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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States
I Circular No. 8611
July 26, 1979

TREASURY A N N O U N C ES AU G U ST QUARTERLY FIN A N C IN G
To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve District:

The following statement was issued yesterday by the Treasury Department:
The Treasury will raise about $2,400 million of new cash and refund $4,827 million of securities maturing
August 15, 1979, by issuing $2,750 million of 3-year notes, $2,500 million of 71/2-year notes and $2,000 million
of 2914-year bonds. The 7'/2-year notes will be an addition to the 9®7o notes of Series B-1987 originally issued
February 15, 1979. The bonds will be an addition to the 9/,% Bonds of 2004-2009 originally issued May 15,
1979.
The $4,827 million of maturing securities are those held by the public, including $1,196 million held, as of
today, by Federal Reserve Banks as agents for foreign and international monetary authorities. In addition to the
public holdings, Government accounts and Federal Reserve Banks, for their own accounts, hold $2,721 million
of the maturing securities that may be refunded by issuing additional amounts of new securities. Additional
amounts of the new securities may also be issued to Federal Reserve Banks, as agents for foreign and interna­
tional monetary authorities, to the extent that the aggregate amount of tenders for such accounts exceeds the
aggregate amount of maturing securities held by them.
Printed on the reverse side is a table summarizing the highlights of the offerings. Copies of the official
offering circulars will be furnished upon request directed to our Treasury and Agency Issues Division (Tel.
No. 212-791-6619). In addition, enclosed are copies of the forms to be used in submitting tenders.
This Bank will receive tenders at the Securities Department of its Head Office and at its Buffalo Branch
up to 1:30 p.m ., Eastern Daylight Saving time, on the dates specified on the reverse side of this circular as
the deadlines for receipt of tenders. A ll competitive tenders, whether transmitted by mail or by other means,
must reach this Bank or its Branch by that time on the specified dates. However, for investors who wish to
submit noncompetitive tenders and who find it more convenient to mail their tenders than to present them
in person, the official offering circular for each offering provides that noncompetitive tenders will be con­
sidered timely received if they are mailed to this Bank or its Branch under a postmark no later than the date
preceding the date specified for receipt of tenders.
Bidders submitting noncompetitive tenders should realize that it is possible that the average price may
be above par, in which case they would have to pay more than the face value for the securities.
Payment may be made by personal check, or an official bank check, payable on its face to the Federal
Reserve Bank of New York; checks endorsed to this Bank will not be accepted. A personal check submitted
with the tender, either as a deposit or for the face amount of the securities, does not have to be certified.
However, in cases where only a deposit is submitted with the tender, a personal check submitted for the
final payment must be certified.
As provided in the official offering circular, “ in every case where full payment is not completed on
time, the deposit submitted with the tender, up to 5 percent of the face amount of securities allotted, shall,
at the discretion of the Secretary of the Treasury, be forfeited to the United States.”
A recorded message (at the Head Office — Tel. No. 212-791-5823; at the Buffalo Branch — Tel. No.
716-849-5046) provides information about this and other Treasury offerings; additional inquiries regarding
this offering may be made by calling, at the Head Office, Tel. No. 212-791-6619, or, at the Buffalo Branch,
Tel. No. 716-849-5016.




PAUL A. VOLCKER,
President.
(Over)

HIGHLIGHTS Of1TREASURY
OFFERINGS TO THE PUBLIC
AUGUST 1979 FINANCING
TO BE ISSUED AUGUST 15, 1979

(Delivery date fo r coupon securities is August 15, 1979)

7V't-Year Notes

29 V<-Year Bonds

$2,500 million

$2,000 million

7 'A -year notes

29 Va-year bonds

Series and CUSIP designation.......... Series M-1982
(CUSIP No. 912827 JV5)

9% Series B-1987
(CUSIP No. 912827 JK9)

9/,% Bonds of 2004-2009
(CUSIP No. 912810 CGI)

Maturity d a te ................................... August 15, 1982

February 15, 1987

May 15,2009

Call date............................................. No provision

No provision

May 15, 2004

9%

9 V,*h

To be determined at auction

To be determined at auction

3-Year Notes
Amount Offered:
To the public..................................... $2,750 million
Description of Security:
Term and type of security................ 3-year notes

Interest coupon ra te .........................

