DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
BREWER’S REPORT OF OPERATIONS
Our Brewery EIN is:
OMB No. 1513-0007 (00/00/0000)
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(Number
&
Street)
(City) (County) (State) (ZIP Code)
January - March
April - June
July - September
October - December
OR Quarterly Report for
Reporting Period
(Enter Year)
Monthly Report for
(Enter Month
)
Part 1 - Beer Summary
Operations Cellar Racking
Bulk Keg
Bottling
Bulk Case
Totals
(a) (b) (c) (d) (e) (f) (g)
Additions to beer inventory
(round your entries to the nearest second decimal)
1.
On hand beginning of this report period (see line 33 totals
from last monthly report or line 17 from last quarterly report)
2. Beer produced by fermentation
3. Addition of water and other liquids
4. Beer received from racking and bottling
5. Beer received in bond (see Instruction #10)
6. B
eer received from cellars
7. Beer returned to this brewery after removal from
8. Beer returned to this brewery after removal from another
9. Racked
10. Bottled
11. Physical inventory disclosed an overage
12.
13.
Total additions to inventory, plus beer on hand.
(add all columns in lines 1 through 12)
Removals from beer inventory
(round your entries to the nearest second decimal)
14.
Removed for consumption or sale (see Instruction #7)
15.
Removed tax-determined for consumption or sale to tavern
on brewery premises (see Instruction #12)
16. Removed without payment of tax for export
17. Removed without payment of tax for use as supplies
(vessels/aircraft)
18. Removed without payment of tax for use in research and
development
19. Removed without payment of tax to other breweries and
pilot brewing plants of same ownership
20.
Removed without payment of tax as beer unfit for sale
removed for use in manufacturing
21. Beer consumed on premises (see Instruction #12)
22. Beer transferred for racking
23. Beer transferred for bottling
24. Beer returned to cellars
25. Beer racked
26. Beer bottled
27. Laboratory samples
28.
Beer destroyed at brewery (see Instruction #13)
29. Beer transferred to a distilled spirits plant
30.
Losses, including theft (see Instruction #14)
31.
Physical inventory disclosed a shortage (See Instruction#14)
32.
33.
Total amount of beer on hand at the end of this period
(see Instruction #15)
34.
Total beer (see Instruction #16)
TTB F 5130.9 (00/0000)
Our TTB Brewery Number is:
BR-
TTB can reach the brewery by calling:
( )
TTB P 5130.9 COLOR-CODED SAMPLE FORM - Helpful Hints
Two and Three Brewing Partners, Inc.
#1 - Copy from Line 33 of previous report
brewery of the same ownership
#8 Verify
against Tax
Return
#9 TTB F
5130.12 Beer
for Export
#1 - Transfer to Line 1 of next report
TTB P 5130.9 (Publication Version: 02/2016)