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FEDERAL RESERVE BANK
OF N E W YORK
Fiscal Agent of the U nited States
rCircular No. 648 1"1
L January 30, 1970 -J
Refunding of Treasury Bonds Maturing
February 15 and March 15, 1970
To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve District:
The subscription books will be open Monday, February 2, through Wednesday, February
4, for an offering, at par, of —
8 percent T reasury Notes of Series F-1971,
dated F eb ru ary 15, 1970, m aturing A ugust 15, 1971,
8% percent T reasury Notes of Series B-1973,
dated F ebruary 15, 1970, m aturing A ugust 15, 1973, and
8 percent T reasury Notes of Series A-1977,
dated F eb ru ary 15, 1970, m aturing F eb ru ary 15,1977,
in exchange for the eligible series of Treasury bonds maturing February 15 and March 15,
1970, as set forth in Treasury Department Circulars Nos. 1-70, 2-70, and 3-70, Public Debt
Series, all dated January 29, 1970; 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 (see Internal
Revenue Bulletin No. 1969-21).
Coupons dated February 15, 1970 on the bonds maturing on that date should be detached
and cashed when due. Coupons dated March 15, 1970 on the bonds maturing on that date
must be attached.
Only banking institutions may submit subscriptions for account of customers. On any
subscription for account of an individual of more than $200,000 for a specific security, the
customer’s name must be furnished. On subscriptions for $200,000 or less for a specific secu
rity for account of an individual, banking institutions may consolidate the subscriptions and
report the total number and amount. On subscriptions of any amount for account of customers
other than individuals, their names and locations must be furnished. On subscriptions for
account of customers of correspondent banks, the names of such customers and, if not individ
uals, their locations must be furnished.
Subscribers are required to certify that at the time the subscription is entered the securi
ties 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
subscriber 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, February 2 through February 4. Any subscription addressed to
a Federal Reserve Bank or Branch or to the Treasury Department and placed in the mail
before midnight Wednesday, February 4, will be considered timely.
Cash subscriptions will not be received.
A lfred H a y e s ,
President.
UNITED STATES OF AMERICA
8V4 PERCENT TREASURY NOTES OF SERIES F-1971
Dated and bearing interest from February 15, 1970
D ue August 15, 1971
TREASURY DEPARTMENT,
Office of the Secretary,
W ashington, January 29,1970.
DEPARTMENT CIRCULAR
Public Debt Series — No. 1-70
I.
OFFERING OF NOTES
issued in denom inations of $1,000, $5,000, $10,000,
$100,000 and $1,000,000. Provision will be made for
the interchange of notes of different denom inations
and of coupon and registered notes, and for the
tran sfer of registered notes, under rules and regula
tions prescribed by the S ecretary of the Treasury.
1. The S ecretary of the Treasury, p u rsu an t to
the au th o rity of the Second L iberty Bond Act, as
amended, offers notes of the U nited States, designated
8 i/4 percent T reasury Notes of Series F-1971, at par,
in exchange for the following securities, singly or in
combinations aggregating $1,000 or m ultiples th ere o f:
(1) 4 percent T reasury Bonds of 1970, due Feb
ru a ry 15, 1970; or
5.
The notes will be subject to the general regula
tions of the T reasury D epartm ent, now or hereafter
prescribed, governing U nited States notes.
(2) 21/2 percent T reasury Bonds of 1965-70, due
M arch 15, 1970, with a cash paym ent of $1.14
per $1,000 to subscribers.
III.
1. Subscriptions accepting the offer made by this
circular will be received at the F ederal Reserve Banks
and Branches and a t the Office of the T reasurer of the
U nited States, W ashington, D. C. 20220. B anking
institutions generally m ay subm it subscriptions for
account of customers, but only the Federal Reserve
Banks and the T reasury D epartm ent are authorized to
act as official agencies.
Interest will be adjusted on the 2% percent bonds
of 1965-70 as of M arch 15, 1970. Paym ents on account
of accrued interest and cash adjustm ents will be made
as set forth in Section IV hereof. The am ount of this
offering will be limited to the am ount of eligible
securities tendered in exchange. The books will be
open only on F ebruary 2 through February 4, 1970,
for the receipt of subscriptions.
2. In addition, holders of the securities enum erated
in P arag rap h 1 of this section are offered the privilege
of exchanging all or any p a rt of them for 8y8 percent
T reasury Notes of Series B-1973, or 8 percent
T reasury Notes of Series A-1977, which offerings are
set forth in D epartm ent Circulars, Public Debt Series
— Nos. 2-70 and 3-70, issued sim ultaneously with this
circular.
II.
2. U nder the Second L iberty Bond Act, as
amended, the S ecretary of the T reasury has the au
th o rity to reject or reduce any subscription, and to
allot less than the am ount of 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 th at authority, all subscriptions will be
allotted in full.
IV.
D ESCRIPTION OF NOTES
PAYMENT
1. Paym ent for the face am ount of notes allotted
hereunder m ust be made on or before F eb ru ary 16,
1970, or on later allotment, and may be made only in
a like face am ount of securities of the issues enum er
ated in P arag rap h 1 of Section I hereof, which should
accompany the subscription. Paym ent will not be
deemed to have been completed where registered notes
are requested if the appropriate identifying num ber
as required on tax retu rn s and other documents sub
m itted to the In tern al Revenue Service (an indivi
d u a l’s social security num ber or an employer identi
fication num ber) is not furnished.
1. The notes will be dated F eb ru ary 15, 1970, and
will bear interest from th a t date at the rate of 8 ^
percent per annum , payable sem iannually on A ugust
15, 1970, and F eb ru a ry 15 and A ugust 15, 1971. They
will m ature A ugust 15, 1971, and will not be subject
to call for redem ption p rio r to m aturity.
2. The income derived from the notes is subject
to all taxes imposed under the In tern al Revenue Code
of 1954. The notes are subject to estate, inheritance,
g ift or other excise taxes, whether F ederal or State,
b u t are exempt from all taxation now or hereafter im
posed on the principal or interest thereof by any
State, or any of the possessions of the U nited States,
or by any local taxing authority.