To be determined, based on the
average of accepted bids

Investment yield............................... To be determined at auction
Premium or discount.......................

To be determined after auction

To be determined after auction

To be determined after auction

Interest payment dates.....................

February 15 and August 15

February 15 and August 15

November 15 and May 15

$ 1,000

$ 1,000

Price auction

Price auction

None

$22.81250 per $1,000
(from May 15,1979 to August 15,1979)

Minimum denomination available .. $5,000
Terms of Sale:
Method of s a le ................................. Yield auction
Accrued interest payable by investor .. None

Preferred allotm ent.........................

Noncompetitive bid for
$1,000,000 or less

Noncompetitive bid for
$1,000,000 or less

Noncompetitive bid for
$1,000,000 or less

Deposit requirement.........................

5% of face amount

5°/o of face amount

5% of face amount

Acceptable

Acceptable

Wednesday, August 1, 1979,
by 1:30 p.m., EDST

Thursday, August 2, 1979,
by 1:39 p.m., EDST

Wednesday, August 15, 1979

Wednesday, August 15, 1979

b) check drawn on bank within
FRB district where submitted . . . Friday, August 10, 1979

Friday, August 10, 1979

Friday, August 10, 1979

c) check drawn on bank outside
FRB district where submitted . . . Thursday, August 9, 1979

Thursday, August 9,1979

Thursday, August 9, 1979

Wednesday, August 15, 1979

Wednesday, August 15, 1979

Deposit guarantee by designated
institutions................................... Acceptable
Key Dates:
Deadline for receipt of tenders........ Tuesday, July 31, 1979,
by 1:30 p.m., EDST
Settlement date (final payment due)
a) cash or Federal fu n d s.............. Wednesday, August 15, 1979

Delivery date for coupon securities . . . Wednesday, August 15,1979




FO RM BA

IMPORTANT—Closing time for receipt of this tender is 1:30 p.m., Thursday, August 2, 1979
TENDER FOR 9 y8% TREASURY BONDS OF 2004-2009
ADDITIONAL AMOUNT

To

•Sg.=S’sS

3 ft•
«tn (J

XB

i!_ 8

F e d er a l R eserv e B a n k of N e w Y ork

Dated at
Fiscal Agent of the United States
New York, N.Y. 10045
, 19.
The undersigned hereby offers to purchase the above-described securities in the amount indicated below,
and agrees to make payment therefor at your Bank on or before the issue date at the price awarded on this tender
(plus accrued interest of $22.81250 per $1,000).
Do not fill in both Competitive and
Noncompetitive tenders on one form

COMPETITIVE TENDER

$ ........................................................................ (m a tu r ity v a lu e )
or an y lesser a m o u n t th at m a y be aw ard ed .

Price:................. per 100 (minimum of 92.75)

NONCOMPETITIVE TENDER

$ ........................................................................ (m a tu r ity v a lu e )

(N ot to exceed $1,000,000 for one bidder through all sources)
at th e a v era g e p rice of a ccep ted co m p etitiv e bids.

