Sample Form 4605-A - Examination Changes - Partnerships, Fiduciaries, S Corporations, and Interest Charge Domestic International Sales Corporations, Page 1The sample form is an example of Page 1 of Form 4605-A, a basic report for partnerships, etc. Page 1 contains fields for the taxpayer name, TIN, proposed adjustments, and the resulting tax or overassessment. The sample form is an example of a completed form reflecting the taxpayer name, etc., but the details are not relevant to this exhibit.