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2018 Form 4137

4137 Social Security and Medicare Tax on Unreported Tip Income OMB No. 1545-0074. 2018. Form Department of the Treasury Go to for the latest information. Attachment Internal Revenue Service (99) Attach to Form 1040, Form 1040NR, Form 1040NR-EZ, Form 1040-SS, or Form 1040-PR. Sequence No. 24. Name of person who received tips. If married, complete a separate Form 4137 for each spouse with unreported tips. Social security number 1 (a) Name of employer to whom (b) Employer (c) Total cash and charge (d) Total cash and charge you were required to but didn't identification number tips you received (including tips you reported to your report all your tips (see instructions) (see instructions) unreported tips) (see instructions) employer A. B. C. D. E. 2 Total cash and charge tips you received in 2018. Add the amounts from line 1, column (c) .. 2. 3 Total cash and charge tips you reported to your employer(s) in 2018.

Form 4137 Department of the Treasury Internal Revenue Service (99) Social Security and Medicare Tax on Unreported Tip Income Go to www.irs.gov/Form4137

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