Transmittal of Employer’s Annual                                                        OMB No. 1545-0714
Form  8027-T
(Rev. October 2021)           Information Return of Tip Income and Allocated Tips                                                    For calendar year
Department of the Treasury                  ▶ Go to www.irs.gov/Form8027T for the latest information. 
Internal Revenue Service    ▶ For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 8027.                    20
                            Employer’s name                                                                                     Employer identification number
Type or print employer’s 
name, address, and          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
employer identification 
number as shown on 
Form 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             File Form 8027-T along with accompanying Forms 8027 
Internal Revenue Service if you have more than one          with the Department of the Treasury, Internal Revenue 
establishment for which you have to file Form 8027.         Service, Ogden, UT 84201.

                                                         Cat. No. 61006A                                                        Form 8027-T (Rev. 10-2021)