Sample Form 4549-A - Income Tax Examination Changes, Page 2The sample form is an example of Page 2 of Form 4549-A, which is the basic report form prepared by examiners for unagreed and excepted agreed individual and corporate income tax cases. Page 2 contains a field for the taxpayer's signature. The sample form is an example of a completed form reflecting the taxpayer name, etc., but the details are not relevant to this exhibit.