(Price must be expressed with not more than two
decimal places, for example, 100.00)

Subject to allotment, please issue, deliver, and accept payment for the securities as indicated b elo w
on the reverse side ( i f r e g i s t e r e d s e c u r i t i e s a r e d e s i r e d , p l e a s e a l s o c o m p l e t e s c h e d u l e o n r e v e r s e s i d e ) :
j-2-c
OO

Pieces

c

Denominations Maturity value

.2 c

$

1 ,0 0 0

caj a

$

5,000

g< c jn

JS o g jj'H
O -*-* 03
■£ -a.2pC rt 2o

$

1 0 ,0 0 0

$

1 0 0 ,0 0 0

K 8l

$ 1 ,0 0 0 ,0 0 0

°

^ d J3
rt tuO
$ £ c
8 -g.S

8| E
•52 O 1/3
c ^ T3
5 c c
o IE ™
•—
m
“ u.fc
: g j:
3B «
3L) to QJu£
- <L»
k

L>p grt
flj ^
: S.ji

1 bc'C
1E u

!E.S
V

: S-S

Payment will be made as follows:
□ By charge to our reserve account 1°)
□ By cash or check in immediately
available funds
□ By surrender of maturing securities <E)
□ By charge to my correspondent
bank ..................................................<D)
(N am e of b an k )

□ Special instructions U)

□ W ire to........................................................................................................................... (8)

Totals

( E x a c t R e c e iv i n g B a n k W i r e A d d r e s s / A c c o u n t )

*The undersigned certifies that the allotted securities will be owned solely by the undersigned.
(If a commercial bank or dealer is subscribing for its own account or for account of customers, the following
certifications are made a part of this tender.)
W e H er eby C e r t if y th at w e h ave n o t m ad e an d w ill n o t m ake a n y a g reem en ts fo r the sale or p u rch ase
o f an y secu ritie s o f th is is su e p rior to th e c lo s in g tim e for receip t o f th is ten d er.
W e F u r t h e r C e r t if y th at w e h a v e receiv ed te n d e r s from cu sto m ers in th e am o u n ts se t forth op p osite
th eir n am es on th e list w h ich is m ad e a part of th is te n d e r , and th at w e h ave receiv ed and are h o ld in g fo r th e
T r e a su r y , or th at w e gu a ra n tee p a y m en t to th e T r e a su r y , o f the d ep o sits stip u lated in th e official o fferin g c ir ­
cular.
W e F u r t h e r C e r t if y that ten d ers received by u s, if a n y , from oth er com m ercial b anks or p rim ary dealers
for th eir o w n accou n t, and fo r th e accou n t of th eir c u sto m e r s, h ave b een en tered w ith u s u n d er the sam e c o n ­
d itio n s, a g reem en ts, and certification s set forth in th is form .

I- 3
i£ 8
;co ■»
j-a ji
l.ti
; c ba

iS.S
.0

□ Deliver over the counter to the
undersigned O)
□ Ship to the undersigned (2)
□ Hold in safekeeping (for member
bank only) in—
□ Investment Account W
□ General Account (5)
□ T rust Account (6)
O Hold as collateral for Treasury
T ax and Loan Account* (7)

and

N a m e o f S u b s c rib e r (P le a s e P r i n t o r T y p e )

A d d ress

Insert this tender in
special envelope marked
“ Tender for Treasury
Notes or Bonds”

C ity

P h o n e (In c lu d e A re a C ode)

S ta te

Z ip C ode

S ig n a tu r e o f S u b s c rib e r o r A u th o riz e d S ig n a tu r e

T itle o f A u th o riz e d S ig n e r

£ E
n - S ’g
u u-C
3 a .2c
cr-3
^ ° 3
0>-3

( Institutions submitting tenders for customer account must list dustomers’ names on lines below or on an attached rider)

(N a m e o f c u s to m e r)

( N a m e o f c u s to m e r )

