Social Security and Medicare Tax on Unreported Tip Income

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Form 4137: Social Security and Medicare Tax on Unreported Tip Income

Use Tax Form 4137: Social Security and Medicare Tax on Unreported Tip Income as a stand alone tax form calculator to quickly calculate specific amounts for your 2024 tax return. Alternatively you can use one of our Combined Federal and State Tax Estimator to quickly calculate your salary, tax and take home pay.

Social Security and Medicare Tax on Unreported Tip Income


1(a) Name of employer to whom
you were required to, but did not
report all your tips (see instructions)
(b) Employer
identification number
(see instructions)
(c) Total cash and change
tips you received (including
unreported tips) (see instructions)
(d) Total cash and charge tips you reported to your employer
2
33
44
5 5
66
7 7
88
99
1010
1111
1212
1313

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