TTB Form 5620.8 "Claim - Alcohol, Tobacco, and Firearms Taxes"

What Is TTB Form 5620.8?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on November 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2009;
  • 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 5620.8 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 5620.8 "Claim - Alcohol, Tobacco, and Firearms Taxes"

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OMB No. 1513-0030 (12/31/2014)
FOR TTB USE ONLY
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
CLAIM NUMBER
CLAIM - ALCOHOL, TOBACCO, AND FIREARMS TAXES
(File in duplicate with the Alcohol and Tobacco Tax and Trade Bureau)
1. THIS CLAIM IS FILED UNDER THE PROVISIONS OF 27 CFR
(Enter applicable section of regulations, such as 53, 40.283, or 40.473. See www.ttb.gov.)
2.
REMISSION OF TAX
ALLOWANCE OF CREDIT FOR TAX
ABATEMENT OF TAX
ALLOWANCE OF LOSS
ALLOWANCE OF TAX
REFUND OF TAX
DRAWBACK-MNBP
DRAWBACK-EXPORT
OTHER (Specify)
3. NAME AND ADDRESS OF CLAIMANT
4. EMPLOYER IDENTIFICATION NUMBER
(Telephone number and e-mail address optional)
5. PLANT, LICENSE, OR PERMIT NUMBER
6. KIND OF TAX
7. PERIOD, IF SPECIAL TAX OR MNBP ONLY
(mm/dd/yy)
FROM
TO
8. AMOUNT OF TAX
9. DATE(S) OF PAYMENT
(for refunds ONLY)
10. DIRECT DEPOSIT, Optional
10a. ROUTING NUMBER
10b. TYPE
CHECKING
SAVINGS
10c. ACCOUNT NUMBER
11. BASIS OF CLAIM (Give the detailed information required by the applicable regulations under which the claim is filed and any other facts which will
tell the reviewing official of the exact basis for the claim. Please identify any documents or statements submitted in support of this claim.)
(Attach letter size sheets if more space is required)
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used, along with other supporting
documents, to o btain credit, remi ssion, and allowance of ta x on taxable articles (alcohol, beer , tobacco products, an d firearms and ammunition)
that have been lost, and to obtain refund of overpaid taxes and abatement of overassessed taxes. This information is required to obtain a benefit
by 26 U.S.C. 5008, 5705, and 6416.
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 Ruling Division, Alcohol and Tobacco Tax and Trade Bureau, Washington, DC 20220.
An agency may not conduct or sponsor, and a pe rson is not req uired to respo nd to, a collection of information unless it displa ys a cu rrent, valid
OMB control number.
Under the penalties of perjury, I declare that I have submitted this claim, including supporting documents and statements, and to the best of my
knowledge and belief, it is true, correct, and complete.
12. SIGNATURE
13. DATE
(Type or print name and title under or beside signature)
TTB F 5620.8 (11/2009)
Page 1 of 2
OMB No. 1513-0030 (12/31/2014)
FOR TTB USE ONLY
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
CLAIM NUMBER
CLAIM - ALCOHOL, TOBACCO, AND FIREARMS TAXES
(File in duplicate with the Alcohol and Tobacco Tax and Trade Bureau)
1. THIS CLAIM IS FILED UNDER THE PROVISIONS OF 27 CFR
(Enter applicable section of regulations, such as 53, 40.283, or 40.473. See www.ttb.gov.)
2.
REMISSION OF TAX
ALLOWANCE OF CREDIT FOR TAX
ABATEMENT OF TAX
ALLOWANCE OF LOSS
ALLOWANCE OF TAX
REFUND OF TAX
DRAWBACK-MNBP
DRAWBACK-EXPORT
OTHER (Specify)
3. NAME AND ADDRESS OF CLAIMANT
4. EMPLOYER IDENTIFICATION NUMBER
(Telephone number and e-mail address optional)
5. PLANT, LICENSE, OR PERMIT NUMBER
6. KIND OF TAX
7. PERIOD, IF SPECIAL TAX OR MNBP ONLY
(mm/dd/yy)
FROM
TO
8. AMOUNT OF TAX
9. DATE(S) OF PAYMENT
(for refunds ONLY)
10. DIRECT DEPOSIT, Optional
10a. ROUTING NUMBER
10b. TYPE
CHECKING
SAVINGS
10c. ACCOUNT NUMBER
11. BASIS OF CLAIM (Give the detailed information required by the applicable regulations under which the claim is filed and any other facts which will
tell the reviewing official of the exact basis for the claim. Please identify any documents or statements submitted in support of this claim.)
(Attach letter size sheets if more space is required)
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used, along with other supporting
documents, to o btain credit, remi ssion, and allowance of ta x on taxable articles (alcohol, beer , tobacco products, an d firearms and ammunition)
that have been lost, and to obtain refund of overpaid taxes and abatement of overassessed taxes. This information is required to obtain a benefit
by 26 U.S.C. 5008, 5705, and 6416.
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 Ruling Division, Alcohol and Tobacco Tax and Trade Bureau, Washington, DC 20220.
An agency may not conduct or sponsor, and a pe rson is not req uired to respo nd to, a collection of information unless it displa ys a cu rrent, valid
OMB control number.