IN ST R U C T IO N S:

u C c/5
rt rt —

1. No tender for less than $1,000 will be considered; and each tender must be for a multiple of $1,000 (maturity value).
2. Only banking institutions, and dealers who make primary markets in Government securities and report daily to this
i " re
;J5-° Bank their positions with respect to Government securities and borrowings thereon, may submit tenders for customer account;
5 H v . in doing so, they may consolidate competitive tenders at the same price and may consolidate noncompetitive tenders, provided
a list is attached showing the name of each bidder and the amount bid for his account. Others will not be permitted to submit
tenders except for their own account.
39-C
•*-» u<y
3. Tenders will be received without deposit from commercial and other banks for their own account, federally-insured
savings and loan associations, States, political subdivisions or instrumentalities thereof, public pension and retirement and other
public funds, international organizations in which the United States holds membership, foreign central banks and foreign States,
E « dealers who make primary markets in Government securities and report daily to the Federal Reserve Bank of New York their
3 C
3
3 positions with respect to Government securities and borrowings thereon, and Government accounts. Tenders from others must
be accompanied by payment of at least 5 percent of the face amount of the securities applied for.
4. A personal check, cash, or Treasury securities maturing on or before the issue date of the new securities may be submit­
ted with the tender. Personal checks submitted with the tender, either as a deposit or for the face amount of the securities, do
not have to be certified. However, in cases where only a deposit is submitted with the tender, a personal check submitted for the
final payment must be certified and received at this Bank on the payment date (which is generally three business days before the
issue date) shown on the “Notice of Balance Due” that will be mailed to you. All checks must be payable on its face to the
Federal Reserve Bank of New Y o rk ; checks endorsed to this Bank zcill not be accepted. Settlement on the issue date must
be in cash or in other immediately available funds.
5. A recorded message (at the Head Office—Tel. No. 212-791-5823; at the Buffalo Branch—Tel. No. 716-849-5046) pro­
vides information about Treasury offerings; additional inquiries regarding Treasury offerings may be made by calling, at the
Head Office, Tel. No. 212-791-6619, or, at the Buffalo Branch, Tel. No. 716-849-5016.
6. If the language of this tender is changed in any respect that, in the opinion of the Secretary of the Treasury, is material,
the tender may be disregarded.




( over)

SCHEDULE FOR ISSUE OF REGISTERED TREASURY SECURITIES

SUBSCRIPTION NO
DELIVERY INSTRUCTIONS

PAYMENT INSTRUCTIONS

□

DELIVER OVER THE COUNTER

□

BY CHARGE TO OUR
RESERVE ACCOUNT

□

SHIP TO SUBSCRIBER

□

□

OTHER INSTRUCTIONS:

BY CASH OR CHECK
IN IMMEDIATELY AVAILABLE FUNDS

□

BY SURRENDER OF
MATURING SECURITIES

□

BY CHARGE TO MY
CORRESPONDENT BANK

FOR FRB USE O N L Y
SUBSCRIBER'S NAME
ADDRESS _____________
C IT Y __________________

-STATE

_ZIP

SIGNATURE

NO. OF
PIECES

REGISTRATION INSTRUCTIONS
NAME(S)

ID OR S.S. NO.
ADDRESS

CITY

STATE

DENOM.

30

1,000

32

5,000

34

10,000

38

loo.ooo

42

1,000.000

99

TOTAL

SERIAL NOS.
(LEAVE BLANK)

ISSU E AG ENT 12

30

1,000

32

5,000

34

10,000

38

100,000

FOR FRB USE ONLY

42

1,000,000

99

TOTAL

ID OR S.S. NO.
ADDRESS
CITY

STATE

TR. CASE NO.

ZIP

NAME(S)

30

1,000

32

5,000

34

10,000

38

100,000

42

1,000,000

99

TOTAL

ID OR S.S. NO.
ADDRESS

TR. CASE NO.
CITY




STATE

ZIP

LOAN CODE

110 01

TR. CASE NO.

ZIP

NAME(S)

AMOUNT

TRANS. ACCOUNTING DATE

Form NB

IMPORTANT — Closing time for receipt of this tender is 1:30 p.m., Wednesday, August 1, 1979

PRIVACY ACT STATEMENT — The individually identifiable information required on this form is necessary to permit the subscription to be processed and the securities to be issued. If registered securities
are requested, the regulations governing United States securities (Department Circular No. 300) and the offering circular require submission of social security numbers; the numbers and other information are used
in inscribing the securities and establishing and servicing the ownership and interest records. The transaction will not be completed unless all required data is furnished.

