Form of Rule 144 Seller's Representation Letter

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This Form of Rule 144 Seller's Representation Letter will set out a seller's representations in connection with the transfer or sale of restricted stock.

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This Form of Rule 144 Seller's Representation Letter sets forth a seller's representations in conjunction with the transfer and sale of restricted stock. This letter specifies the date shares were purchased and that they were purchased for investment only. It also includes language regarding the pledge of the shares and that the required notices will be filed with the Securities and Exchange Commission prior to the proposed share sale.

This Form of Rule 144 Seller's Representation Letter includes:
  • Representations: Sets forth the seller's representations in regard to the sale of shares including the purchase date, that shares were purchased for investment and not acquired for sale;
  • Transfer: Number of shares transferred by a spouse, trust, estate or other person acting in concert with selling shares of the company;
  • Pledge: Shares are not pledged as collateral for any agreement;
  • Form 144: This form will be transmitted to the Securities & Exchange Commission before placing an order for shares;
  • Signatures: This letter must be signed by the seller.

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This attorney-prepared packet contains:
  1. General Information
  2. Instructions and Checklist
  3. Form of Rule 144 Seller's Representation Letter
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
Number of Pages6
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#43670
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.

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