Free Form 13751 (10-2005) - Federal

Department of the Treasury -- Internal Revenue Service

Form

13751

(October 2005)

Waiver of Right to Consistent Agreement of Partnership Items and Partnership-Level Determinations as to Penalties, Additions to Tax, and Additional Amounts
Partnership

OMB No. 1545-1969

Taxpayer
1. Name and address (Street, City, State, ZIP code)

3. Name and address (Street, City, State, ZIP code)

2. Taxpayer Identification Number (EIN or SSN)

4. Taxpayer Identification Number (EIN or SSN)

5. Tax year(s) ended

The undersigned taxpayer(s), in accordance with Internal Revenue Code section 6224(b), waive(s) the right to request settlement terms with respect to partnership items (and partnership-level determinations of penalties, additions to tax and additional amounts that relate to partnership items) for the above partnership taxable year(s) consistent with settlement agreements entered into with any other partner with respect to the above taxable year(s).

Signature of Taxpayer

Date (mmddyyyy)

Signature of Taxpayer

Date (mmddyyyy)

Catalog No. 47541C

www.irs.gov

Form 13751 (10-2005)