T E N D E R F O R 7 V i-Y E A R 9«7o T R E A S U R Y N O T E S O F SE R IE S B -1987
Dated at

FEDERAL RESERVE BANK OF NEW YORK.
Fiscal Agent of the United States.
New York. N.Y. 10045

The undersigned hereby offers to purchase the above-described securities in the amount indicated below, and
agrees to make payment therefor at your Bank on or before the issue date at the price awarded on this tender.

COMPETITIVE TENDER

Do not fill in both Competitive and
Noncompetitive tenders on one form

$ ......................... (maturity value)
or any lesser amount that may be awarded.
Price............. per 100 (minimum of 98.25)

NONCOMPETITIVE TENDER

$ ......................... (maturity value)
(Not to exceed SI.000.000 for one bidder through all sources)

at the average price of accepted competitive bids.

(Price must be expressed with not more than two
decimal places, fo r example, 100.00)

Subject to allotment, please issue, deliver, and accept payment for the securities as indicated below and
on the reverse side (ifregisteredsecuritiesaredesired, pleasealsocomplete schedule on reverseside):

Pieces

Denomination
$

Maturity value

1,000
5.000
10.000
100,000

Q Deliver over the counter to the
undersigned (1)
□ Ship to the undersigned (2)
□ Hold in safekeeping (for member
bank only) in —
□ Investment Account (4)
□ General Account (5)
□ Trust Account (6)
O Hold as collateral for Treasury Tax and
Loan Account* (7)

Payment will be made as follows:
_ By charge to our reserve account (D)
By cash or check in immediately
available funds (F)
By surrender of maturing securities (E)
By charge to my correspondent
' bank................................................ (D)
(Name of bank)

□ Special instructions (3)

1,000.000
□ Wire to

Totals

....................................................................................................................................................................................... ( 8 )

(Exact Receiving Bank Wire Address/Account)

* The undersigned certifies that the allotted securities will be owned solely by the undersigned.
(If a commercial bank or dealer is subscribing for its own account or for account of customers, the following
certifications are made a part of this tender.)

W E H E R E B Y CERTIFY that we have not made and will not make any agreements forthe sale or purchase of
any securities of this issue prior to the closing time for receipt of this tender.
W E F U R T H E R CERTIFY that we have received tenders from customers in the amounts set forth opposite their
names on the list which ismade a part of this tender, and that we have received and are holding for the Treasury, or
that we guarantee payment to the Treasury, of the deposits stipulated in the official offering circular.
W E F U R T H E R CERTIFYthat tenders received by us, ifany, from other commercial banks or primary dealers for
their own account, and for the account of their customers, have been entered with us under the same conditions,
agreements, and certificationsset forth in this form.
NAM E OF S U B S C R IB E R ( P L E A S E P R IN T OR T Y P E )

Insert this tender in
special envelope marked
“ Tender for Treasury
Notes or Bonds"

C IT Y

PHONE (IN C L U D E A R EA CO O E)

S IG N A T U R E OF S U B S C R IB E R OR A U TH O R IZ E D SIG N A T U R E

T I T L E OF A U TH O R IZ E D S IG N E R

(Institutions submitting tenders for customer account must list customers’ names on lines below or on an attached rider)

(Name of customer)

(Name of customer)

