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Department of the Treasury — Internal Revenue Service
Form 13751 Waiver of Right to Consistent Agreement of Partnership Items
OMB No. 1545-1969
(October 2005) and Partnership-Level Determinations as to Penalties,
Additions to Tax, and Additional Amounts
Taxpayer Partnership
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)
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