2. 4 percent bonds of 1970. — W hen paym ent is
made w ith bonds in bearer form, coupons dated F eb
ru a ry 15, 1970, should be detached and cashed when
due. W hen paym ent is made with registered bonds,
the final interest due on F eb ru ary 15, 1970, will be
paid by issue of interest checks in regular course to
holders of record on Ja n u a ry 15, 1970, the date the
tran sfer books closed.
3. The notes will be acceptable to secure deposits
of public moneys. They will not be acceptable in pay
m ent of taxes.
4. B earer notes w ith interest coupons attached, and
notes registered as to principal and interest, will be
SUBSCRIPTION AND ALLOTMENT
2
3.
2 1/2 percent bonds of 1965-70. — W hen paym ent
is made with bonds in bearer form, coupons dated
M arch 15, 1970, m ust be attached to the bonds when
surrendered. Accrued interest from Septem ber 15,
1969, to M arch 15, 1970 ($12.50 per $1,000) plus the
cash paym ent due subscribers ($1.14 per $1,000) will
be credited and accrued interest from F ebruary 15 to
M arch 15, 1970 ($6.38122 per $1,000) on the notes
will be charged and the difference ($7.25878 per
$1,000) will be paid to subscribers. Paym ents will be
made by check or by credit in any account m aintained
by a banking institution with the Federal Reserve
Bank of its D istrict following acceptance of the securi
ties surrendered. In the case of registered securities,
the paym ent will be made in accordance with the
assignments thereon.
V.
m ent should be to “ The S ecretary of the T reasury for
exchange for 8x/± percent T reasury Notes of Series
F-1971” ; if the notes are desired registered in another
name, the assignm ent should be to “ The Secretary of
the T reasury for exchange for 8% percent T reasury
Notes of Series F-1971 in the name o f ....................... ” ;
if notes in coupon form are desired, the assignm ent
should be to “ The Secretary of the Treasury for
exchange for S1/^ percent T reasury Notes of Series
F-1971 in coupon form to be delivered t o ...................
97
VI.
GENERAL PROVISIONS
1. As fiscal agents of the U nited 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 paym ent
for and make delivery of notes on full-paid subscrip
tions allotted, and they may issue interim receipts
pending delivery of the definitive notes.
ASSIGNMENT OF REGISTERED BONDS
1.
Registered bonds tendered in paym ent for notes
offered hereunder should be assigned by the registered
payees or assignees thereof, in accordance with the
general regulations of the T reasury D epartm ent gov
erning assignments for tran sfer or exchange, in one
of the forms hereafter set forth, and thereafter should
be surrendered with the subscription to a Federal
Reserve Bank or B ranch or to the Office of the Treas
u re r of the United States, W ashington, D. C. 20220.
The bonds m ust 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 assign
2. The Secretary of the T reasury may a t any time,
or from time to time, prescribe supplem ental or
am endatory rules and regulations governing the offer
ing, which will be communicated prom ptly to the
Federal Reserve Banks.
DAVID M. KENNEDY,
Secretary of the Treasury.
UNITED STATES OF AMERICA
8% PERCENT TREASURY NOTES OF SERIES B-1973
Dated and bearing interest from February 15, 1970
D ue August 15, 1973
TREASURY DEPARTMENT,
Office of the Secretary,
W ashington, January 29,1970.
DEPARTMENT CIRCULAR
Public Debt Series — No. 2-70
I.
OFFERING OF NOTES
of accrued interest and cash adjustm ents will be made
as set forth in Section IV hereof. The am ount of this
offering will be lim ited to the am ount of eligible securi
ties tendered in exchange. The books will be open only
on February 2 through February 4, 1970, for the
receipt of subscriptions.
1.
The S ecretary of the Treasury, p u rsu an t to the
au th o rity of the Second L iberty Bond Act, as
amended, offers notes of the United States, designated
8ys percent T reasury Notes of Series B-1973, at par,
in exchange for the following securities, singly or in
combinations aggregating $1,000 or m ultiples th e re o f:
2.
In addition, holders of the securities enum er
ated in P ara g rap h 1 of this section are offered the
privilege of exchanging all or any p a rt of them for
81/4 percent T reasury Notes of Series F-1971, or 8
percent T reasury Notes of Series A-1977, which offer
ings are set fo rth in D epartm ent C irculars, Public
Debt Series — Nos. 1-70 and 3-70, issued sim ultane
ously w ith this circular.
(1) 4 percent T reasury Bonds of 1970, due F eb
ru a ry 15, 1970; or
(2) 2% percent T reasury Bonds of 1965-70, due
M arch 15, 1970, with a cash paym ent of $1.04
per $1,000 to subscribers.
In terest will be adjusted on the 2% percent bonds of
1965-70 as of M arch 15, 1970. Paym ents on account
3
II.
D ESCRIPTION OF NOTES
2. 4 percent bonds of 1970. — W hen paym ent is
made w ith bonds in bearer form, coupons dated F eb
ru a ry 15, 1970, should be detached and cashed when
due. W hen paym ent is made w ith registered bonds,
the final interest due on F eb ru a ry 15, 1970, will be
paid by issue of interest checks in regular course to
holders of record on J a n u a ry 15, 1970, the date the
tran sfer books closed.
1. The notes will be dated F eb ru a ry 15, 1970, and
will bear interest from th a t date a t the rate of 8 ^
percent per annum , payable sem iannually on A ugust
15, 1970, and th ereafter on F eb ru ary 15 and A ugust
15 in each year u ntil the principal am ount becomes
payable. They will m ature A ugust 15, 1973, and will
not be subject to call for redem ption prior to m aturity.
3. 2x/z percent bonds of 1965-70. — WThen paym ent
is made w ith bonds in bearer form, coupons dated
March 15, 1970, m ust be attached to the bonds when
surrendered. Accrued interest from Septem ber 15,
1969, to M arch 15, 1970 ($12.50 per $1,000) plus the
cash paym ent due subscribers ($1.04 p er $1,000) will
be credited and accrued interest from F eb ru a ry 15
to M arch 15, 1970 ($6.28453 per $1,000) on the notes
will be charged and the difference ($7.25547 per
$1,000) will be paid to subscribers. Paym ents will be
made by check or by credit in any account m aintained
by a banking institution w ith the F ederal Reserve
Bank of its D istrict following acceptance of the securi
ties surrendered. In the case of registered securities,
the paym ent will be made in accordance w ith the
assignm ents thereon.
