TTB Form 5100.16 "Application for Transfer of Spirits and/or Denatured Spirits in Bond"

What Is TTB Form 5100.16?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on August 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2017;
  • The latest available edition released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of TTB Form 5100.16 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau.

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OMB No. 1513-00387 (11/30/2020)
DEPARTMENT OF THE TREASURY
1. Serial Number
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
(Begin with “1” each January 1)
APPLICATION FOR TRANSFER OF SPIRITS AND/OR
YEAR
SERIAL #
DENATURED SPIRITS IN BOND
20
(See instructions on the back of this form. See 27 CFR 19.401 to 19.407
and 19.733 to 19.739)
PART I - APPLICATION
APPLICATION IS MADE FOR TRANSFER OF SPIRITS AND/OR DENATURED SPIRITS IN BOND, AS INDICATED BELOW.
* Each Proprietor is responsible for ensuring that transferred products are suitable for use in their qualified plant operations.
SHIPPING DISTILLED SPIRITS (DSP) PLANT
ALCOHOL FUEL PRODUCER (AFP)
OR
2.
This plant will transfer
spirits
denatured spirits to the receiving plant listed in Item 4.
3a. Registry /Permit Number
3b. Shipping DSP/AFP Company Name
3c. Shipping DSP/AFP Premises Address
DSP -
-
AFP -
-
RECEIVING DISTILLED SPIRITS PLANT (DSP)
RECEIVING ALCOHOL FUEL PLANT (AFP)
OR
4a. Registry/Permit Number
4b. Receiving DSP/AFP Company Name
4c. Receiving DSP/AFP Premises Address
DSP -
-
AFP -
-
The receiving plant has the following operations bond coverage (Complete 5a, 5b, or 5c):
5a.
I am required to hold a bond
I am required to hold a bond under 27
I am not required to hold a bond
5b.
5c.
under 27 CFR 19.151. I have
CFR 19.151. I have less than maximum
under 27 CFR 19.151. I withdraw
maximum bond coverage
bond coverage under 27 CFR 19.166 or
spirits for deferred payment of tax, I
under 27 CFR 19.166 or 19.700 - no
19.700. The amount of my operations coverage
was liable for not more than $50,000 in
limit to amount of shipments. The
is
taxes in the preceding calendar year, I
$
effective date of my bond listed on
reasonably expect to be liable for not
TTB F 5110.56 (next to Amount of
more than $50,000 during the current
The effective date of my bond listed on TTB F
Bond) is:
calendar year, and I will not receive trans-
5110.56 (next to Amount of Bond) is:
fers of spirits for industrial use.
(Complete 6a and/or 6b below only if 5c is selected.)
Quantity of Spirits Authorized to be Transferred
Quantity of Denatured Spirits Authorized to be Transferred
6a.
6b.
(Computation: Amount shown in 5c above divided by $13.50 per
(Computation: Amount shown in 5c divided by $27.00 per wine gallon):
proof gallon):
PROOF GALLONS
WINE GALLONS
WINE GALLONS
IMPORTANT
The receiving proprietor is responsible for ensuring that the liability on all spirits and denatured spirits “on hand” and “in
NOTICE
transit” will not exceed the bond coverage as shown in 5c above.
7.
Remarks:
8.
Date
9. Name and Title of Authorized Person for Receiving Plant
10. Receiving Proprietor Signature
PART II – TTB APPROVAL
I certify that the penal sum of the applicant’s bond is sufficient to cover the spirits and/or denatured spirits indicated. APPLICATION IS APPROVED.
11. Date
12. Signature of Director, National Revenue Center
TTB F 5100.16 (08/2017)
EDITIONS PREVIOUS TO 11/2016 ARE OBSOLETE
OMB No. 1513-00387 (11/30/2020)
DEPARTMENT OF THE TREASURY
1. Serial Number
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
(Begin with “1” each January 1)
APPLICATION FOR TRANSFER OF SPIRITS AND/OR
YEAR
SERIAL #
DENATURED SPIRITS IN BOND
20
(See instructions on the back of this form. See 27 CFR 19.401 to 19.407
and 19.733 to 19.739)
PART I - APPLICATION
APPLICATION IS MADE FOR TRANSFER OF SPIRITS AND/OR DENATURED SPIRITS IN BOND, AS INDICATED BELOW.
* Each Proprietor is responsible for ensuring that transferred products are suitable for use in their qualified plant operations.
SHIPPING DISTILLED SPIRITS (DSP) PLANT
ALCOHOL FUEL PRODUCER (AFP)
OR
2.
This plant will transfer
spirits
denatured spirits to the receiving plant listed in Item 4.
3a. Registry /Permit Number
3b. Shipping DSP/AFP Company Name
3c. Shipping DSP/AFP Premises Address
DSP -
-
AFP -
-
RECEIVING DISTILLED SPIRITS PLANT (DSP)
RECEIVING ALCOHOL FUEL PLANT (AFP)
OR
4a. Registry/Permit Number
4b. Receiving DSP/AFP Company Name
4c. Receiving DSP/AFP Premises Address
DSP -
-
AFP -
-
The receiving plant has the following operations bond coverage (Complete 5a, 5b, or 5c):
5a.