INSTRUCTIONS:
1. No tender for less than $1,000 will be considered; and each tender must be for a multiple of $1,000 (maturity value).
2. Only banking institutions, and dealers who make primary markets in Government securities and report daily to this Bank their positions
with respect to Government securities and borrowings thereon, may submit tenders for customer account; in doing so, they may consolidate
competitive tenders at the same price and may consolidate noncompetitive tenders, provided a list is attached showing the name of each bidder
and the amount bid for his account. Others will not be permitted to submit tenders except for their own account.
3. Tenders will be received without deposit from commercial and other banks for their own account, federally-insured savings and loan
associations, States, political subdivisions or instrumentalities thereof, public pension and retirement and other public funds, international
organizations in which the United States holds membership, foreign central banks and foreign States, dealers who make primary markets in
Government securities and report daily to the Federal Reserve Bank of New York their positions with respect to Government securities and
borrowings thereon, and Government accounts. Tenders from others must be accompanied by payment of at least 5 percent of the face
amount of the securities applied for.
4. A personal check, cash, or Treasury securities maturing on or before the issue date of the new securities may be submitted with the
tender. Personal checks submitted with the tender, either as a deposit or for the face amount of the securities, do not have to be certified.
However, in cases where only a deposit is submitted with the tender, a personal check submitted for the final payment must be certified and
received at this Bank on the payment date (which is generally three business days before the issue date) shown on the “ Notice of Balance Due”
that will be mailed to you. All checks must be payable on its face to the Federal Reserve Bank of New York; checks endorsed to this Bank will
not be accepted. Settlement on the issue date must be in cash or in other immediately available funds.
5. A recorded message (at the Head Office—Tel. No. 212-791-5823; at the Buffalo Branch—Tel. No. 716-849-5046) provides information
about Treasury offerings; additional inquiries regarding Treasury offerings may be made by calling, at the Head Office, Tel. No.
212-791-6619, or, at the Buffalo Branch, Tel. No. 716-849-5016.
6. If the language of this tender is changed in any respect that, in the opinion of the Secretary of the Treasury, is material, the tender may be
disregarded.
(OVER)




SUBSCRIPTION NO

SCHEDULE FOR ISSUE OF REGISTERED TREASURY SECURITIES
DELIVERY INSTRUCTIONS

PAYMENT INSTRUCTIONS

N A M E ___________________________________________________________________________

□

D ELIV ER OVER THE COUNTER

□

_______________________________________________________________________________________________

□

SHIP TO SUBSCRIBER

□

□

OTHER INSTRUCTIONS:

□

S U B SC R IB ER 'S
ADDRESS

F O R F R B USE O N L Y

BY CHARGE TO OUR
RESERVE ACCOUNT
BY CASH OR CHECK IN

TRANS. A C C O U N T I N G D A T E

IMMEDIATELY A VA IL A B L E FUNDS
C ITY

________________________________________________________ S T A T E __________________________ Z I P

n

S I G N A T U R E ___________________________________________________________________________________________

R EG ISTR A TIO N

NO. OF
PIECES

IN STRU CTIO N S

NAME(S)

I D O R S . S . N O.

ADDRESS

CITY

STATE

I D O R S . S . N O.

ADDRESS

STATE

ID O R S . S. NO.

ADDRESS




STATE

1,000

32

5 ,0 0 0

34

10,000

38

100,000

42

1 ,0 0 0 ,0 0 0

99

TOTAL

ZIP

AMOUNT

S E R I A L NOS.
( L E AVE BLANK)

FO R

FR B

I S S U E A G E N T 12

30

1,0 00

32

5 ,0 0 0

34

10 ,000

38

100,000

42

1 ,0 0 0 ,0 0 0

99

TOTAL

USE O N LY

T R . CASE NO.
30

1,000

32

5.0 0 0

34

10 ,000

38

10 0,00 0

42

1 ,0 0 0 ,0 0 0

99

TOTAL

LOAN CODE

110-01

T R . CASE NO.

ZIP

N AME(S)

CITY

30

ZIP

NAME(S)

CITY

DENOM.

BY SURRENDER OF
MATURING SECURITIES
BY CHARGE TO MY
CORRESPONDENT BA N K

T R . C A S E NO.

