Form
8027-T
Transmittal of Employer’s Annual Information Return of Tip Income and Allocated Tips
For Paperwork Reduction Act Notice, see the instructions for Form 8027.
Employer’s name Number and street (or P.O. box number, if mail is not delivered to street address.) Apt. or suite no.
OMB No. 1545-0714
Department of the Treasury Internal Revenue Service
Use IRS label. Make any necessary changes. Otherwise, type or print employer’s name, address, and employer identification number as shown on Form 941.
Employer identification number Number of accompanying Forms 8027
City or town, state, and ZIP code
Use this form to send Forms 8027 to the Internal Revenue Service Center if you have more than one establishment for which you have to file Form 8027.
File this form along with accompanying Forms 8027 with the Internal Revenue Service Center, Andover, MA 05501, by February 28, 1995.
Cat. No. 61006A
Printed on recycled paper
Form
8027-T
(1994)