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FEDERAL RESERVE OF NEW BANK YORK Fiscal Agent of the United States F tT C te '* October 18, 1976 To All Banking Institutions, and Others Concerned, in the Second Federal Reserve District: Our Circular No. 7971, dated October 15, 1976, announced an offering by the Department of the Treasury of 2-year notes (Series S-1978), to be dated November 1, 1976 and to mature October 31, 1978. The terms of the offering were summarized in that circular; in addition, copies of the official offering circular will be furnished upon request. Enclosed is a copy of the tender form to be used in submitting bids for the notes. The closing time for receipt of tenders is 1:30 p.m., Thursday, October 21, 1976. Telephone inquiries regarding this offering may be made by calling Telephone No. 212-791-5823, 212-791-6616, or 212-791-5^65. P aul A. V olcker, President. IM ORTANT — Closing time for receipt of this tender is 1:30 p.m ., Thursday, October 21, 1976. T E N D E R FOR T R E A SU R Y N O TES OF SERIES S-1978 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 senicing the ownership and interest records. The transaction will not be completed unless all required data is furnished. Dated November 1, 1976 Due October 31, 1978 FF.DF.RAL RFSFRVF. BANK OF NFW YORK. Fiscal Agent o f the United States, New York, N.Y. 10045 Dated at , 19 The undersigned hereby offers to purchase United States of America Treasury Notes of Series S-1978 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. COM PETITIVE TENDER Do not Jill iti both Competitive and Noncompetitive tenders on one form $ ........................................................(maturity value) or any lesser amount that may be awarded. Yield: . . . . . NONCOMPETITIVE TENDER $ ........................................................(maturity value) (Not to exceed $500,000 for 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, 7.11) 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 5,000 10,000 100,(XX) l.OOO.(XX) XXX [ | 1. Deliver over the counter to the undersigned [~1 2. Ship to the undersigned | | 3. Hold in safekeeping (tor member bank only) in — j | Investment Account M General Account Payment will be made as follows; n By charge to our reserve account M By cash or check in immediately □ U 4. available funds I | By surrender of maturing securities Hold as collateral for Treasury Tax and Loan Account* s Peclal instructions, (No changes in delivery instructions will be accepted) Totals * The undersigned certifies that the allotted securities w ill be owned solely bv the undersigned. (If a commercial bank or dealer is subscribing for its own account or for account o f customers, the follow ing certifications are made a part of this tender.) WE HEREBY CERTIFY that we have received tenders from our customers in the amounts set forth opposite the customers’ names on the list which is made a part of this tender, and that we have either received and are holding for the Treasury or we guarantee payment to the Treasury of deposits stipulated in the official offering circular. WE FURTHER CERTIFY that tenders received by us, if any, from other commercial banks for their own account and for the account of their customers have been entered with us under the same conditions, agree ments, and certifications as set forth in this form. (Name of subscriber — please print or type) In se rt th is te n d e r in sp e c ia l en velope m a rk e d “ T en d er f o r T reasury N o tes o r B on ds ” (Address -- incl. City and State) 1I cl No t (Signature of subscriber or authorized signature) (Title of suthori/ed signer) (Institutions submitting tenders for customer account must list customers' names on lines below or o n an attached rider) (Name (it custom er) (Name of customer) INST 'RUCTIONS: 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 dailv 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 show ing the name ot each bidder and the amount bid for his account. Others will not be permitted to submit tenders except for their own account. 3. lenders will be received without deposit from commercial and other banks for their own account, federallv-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 p a y m e n t of 5 percent ot the face amount of the securities applied for. 4. Payment must be completed by November 1, 147b. If payment is by check drawn on a bank in this District, it must be receised by October 27, 147b; checks drawn on a bank in another District must be received by October 25, IM7b. All checks must be drawn to the order of the Federal Reserve Bank of New York; checks endorsed to this Bank will not be accepted. 5. It 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. i R e f . C i r . No 7071] (OVER) I ID ; j ! ' I rn c to H m JO m ! ° H JO m > </> c X < z o H m CO O T| CO m m CO CO co "J 00 CO C C O co O 5 TJ H O z z o
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