OMB control number
Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency
OMB 3235-0757 · SEC.
OMB 3235-0757
Rule 147A (17 CFR 230.147A) provides an exemption from registration under Section 5 of the Securities Act of 1933 for certain intrastate offerings. Rule 147A is intended to facilitate intrastate and regional securities offerings. Among other things, Rule 147A(f)(1)(iii) requires issuers relying on the rule to “obtain a written representation from each purchaser as to his or her residence.”
The latest form for Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency expires 2029-09-30 and is listed under ICR 202604-3235-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 3235-0757_30-Day Submission Notice.pdf.pdf | Supplementary Document |
| 3235-0757_30-Day Submission Notice.pdf.pdf | Supplementary Document |
| 3235-0757_60-Day Collection Notice.pdf | Supplementary Document |
| Rules 147A(f)(1)(iii).Supporting Statement.2026.pdf | Supporting Statement A |
 Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202604-3235-005 | Extension without change of a currently approved collection | 2026-07-02 | ||
| 202306-3235-013 | Extension without change of a currently approved collection | 2023-06-13 | Approved without change | |
| 202003-3235-015 | Extension without change of a currently approved collection | 2020-03-26 | Approved without change | |
| 201701-3235-006 | New collection (Request for a new OMB Control Number) | 2017-02-01 | Approved without change |