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. B earer notes with interest coupons attached,
and notes registered as to principal and interest, will
be issued in denom inations of $1,000, $5,000, $10,000,
$100,000 and $1,000,000. Provision will be made for
the interchange of notes of different denominations
and of coupon and registered notes, and for the tran s
fer of registered notes, under rules and regulations
prescribed by the Secretary of the Treasury.
V.
1. Registered bonds tendered in paym ent for notes
offered hereunder should be assigned by the regis
tered payees or assignees thereof, in accordance w ith
the general regulations of the T reasury D epartm ent
governing assignm ents for tran sfer or exchange, in
one of the forms hereafter set forth, and th ereafter
should be surrendered w ith the subscription to a F ed
eral Reserve B ank or B ranch or to the Office of the
T reasurer of the U nited States, W ashington, D. C.
20220. The bonds m ust be delivered a t the expense
and risk of the holder. If the notes are desired regis
tered in the same name as the bonds surrendered, the
assignm ent should be to “ The Secretary of the
T reasury for exchange for 8% percent T reasury Notes
of Series B-1973” ; if the notes are desired registered
in another name, the assignm ent should be to “ The
S ecretary of the T reasury for exchange for 8% p er
cent T reasury Notes of Series B-1973 in the name of
.............................................................. if notes in coupon
form are desired, the assignment should be to “The
Secretary of the T reasury for exchange for 8% per
cent Treasury Notes of Series B-1973 in coupon form
to be delivered t o .........................................” .
5. The notes will be subject to the general regula
tions of the T reasury D epartm ent, now or hereafter
prescribed, governing U nited States notes.
III.
SUBSCRIPTION AND ALLOTM ENT
1. Subscriptions accepting the offer made by this
circular will be received at the Federal Reserve Banks
and Branches and a t the Office of the T reasurer of the
U nited States, W ashington, D. C. 20220. B anking
institutions generally may subm it subscriptions for
account of customers, but only the Federal Reserve
Banks and the T reasury D epartm ent are authorized
to act as official agencies.
2. U nder the Second L iberty Bond Act, as
amended, the Secretary of the T reasury has the
au th o rity to reject or reduce any subscription, and to
allot less than the am ount of 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 th at authority, all subscriptions will
be allotted in full.
IV.
V I.
PAYMENT
1.
P aym ent for the face am ount of notes allotted
hereunder m ust be made on or before F eb ru ary 16,
1970, or on later allotm ent, and may be made only in a
like face am ount of securities of the issues enum erated
in P arag rap h 1 of Section I hereof, which should
accompany the subscription. P aym ent will not be
deemed to have been completed where registered
notes are requested if the appropriate identifying
num ber as required on tax retu rn s and other docu
ments subm itted to the In tern al Revenue Service (an
in d ividual’s social security num ber or an employer
identification num ber) is not furnished.
ASSIGNMENT OF REGISTERED BONDS
4
GENERAL PROVISIONS
1. As fiscal agents of the U nited States, Federal
Reserve Banks are authorized and requested to receive
subscriptions, to make such allotments as may be p re
scribed by the Secretary of the Treasury, to issue
such notices as may be necessary, to receive paym ent
for and make delivery of notes on full-paid subscrip
tions allotted, and they may issue interim receipts
pending delivery of the definitive notes.
2. The Secretary of the T reasury may at any time,
or from time to time, prescribe supplem ental or amen
datory rules and regulations governing the offering,
which will be communicated prom ptly to the Federal
Reserve Banks.
DAVID M. KENNEDY,
Secretary of the Treasury.
UNITED STATES OF AMERICA
8 PERCENT TREASURY NOTES OF SERIES A-1977
Dated and bearing interest from February 15, 1970
Due February 15, 1977
TREASURY DEPARTMENT,
Office of the Secretary,
W ashington, January 29,1970.
DEPARTMENT CIRCULAR
Public Debt Series — No. 3-70
I.
3. The notes will be acceptable to secure deposits
of public moneys. They will not be acceptable in
paym ent of taxes.
OFFERING OF NOTES
1. The Secretary of the Treasury, p u rsu an t to the
au th o rity of the Second L iberty Bond Act, as
amended, offers notes of the U nited States, designated
8 percent T reasury Notes of Series A-1977, at par, in
exchange for the following securities, singly or in
combinations aggregating $1,000 or m ultiples th e re o f:
4. B earer notes with interest coupons attached,
and notes registered as to principal and interest, will
be issued in denom inations of $1,000, $5,000, $10,000,
$100,000 and $1,000,000. Provision will be made for
the interchange of notes of different denominations
and of coupon and registered notes, and for the tra n s
fer of registered notes, under rules and regulations
prescribed by the Secretary of the Treasury.
(1) 4 percent T reasury Bonds of 1970, due F eb
ru a ry 15, 1970; or
(2) 2 i/2 percent T reasury Bonds of 1965-70, due
M arch 15, 1970, w ith a cash paym ent of $0.95
per $1,000 to subscribers.
5. The notes will be subject to the general regula
tions of the T reasury D epartm ent, now or hereafter
prescribed, governing U nited States notes.
In terest will be adjusted on the 2% percent bonds of
1965-70 as of M arch 15, 1970. Paym ents on account
of accrued interest and cash adjustm ents will be made
as set fo rth in Section IV hereof. The am ount of this
offering will be lim ited to the am ount of eligible secu
rities tendered in exchange. The books will be open
only on February 2 through February 4, 1970, for the
receipt of 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 of the T reasurer of
the United States, W ashington, D. C. 20220. B anking
institutions generally may subm it subscriptions for
account of customers, but only the Federal Reserve
Banks and the T reasury D epartm ent are authorized
to act as official agencies.
2. In addition, holders of the securities enum er
ated in P ara g rap h 1 of this section are offered the
privilege of exchanging all or any p a rt of them for
8 i/4 percent T reasury Notes of Series F-1971, or 8%
percent T reasury Notes of Series B-1973, which offer
ings are set fo rth in D epartm ent Circulars, Public
Debt Series — Nos. 1-70 and 2-70, issued sim ultane
ously w ith this circular.
II.
