Request for Place of Trial

• Legal Form Number: 5
• Section: Tax Court
• Court: U.S. Tax Court

UNITED STATES TAX COURT

www.ustaxcourt.gov

______________________________________________

Petitioner(s)

v.

COMMISSIONER OF INTERNAL REVENUE,

Respondent

Docket No.

REQUEST FOR PLACE OF TRIAL

PLACE AN “X” IN ONLY ONE BOX TO REQUEST THE PLACE OF TRIAL. IF PETITIONER(S) ELECTED TO

HAVE THE CASE CONDUCTED AS A SMALL TAX CASE, REQUEST ANY CITY LISTED BELOW; OTHERWISE,

REQUEST ANY CITY NOT MARKED WITH AN ASTERISK (*).

ALABAMAKANSASOHIO

9 Birmingham9 Wichita*9 Cincinnati

9 MobileKENTUCKY9 Cleveland

ALASKA9 Louisville9 Columbus

9 AnchorageLOUISIANAOKLAHOMA

ARIZONA9 New Orleans9 Oklahoma City

9 Phoenix9 Shreveport*OREGON

ARKANSASMAINE9 Portland

9 Little Rock9 Portland*PENNSYLVANIA

CALIFORNIAMARYLAND9 Philadelphia

9 Fresno*9 Baltimore9 Pittsburgh

9 Los AngelesMASSACHUSETTSSOUTH CAROLINA

9 San Diego9 Boston9 Columbia

9 San FranciscoMICHIGANSOUTH DAKOTA

COLORADO9 Detroit9 Aberdeen*

9 DenverMINNESOTATENNESSEE

CONNECTICUT9 St. Paul9 Knoxville

9 HartfordMISSISSIPPI9 Memphis

DISTRICT OF9 Jackson9 Nashville

COLUMBIAMISSOURI TEXAS

9 Washington9 Kansas City9 Dallas

FLORIDA9 St. Louis9 El Paso

9 JacksonvilleMONTANA9 Houston

9 Miami9 Billings*9 Lubbock

9 Tallahassee*9 Helena9 San Antonio

9 TampaNEBRASKA UTAH

GEORGIA9 Omaha9 Salt Lake City

9 AtlantaNEVADAVERMONT

HAWAII9 Las Vegas9 Burlington*

9 Honolulu9 RenoVIRGINIA

IDAHONEW MEXICO 9 Richmond

9 Boise9 Albuquerque9 Roanoke*

9 Pocatello*NEW YORKWASHINGTON

ILLINOIS9 Albany*9 Seattle

9 Chicago9 Buffalo9 Spokane

9 Peoria*9 New York City WEST VIRGINIA

INDIANA9 Syracuse*9 Charleston

9 IndianapolisNORTH CAROLINA WISCONSIN

IOWA9 Winston-Salem9 Milwaukee

9 Des MoinesNORTH DAKOTAWYOMING

9 Bismarck*9 Cheyenne*

Signature of Petitioner(s) or Counsel Date

T.C. FORM 5 (REV. 09/10)