4144-2 Schedule of U S Treasury securities state and local gove

PD F 4144-2 E
Department of the Treasury
Bureau of the Public Debt
(Revised August 2005)

SCHEDULE OF U.S. TREASURY SECURITIES
STATE AND LOCAL GOVERNMENT SERIES
TIME DEPOSIT

OMB No. 1535-0092

See Instructions On Back
The United States Treasury Securities – State and Local Government Series subscribed for on PD F 4144 and account information
furnished on PD F 4144-1 to which this schedule is attached and incorporated, are requested to be issued and held in book-entry
accounts on the books of the Department of the Treasury.
PRINCIPAL
AMOUNT

INTEREST RATE
(PERCENTAGE)

MATURITY
DATE
(MM/DD/YY)

FIRST INTEREST
PAYMENT DATE
(MM/DD/YY)

1

TOTAL PRINCIPAL:
$
1A first interest payment date must be specified for interest bearing securities with a maturity date greater
than one year.

Taxpayer Identification Number:
Name of Issuer:

RESET

U.S. TREASURY SECURITIES
STATE AND LOCAL GOVERNMENT SERIES
TIME DEPOSIT
Instructions

Bureau of the Public Debt
Special Investments Branch
200 Third Street
PO Box 396
Parkersburg, WV 26106-0396

Telephone Number: (304) 480-5299
Fax Number: (304) 480-5277
Internet Address: http://www.slgs.gov
E-Mail Address: [email protected]
Governing Regulations: 31 CFR Part 344

Principal Amount: The amount for each security must be at least $1,000 and in increments of $1.
Interest Rate: The rate of interest on each security may not exceed the maximum interest rate for Treasury Securities of comparable
terms of maturity, as shown on the Treasury Rate Table applicable to this issuance. The applicable Treasury Rate Table for this
issuance is determined by the date the initial subscription is faxed, postmarked, or carrier date stamped. The Treasury Rate Table is
available on our website listed above.
Maturity Date:
•

Certificate of Indebtedness (Non-interest bearing): The maturity date specified must be at least
fifteen days, but not greater than one year, from the date of issue.

•

Certificate of Indebtedness (Interest bearing): The maturity date specified must be at least thirty
days, but not greater than one year, from the date of issue.

•

Note: The maturity date specified must be at least one year and one day, but not greater than ten
years, from the date of issue.

•

Bond: The maturity date specified must be at least ten years and one day, but not greater than forty
years, from the date of issue.

First Interest Payment Date: The Issuer specifies the first interest payment date for all interest bearing notes and bonds. The first
interest payment date must occur any time between thirty days and one year of the date of issue. The final interest payment date must
coincide with the maturity date of the security.
Interest Computation: Interest on a certificate of indebtedness is computed on an annual basis and is paid at maturity with the
principal. Interest on a note or bond is paid semi-annually. Interest for other than a full semi-annual interest period is computed on
the basis of a 365-day or 366-day year (for certificates of indebtedness) and on the basis of the exact number of days in the half-year.
(for notes and bonds). See the appendix to subpart E of Part 306 of the Code of Federal Regulations for rules regarding computation
of interest.

NOTICE UNDER PAPERWORK REDUCTION ACT
We estimate it will take you about 30 minutes to complete this form. However, you are not required to provide information requested
unless a valid OMB control number is displayed on the form. Any comments or suggestions regarding this form should be sent to the
Bureau of the Public Debt, Forms Management Officer, Parkersburg, WV 26106-1328.