2. Under the Second L iberty Bond Act, as
amended, the S ecretary of the T reasury has the au
th o rity to reject or reduce any subscription, and to
allot less than the am ount of notes applied for when he
deems it to be in the public in terest; and any action
he may take in these respects shall be final. Subject
to the exercise of th a t authority, all subscriptions will
be allotted in full.
D ESCRIPTIO N OF NOTES
1. The notes will be dated F eb ru ary 15, 1970, and
will bear interest from th a t date at the rate of 8 per
cent per annum , payable sem iannually on A ugust 15,
1970, and th ereafter on F eb ru ary 15 and A ugust 15
in each year u n til the principal am ount becomes pay
able. They will m ature F eb ru a ry 15, 1977, and will
not be subject to call for redem ption prior to m aturity.
IV.
PAYMENT
1.
Paym ent for the face am ount of notes allotted
hereunder m ust be made on or before F eb ru ary 16,
1970, or on later allotment, and may be made only in
a like face am ount of securities of the issues enum er
ated in P arag rap h 1 of Section I hereof, which should
accompany the subscription. P aym ent will not be
deemed to have been completed where registered notes
are requested if the appropriate identifying num ber
as required on tax retu rn s and other documents sub
m itted to the In tern al Revenue Service (an indivi
d u a l’s social security num ber or an employer identifi
cation num ber) is not furnished.
2. The income derived from the notes is subject
to all taxes imposed under the In tern al Revenue Code
of 1954. The notes are subject to estate, inheritance,
g ift or other excise taxes, w hether F ederal or State,
b u t 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 U nited States,
or by any local taxing authority.
SURSCRIPTION AND ALLOTMENT
5
2. 4 percent bonds of 1970. — W hen paym ent is
made w ith bonds in bearer form, coupons dated F eb
ru a ry 15, 1970, should be detached and cashed when
due. W hen paym ent is made w ith registered bonds,
the final interest due on F eb ru ary 15, 1970, will be
paid by issue of interest checks in regular course to
holders of record on J a n u a ry 15, 1970, the date the
tran sfer books closed.
3. 2^2 percent bonds of 1965-70. — W hen paym ent
is made with bonds in bearer form, coupons dated
M arch 15, 1970, m ust be attached to the bonds when
surrendered. Accrued interest from Septem ber 15,
1969, to M arch 15, 1970 ($12.50 per $1,000) plus the
cash paym ent due subscribers ($0.95 per $1,000) will
be credited and accrued interest from F eb ru ary 15
to March 15, 1970 ($6.18785 per $1,000) on the notes
will be charged and the difference ($7.26215 per
$1,000) will be paid to subscribers. Paym ents will be
made by check or "by credit in any account m aintained
by a banking institution with the F ederal Reserve
B ank of its D istrict following acceptance of the securi
ties surrendered. In the case of registered securities,
the paym ent will be made in accordance with the
assignments thereon.
V.
ASSIGNMENT OF REGISTERED RONDS
1.
Registered bonds tendered in paym ent for notes
offered hereunder should be assigned by the registered
payees or assignees thereof, in accordance with the
general regulations of the T reasury D epartm ent gov
erning assignments for tran sfer or exchange, in one
of the forms hereafter set forth, and thereafter should
be surrendered with the subscription to a Federal
Reserve B ank or B ranch or to the Office of the
T reasurer of the U nited States, W ashington, D. C.
20220. The bonds m ust be delivered at the expense
and risk of the holder. I f the notes are desired reg
istered in the same name as the bonds surrendered,
the assignm ent should be to “ The Secretary of the
Treasury for exchange for 8 percent T reasury Notes
of Series A-1977 ” ; if the notes are desired registered
in another name, the assignm ent should be to “ The
Secretary of the T reasury for exchange for 8 percent
Treasury Notes of Series A-1977 in the name of
..................................................... ” ; if notes in coupon
form are desired, the assignm ent should be to “ The
Secretary of the T reasury for exchange for 8 percent
T reasury Notes of Series A-1977 in coupon form to
be delivered to .....................................................
V I.
GENERAL PROVISIONS
1. As fiscal agents of the U nited States, F ederal
Reserve Banks are authorized and requested to re
ceive subscriptions, to make such allotments as may
be prescribed by the S ecretary of the Treasury, to
issue such notices as may be necessary, to receive pay
m ent for and make delivery of notes on full-paid
subscriptions allotted, ar>d they may issue interim
receipts pending delivery of the definitive notes.
2. The S ecretary of the T reasury may at any time,
or from time to time, prescribe supplem ental or
am endatory rules and regulations governing the offer
ing, which will be communicated prom ptly to the
F ederal Reserve Banks.
DAVID M. KENNEDY,
Secretary of the Treasury.
Subscription No.
DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8 ^ P ercen t T reasury N otes o f Series B -1 9 7 3
Dated February 15, 1 9 7 0 , D ue A ugust 1 5 , 1 9 7 3
B E A R E R N O TES D E S IR E D IN E X C H A N G E
(U se schedule on reverse side fo r R E G IS T E R E D notes)
Denomi
nation
Pieces
$
(Leave this space blanlc)
Face amount
Dispose of securities issued as follow s:
□ 1. Deliver over the counter to
the undersigned
1,000
□ 2. H old in safekeeping
member bank only)*
5,000
□ 3. Hold as collateral fo r T reas
u ry Tax and Loan Account*
10,000
(fo r
□ 4. Ship to the undersigned
□ 5. Special instructions:
100,000
1,000,000
TOTAL
*If this item is checked, the subscriber certi
fies that the allotted securities will be owned
solely by the subscriber.
(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 b y
The subscription books will be
open February 2 through Febru
ary 4, 1970.
(P lease p rin t)
By
.....................
. . . . . . . ---- - B y ....................
(Authorized signature(s) required)
Title . ..
...................... . T i t l e ................
Address
(Spaces below are for the use of the Federal Reserve Bank of New Y ork )
S a f e k e e p in g R ecord
Received
from F e d e r a l R e s e r v e B a n k o f N e w
States obligations in the amount subscribed for.
R e c e iv e d
Y o r k th e
above-described United
Subscriber .........................................................................................................
Checked
and
delivered
Mail registered notes to
(Please type or print legibly and submit in triplicate)
Subscriber’s Reference No.
Subscription No.
