This exhibit contains a sample Form 3210 that is used to send partial settlement agreement forms to the CTF.The Form 3210 is addressed to:Key Case CTFThe remarks section has the following text: TEFRA Partnership and Partial settlement agreement forms received to date. All forms have not been returned at this time.The Form 3210 contains the following information:Name of Partnership:EIN:Year(s):MFT:Statute Date:Form:One-year statute date is:(Use special five month one-year statute date per IRM 8.19.11.11(8))Enclosures:Forms 870-PT(AD) Partial Settlement Agreements for the following partners:Names of partially agreed partners:TIN:Small return envelopeThe following copies of forms are marked Information Only - Do Not Mail to Taxpayer:Form 5402Appeals Case MemorandumForm 886-Z with Partial Agreement written beside those partners who signed partial agreement formsForm 4605-ANecessary Actions:Return a copy of Form 3210 within 10 days in the envelope.Input one-year statute date for each partner listed above and process partial agreement forms. Do not suspend collection activity on these assessments. If the computation indicates an overpayment, do not schedule for allowance any qualified overpayment (for refund or credit) (other than tentative allowance under IRC 6411) with respect to any tax year involved in the proceeding until the proceeding becomes final.Re-suspend partner files pending final partnership determination. Section 6404(g) Notice Date: _______ Section 6404(g) Notice: Type of NoticeThe From field at the bottom left of the Form 3210 contains the following information: Appeals Office AddressThe Releasing Official field contains the following information: Appeals Officer or other Releasing Official
