8027-T Transmittal of Employer's Annual Information Return of T

Form

8027-T

(Rev. October 2021)
Department of the Treasury
Internal Revenue Service

Transmittal of Employer’s Annual
Information Return of Tip Income and Allocated Tips

For calendar year

Go to www.irs.gov/Form8027T for the latest information.
▶ For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 8027.
▶

20

Employer identification number

Employer’s name

Type or print employer’s
name, address, and
employer identification
number as shown on
Form 8027.

OMB No. 1545-0714

Number and street (or P.O. box number, if mail isn’t delivered to street address)

Apt. or suite no.

Number of accompanying Forms 8027

City or town, state, and ZIP code (if a foreign address, see the Instructions for Form 8027)

Use Form 8027-T to send paper Forms 8027 to the
Internal Revenue Service if you have more 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, Ogden, UT 84201.

Cat. No. 61006A

Form 8027-T (Rev. 10-2021)