Under the penalties of perjury, I declare that I have submitted this claim, including supporting documents and statements, and to the best of my
knowledge and belief, it is true, correct, and complete.
12. SIGNATURE
13. DATE
(Type or print name and title under or beside signature)
TTB F 5620.8 (11/2009)
Page 1 of 2
Enter the section of the regulations under which you are
Enter the claimant's name and address. (Telephone number
ITEM 1.
ITEM 3.
filing this claim. You may refer to regulations listed on the
and e-mail address are optional)
TTB website at http://www.ttb.gov.
Enter the claimant’s employer identification number.
ITEM 4.
Select the type of claim you are filing as follows (Note: The
ITEM 2.
following are general definitions. Please review regulations
Enter the claimant’s plant, license, or registry number.
ITEM 5.
for further information on filing claims for your commodity):
Enter the kind of tax (excise tax, special tax)
ITEM 6.
REMISSION OF TAX - A qualified permittee, manufacturer,
or proprietor may file a claim for remission of tax on the
Enter the period of which the tax was due (this only
ITEM 7
quantity of distilled spirits, (including distilling material and
applies to special tax or nonbeverage claims). Enter the
denatured spirits) or tobacco products that were lost or
mm/dd/yy format.
destroyed while in bond, if the tax has not been paid or
determined. A claim of this type may also be filed to cover
Enter the total amount of tax being claimed.
ITEM 8.
underpaid beer lost in transit between breweries and
underpaid wine removed for export, but lost while in
Enter the date the tax was paid (if paid) by the claimant.
ITEM 9.
transit to the point of export.
ITEM 10. Direct Deposit is a safe and secure way to have your refund
Note: This type of claim may be filed only by the person
deposited automatically.
who is liable for paying the tax.
ITEM 10a. The routing number must be nine digits. On the sample check
ALLOWANCE OF LOSS - A qualified permittee,
below, the routing number is 250250025.
manufacturer, or proprietor may file a claim for allowance
of loss or relief of tax liability on denatured spirits, wine, or
ITEM 10b. Check the appropriate box for the type of account. Do not
beer that have been lost or destroyed on the bonded
check more than one box.
premises. Or wine lost or destroyed in transit thereto, if the
tax has not been paid or determined.
ITEM 10c. The account number can be up to 17 characters (both
numbers and letters). Include hyphens but omit spaces and
Note: Tax paid distilled spirits, wine, beer, or tobacco
special symbols. On the sample check below, the account
products which are lost or rendered
number is 20202086.
unmerchantable by accident, disaster, fire, casualty,
or act of God should be filed as a claim for
1234
JEFFREY MAPLE
allowance of credit or claim for refund.
SUZANNE MAPLE
123 Pear Lane
15-0000/0000
Anyplace, VA 20000
DRAWBACK – MNBP – A manufacturer of nonbeverage
products may file a claim for drawback on distilled spirits
PAY TO THE
ORDER OF
used in a TTB approved formula for use as a medicine,
$
medicinal preparation, food product, flavor, flavor extract, or
DOLLARS
any other TTB approved nonbeverage product. Formulas
Routing
Account
ANYPLACE BANK
Do not include the
number
number
which are stated in the current revisions or editions of the
Anyplace, VA 2000
check number
ITEM 10a
ITEM 10c
United States Pharmacopoeia (U.S.P.), the National
For
Formulary (N.F.), or the Homeopathic Pharmacopoeia of
20202086
1234
25025002
the United States (H.P.U.S.) are considered approved
formulas.
ITEM 11. Provide detailed information that may be required by the
ALLOWANCE OF CREDIT - A qualified permitted,
applicable regulations pertaining to the claim along with any
manufacturer, or proprietor may file a claim for allowance
other necessary facts. Also identify any documents or
of credit of tax. The approved amount may be applied as
statements submitted to support the claim.
credit toward unpaid taxes or future tax liabilities.
ITEM 12. Enter the signature and title of a person authorized to sign
ALLOWANCE OF TAX - A tobacco manufacturer, export
on behalf of the company/claimant. The name of the person
warehouse proprietor, or permittee may file a claim for relief
signing the claim should be typed or legibly printed under or
from thepayment of tax on tobacco products, if after
beside the signature.
determination of tax and removal from the factory, but prior
to the time for payment of the tax, the articles are lost (other
ITEM 13. Enter the date the claim was signed.
than by theft) or destroyed by fire, casualty, or act of God.
DRAWBACK- EXPORT - A qualified winery, distilled spirits
plant, brewery, or tobacco manufacturer may file a claim for
drawback of the tax on taxpaid spirits, wine or beer exported
from the United States. This type of claim cannot be used for
tobacco products exported with the benefit of drawback.
ABATEMENT OF TAX - A claim for abatement of tax on
firearms, ammunition, distilled spirits, wines, beer, or
tobacco products may be filed if the tax is assessed or has
been assessed excessively and the taxpayer believes that
the tax, or any portion of the tax, is not due.
REFUND OF TAX - A claim may be filed by a taxpayer for
a refund of taxes illegally, erroneously, or excessively
collected. The claim must be filed within three years (two
years under certain circumstances) after the date the tax is
due, or paid, whichever is later.
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