Form NA

IMPORTANT — Closing time for receipt of this tender is 1:30 p.m., Tuesday, July 31, 1979

PRIVACY ACT STATEMENT — The individually identifiable information required on this form is necessary to permit the subscription to be processed and the securities to be issued. If registered securities
are requested, the regulations governing United States securities (Department Circular No. 300) and the offering circular require submission of social security numbers; the numbers and other information are used
in inscribing the securities and establishing and servicing the ownership and interest records. The transaction will not be completed unless all required data is furnished.

TENDER FOR 3-YEAR TREASURY NOTES OF SERIES M-1982
FEDERAL RESERVE BANK OF NEW YORK,
Fiscal Agent of the United States,
New York, N.Y. 10045

Dated at
, 19 ..

The undersigned hereby offers to purchase the above-described securities in the amount indicated below, and
agrees to make payment therefor at your Bank on or before the issue date at the price awarded on this tender.
Do not fill in both Competitive and
Noncompetitive tenders on one form

COMPETITIVE TENDER

$ ..................................................... (maturity value)
or any lesser amount that may be awarded.
Yield:.......

NONCOMPETITIVE TENDER

$ ..................................................... (maturity value)
(Not to exceed $1,000,000for one bidder through all sources)

at the average price of accepted competitive bids.

(Yield must be expressed with not more than two
decimal places, for example, 7. / /)

Subject to allotment, please issue, deliver, and accept payment for the securities as indicated below and
on the reverse side (if registered securities are desired, please also complete schedule on reverse side)

Pieces

Denomination

XXX

xxxxxx
$

Maturity value

XXX XXX

XXX

5,000
10,000
100,000

□ Deliver over the counter to the
undersigned (I)
□ Ship to the undersigned (2)
□ Hold in safekeeping (for member
bank only) in —
□ Investment Account (4)
□ General Account (5)
□ Trust Account (6)
□ Hold as collateral for Treasury Tax and
Loan Account* (7)

Payment will be made as follows:
] By charge to our reserve account (D)
] By cash or check in immediately
available funds (F)
By surrender of maturing securities (E)
By charge to my correspondent
bank................................................ (D)
____________ (Name of bank)_______
□ Special instructions (3)

1,000,000
□ Wire to

Totals

...................................................................................... (8)

(Exact Receiving Bank Wire Address/Account)

* The undersigned certifies that the allotted securities will be owned solely by the undersigned.
(If a commercial bank or dealer is subscribing for its own account or for account of customers, the following
certifications are made a part of this tender.)

WE HEREBY CERTIFY that we have not made and will not make any agreements for the sale or purchase of
any securities of this issue prior to the closing time for receipt of this tender.
WE FURTHER CERTIFY that we have received tenders from customers in the amounts set forth opposite their
names on the list which is made a part of this tender, and that we have received and are holding for the Treasury, or
that we guarantee payment to the Treasury, of the deposits stipulated in the official offering circular.
WE FURTHER CERTIFY that tenders received by us, if any, from other commercial banks or primary dealers for
their own account, and for the account of their customers, have been entered with us under the same conditions,
agreements, and certifications set forth in this form.
NAME OF S U B S C R IB E R ( P L E A S E P R IN T OR T Y P E )

Insert this tender in
special envelope marked
"Tender for Treasury
Notes or Bonds"

A D D R ESS

STATE

C IT Y

Z IP

S IG N A T U R E OF S U B S C R IB E R Of A U TH O R IZ ED SIG N A TU RE

PHONE (IN C L U D E A R EA CO D E)

T I T L E OF A U TH O R IZ ED SIG N ER

(Institutions submitting tenders for customer account must list customers’ names on lines below or on an attached rider)

(Name of customer)

(Name of customer)

