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APPLICATIONS & PROGRAMS

ACCOUNT CENTER

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Forms for State and Local Government Series Securities, Tax and Loss Bonds, and FHA Debentures

Select a Category or Scroll Through the List of Forms

To select the form you need, select the appropriate category from the list below. After you select a category, you'll see a more detailed description of each form. If you prefer, you can scroll through the entire list of available forms--you'll find a complete listing just below the Forms Categories.

The forms below are Adobe PDF documents.  You can fill them out on your computer.

You should mail your completed forms to:

Special Investments Branch
P.O. Box 396
Parkersburg, WV 26106-0396

The address to use for courier services or certified mail is:

Special Investments Branch
Room 119
Parkersburg Warehouse & Operations Center Dock 1
257 Bosley Industrial Park Drive
Parkersburg, WV 26101

Form Categories

List of Available Forms

FHA Debentures

Form Number Title, Description, Size

FS 5354

FHA TRANSACTION REQUEST
Make changes to an FHA Debenture account.
Size: 224 K     Uploaded 03/04/2016

FS 5366

FHA NEW ACCOUNT REQUEST
Request a new FHA Debenture
Size: 187 K     Uploaded 03/04/2016

FS 5367

FHA DEBENTURE TRANSFER REQUEST
Request an FHA Debenture transfer.
Size: 225 K     Uploaded 03/04/2016

State and Local Government Series (SLGS) Securities

Form Number Title, Description, Size

FS 4144

SUBSCRIPTION FOR PURCHASE AND ISSUE OF
U.S. TREASURY SECURITIES
State and Local Government Series/Time Deposit
Size: 204 K     Uploaded 03/04/2016

FS 4144-1

ACCOUNT INFORMATION FOR U.S. TREASURY SECURITIES
State and Local Government Series/Time Deposit
Size: 279 K     Uploaded 03/04/2016

FS 4144-2

SCHEDULE OF U.S. TREASURY
State and Local Government Series/ Time Deposit
Size: 347 K     Uploaded 03/04/2016

FS 4144-5

SLGSafeSM APPLICATION FOR INTERNET ACCESS
U.S Treasury State and Local Government Series
Size: 354 K     Uploaded 03/04/2016

FS 4144-6

SLGSafeSM USER ACKNOWLEDGMENT, SLGSafe
APPLICATION FOR INTERNET ACCESS
Attach this to your SLGSafeSM application.
Size: 203 K     Uploaded 03/04/2016

FS 4144-7

SLGSafeSM TEMPLATE WORKSHEET
Size: 224 K     Uploaded 03/04/2016

FS 5237

SUBSCRIPTION FOR PURCHASES OF U.S. TREASURY
SECURITIES - SLGS ONE-DAY CERTIFICATE OF INDEBTEDNESS
Buying a SLGS one-day Certificate of Indebtedness/Demand Deposit.
Size: 465 K     Uploaded 03/04/2016

FS 5238

REQUEST FOR REDEMPTION OF US TREASURY
SECURITIES - SLGS ONE-DAY CERTIFICATE OF INDEBTEDNESS
Redeeming a SLGS one-day Certificate of Indebtedness/Demand Deposit.
Size: 444 K     Uploaded 03/04/2016

FS 5377

US TREASURY SECURITIES SLGS EARLY REDEMPTION REQUEST
Size: 221 K     Uploaded 03/04/2016

Tax and Loss Bonds (NOT FOR SAVINGS BONDS)

Form Number Title, Description, Size

FS 3871

APPLICATION FOR ISSUE OF UNITED STATES
MORTGAGE GUARANTY INSURANCE COMPANY TAX AND LOSS BONDS
Application for purchasing a Tax and Loss Bond.
Size: 713K     Uploaded 03/04/2016
THIS IS NOT A SAVINGS BOND FORM