FS Form 3500 - TreasuryDirect

FS Form 3500 Department of the Treasury | Bureau of the Fiscal Service FS Form 3500 (Revised June 2020) continuation sheet for listing securities Print in ink or type all information. The bonds described on this form are included in the attached FS Form _____. ISSUE DATE (Month and year) FACE AMOUNT BOND NUMBER INSCRIPTION (Provide complete Social Security Number [for example, 123-45-6789], names, including middle names or initials, and addresses on the bonds)

FS Form 3500 (revised June 2016 ) Continuation Sheet for Listing Securities. Print in ink or type all information. The bonds described on this form are included in the attached FS Form .

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Transcription of FS Form 3500 - TreasuryDirect

1 FS Form 3500 Department of the Treasury | Bureau of the Fiscal Service FS Form 3500 (Revised June 2020) continuation sheet for listing securities Print in ink or type all information. The bonds described on this form are included in the attached FS Form _____. ISSUE DATE (Month and year) FACE AMOUNT BOND NUMBER INSCRIPTION (Provide complete Social Security Number [for example, 123-45-6789], names, including middle names or initials, and addresses on the bonds)