Sample Form 870-LT - Agreement for Partnership Items & Partnership Level Determinations as to Penalties, Additions to Tax, and Additional Amounts and Agreement for Affected Items, Page 1The sample form is an example of Page 1 of Form 870-LT, which is used to secure agreements for both partnership items and affected items. The sample form is an example of a completed form reflecting the taxpayer name and TIN, partnership name, etc., but the details are not relevant to this exhibit.