deposit being made, and the taxpayer should request the IRS office to furnish a supply of prepunched and pre inscribed tax deposit forms for his use in making subsequent deposits, indicating the quantity needed. The prohibition against accepting tax deposits without a prepunched and preinscribed Federal tax deposit card form is necessary to assure accurate and prompt processing of tax deposits through the deposit system and crediting of such deposits to the correct taxpayer’s account. An increasing tendency for taxpayers to make tax deposits without prescribed prepunched and pre inscribed forms delays processing the deposits and increases the possibility of incorrect crediting of the tax deposits. It is, therefore, to the best interests of taxpayers, as well as the efficient opera tion of the tax deposit system, that the mandatory use of prepunched and preinscribed Federal tax deposit forms by taxpayers be complied with without exception. The Treasury Department requests the cooperation of all depositaries in this matter, and believes that this action will help to get the prescribed prepunched and preinscribed forms into the hands of all taxpayers so that within a short period of time they will be able to make their tax deposits in the prescribed manner through authorized depositaries for Federal taxes. Additional copies of this circular will be furnished upon request. A lfred H ayes, President. NONNEGOTIABLE RECEIPT Subscription No. To S ubscriber: Fiscal Agent of the United States, hereby acknowledges receipt o f securities tendered with subscription numbered as above in exchange for 5 % PERCENT TREASU RY NOTES OF SERIES A-1974 Securities allotted on this subscription will be delivered on November 15,1968, in accordance with your instructions. ..................................... ... jj;-;................................... - F e d e r a l R eserve B a n k o f N ew Y o rk , Government Bond Division — Issues & Redemption Section BE A R E R NOTES D ESIRED IN E XCH AN G E ( Use schedule on reverse side for REGISTERED notes) Pieces Denomi nation $ Dispose of securities issued as follow s: □ 1. Deliver over the counter to the undersigned 1,000 □ 2. Hold in safekeeping member bank only)* 5,000 □ 3. Hold as collateral for Treas ury Tax and Loan Account4* 10,000 □ 4. Ship to the undersigned □ 5. Special instructions: (Leave this space blank) Face amount 100,000 (for 1,000,000 TO TAL To e d e r a l R e s e r v e B a n k or N e w Y o r k Fiscal Agent o f the United States F (Date) Submitted by . . (Name of representative) whose signature appears below, I ............................................... par amount o f securities issued pursuant to this subscription. N a m e ................................................................ (Please print) To Subscriber: It securities are to be delivered over the (Official signature required) (Signature of authorized representative) counter at this Bank to your representative, the authority in the box to the left should be executed on the date o f delivery. abject to 1 ir 24, 1968 iry Notes o 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) 3r a .... - ......... ............ ..... pa ..... slivered to (Indicate under appropriate denominations, number of note Amount $1,000 $5,000 $10,000 $100,000 ) be withdi $ ) be delive >lease fill in Address ............................... Name ^otes, D-19 B o n d s, 196* 3on ds, 1961 ................................. ................. amount due □ By chec ......................... e Section IV o ............................. dered or tc subscriber )scriber pr Ident No Address e Name Ident. No. H ereby ......................... Address .......... ..................... Name ......................................... Ident. No................................... Address ............................................. (If registered notes are not to be sent to the registered owner, give mailing instructions below.) Mail registered notes to ? ‘ Subscriber’s Reference No. Subscription No. TRIPLICATE!—TREASURY REPORTS COPY B-3 EXCHANGE SUBSCRIPTION For United States of America 5% Percent Treasury Notes of Series A-1974 Dated November 15, 1967, With Interest From November 15, 1968, Due November 15, 1974 ADDITIONAL ISSUE Dated at ...................................................... F e d e ra l R eserve B a n k o f N ew Y ork , Fiscal Agent of the United States, New York, N. Y. 10045 ................................................................. 1968 Attention: Government Bond Division G entlem en : ibject to the provisions of Treasury Department Circular No. 8-68, Public Debt Series, dated r 24, 1968, the undersigned hereby subscribes, at par, for United States of America 5% percent iry Notes of Series A-1974, in the amount of $ .................................................. * and tenders in payment >r a like par amount of the securities— —- slivered to you herewith ....................................................................................... $ lumber of not< 100,000 -) be withdrawn from securities held by y o u .................................................... $ _j be delivered by .................................................................................................. $ ’lease fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) SECURITIES SURRENDERED Total Amount (Do not fill in this column) To Subscriber Motes, D-1968 (detach co u p o n s)................................................. $................................... XXXXXXXXXXX -Bonds, 1968 (detach coupons) ................................................... $ ................................... XXXXXXXXXXX Bonds, 1963-68 (with 1 2 /1 5 /6 8 coupons a tta c h e d ).......... $ ................................. ................................... Total ......................................................................... $......... -....... -............. - ........................-......... amount due subscriber on interest adjustments:* □ By check □ By credit to reserve account e Section IV of T . D. Circular No. 8-68, Public Debt Series, for method of computing net adjustment. e H ereby C e r t i f y that at the time this subscription was entered the above-described securities -dered or to be surrendered in connection with this exchange were owned and delivery was accepted subscriber, or such securities were contracted for purchase for value by the subscriber for delivery to jscriber prior to the closing of the subscription books. Submitted by Address (If space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) (Leave this space blank) Name and location (City and State) of ultimate purchaser 5 V±% Notes 3 % % Bonds 2 y2% Bonds D -1 968 1968 1963-68 (Location of individuals not required) $ ............. $ .............. $ Total $ ................. Our own a c c o u n t.................................... Totals ............................................ I $ ................. ' $ ................. $ .................. $ .................
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