INSTRUCTIONS;
1. No tender for less than $5,000 will be considered; and each tender must be for a multiple of $5,000 (maturity value).
2. Only banking institutions, and dealers who make primary markets in Government securities and report daily to this Bank their positions
with respect to Government securities and borrowings thereon, may submit tenders for customer account; in doing so, they may consolidate
competitive tenders at the same yield and may consolidate noncompetitive tenders, provided a list is attached showing the name of each bidder
and the amount bid for his account. Others will not be permitted to submit tenders except for their own account.
3. Tenders will be received without deposit from commercial and other banks for their own account, federally-insured savings and loan
associations, States, political subdivisions or instrumentalities thereof, public pension and retirement and other public funds, international
organizations in which the United States holds membership, foreign central banks and foreign States, dealers who make primary markets in
Government securities and report daily to the Federal Reserve Bank of New York their positions with respect to Government securities and
borrowings thereon, and Government accounts. Tenders from others must be accompanied by payment of at least 5 percent of the face
amount of the securities applied for.
4. A personal check, cash, or Treasury securities maturing on or before the issue date of the new securities may be submitted with the
tender. Personal checks submitted with the tender, either as a deposit or for the face amount of the securities, do not have to be certified.
However, in cases where only a deposit is submitted with the tender, a personal check submitted for the final payment must be certified and
received at this Bank on the payment date (which is generally three business days before the issue date) shown on the “ Notice of Balance Due”
that will be mailed to you. All checks must be payable on its face to the Federal Reserve Bank of New York; checks endorsed to this Bank will
not be accepted. Settlement on the issue date must be in cash or in other immediately available funds.
5. A recorded message (at the Head Office—Tel. No. 212-791-5823; at the Buffalo Branch—Tel. No. 716-849-5046) provides information
about Treasury offerings; additional inquiries regarding Treasury offerings may be made by calling, at the Head Office, Tel. No.
212-791-6619, or, at the Buffalo Branch, Tel. No. 716-849-5016.
6. If the language of this tender is changed in any respect that, in the opinion of the Secretary of the Treasury, is material, the tender may be
disregarded.
5




.

(OVER)

SUBSCRIPTION NO.

SCHEDULE FOR ISSUE OF REGISTERED TREASURY SECURITIES
DELIVERY INSTRUCTIONS

PAYMENT INSTRUCTIONS

S U B S C R I B E R ’S N A M E .

□

D ELIV ER OVER THE COUNTER

□

ADDRESS

□

SHIP TO SUBSCRIBER

□

□

OTHER INSTRUCTIONS:

□

____________________

BY CHARGE TO OUR
RESERVE ACCOUNT
BY CASH OR CHECK IN

IMMEDIATELY A V A ILA B LE FUNDS
C IT Y

____________________________

s i g n a t u r e

.S T A T E .

.Z IP .

.

R EG ISTR A TIO N

NO. OF
P IE C E S

IN STR U CTIO N S

AMOUNT

S E R IA L NOS.
(L E A V E B LA N K )

FOR FR B USE ONLY

BY SURRENDER OF
MATURING SECURITIES
[~ ] BY CHARGE TO MY
CORRESPONDENT BANK

TRANS. A C C O U N T I N G D A T E

ISSUE A G E N T

110-01

F O R F R B USE ONLY

5 ,0 0 0

NAME(S)

10,000
1 0 0 ,0 0 0

1,0 0 0 ,0 0 0
I D O R S . S . N O.
99

TOTAL

ADDRESS

CITY

STATE

ZIP

T R . C A S E NO.

N AME(S)

5 ,0 0 0
10,000
1 0 0 ,0 0 0

1, 0 0 0 , 0 0 0

I D O R S . S . N O.
99

TOTAL

ADDRESS

CITY

STATE

ZIP

T R . C A S E NO.

N AME(S)

5,0 00
10,000
100,000
1, 0 0 0 , 0 0 0

ID O R S.S. NO.
99

TOTAL

ADDRESS

CITY




STATE

ZIP

12 L O A N C O D E

T R . C A S E NO.