OMB control number

Rule 147(f)(1)(iii) Written Representation as to Purchaser Residency

OMB 3235-0756 · SEC.

OMB 3235-0756

Rule 147 is a safe harbor under the Securities Act Section 3(a)(11) exemption from registration. To qualify for the safe harbor, Rule 147(f)(1)(iii) (17 CFR 230.147) will require the issuer to obtain from the purchaser a written representation as to the purchaser's residency.

The latest form for Rule 147(f)(1)(iii) Written Representation as to Purchaser Residency expires 2026-08-31 and can be found here.