B -l
EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8}/$ P ercent T reasury N otes o f Series B -1 9 7 3
D ated February 1 5 , 1 9 7 0 , D ue A ugust 1 5 , 1 9 7 3
Im p o rta n t In stru ctio n s.
1. Securities o f different issues surrendered in exchange may be listed together on
the same subscription form , except that a separate subscription form should be used ( a ) fo r listing bearer securities
surrendered, ( b ) for listing registered securities surrendered, and ( c ) for each grovp o f new securities for which
different delivery instructions are given.
2. Separate subscription forms should be used for bearer securities and
registered securities desired in exch ange.
3. Social Security account numbers or Em ployer Identification numbers
o f all subscribers fo r r e g is t e r e d notes must be furnished on the reverse side h ereof.
4. Signatures are required
on original on ly; all other filled-in matter should appear in triplicate.
5. Am ount o f securities surrendered and
applied fo r must be in multiples o f $1,000.
F ederal R eserve B a n k
of
New Y
D ated a t .........................................................
or k ,
Fiscal A gent of the U nited States,
New York, N. Y. 10045
1970
A ttention :
Government Bond Division
^N T L E M E N :
ubject to the provisions of Treasury D epartm ent C ircular No. 2-70, Public Debt Series, dated
29, 1970, the undersigned hereby subscribes, at par, for United States of America 8% percent
.'Jotes of Series B-1973, in the amount of $
* and tenders in paym ent
vi like par amount of the securities—
X
Ivered to you herew ith ...................................
.................................,........................
$..............................
ofe 'Withdrawn from securities held by you
............................................
$..............................
To be delivered by ...............................................
............................................
$..............................
•(Please fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” )
S E C U R IT IE S SU R REN D ER ED
4
%
2/4%
Bonds, due 2 / 1 5 / 7 0
(detach cou p on s)
................................
Bonds, 1965-70 (w ith 3 / 1 5 / 7 0 coupons attached)
....
T otal .........................................................................
Total Am ount
(D o not fill in this
colum n)
T o Subscriber
$ ...................................
XXXXXXXXXXX
$
...............................
...................................
$ ...................... ... .... —
......................... .........
Pay net amount due subscriber on cash and interest adjustments:*
□ By check
□ By credit to reserve account
* See Section IV of T. D. Circular No. 2-70, Public Debt Series, for method of computing net adjustment.
W e H er eb y C e r t if y th a t at the time this subscription was entered the above-described securities
surrendered or to be surrendered in connection w ith this exchange were owned and delivery was accepted
by the subscriber, or such securities were contracted for purchase for value by the subscriber fo r delivery to
the subscriber p rio r to the closing of the subscription books.
(Sign atu re(s) required also on Delivery Instructions below)
(D o not fill in boxes below )
Go v e r n m e n t B o n d D i v i s i o n
Received
Checked
Submitted by ........................
(Please print)
Canceled
By
B y ..........................
(Authorized signature(s) required)
Title ....................................................., Title
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; as to any subscription not over $200,000 by
an individual, you may consolidate and report only the total amount of each issue surrendered for all such subscriptions)
{Leave this
space blank)
Name and location (C ity and State)
of ultim ate purchaser
( Location of individuals not required )
4% Bonds
due 2/1 5 /70
2% % Bonds
1965-70
Total
$ ........................ $ ........................ $ ........................
individuals, not over $^uu,uuu io r c a c n .............
O ur own account ......................................................
T o t a l s .......................................................... $ ........................ $ ......................... $ ........................
S E C U R IT Y R E C O R D S “O U T T IC K E T ”
sumption No.
DELIVERY INSTRUCTIONS—EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8 ^ P ercent Treasury N otes o f Series B -1 9 7 3
Dated February 1 5, 1 9 7 0 , D ue A ugust 1 5 , 1 9 7 3
B E A R E R N O TES D E S IR E D IN E X C H A N G E
(U se schedule on reverse side fo r R E G IS T E R E D notes)
Denomi
nation
Pieces
$
Face amount
(Leave this space Hank)
Dispose of securities issued as follow s:
□ 1. Deliver over the counter to
the undersigned
1,000
□ 2. H old in safekeeping
member bank only)*
5,000
□ 3. H old as collateral for Treas
u ry Tax and Loan Account*
10,000
□ 4. Ship to the undersigned
□ 5. Special instructions:
100,000
1,000,000
TOTAL
Submitted by
Address
(for
Schedule for Issue of Registered Notes
Nam e in which notes shall be registered, tax p ay er
identifying num ber (Social Security A ccount N um ber
or E m ployer Identification N um ber), and post-office
address for in terest checks and other mail.
(P lea se print or typew rite)
(In d icate under appropriate denom inations, num ber of notes desired.)
A m ount
$1,000
$5,000
$10,000
$100,000
*
Name
Ident No.
...................................
Address
Name
Id en t No
...................................
Address
........................
Name
...........................
Id en t No.
...................................
A ddress
....................................
Name
Ident. No.
A ddress
..............
.......................................................
..............................................................
(If registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes t o ................................................................................................................................
$1,000,000
Subscriber’s Reference No.
DUPLICATE—SECURITY RECORDS “ IN TICKET*’
Subscription No.
B-2
EXCHANGE SUBSCRIPTION
For U nited States o f A m erica 8
Percent Treasury N otes o f Series B -1 9 7 3
D ated February 1 5 , 1 9 7 0 , D ue A ugust 1 5 , 1 9 7 3
F ederal R eserv e B a n k
of
D ated a t .........................................................
N e w Y ork,
Fiscal Agent of the U nited States,
New York, N. Y. 10045
.......................................................................... 1970
A tte n tio n :
Government Bond Division
Ge n t l e m e n :
Subject to the provisions of Treasury D epartm ent C ircular No. 2-70, Public Debt Series, dated
Jan u a ry 29, 1970, the undersigned hereby subscribes, at par, for United States of America 8% percent
T reasury Notes of Series B-1973, in the amount of $ ................................................. * and tenders in paym ent
there Por a like par amount of the securities—
Delivered to you herewith ................................................................ ,..........................
$
To be w ithdraw n 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 S U R R E N D E R E D
4
%
2>/2 %
T otal Am ount
(D o not fill in this
colum n)
T o Subscriber
$ ..................................
XXXXXXXXXXX
....
$ ...................................
......................... ..........
T otal .........................................................................
