Form 5

FORM 5 DESIGNATION OF PLACE OF TRIAL (Available-Ask for Form 5) (See Rule 140) UNITED STATES TAX COURT

.....................................................................
                        Petitioner(s)
                               v.
COMMISSIONER OF INTERNAL REVENUE,
                                                    Respondent

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Docket No.

DESIGNATION OF PLACE OF TRIAL

Petitioner(s) hereby designate(s) ............................................................................ as the place of trial of this case.
City and State

.......................................................... Signature of Petitioner or Counsel
Dated: ...................................