I am required to hold a bond
I am required to hold a bond under 27
I am not required to hold a bond
5b.
5c.
under 27 CFR 19.151. I have
CFR 19.151. I have less than maximum
under 27 CFR 19.151. I withdraw
maximum bond coverage
bond coverage under 27 CFR 19.166 or
spirits for deferred payment of tax, I
under 27 CFR 19.166 or 19.700 - no
19.700. The amount of my operations coverage
was liable for not more than $50,000 in
limit to amount of shipments. The
is
taxes in the preceding calendar year, I
$
effective date of my bond listed on
reasonably expect to be liable for not
TTB F 5110.56 (next to Amount of
more than $50,000 during the current
The effective date of my bond listed on TTB F
Bond) is:
calendar year, and I will not receive trans-
5110.56 (next to Amount of Bond) is:
fers of spirits for industrial use.
(Complete 6a and/or 6b below only if 5c is selected.)
Quantity of Spirits Authorized to be Transferred
Quantity of Denatured Spirits Authorized to be Transferred
6a.
6b.
(Computation: Amount shown in 5c above divided by $13.50 per
(Computation: Amount shown in 5c divided by $27.00 per wine gallon):
proof gallon):
PROOF GALLONS
WINE GALLONS
WINE GALLONS
IMPORTANT
The receiving proprietor is responsible for ensuring that the liability on all spirits and denatured spirits “on hand” and “in
NOTICE
transit” will not exceed the bond coverage as shown in 5c above.
7.
Remarks:
8.
Date
9. Name and Title of Authorized Person for Receiving Plant
10. Receiving Proprietor Signature
PART II – TTB APPROVAL
I certify that the penal sum of the applicant’s bond is sufficient to cover the spirits and/or denatured spirits indicated. APPLICATION IS APPROVED.
11. Date
12. Signature of Director, National Revenue Center
TTB F 5100.16 (08/2017)
EDITIONS PREVIOUS TO 11/2016 ARE OBSOLETE
INSTRUCTIONS
When a proprietor of a distilled spirits plant or an alcohol fuel
1.
“2011-2” and so on. As of January 1, 2012, the numbering
plant desires to have spirits or denatured spirits transferred
starts over with “2012-1”, then “2012-2”, and so on.
to him/her in bond from another domestic plant, he/she must
make application for the transfer on this form, in triplicate,
5.
Spirits transferred from an Alcohol Fuel Plant to a Distilled
and submit all copies to the Director, National Revenue
Spirits Plant may only be used in the manufacture of fuel
Center, Alcohol and Tobacco Tax and Trade Bureau, 550
(see 27 CFR 19.407(a)(4))
.
Main St., Ste. 8002, Cincinnati, OH 45202-5215. This
application must be approved before any spirits or
6.
Alcohol bottled for Industrial purposes, as prescribed by
denatured spirits are transferred in bond between the
27 CFR 19.366, may be transferred between the bonded
plants.
premises of distilled spirits plants in accordance with the
procedures prescribed in 27 CFR 19.403 – 27 CFR 19.407
2.
In-bond shipments must be authorized transfers. For
for bulk distilled spirits (See 27 CFR 19.402).
example, industrial (nonbeverage) spirits may not be
transferred to a plant whose permitted operations are
7.
If the application is approved the Director, National
solely non-industrial (beverage).
Revenue Center, will complete Part II on all copies of the
form, retain one copy, and return the remaining copies to
3.
Unless the receiving proprietor is not required to hold a bond,
the applicant. The applicant must deliver one of the
the receiving proprietor must:
approved copies to the consignor, and retain one copy for
his/her files. This information collection must be retained
(a) hold a current DSP operations or unit bond or Alcohol
as long as the information shown is current.
Fuel Producer bond in the maximum penal sum, or
(b) if the bond is in less than the maximum penal sum,
TERMINATION OF APPLICATION
hold a current bond with Distilled Spirits Plant operations
or Alcohol Fuel Producer bond coverage sufficient to
The approved application remains in effect until the bond is
cover tax on the spirits or denatured spirits to be
terminated (or replaced). In the case where there is less than
transferred (in addition to all other liabilities chargeable
a maximum bond, the approved application terminates when
against such bond).
the penal sum is changed. If an applicant desires to terminate
an approved application at an earlier date, he/she must:
If the receiving proprietor has more than one current bond
(a) retrieve the consignor’s copy, and (b) return this copy,
(i.e. an original bond and a strengthening bond), show the
together with his/her own copy to the Director, National
information for each current bond in the space provided.
Revenue Center, for cancellation.
4.
The Serial Number in Item 1 must include the year. The
first application for transfer in bond filed in the year 2011
must be numbered, “2011-1”, and the next application,
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to make a determination of
the eligibility of the person to withdraw and use taxable commodities on which tax has not been paid. The information required is
mandatory by statute, 26 U.S.C. 5005(c), and is required to obtain or retain a benefit.
The estimated average burden associated with this collection of information is 12 minutes per respondent or recordkeeper, depending
on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing 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, DC 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 5100.16 (08/2017)
EDITIONS PREVIOUS TO 11/2016 ARE OBSOLETE
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