Statement of Taxpayer Identification Number

• Legal Form Number: 4
• 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.

STATEMENT OF TAXPAYER IDENTIFICATION NUMBER

(E.g., Social Security number(s), employer identification number(s))

Name of Petitioner

Petitioner’s Taxpayer Identification Number

Name of Additional Petitioner

Additional Petitioner’s Taxpayer Identification Number

If either petitioner is seeking relief from joint and several liability on a joint return

pursuant to Section 6015, I.R.C. 1986, and Rules 320 through 325, name of the other individual

with whom petitioner filed a joint return:

Taxpayer Identification Number of the other individual, if available:

SIGNATURE OF PETITIONER OR COUNSEL DATE

SIGNATURE OF ADDITIONAL PETITIONER DATE

T.C. FORM 4 (01/08)