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Form
8027
Employer’s Annual Information Return of
Tip Income and Allocated Tips
OMB No. 1545-0714
2023
See the separate instructions.
Go to www.irs.gov/Form8027 for instructions and the latest information.
Department of the Treasury
Internal Revenue Service
Employer identification number
Name of establishment
Check if:
Number and street (don’t enter a P.O. box). See instructions.
TREASURY/IRS
AND OMB USE
ONLY DRAFT
June 20, 2023
DO NOT FILE
Type of establishment (check
only one box)
Amended Return
Final Return
City or town, state, and ZIP code
1 Evening meals only
2 Evening and other
meals
3 Meals other than
evening meals
4 Alcoholic beverages
Employer’s name (see instructions)
Establishment number (see
instructions)
Number and street (or P.O. box number, if mail isn’t delivered to street address)
Apt. or suite no.
City, state, and ZIP code (if a foreign address, see instructions)
Yes (lines 1 and 2 must be completed)
Does this establishment accept credit cards, debit cards, or other charges?
1
Total charged tips for calendar year 2023
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1
2
Total charge receipts showing charged tips (see instructions) .
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2
3
Total amount of service charges of less than 10% paid as wages to employees .
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3
4a
Total tips reported by indirectly tipped employees
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4a
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b Total tips reported by directly tipped employees . . . . . . . . . . . . . . .
Note: Complete the Employer’s Optional Worksheet for Tipped Employees in the instructions
to determine potential unreported tips of your employees.
c Total tips reported (add lines 4a and 4b) . . . . . . . . . . . . . . . . . .
5
6
7
No
4b
4c
5
Gross receipts from food and beverages (not less than line 2—see instructions)
. . . .
Multiply line 5 by 8% (0.08) or the lower rate shown here
granted by the IRS.
If you use a lower rate, attach a copy of the IRS determination letter to this return . . . .
Note: If you have allocated tips using a period other than the calendar year (semimonthly,
biweekly, quarterly, etc.), mark an “X” on line 6 and enter the amount of allocated tips from
your records on line 7.
6
7
Allocation of tips. If line 6 is more than line 4c, enter the excess here . . . . . . . .
This amount must be allocated as tips to tipped employees working in this establishment.
Check the box below that shows the method used for the allocation. Show the portion, if any,
allocated to each employee in box 8 of the employee’s Form W-2.
a
Allocation based on hours-worked method (see instructions for restriction) . . . . .
Note: If you marked the checkbox on line 7a, enter the average number of employee
hours worked per business day during the payroll period. (see instructions)
b Allocation based on gross receipts method . . . . . . . . . . . . . . . .
c
8
Allocation based on good-faith agreement .
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Enter the total number of directly tipped employees at this establishment during 2023
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Under penalties of perjury, I declare that I have examined this return, including accompanying documents, and to the best of my knowledge and belief, it is true, correct, and
complete.
Signature
Title
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Date
Cat. No. 49989U
Form 8027 (2023)
File Type | application/pdf |
File Title | 2023 Form 8027 |
Subject | Employer's Annual Information Return of Tip Income and Allocated Tips |
Author | SE:W:CAR:MP |
File Modified | 2023-09-08 |
File Created | 2023-06-08 |