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

Form

8027-T

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

Department of the Treasury
Internal Revenue Service

For Privacy Act and Paperwork Reduction Act Notice, see
the Instructions for Form 8027.

2011

Employer identification number

Employer’s name

Type or print employer’s
name, address, and
employer identification
number as shown on
Form 941.

OMB No. 1545-0714

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

City or town, state, and ZIP code

Use Form 8027-T to send 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, Cincinnati, OH 45999 by
February 29, 2012.

Cat. No. 61006A

Form 8027-T (2011)