OMB control number
Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency
OMB 3235-0757 · SEC.
OMB 3235-0757
Rule 147A is an exemption from registration under Securities Act Section 28. To qualify for the exemption, Rule 147A(f)(1)(iii) (17 CFR 230.147A) will require the issuer to obtain from the purchaser a written representation as to the purchaser's residency.
The latest form for Rule 147A(f)(1)(iii) Written Representation as to Purchaser Residency expires 2026-08-31 and is listed under ICR 202306-3235-013.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections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 |