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Form 4070  Employee’s Report

of Tips to Employer(Rev. August 2005)

Cat. No. 41320P

Department of the TreasuryInternal Revenue Service

For Paperwork Reduction Act Notice, see the instructions on the

back of this form.

Employee’s name and address S

Employer’s name and address (include establishment name, if different)

Month or shorter period in which tips were receivedfrom , , to ,

1

2

3

4

Signature D

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Purpose. Use this form to report tips you receive toyour employer. This includes cash tips, tips youreceive from other employees, and debit and creditcard tips. You must report tips every monthregardless of your total wages and tips for the year.However, you do not have to report tips to youremployer for any month you received less than $20 in

tips while working for that employer.Report tips by the 10th day of the month following

the month that you receive them. If the 10th day is aSaturday, Sunday, or legal holiday, report tips by thenext day that is not a Saturday, Sunday, or legalholiday.

See Pub. 531, Reporting Tip Income, for moredetails.

You can get additional copies of Pub. 1244,Employee’s Daily Record of Tips and Report toEmployer, which contains both Forms 4070A and4070, by calling 1-800-TAX-FORM (1-800-829-3676)or by downloading the pub from the IRS website atwww.irs.gov. 

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