$ ...................... —........
............................. —-
Bonds, due 2 / 1 5 / 7 0
(deta ch cou pon s)
................................
Bonds, 1965-70 (w ith 3 / 1 5 / 7 0 coupons attached)
Pay net amount due subscriber on cash and interest adjustments:*
□ By check
□ By credit to reserve account
* See Section IV of T. D. C ircular No. 2-70, Public D ebt Series, for method of com puting net adjustm ent.
th a t at the time this subscription was entered the above-described securities
surrendered or to be surrendered in connection w ith this exchange were owned and delivery was accepted
by the subscriber, or such securities were contracted for purchase for value by the subscriber fo r delivery to
the subscriber p rio r to the closing of the subscription books.
We
H ereby
C e r t if y
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; as to any subscription not over $200,000 by
an individual, you may consolidate and report only the total amount of each issue surrendered for all such subscriptions)
TR IPL IC A T E —TREASURY REPO RTS COPY
’s Reference No.
Subscription No.
B-3
EXCHANGE SUBSCRIPTION
For U nited States o f A m erica 8 % P ercen t Treasury N otes o f Series B -1 9 7 3
D ated February 1 5 , 1 9 7 0 , D ue A ugust 1 5 , 1 9 7 3
F ederal R eserv e B a n k
of
D ated a t .........................................................
N ew Y ork,
Fiscal A gent of the U nited States,
New York, N. Y. 10045
................................................................. ......... 1970
A tte n tio n :
Government Bond Division
Gen t l e m e n :
Subject to the provisions of T reasury D epartm ent C ircular No. 2-70, Public Debt Series, dated
Ja n u a ry 29, 1970, the undersigned hereby subscribes, at par, for United States of Am erica 8% percent
T reasury Notes of Series B-1973, in the am ount of $ ................................................. * and tenders in paym ent
therefor a like par am ount of the securities—
Delivered to you herew ith ................................................................ ,..........................
$
To be w ithdraw n 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 S U R R E N D E R E D
4
%
2/4%
Bonds, due 2 / 1 5 / 7 0
(deta ch cou p on s)
................................
T otal Am ount
(D o not (ill in this
colum n)
T o Subscriber
$ ..................................
XXXXXXXXXXX
....
$ ..................................
...................................
T otal .........................................................................
$ ........................ ........
............................. —-
Bonds, 1965-70 (w ith 3 / 1 5 / 7 0 coupons attached)
Pay net amount due subscriber on cash and interest adjustments:*
□ By check
□ By credit to reserve account
* See Section
IV
of
T.
D. C ircular No- 2-70, Public D ebt Series, for method of com puting net adjustm ent.
W e H ereby C e r t if y th a t at the time this subscription was entered the above-described securities
surrendered or to be surrendered in connection w ith this exchange were owned and delivery was accepted
by the subscriber, or such securities were contracted for purchase for value by the subscriber for delivery to
the subscriber p rio r to the closing of 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; as to any subscription not over $200,000 by
an individual, you may consolidate and report only the total amount of each issue surrendered for all such subscriptions)
{Leave this
space Hank)
Name and location (City and State)
of ultimate purchaser
(Location of individuals not required )
4% Bonds
due 2/15/70
2%% Bonds
1965-70
Total
$ ........................ $ ........................ $ ........................
>
Individuals, not over $200,000 for e a c h .............
Our own account ......................................................
T o t a l s .......................................................... $ ........................ $ ......................... $........................
2-0 S u i t e r :
N0NNEG0TIABLE RECEIPT
No>
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 , F iscal A gent of the U nited States, hereby acknowledges receipt of
securities tendered w ith subscription num bered as above in exchange for
8i/8 P E R C E N T TR EA SU R Y NOTES OF S E R IE S B-1973
Securities allotted on this subscription will be delivered on
F eb ru ary 16, 1970, in accordance with your instructions.
T eller
F
Government Bond Division — Issues & Redemption Section
B E A R E R N O TES D E S IR E D IN E X C H A N G E
(U se scltcdule on reverse side fo r R E G IS T E R E D notes)
Denomi
nation
Pieces
$
(Leave this space blank)
Face amount
Dispose of securities issued as follow s:
□ 1. D eliver over the counter
the undersigned
□ 2. H old in safekeeping
member bank only)*
5,000
□ 3. H old as collateral for T reas
u ry Tax and Loan Account*
□ 4. Ship to the undersigned
□ 5. Special instructions:
100,000
1,000,000
TOTAL
ed era l
(for
1,000
10,000
To F
to
R eserv e B a n k o f N e w Y ork
Fiscal Agent of the United States
(D ate)
You are hereby authorized to deliver to
Submitted bj
(Name of representative)
whose signature appears below,
Address
$ ............................ ..................par amount
of securities issued pursuant to this subscription.
N a m e ...............................................................
(P lease p rin t)
(Official signature required)
(Signature of authorized representative)
To Subscriber: If securities are to be delivered over the
counter at this Bank to your representative,
the authority in the box to the left should
be executed on the date of delivery.
Schedule for Issue of Registered 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
Name ................
Ident. No..........................................
........
A ddress ...............................................
Name........................................................................
Ident. No.................................................................
A ddress....................................................................
N ame........................................................................
Ident. No.................................................................
A ddress....................................................................
Name........................................................................
•
Ident. No.................................................................
A ddress....................................................................
(If registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes t o ................................................ ...............................................................................
$1,000,000
Subscription No.
DELIVERY INSTRUCTIONS—EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8 Percent Treasury N otes o f Series A -1977
Dated February 1 5 , 1 9 7 0 , D ue February 1 5 , 1 9 7 7
B E A R E R N O TES D E S IR E D IN E X C H A N G E
(Use schedule on reverse side for R EG ISTERED notes)
Denomi
nation
Pieces
$
Dispose of securities issued as follow s:
(Leave this space blank)
Face amount
□ 1. D eliver over the counter
the undersigned
to
(for
1,000
□ 2. H old in safekeeping
member bank only)*
5,000
D 3. Hold as collateral fo r T reas
u ry Tax and Loan Account*
10,000
□ 4. Ship to the undersigned
□ 5. Special instructions:
100,000
1, 000,000
TOTAL
•If this item is checked, the subscriber certi
fies that the allotted securities will be owned
solely by the subscriber.
