Form
8027-T
Transmittal of Employer’s Annual Information Return of Tip Income and Allocated Tips
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 8027.
Employer’s name
OMB No. 1545-0714
Department of the Treasury Internal Revenue Service
2009
Employer identification number Apt. or suite no. Number of accompanying Forms 8027
Type or print employer’s name, address, and employer identification number as shown on Form 941.
Number and street (or P.O. box number, if mail is not delivered to street address.) City or town, state, and ZIP code
Use Form 8027-T to send For ms 8027 to the Internal Revenue Service Center if you have mor e than one establishment for which you have to file Form 8027.
File Form 8027-T along with accompanying Forms 8027 with the Department of the Treasury, Internal Revenue Service, Cincinnati, OH 45999 by March 1, 2010.
Form
Cat. No. 61006A
8027-T
(2009)