Instructions For Form 8027 Page 3

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information shown on the Forms W-2 that you file with
amount of service charges of less than 10% that have
the Social Security Data Operations Center.
been added to customers’ bills and have been distributed
to your employees for the year. In general, service
Tip allocations have no effect on withholding income or
charges added to the bill are not tips since the customer
social security or Medicare taxes from employees’ wages.
does not have a choice. These service charges are
Allocated tips are not subject to withholding and are not
treated as wages and are includible on Form W-2. For
to be included in box 10, Wages, tips, and other
details, see Revenue Ruling 69-28, 1969-1 C.B. 270.
compensation, of Form W-2. See Pub. 937 for more
information.
Line 4a—Total tips reported by indirectly tipped
employees.—Enter the total amount of tips reported for
the year by indirectly tipped employees, such as cooks
Specific Instructions
and employees who bus tables.
File a separate Form 8027 for each large food or
Line 4b—Total tips reported by directly tipped
beverage establishment. Do not attach copies or any
employees.—Enter the total amount of tips reported for
unrelated correspondence.
the year by directly tipped employees, such as waiters
Name and address of establishment and employer
and waitresses.
identification number (EIN).—Please use the name and
Caution: Do not include tips received by employees in
address label provided. Cross out any errors and print the
December 1991 but not reported until January 1992.
correct information on the label. If you do not have one,
However, include tips received by employees in December
please type or print the name and address of the
1992 but not reported until January 1993.
establishment. They may be different from your name and
Line 5—Gross receipts from food or beverage
address, as in the case of employers who have more than
operations.—Enter the total gross receipts from the
one establishment. The employer identification number
provision of food or beverages for this establishment for
should be the same as the number on the Forms W-2
the year.
that you give to the employees and the Form 941,
If you do not charge separately for providing food or
Employer’s Quarterly Federal Tax Return, or Form 941E,
beverages along with other goods or services (such as a
Quarterly Return of Withheld Federal Income Tax and
package deal for food and lodging), make a good faith
Medicare Tax, you file reporting wages and taxes for
estimate of the gross receipts from the food or
employees working for the establishment.
beverages. This estimate must reflect the cost to the
Kind of establishment.—Check the box (check only one
employer for providing the food or beverage plus a
box) on the form that best describes the food or
reasonable profit factor.
beverage operation at this establishment:
Line 6—Enter the result of multiplying line 5 by 8% (.08)
1. an establishment that serves evening meals only
or a lower rate (if the establishment was granted one by
(with or without alcoholic beverages).
the IRS).
2. an establishment that serves evening and other
If a lower percentage rate was granted, write the rate in
meals (with or without alcoholic beverages).
the space provided and attach a copy of the IRS district
3. an establishment that serves only meals other than
director’s determination letter.
evening meals (with or without alcoholic beverages).
Note: If you have allocated tips using other than the
4. an establishment that serves food, if at all, only as
calendar year, put an X on line 6 and enter the amount of
an incidental part of the business of serving alcoholic
allocated tips (if any) from your records on line 7. This
beverages.
may occur if you allocated tips based on the time period
Employer’s name and address.—Enter your name and
for which wages were paid or allocated on a quarterly
address.
basis.
Establishment number.—Enter a five-digit number to
Line 7—Allocation of tips.—If 8% (or an approved lower
identify the individual establishments that you are
rate) of gross receipts (line 6) is more than the amount of
reporting under the same EIN. Give each establishment a
tips reported by your employees (line 4c), you must
separate number. For example, each establishment could
allocate the difference to those employees. Enter the
be numbered consecutively, starting with 00001.
difference on line 7. There are three methods by which
you may allocate tips. Check the box on line 7a, b, or c
to show the method used.
Line-by-Line Instructions
Line 7a—Hours-worked method.—Establishments that
Note: In these instructions, the term nonallocable receipts
employ fewer than the equivalent of 25 full-time
means receipts for carryout sales and receipts with a
employees during a payroll period may use the
service charge added of 10% or more.
hours-worked method to allocate tips. You will be
Line 1—Total charged tips for 1992.—Enter the total
considered to have employed fewer than the equivalent of
amount of tips that are shown on charge receipts for the
25 full-time employees during a payroll period if the
year.
average number of employee hours worked per business
day during a payroll period is less than 200 hours. To
Line 2—Total charge receipts with charged tips.—Enter
allocate tips by this method, follow the steps for the gross
the total sales (other than nonallocable receipts) from
receipts method on page 4. For the fraction in step (c) of
charge receipts that had a charged tip shown. Include
the gross receipts method, substitute one in which the
credit card charges and other credit arrangements and
numerator (top number) is the number of hours worked by
charges to a hotel room unless your normal accounting
each employee who is tipped directly, and the
practice consistently excludes charges to a hotel room.
denominator (bottom number) is the total number of hours
Do not include any state or local taxes in the amounts
worked by all employees who are directly tipped for the
reported.
payroll period. See Regulations sections 31.6053-3(j)(19)
Line 3—Total amount of service charges of less than
and 31.6053-3(f)(1)(iv) for details.
10% paid as wages to employees.—Enter the total
Page 3

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