Sample Form 2297 — Waiver of Statutory Notification of Claim DisallowanceThe sample form is an example of Form 2297, which the taxpayer signs if they agree to waive the requirement that notice be sent by certified or registered mail. The sample form is an example of a completed form reflecting the taxpayer name, TIN, and address of the taxpayer. The section titled, Claims, displays the following information for columns a. through d.: Taxable Period Ended displays 12/31/98Kind of Tax displays IncomeAmount of Claim displays $2100.00Amount of Claim Disallowed displays $1208.00