Name and social security number
The name of the person who received tips and that person's social security number.
4137
Social Security and Medicare Tax on Unreported Tip Income
Form 4137, Social Security and Medicare Tax on Unreported Tip Income, is attached to an individual's tax return. The form says it is used only to figure the social security and Medicare tax owed on tips not reported to the employer, including any allocated tips shown on Form W-2 that are reported as income. It also says that by filing it, the social security and Medicare tips are credited to the person's social security record, which is used to figure benefits.
This is the 2025 form. It says the maximum wages and tips subject to social security tax for 2025 is $176,100 and the social security tax rate on tips stays at 6.2%. The unreported tips on line 4 are included as income on Form 1040, 1040-SR or 1040-NR, line 1c, and the tax on line 13 goes to Schedule 2 (Form 1040), line 5, or Form 1040-SS, Part I, line 6a.
The instructions are printed on the PDF itself. You can fill out the PDF free in your browser on this page and download it without an account.
The name of the person who received tips and that person's social security number.
Rows A to E for each employer's name, EIN, total cash and charge tips received, and tips reported to that employer.
Total tips received and reported, the difference included as income, tips under $20 in a month that were not required to be reported, and unreported tips subject to Medicare tax.
The 2025 maximum of 176,100, social security wages and tips from Form W-2, boxes 3 and 7, plus RRTA compensation, and unreported tips subject to social security tax.
Line 10 times 0.062 for social security tax, line 6 times 0.0145 for Medicare tax, and the total that goes to the return.
General and specific instructions printed on the form cover allocated tips, reporting tips to an employer, payment of tax and the penalty for not reporting tips.
Complete a separate row for each employer, with the employer's name and EIN exactly as shown on Form W-2. With more than five employers, the instructions say to attach a statement in a similar format or line 1 of additional Forms 4137.
Include all cash and charge tips received: tips reported on time, tips reported late, tips not reported at all including allocated tips, and tips under $20 in a month. The instructions explain which year timely and late reported tips belong to.
Add the column totals on lines 2 and 3 and subtract. Line 4 is included as income on Form 1040, 1040-SR or 1040-NR, line 1c. The instructions say lines 2 through 13 are completed on only one Form 4137.
On line 5, enter only tips not required to be reported because the month's total was less than $20. The instructions say these tips are not subject to social security and Medicare tax. Line 6 also goes on Form 8959, line 2, if that form is filed.
Enter social security wages and tips from Form W-2, boxes 3 and 7, plus RRTA compensation, without more than $176,100 of RRTA compensation. Government employees whose pay was subject only to the 1.45% Medicare tax follow the line 10 instruction and write 1.45% tips beside it.
Multiply as shown and add lines 11 and 12. Line 13 goes on Schedule 2 (Form 1040), line 5, or Form 1040-SS, Part I, line 6a.
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The form says Attach to your tax return. It also says not to use Form 4137 as a substitute Form W-2.
The instructions say cash tips of $20 or more in a month are reported to the employer in a written report by the 10th day of the following month, or the next business day if the 10th falls on a Saturday, Sunday or legal holiday.
The instructions say a penalty equal to 50% of the social security, Medicare and Additional Medicare Taxes due on unreported tips may be charged, unless a statement attached to the return shows reasonable cause and not willful neglect.
If the employer could not collect enough tax on reported tips, Form W-2, box 12, codes A and B, shows the uncollected tax. The instructions point to Schedule 2 (Form 1040), line 13, to report it.
The form reminds that a 0.9% Additional Medicare Tax applies above a threshold amount based on filing status, figured on Form 8959.
The form points to Pub. 531, Reporting Tip Income, and Rev. Rul. 2012-18 on taxes imposed on tips and the difference between tips and service charges.
8919
40 fields, 2 pages
1040
63 fields, 2 pages
8959
26 fields, 1 page
W-2
568 fields, 11 pages
1040
199 fields, 2 pages
1040-SS
132 fields, 3 pages
Form 4137 is completed by the employee who received the tips and attached to that person's own tax return, which goes to the IRS.
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The employee who received the tips. The form says it is filed by someone who received cash and charge tips of $20 or more in a calendar month and did not report all of them to the employer, or whose Form W-2, box 8, shows allocated tips reported as income.
No. The form says to complete a separate Form 4137 for each spouse with unreported tips.
Line 11 multiplies by 0.062, the social security tax rate, and line 12 by 0.0145, the Medicare tax rate. Line 7 shows a 2025 maximum of 176,100 in wages and tips subject to social security tax.
The form's caution note says a worker who believes they are an employee and received Form 1099-MISC or 1099-NEC instead of Form W-2 uses Form 8919 instead of Form 4137.
They are included in column (c) and entered on line 5. The instructions say tips not required to be reported because the month's total was less than $20 are not subject to social security and Medicare tax.
Line 13 goes on Schedule 2 (Form 1040), line 5, or Form 1040-SS, Part I, line 6a. Line 4 is included as income on Form 1040, 1040-SR or 1040-NR, line 1c.
The instructions say a penalty of 50% of the social security, Medicare and Additional Medicare Taxes due on those tips may be charged, unless reasonable cause is shown in a statement attached to the return.