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

The Bureau of the Public Debt offers SLGS, Tax and Loss, and FHA Debenture forms for download in Portable Document Format (PDF). These forms may be filled in on-line, printed and mailed to the address in the next paragraph. To read or print a PDF document, you need the Adobe Acrobat Reader software installed on your PC. To fill in the forms on-line, you need Adobe Acrobat Reader Version 4.0. Adobe Systems, Inc. permits the Bureau of the Public Debt and other organizations to offer this software to the public free of charge. You can download the Adobe Acrobat Reader from the Adobe website.

You should mail your completed forms to: Division of Special Investments, P.O. Box 396, Parkersburg, WV 26106-0396. The address to use for courier services or certified mail is: Division of Special Investments, 200 Third Street, Parkersburg, WV 26106-0396 .

To access additional forms and our publications, visit our forms ordering page.

Note: If you need help downloading...

Forms Categories

State and Local Government Series

PD F 4144 (E)   Subscription for Purchase and Issue of U.S. Treasury Securities - State and Local Government Series/ Time Deposit PDF
file size-78K
file uploaded-7/26/2001
PD F 4144-1 (E) Account Information for U.S. Treasury Securities - State and Local Government Series/ Time Deposit PDF
file size-89K
file uploaded-7/26/2001
PD F 4144-2 (E) Schedule of U.S. Treasury State and Local Government Series/ Time Deposit PDF
file size-76K
file uploaded-7/26/2001
PD F 4144-5 (E) SLGSafeSM Application For Internet Access
U.S. Treasury State and Local Government Series
PDF
file size-121K
file uploaded-7/26/2001
PD F 4144-6 (E) SLGSafeSM User Acknowledgment
SLGSafeSM Application For Internet Access
U.S. Treasury State and Local Government Series
PDF
file size-73K
file uploaded-7/26/2001
PD F 4144-7 (E) SLGSafeSM Template Worksheet
U.S. Treasury State and Local Government Series
PDF
file size-80K
file uploaded-7/26/2001
PD F 4144-8 (E) SLGSafeSM Case Change Request U.S. Treasury State and Local Government Series/ Time Deposit PDF
file size-91K
file uploaded-8/29/2000
PD F 5237 (E) Subscriptions for Purchase of U.S. Treasury Securities - State and Local Government Series One-Day Certificate of Indebtnedness/ Demand Deposit PDF
file size-76K
file uploaded-7/26/2001
PD F 5238 (E) Request for Redemption of U.S. Treasury Securities - State and Local Government Series One-Day Certificate of Indebtedness/ Demand Deposit PDF
file size-67K
file uploaded-7/26/2001
PD F 5376 (E) Change Request - U.S. Treasury Securities - State and Local Government Series PDF
file size-108K
file uploaded-7/26/2001
PD F 5377 (E) Early Redemption Request (Time Deposit) - U.S. Treasury Securities - State and Local Government Series PDF
file size-75K
file uploaded-7/26/2001

Tax and Loss Bonds

PD F 3871 (E)   Application for Issue of United States Mortgage Guaranty Insurance Company Tax and Loss Bonds PDF
file size-10K
file uploaded-7/26/2001

FHA Debentures

PD F 5354 (E)   FHA Transaction Request PDF
file size-470K
file uploaded-10/29/2001
PD F 5366 (E)   FHA New Account Request PDF
file size-462K
file uploaded-10/29/2001
PD F 5367 (E)   FHA Debenture Transfer Request PDF
file size-589K
file uploaded-10/29/2001

Updated November 30, 2025
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