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1. DATE (YYMMDD)NOTICE OF REVISION (NOR)Form Approved OMB No. 07040188950210This revision described below has been authorized for the document listed.Public reporting burden for this collection is
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Read the instructions carefully to understand what information needs to be included in the supporting statement.
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Gather all necessary documents and evidence to support your statement.
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Provide clear and concise details about why you are requesting the supporting statement.
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Proofread the statement to avoid any errors before submitting it.

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A supporting statement request is a formal document submitted to request a detailed explanation or justification for a specific action or decision, often in relation to financial or regulatory matters.
Entities or individuals who need to provide additional information or clarification regarding their financial statements or other official submissions are typically required to file a supporting statement request.
To fill out a supporting statement request, complete the designated form with the necessary details, including the purpose of the request, relevant dates, and any supporting evidence or rationale.
The purpose of a supporting statement request is to provide necessary context, justification, or additional information to support a principal submission, ensuring clarity and compliance with regulatory requirements.
The request must include details about the submitting entity, the specific matter being addressed, any relevant financial data, and a clear explanation of the request's purpose.
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