Fillable TTB F 5110.40 MONTHLY REPORT OF PRODUCTION OPERATIONS (Alcohol and Tobacco tax and Trade Bureau)

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TTB F 5110.40 MONTHLY REPORT OF PRODUCTION OPERATIONS (Alcohol and Tobacco tax and Trade Bureau)

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DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
MONTHLY REPORT OF PRODUCTION OPERATIONS
(PREPARE IN DUPLICATE,EE INSTRUCTIONS
BELOW)
1. NAME OF PROPRIETOR
4. LOCATION OF PLANT
PART I - TRANSACTIONS
TRANSACTION
(a)
PROOF GALLONS
WHISKY
BRANDY
160° AND UNDER
(b)
OVER 160°
(c)
WITHDRAWN FOR
1. TAX PAYMENT
2. USE OF U.S.
3. HOSPITAL, SCIENTIFIC, OR EDUCATIONAL USE
1
4. EXPORT
5. TRANSFER TO FOREIGN TRADE ZONE
6. TRANSFER TO CMBW
7. USE AS SUPPLIES ON VESSELS OR AIRCRAFT
8. USE IN WINE PRODUCTION
9. ENTERED IN PROCESSING ACCOUNT
10. ENTERED FOR TRANSFER IN BOND
11. ENTERED IN STORAGE ACCOUNT
12. WITHDRAWN FOR RESEARCH, DEVELOPMENT,
OR TESTING
2
13.
14. PRODUCED (Total, Lines 1 through 13)
15. RECEIVED FOR REDISTILLATION
3
16.
4
1. GRAIN
2. FRUIT
3. MOLASSES
4. ETHYL SULFATE
5. ETHYLENE GAS
6. SULPHITE LIQUORS
7. FROM REDISTILLATION
8.
PART II - PRODUCTION OF ALCOHOL AND
SPIRITS OF 190° OR MORE OF PROOF,
BY KIND OF MATERIAL USED
KIND OF MATERIAL
(a)
1
Does not include spirits withdrawn for experimental or research use under 26 U.S.C.
5312; report these at line 12.
2
Show withdrawals under 26 U.S.C. 5214(a)(10), 5373(b)(4) , or 5312.
3
Does not include recovered denatured spirits or articles returned for restoration and/or denaturation under
27 CFR 19.393; such materials should be reported on TTB F 5110.43, Monthly Report of Processing (Denaturing)
Operations. Imported spirits received for redistillation will be identified as such and reported separately in Parts II and V .
TTB F 5110.40 (01/2010)
(b) UNFINISHED SPIRITS
(a) RECEIVED FOR
REDISTILLATION
3
PROOF GALLONS
(b)
KIND
(a)
1. BOURBON
2. CORN
3. RYE
4. LIGHT
5.
6.
7.
8.
PROOF GALLONS
NEW COOPERAGE
(b)
KIND OF SPIRITS
5
(a)
PROOF GALLON
(b)
1. GRAPE BRANDY
2. ALL OTHER BRANDY
3. NEUTRAL GRAPE BRANDY
4. ALL OTHER NEUTRAL BRANDY
5.
6.
7.
8.
PROOF GALLON
(b)
KIND
(a)
PROOF GALLONS
DEPOSITED IN TANKS
(d)
PROOF GALLONS
USED COOPERAGE
(c)
170° AND UNDER
(d)
OVER 170°
(e)
RUM
(f)
GIN
(g)
ALCOHOL AND SPIRITS
VODKA
(h)
TOTAL
(l)
190° AND OVER
(Distillation Proof)
(i)
UNDER 190°
(Distillation Proof)
(j)
OTHER
(Identify)
(k)
3. MONTH AND YEAR
5. PLANT NUMBER
DSP
OMB No. 1513-0047 (03/31/2018)
PART V - USED IN REDISTILLATIONPART IV - PRODUCTION OF BRANDY BY KINDPART III - PRODUCTION OF WHISKY BY KIND AND COOPERAGE USED
17. PHYSICAL INVENTORY-
END OF CALENDAR
QUARTER
1.
2.
3.
4.
5.
6.
7.
8.
4
Samples returned must be shown here.
5
If alcohol or spirits, indicate whether "190° or over"
or "under 190°".
2. EIN
(PREPARE IN DUPLICATE. SEE INSTRUCTIONS BELOW)
KIND
(a)
USED IN PRODUCTION
OF DISTILLED SPIRITS
USED IN MANUFACTURE
OF SUBSTANCES OTHER
THAN DISTILLED SPIRITS, IN
PROCESSES YIELDING DISTILLED
SPIRITS AS A BY-PRODUCT
POUNDS
(b)
GALLONS
(c)
POUNDS
(d)
GALLONS
(e)
GRAIN AND GRAIN PRODUCTS
1. CORN
2. RYE
3. MALT
4. WHEAT
5. SORGHUM GRAIN
6. BARLEY
8.
FRUIT AND FRUIT PRODUCTS
9. GRAPE
10.
11.
12.
13.
CANE AND CANE PRODUCTS
15. MOLASSES
16.
17.
18.
OTHER MATERIALS
19. ETHYL SULFATE
20. ETHYLENE GAS
21. SULPHITE LIQUORS
22. BUTANE GAS
23.
14.
DATE PROPRIETOR BY (Signature and title)
OMB No. 1513-0047 (03/31/2018)
INSTRUCTIONS
Every proprietor of a distilled spirits plant 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.
PAPERWORK REDUCTION ACT NOTICE
This information collection request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection is to monitor the
operations of industries regulated by TTB. The information is required to verify unusual activities, errors, and omissions on taxable commodities. The
information is mandatory by statue (26 U.S.C. 5207).
The estimated average burden associated with this collection of information is 2 hours per respondent or recordkeeper, depending on individual
circumstances. Comments concerning the accuracy of this burden should be addressed to the Reports Management Officer, Regulations and Rulings
Division, Alcohol and Tobacco Tax and Trade Bureau, 1310 G Street, NW, Box 12, Washington, D.C. 20005.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current, valid OMB control
number.
TTB F 5110.40 (01/2010)
PART VI - MATERIALS USED
7.
Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge and belief, it is true, correct, and complete and is
supported by true, correct, and complete commercial records which are available for inspection.
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TTB F 5110.40 MONTHLY REPORT OF PRODUCTION OPERATIONS (Alcohol and Tobacco tax and Trade Bureau)

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Completed 15 July 2021

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