Fillable Bureau of the Fiscal Service Fiscal Accounting Operations (Department of the Treasury - BPD)

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Bureau of the Fiscal Service Fiscal Accounting Operations (Department of the Treasury - BPD)

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REQUEST FOR INVESTMENT/REDEMPTION
Phone: (304) 480-5151, Opt. 3
Email: fedinvestor@fiscal.treasury.gov
Bureau of the Fiscal Service
Fiscal Accounting Operations
Special Assets and Liabilities Division
Federal Investments and Borrowings Branch
Investments Program Team
200 Third Street
Room 102
P
arkersburg, WV 26106
INVESTMENT REDEMPTION
FUND NAME: _________________________________________
TREASURY ACCOUNT SYMBOL (TAS): ___________________
TRANSACTION DATE: __________________________________
For Specific Identification
Redemptions ONLY
ONE-DAY CERTIFICATES MATURITY DATE:_________________ Purchase Date/Memo #
NOTES COUPON RATE:______% MATURITY DATE:_________________ ____________/________
BONDS COUPON RATE:______% MATURITY DATE:___________________ ___________/________
TIPS COUPON RATE:________% MATURITY DATE: __________________ ____________/________
ZERO COUPON BOND MATURITY DATE:_________________ ___________/__________
SPECIAL ISSUE SECURITIES
AVAILABLE FOR INVESTMENT: _____________________________
NEED FROM REDEMPTION: _________________________________
____
FACE (Invest or Redeem): _____________________________________
CONTACT:__________________________PHONE:_________________EMAIL:____________________
I certify that the items listed above are correct and amounts to be invested are credited to the
General Account of the Treasury and available for use by Treasury.
__________________________________________
(Authorized Signature)
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Bureau of the Fiscal Service Fiscal Accounting Operations (Department of the Treasury - BPD)

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Completed 19 July 2020

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