TTB Form 5100.25 "Specific Export Bond - Distilled Spirits or Wine"

What Is TTB Form 5100.25?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on September 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2015;
  • 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 5100.25 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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Download TTB Form 5100.25 "Specific Export Bond - Distilled Spirits or Wine"

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OMB No. 1513-0135
DEPARTMENT OF THE TREASURY
ALCOHOL
AND
TOBACCO
TAX
AND TRADE BUREAU
(TTB)
SPECIFIC EXPORT BOND - DISTILLED SPIRITS OR WINE
(File in duplicate. See instructions below)
1. PRINCIPAL (See instructions 2, 3, and 4)
2. ADDRESS OF BUSINESS OFFICE (Number, street, city, ZIP
code)
3. SURETY (OR SURITIES)
4. AMOUNT OF BOND 5. EFFECTIVE DATE
6. APPLICATION MADE TO WITHDRAW FROM
(Number)
7. APPLICATION MADE TO WITHDRAW
Distilled Spirits Plant
Bonded Wine Cellar
Distilled Spirits
Wines
8. PROPRIETOR
9. LOCATED AT (Number, street, city, ZIP code)
KNOW ALL MEN BY THESE PRESENTS, That we, the above-named principal and surety (or sureties), are held and firmly bound unto
the United States of America in the above amount, lawful money of the United States for the payment of which we bind ourselves, our
heirs, executors, administrator, successors, and assigns, jointly and severally, firmly by these presents.
This bond will not in any case be effective before the above date, but if accepted by the United States it will be effective according to its
terms on and after that date without notice to the obligors: Provided, That if no effective date is inserted in the space provided, the date
of execution shown below will be the effective date of the bond.
WHEREAS, the principal has made application to withdraw from the distilled spirits plant or bonded wine cellar specified above, the
following described distilled spirits or wines, without payment of tax, for exportation, or for use on vessels or aircraft, or for transfer to
and deposit in a foreign-trade zone, or for transfer to a customs bonded warehouse:
MARKS AND IDENTIFYING NUMBERS OF
NUMBER OF PACKAGES
WINE
PROOF
AMOUNT OF
CONTAINERS, BARRELS, CASES, TANK CARS,
AND KIND OF LIQUOR
GALLONS
GALLONS
TAX
ETC.
NOW, THEREFORE, the conditions of this bond are such that IF THE PRINCIPAL WILL, as to all distilled spirits or wines withdrawn
from the bonded premises with payment of tax for exportation, or for use on vessels or aircraft, or for transfer to foreign-trade zone, or
for transfer to a customs bonded ware-house,
1. Faithfully comply with all the requirements of law and regulations pertaining thereto: and
2. As to such distilled spirits or wines, or any part thereof, withdrawn for exportation or for use on vessels or aircraft or for transfer to a
foreign-trade zone or for transfer to a customs bonded warehouse, and no so exported, used, deposited, or transferred, or otherwise
lawfully disposed of or accounted for, pay to the United States all taxes imposed by law now or hereafter in force, together with
penalties if any, and interest;
Then this obligation is to null and void, but otherwise to remain in full force and effect.
We, the obligors, for ourselves, our heirs, executors, administrators, successors, and assigns, do further covenant and agree that upon
the breach of any of the covenants of this bond, the United States may pursue its remedies against the principal or surety
independently, or against both jointly, and the said surety hereby waives any right or privilege it may have of requiring , upon notice, or
otherwise, that the Unites States will first commence action, intervene in any action of any nature whatsoever already commenced, or
otherwise exhaust its remedies, against the principal.
TTB F 5100.25 (09/2015)
Page 1 of 2
OMB No. 1513-0135
DEPARTMENT OF THE TREASURY
ALCOHOL
AND
TOBACCO
TAX
AND TRADE BUREAU
(TTB)
SPECIFIC EXPORT BOND - DISTILLED SPIRITS OR WINE
(File in duplicate. See instructions below)
1. PRINCIPAL (See instructions 2, 3, and 4)
2. ADDRESS OF BUSINESS OFFICE (Number, street, city, ZIP
code)
3. SURETY (OR SURITIES)
4. AMOUNT OF BOND 5. EFFECTIVE DATE
6. APPLICATION MADE TO WITHDRAW FROM
(Number)
7. APPLICATION MADE TO WITHDRAW
Distilled Spirits Plant
Bonded Wine Cellar
Distilled Spirits
Wines
8. PROPRIETOR
9. LOCATED AT (Number, street, city, ZIP code)
KNOW ALL MEN BY THESE PRESENTS, That we, the above-named principal and surety (or sureties), are held and firmly bound unto
the United States of America in the above amount, lawful money of the United States for the payment of which we bind ourselves, our
heirs, executors, administrator, successors, and assigns, jointly and severally, firmly by these presents.
This bond will not in any case be effective before the above date, but if accepted by the United States it will be effective according to its
terms on and after that date without notice to the obligors: Provided, That if no effective date is inserted in the space provided, the date
of execution shown below will be the effective date of the bond.
