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efta-efta01222695DOJ Data Set 9OtherForm 4137
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DOJ Data Set 9
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efta-efta01222695
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Form 4137
Department of the Treasury
Internal Revenue Service (99)
Social Security and Medicare Tax
on Unreported Tip Income
le Go to www.irs.gov/Form4137 for the latest information.
ll, Attach to Form 1040, Form 1040NR, Form 1040NR-EZ, Form 1040-88, or Form 1040-PR.
OMB No. 1545-0074
2018
Attachment
Sequence No. 24
Name of person who received tips. If married, complete a separate Form 4137 for each spouse with unreported Ups.
Social security number
1
(a) Name of employer to whom
you were required to but didn't
report all your tips (see instructions)
(b) Employer
identification number
(see instructions)
(c) Total cash and charge
tips you received (including
unreported tips) (see instructions)
(d) Total cash and charge
tips you reported to your
employer
A
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.
line 1, column (d)
4 Subtract line 3 from line 2. This amount Is income you must include
1040, line 1; Form 1040NR, line 8; or Form 1040NR-EZ. line 3
5 Cash and charge tips you received but didn't report to your employer
less than $20 in a calendar month (see instructions)
6 Unreported tips subject to Medicare tax. Subtract line 5 from line 4
7 Maximum amount of wages (Including tips) subject to
social security tax
Add
because
7
the amounts from
In the total on Form
the total was
128.400 CC
3
4
s
6
8 Total social security wages and social security tips (total of
boxes 3 and 7 shown on your Form(s) W-2) and railroad
retirement (RRTA) compensation (subject to 6.2% rate) (see
instructions)
8
9 Subtract line 8 from line 7. If line 8 is more than line 7, enter -0-
10 Unreported tips subject to social security tax. Enter the smaller of line 6 or line 9. If you
received tips as a federal, state, or local government employee, see instructions . . . .
11 Multiply line 10 by 0.062 (social security tax rate)
12 Multiply line 6 by 0.0145 (Medicare tax rate)
13 Add lines 11 and 12. Enter the result here and on Schedule 4 (Form 1040), line 58; Form
1040NR, line 56; or Form 1040NR-EZ, line 16 (Form 1040-SS and 1040-PR filers, see
instructions.)
9
10
11
12
13
General Instructions
Future Developments
For the latest information about developments
related to Form 4137 and its instructions,
such as legislation enacted after they were
published, go to www.irs.gov/Form4137.
What's New
For 2018, the maximum wages and tips
subject to social security tax increases to
$128,400. The social security tax rate an
employee must pay on tips remains at 6.2%
(0.062).
Reminder
A 0.9% Additional Medicare Tax applies to
Medicare wages, Railroad Retirement Tax Act
compensation, and self-employment income
over a threshold amount based on your filing
status. Use Form 8959, Additional Medicare
Tax, to figure this tax. For more information
on the Additional Medicare Tax, see "What is
the Additional Medicare Tax?" at
www.irs.gov/AdMT.
Purpose of form. Use Form 4137 only to
figure the social security and Medicare tax
owed on tips you didn't report to your
employer, including any allocated tips shown
on your Form(s) W-2 that you must report as
income. You also must report the income on
Form 1040, line 1; Form 1040NR, line 8; or
Form 1040NR-EZ, line 3. By filing this form,
your social security and Medicare tips will be
credited to your social security record (used
to figure your benefits). Don't use Form 4137
as a substitute Form W-2.
If you believe you're an employee
and you received Form 1099-
MISC, Miscellaneous Income,
instead of Fonn W-2, Wage and
Tax Statement, because your
employer didn't consider you an employee,
don't use this form to report the social
security and Medicare tax on that income.
Instead, use Form 8919, Uncollected Social
Security and Medicare Tax on Wages.
A
CAUTION
For Paperwork Reduction Act Notice, see your tax return Instructions.
Forrn 4137 (2018)
EFTA01222695
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1545-0074Forum Discussions
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