WITHDRAWN FOR
INSTRUCTIONS
Every proprietor as a warehouseman must prepare this form monthly, in
duplicate. Forward the original to the Director, National Revenue Center
550 Main St, Ste 8002, Cincinnati, OH 45202-5215, not later than the 15th
day of the month following that for which the report is rendered.
The remaining copy must be retained by the proprietor. Separate
reports must be prepared for domestic spirits, imported spirits,
Puerto Rican spirits, and spirits from the U.S. Virgin Islands. Denaturing
operations must be reported on TTB F 5110.43.
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
MONTHLY REPORT OF STORAGE OPERATIONS
REPORT COVERS MONTH AND YEAR
DOMESTIC SPIRITS AND ALL WINES IMPORTED SPIRITS
PUERTO RICAN SPIRITS VIRGIN ISLANDS SPIRITS
OMB No. 1513-0039 (03/31/2016)
PROOF GALLONS
TRANSACTIONS WHISKY
6/
BRANDY ALCOHOL AND SPIRITS
DISTILLED AT
160° AND UNDER
(b)
DISTILLED AT
OVER 160°
(c)
DISTILLED AT
170° AND UNDER
(d)
DISTILLED AT
OVER 170°
(e)
RUM
(f)
GIN
(g)
190° AND OVER
(i)
OTHER (Identify)
(k)
VODKA
(h)
UNDER 190°
(i)
WINE
(Proof gallons)
(l)
TOTAL
(m)
1. On hand first of month
2. Deposited in bulk storage
1/
3. Received from Customs custody
4. Returned to bulk storage
5.
6. TOTAL (Lines 1 through 5)
7. Taxpaid
8. Use of the United States
9. Hospital, scientific educational use
2/
10. Export
11. Transfer to foreign-trade zone
12. Transfer to CMBW
13. Use as supplies on vessels and aircraft
14. Transfer to bonded winery
15. Transfer to CBW
16. Research, development, or testing
3/
17. Transferred to processing account
18. Transferred to production account
4/
19. Transferred to other bonded premises
20. Destroyed
21.
22. Other Losses
5/
23. On hand end of month
24. TOTAL (Lines 7 through 23)
FOOTNOTES
1
From production or by transfer in bond.
2
Does not include spirits withdrawn for experimental
or
research use under 26 U.S.C. 5312; such spirits
should
be reported and identified at Line 21.
3
Withdrawals under 26 U.S.C. 5214(a)(10) or 5373(b)(4).
4
In the case of imported spirits or spirits from Puerto
Rico and the U.S. Virgin Islands, applicable only to
spirits of 185 degrees or more of proof.
5
Includes only losses determined at the time of:
(1) withdrawal
(2) dumping for mingling, or
(3) emptying or inventorying storage tanks
6
Includes domestic whisky distilled at over 160°
Proof in col. (c). All other whisky should be
reported in col. b).
Under penalties of perjury, I declare that I have examined this report and, to the best of my
knowledge and belief, it is a true, correct, and complete report of storage operations, and is
DATE PROPRIETOR
BY: (Signature and Title)
NAME OF PROPRIETOR
LOCATION OF PLANT PLANT NUMBER
DSP-
(a)
TTB F 5110.11 (01/2009)
EIN
supported by true, correct, and complete commercial records which are available for inspection.