WHEREAS, the principal has made application to withdraw from the distilled spirits plant or bonded wine cellar specified above, the
following described distilled spirits or wines, without payment of tax, for exportation, or for use on vessels or aircraft, or for transfer to
and deposit in a foreign-trade zone, or for transfer to a customs bonded warehouse:
MARKS AND IDENTIFYING NUMBERS OF
NUMBER OF PACKAGES
WINE
PROOF
AMOUNT OF
CONTAINERS, BARRELS, CASES, TANK CARS,
AND KIND OF LIQUOR
GALLONS
GALLONS
TAX
ETC.
NOW, THEREFORE, the conditions of this bond are such that IF THE PRINCIPAL WILL, as to all distilled spirits or wines withdrawn
from the bonded premises with payment of tax for exportation, or for use on vessels or aircraft, or for transfer to foreign-trade zone, or
for transfer to a customs bonded ware-house,
1. Faithfully comply with all the requirements of law and regulations pertaining thereto: and
2. As to such distilled spirits or wines, or any part thereof, withdrawn for exportation or for use on vessels or aircraft or for transfer to a
foreign-trade zone or for transfer to a customs bonded warehouse, and no so exported, used, deposited, or transferred, or otherwise
lawfully disposed of or accounted for, pay to the United States all taxes imposed by law now or hereafter in force, together with
penalties if any, and interest;
Then this obligation is to null and void, but otherwise to remain in full force and effect.
We, the obligors, for ourselves, our heirs, executors, administrators, successors, and assigns, do further covenant and agree that upon
the breach of any of the covenants of this bond, the United States may pursue its remedies against the principal or surety
independently, or against both jointly, and the said surety hereby waives any right or privilege it may have of requiring , upon notice, or
otherwise, that the Unites States will first commence action, intervene in any action of any nature whatsoever already commenced, or
otherwise exhaust its remedies, against the principal.
TTB F 5100.25 (09/2015)
Page 1 of 2
WITNESS our hands and seals this
day of
, 20
.
Signed, sealed, and delivered in the presence of -
(SEAL)
(SEAL)
(SEAL)
(SEAL)
(SEAL)
The foregoing bond, having been executed in due from and in compliance with the applicable law, regulations, and instructions, is
approved by me on behalf of the United States.
10. DATE APPROVED
Director, National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau
INSTRUCTIONS
1. This bond must be filed in duplicate with the Director, National
Tax and Trade Bureau, a Statement to that effect must be
Revenue Center, Alcohol and Tobacco Tax and Trade Bureau,
attached to the bond.
550 Main St, Ste 8002, Cincinnati, OH 45202-5215.
6. The Signature for the surety must be attested under
2. The name, including the full given name, of each party to the
corporate seal. The signature for the principal, if a corporation,
bond must be given in the heading, and each party must sign the
must also be so attested if the corporation has a corporate
bond, or the bond may be executed in his name by an
seal. If the corporation has no seal, that fact should be stated.
empowered attorney-in-fact.
Each signature must be made in the presence of two persons
(except where corporate seals are affixed ), who must sign
3. In the case of a partnership, the firm name, followed by the
their names as witnesses.
names of all its members, must be given in the heading. In
7. A bond may be given with corporate surety authorized to act
executing the bond, the firm name must be typed or written,
followed by the word "by" and the signatures of all partners, or the
as surety by the Secretary of the Treasury, or by deposit of
signature of any partner authorized to sign the bond for the firm,
collateral security. Only public debt obligations of the Untied
or the Signature of an empowered attorney-in-fact.
States, the principal and interest of which are unconditionally
guaranteed by the United States Government, are acceptable
4. If the principal is a corporation, the heading must give the
as collateral security (31 U.S.C. 9301, 9303). A list of
corporate name, the name of the State under the laws of which it
securities acceptable as collateral in lieu of surety bonds is
available from the Treasury Collateral Management and
is organized, and the location of the principal office. The bond
Monitoring (TCMM) Operations at 1-888-568-7343 (Select
must be executed in the corporate name, immediately followed by
Option 2 for Collateral Monitoring).
the signature and title of the person authorized to act for the
corporation.
8. If any alteration or erasure is made in the bond before its
5. If the Bond is signed by an attorney-in-fact for the principal, or
executing, there must be incorporated in the bond a statement
by one of the members for a partnership or association, or by an
to that effect by the principal and surely or sureties. If any
alteration or erasure is made in the bond after its execution,
officer or other person for a corporation, there must be filed with
the bond and authenticated copy of the power of attorney, or a
the consent of all parties thereto must be written in the bond.
resolution of the board of directors, or an excerpt of the bylaws, or
9. The penal sum named in the bond must be in accordance
other document, authorizing the person signing the bond to
with 27 CFR Part 28.
execute it for the principal. If this authorization has been filed with
10. If the bond is approved, a copy will be returned to the
the Director, National Revenue Center, Alcohol and Tobacco
principal.
PAPER REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection is for
the protection of Federal excise taxes. The information will be used to determine compliance by payment on untaxpaid commodities.
The information required is mandatory by statute (26 U.S.C. 5175).
The estimated average burden associated with this collection of information is 1 hour 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 5100.25 (09/2015)
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