(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
The subscription books will be
open February 2 through Febru
ary 4, 1970.
(Please print)
By ................
........................ , B y .....................
(Authorized signature(s) required)
T itle ................................................., T itl e .................
Address .........................................................................
(Spaces below are for the use of the Federal Reserve Bank of New Y ork )
S a f e k e e p i n g R ecohd
R e c e iv e d
Received fr o m F e d e r a l R e s e r v e B a n k o f N e w
States obligations in the amount subscribed for.
S u b s c r ib e r
C hecked
and
— ■*'" d e liv e r e d
Y ork
the above-described United
................................................................................................................................................................
Mail registered notes t o .................................................................................................................................
(Please type or print legibly and submit in triplicate)
Subscriber’s Reference No.
Subscription No.
C -l
EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8 P ercent Treasury N otes o f Series A -1 9 7 7
Dated February 1 5, 1 9 7 0 , D ue February 1 5 , 1 9 7 7
Im p o rta n t In stru ctio n s.
1. Securities o f different issues surrendered in exchange may be listed together on
the same subscription form , except that a separate subscription form should be used ( a ) fo r listing bearer securities
irrendered, ( b ) for listing registered securities surrendered, and ( c ) for each group o f new securities for which
2. Separate subscription form s should be used for bearer securities and
delivery instructions are given.
3. Social Security account numbers or Employer Identification numbers
desired in exchange.
subscribers fo r r e g is t e r e d notes must be furnished on the reverse side h ereof.
4. Signatures are required
other filled-in matter should appear in triplicate,
5. Am ount o f securities surrendered and
in multiples o f $1,000.
B
ank
of
N
ew
Y
D ated at
ork,
the U nited States,
Y. 10045
1970
A tte n tio n :
Governm ent Bond Division
provisions of Treasury D epartm ent C ircular No. 3-70, Public Debt Series, dated,
he undersigned hereby subscribes, at par, for United States of America 8 percent
.ries A-1977, in the am ount of $ ............................................... * and tenders in paym ent
amount of the securities—
you herewith .. ........................................................................................
$............................. ....
^ d ra w n from securities held by y o u ........................................................
$ ..................................
.elivered by .........................................................................................................
$ ..................................
*e 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
T otal Am ount
%
2/4%
Bonds, due 2 / 1 5 / 7 0
(d eta ch cou p on s)
................................
Bonds, 1965-70 (w ith 3 / 1 5 / 7 0 coupons attached)
....
Total .........................................................................
(D o not fill in this
colum n)
T o Subscriber
$ ...................................
XXXXXXXXXXX
$ ...................................
...................................
$ ................. -...............................................................
Pay net amount due subscriber on cash and interest adjustments:*
□ By check
□ By credit to reserve account
* See Section IV of T. D. Circular No. 3-70, Public Debt Series, for method of computing net adjustment.
W e H e r e b y C e r t i f y th a t a t the time this subscription was entered the above-described securities
surrendered or to be surrendered in connection w ith this exchange were owned and delivery was accepted
by the subscriber, or such securities were contracted fo r purchase for value by the subscriber fo r delivery to
the subscriber p rio r to the closing of the subscription books.
( S ig n a tu re (s) required also on D elivery In stru c tio n s 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 ...................................................... Title
Address
...........................................................
( I f space is insufficient in schedules below, attach separate listing)
List of Accounts Included in this Subscription
(Indicate amount of eacli is*ue surrendered by each customer and by yourself; as to any subscription not over $200,000 by
an individual, you may consolidate and report only the total amount of each issue surrendered for all such subscriptions)
(.Leave this
sface Hank)
Name and location (C ity and State)
of ultim ate purchaser
( Location o f individuals not required )
4% Bonds
due 2/15/70
2%% Bonds
1965-70
Total
$ ............................
$ ............................
$ ........................
-
O ur own account ......................................................
T o t a l s ..........................................................
$ ............................ $ .............................
$ ............................
S E C U R IT Y R E C O R D S “O U T T IC K E T ”
Subscription No.
DELIVERY INSTRUCTIONS—EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8 P ercent T reasury N otes o f Series A -1977
Dated February 1 5 , 1 9 7 0 , D ue February 1 5 , 1 9 7 7
B E A R E R N O TES D E S IR E D IN E X C H A N G E
(Use schedule on reverse side for R E G ISTERED notes)
Denomi
nation
Pieces
$
Face amount
(Leave this space blank)
Dispose of securities issued as follow s:
□ 1. D eliver over the counter
the undersigned
to
(for
1,000
□ 2. H old in safekeeping
member bank only)*
5,000
□ 3. Hold as collateral fo r Treas
u ry Tax and Loan Account*
10,000
□ 4. Ship to the undersigned
□ 5. Special instructions:
100,000
1,000,000
TOTAL
Submitted by
Address
(Signs
( I f registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes t o ......................................................................................................................................
DUPLICATE—SECURITY RECORDS “IN TICKET*’
Subscriber’s Reference No.
Subscription No.
C-2
EXCHANGE SUBSCRIPTION
For U nited States o f A m erica 8 P ercent Treasury N otes o f Series A -1 9 7 7
D ated February 1 5 , 1 9 7 0 , D ue February 1 5 , 1 9 7 7
D ated a t .........................................................
F edera l R eserv e B a n k of N e w Y o r k ,
Fiscal A gent of the U nited States,
New York, N. Y. 10045
.......................................................................... 1970
A tte n tio n :
ntlem en
Government Bond Division
:
ibject to the provisions of Treasury D epartm ent C ircular No. 3-70, Public Debt Series, dated
29, 1970, the undersigned hereby subscribes, at par, for United States of America 8 percent
Jotes of Series A-1977, in the amount of $ ............................................... * and tenders in paym ent
like p ar amount of the securities—
hvered to you herewith ............................................................................................
be w ithdraw n from securities held by you
o be delivered by ..................... .........................
'{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 SU R R E N D E R E D
T otal Am ount
4
%
2 'A %
Bonds, due 2 / 1 5 / 7 0
(d eta ch cou p on s)
................................
(D o not fill in this
colum n)
T o Subscriber
$ ...................................
XXXXXXXXXXX
....
$ ...................................
...................................
Total .........................................................................
