There is no cut outs or missing pieces in the book, and the book is fully intact. They are really nice condition for the age that they are. I'm not a professional grader, and what I'm offering to you as a grade is strictly my opinion.
Please refer to the high res scan and judge for yourself. The item "1963 TALES OF SUSPENSE #39 CGC 5.0 1ST App of IRON MAN (TONY STARK)! SHARP COPY" is in sale since Wednesday, March 21, 2018. This item is in the category "Collectibles\Comics\Silver Age (1956-69)\Superhero\Iron Man". The seller is "primecardsandcomics" and is located in Calgary, Alberta. This item can be shipped to United States, Canada.