Request to Revoke Partnership Level
Tax Treatment Election
OMB No. 1545-0123
For partnership tax years beginning before January 1, 2018.
(Rev. September 2017)
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Department of the Treasury
For tax year beginning
, and ending
Internal Revenue Service
Employer identification number
Name of partnership
Number, street, and room or suite no. If a P.O. box, see the instructions.
City or town, state or province, country, and ZIP or foreign postal code
Revocation—Available only for partnership tax years beginning before January 1, 2018
We, the partners of the above named partnership, request permission to revoke the election to have the provisions of
subchapter C of chapter 63 of the Internal Revenue Code (prior to the amendment by the Bipartisan Budget Act of 2015
(BBA)) apply with respect to this partnership. We understand that the revocation of this election will not become effective
without IRS consent. All partners who were partners at any time during the tax year shown above have signed this form.
All partners who were partners at any time during the tax year shown above must sign below.
Under penalties of perjury, I declare that I was a partner during the tax year as stated above and my signature
confirms my agreement with the request for revocation. I have examined this consent statement, and to the best of my
knowledge and belief, it is true, correct, and complete.
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 37702J