$ ...............................—
............................. .....
Bonds, 1965-70 (w ith 3 / 1 5 / 7 0 coupons attached)
Pay net amount due subscriber on cash and interest adjustments:*
□ By check
□ By credit to reserve account
* See Section IV of T. D. Circular No. 3-70, 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 was accepted
by the subscriber, or such securities were contracted for purchase for value by the subscriber for delivery to
the subscriber prior to the closing of the subscription books.
Submitted by
t
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; as to any subscription not over $200,000 by
an individual, you may consolidate and report only tlie total amount of each issue surrendered for all such subscriptions)
(Leave this
space blank)
Name and location (C ity and State)
of ultim ate purchaser
(Location of individuals not required)
21/2% Bonds
1965-70
4% Bonds
due 2/15/70
$ ............................
$
Total
$
Individuals, not over $200,000 for e a c h .............
Our own account ......................................................
T o t a l s .......................................................... $ ............................ $ .............................
$ ............................
To Subscriber:
NONNEGOTIABLE RECEIPT
F ed eral R eserv e B a n k
of
Subscription No.
N e w Y o r k , Fiscal Agent of the United States, hereby acknowledges receipt of
securities tendered with subscription numbered as above in exchange for
8 P E R C E N T T R E A S U R Y N O T E S O F S E R I E S A-1977
Securities allotted on this subscription will be delivered on
F e b r u a r y 16, 1970, in accordance with y o u r instructions.
...........................................................................................
Teller
Government Bond Division — Issues & Redemption Section
B E A R E R NO TES D E S IR E D IN E X C H A N G E
(Use schedule on reverse side for REG ISTERED notes)
Denomi
nation
Pieces
$
Dispose of securities issued as follows:
(Leave this space bionic)
Face amount
□ 1. Deliver over the counter to
the undersigned
□ 2. Hold
1,000
in
safekeeping
(for
member bank on ly )*
5,000
□ 3. Hold as collateral for Treas
u r y T ax a n d Loan Account*
10,000
□ 4. Ship to the undersigned
□ 5. Special instructions:
100,000
1,000,000
TOTAL
To F ed era l R eser v e B a n k o f N e w Y ork
Fiscal Agent of the United States
(Date)
You are hereby authorized to deliver to
Submitted by . .
(Name of representative)
whose signature appears below,
$ .............................................. par amount
of securities issued pursuant to this subscription.
N a m e ..............................................................
(Please print)
To
(Official signature required)
(Signature of authorized representative)
Subscriber :
If 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.
TVpnsYiry
Schedule for Issue of Registered Notes
N am e in w h ich n o te s sh all be re g is te re d , ta x p a y e r
id e n tif y in g n u m b e r (S o c ia l S e c u rity A c c o u n t N u m b e r
o r E m p lo y e r Id e n tific a tio n N u m b e r ), a n d post-office
a d d re s s fo r in te re s t checks a n d o th e r m ail.
(Please print or typewrite)
Name
r a^
;livei
( I n d ic a te u n d e r a p p ro p ria te d e n o m in a tio n s, n u m b e r o f not<.
A m ount
$1,000
$5,000
$10,000
$100,000
»be
$
> be
......................
Ident. No...............................................................
A ddress
............................................
B>
B
Name
Ident No.
A ddress
.............................................................
..............................
..............................................................
.et
see
Y7
511
he
N am e.......................................................................
Ident. No.................................................................
A ddress....................................................................
Name........................................................................
Ident. No...............................................................
Address
..............................................................
i'If registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes t o ................................................................................................................................
0
x x iA ir x jiv _ .jM .x iii— x A I L A 3 U I V
o u o s c r i D e r ' s .t t e ie r e n c e iN o .
I
- t lH i- F U lt
15 L.U±*Y
Subscription No.
C-3
EXCHANGE SUBSCRIPTION
For U nited States o f Am erica 8 Percent Treasury N otes o f Series A -1 9 7 7
D ated February 15, 1 9 7 0 , D ue February 1 5 , 1 9 7 7
D ated at .........................................................
F ed era l R eserv e B a n k o f N e w Y o r k ,
Fiscal A gent of the U nited States,
New York, N. Y. 10045
.......................................................................... 1970
A tte n tio n :
Government Bond Division
Gentlem en :
Subject to the provisions of Treasury D epartm ent C ircular No. 3-70, Public Debt Series, dated
Jan u a ry 29, 1970, the undersigned hereby subscribes, at par, for United States of America 8 percent
T ”pnxury Notes of Series A-1977, in the amount of $ ............................................... * and tenders in paym ent
r a like par amount of the securities—
\liv ered to you herewith
number of not,'
uoo.ooo I t1 be w ithdraw n from securities held by you
I '
) be delivered by ...............................................
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 SU R R E N D E R E D
T otal Am ount
Bonds, due 2 / 1 5 / 7 0
(d eta ch cou pon s)
(D o not fill in this
colum n)
T o Subscriber
xxxxxxxxxxx
....................
Bonds, 1965-70 (w ith 3 / 1 5 / 7 0 coupons attach ed)
T otal .........................................................................
$ ...................... ...........-
............................. .....
.et am ount due subscriber on cash and interest adjustm ents:*
□ By check
□ By credit to reserve account
See Section IV of T. D. Circular No. 3-70, Public Debt Series, for method of computing net adjustment.
W e H e r e b y C e r t i f y th at at the time this subscription was entered the above-described securities
endered or to be surrendered in connection w ith this exchange were owned and delivery was accepted
he subscriber, or such securities were contracted fo r purchase for value by the subscriber for delivery to
subscriber p rio r to the closing of the subscription books.
Subm itted 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; as to any subscription not over $200,000 by
an individual, you may consolidate and report only the total am ount of each issue surrendered fo r all such subscriptions)
(Lcjz e this
srace blank)
Xame and location (City and State)
of ultimate purchaser
(L o ca tio n o f in d iv id u a ls n o t r e q u ir e d )
lnQ iviQ uais, n o t over
2 xk ° /o Bonds
1965-70
Total
$ .........................
$ .........................
$ .........................
$........................
$ .........................
$ ..............................
4% Bonds
due 2 /1 5 /7 0
xor e d c n ..............
Our own account ......................................................
T o t a l s ..........................................................
@FedFRASER