UNITED STATES TAX COURT

Washington, D.C.

_______________, Petitioner

)
)
)
)
)
)

v.
Commissioner of Internal
Revenue, Respondent

Docket No._______________

NOTICE OF APPEAL

Notice is hereby given that

hereby appeals to the United States Court of Appeals for the ___________ Circuit from (that part
of) the decision of this court entered in the above captioned proceeding on the _____ day of
____________, 20_____ , relating to ______________________________________________
____________________________________________________________________________
____________________________________________________________________________.

(s)_____________________________
Counsel for _____________________
Address:_______________________
_______________________

See Rule 3(c) for permissible ways of identifying appellants.

06/30/2011

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