UNITED STATES TAX COURT www.ustaxcourt.gov Petitioner(s) Docket No. v. COMMISSIONER OF INTERNAL REVENUE, Respondent REQUEST FOR PLACE OF TRIAL Place an “X” in only one box to request your place of trial. A city marked with an asterisk(*) may be requested only if you elected on Form 2 that your case be conducted as a small tax case; any other city may be requested for any case, including a small tax case. ALABAMA 9 Birmingham 9 Mobile ALASKA 9 Anchorage ARIZONA 9 Phoenix ARKANSAS 9 Little Rock CALIFORNIA 9 Fresno* 9 Los Angeles 9 San Diego 9 San Francisco COLORADO 9 Denver CONNECTICUT 9 Hartford DISTRICT OF COLUMBIA 9 Washington FLORIDA 9 Jacksonville 9 Miami 9 Tallahassee* 9 Tampa GEORGIA 9 Atlanta HAWAII 9 Honolulu IDAHO 9 Boise 9 Pocatello* ILLINOIS 9 Chicago 9 Peoria* INDIANA 9 Indianapolis IOWA 9 Des Moines KANSAS 9 Wichita* KENTUCKY 9 Louisville LOUISIANA 9 New Orleans 9 Shreveport* MAINE 9 Portland* MARYLAND 9 Baltimore MASSACHUSETTS 9 Boston MICHIGAN 9 Detroit MINNESOTA 9 St. Paul MISSISSIPPI 9 Jackson MISSOURI 9 Kansas City 9 St. Louis MONTANA 9 Billings* 9 Helena NEBRASKA 9 Omaha NEVADA 9 Las Vegas 9 Reno NEW MEXICO 9 Albuquerque NEW YORK 9 Albany* 9 Buffalo 9 New York City 9 Syracuse* NORTH CAROLINA 9 Winston-Salem NORTH DAKOTA 9 Bismarck* SIGNATURE OF PETITIONER(S) OR COUNSEL OHIO 9 Cincinnati 9 Cleveland 9 Columbus OKLAHOMA 9 Oklahoma City OREGON 9 Portland PENNSYLVANIA 9 Philadelphia 9 Pittsburgh SOUTH CAROLINA 9 Columbia SOUTH DAKOTA 9 Aberdeen* TENNESSEE 9 Knoxville 9 Memphis 9 Nashville TEXAS 9 Dallas 9 El Paso 9 Houston 9 Lubbock 9 San Antonio UTAH 9 Salt Lake City VERMONT 9 Burlington* VIRGINIA 9 Richmond 9 Roanoke* WASHINGTON 9 Seattle 9 Spokane WEST VIRGINIA 9 Charleston WISCONSIN 9 Milwaukee WYOMING 9 Cheyenne* DATE T.C. FORM 5 (REV. 01/08) American LegalNet, Inc. www.FormsWorkflow.com