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