TTB Form 5210.9 "Inventory - Manufacturer of Tobacco Products or Processed Tobacco"

What Is TTB Form 5210.9?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on June 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 June 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 5210.9 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 5210.9 "Inventory - Manufacturer of Tobacco Products or Processed Tobacco"

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OMB No. 1513-0032 (02/28/2013)
DEPARTMENT OF THE TREASURY
FOR TTB USE ONLY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
AUDITED BY
INVENTORY – MANUFACTURER OF TOBACCO PRODUCTS OR
PROCESSED TOBACCO
DATE OF AUDIT
(File in duplicate - See instructions below)
1. NAME OF MANUFACTURER
3. PERMIT NUMBER
5. TYPE OF INVENTORY
(Check applicable box)
COMMENCING
2. PREMISES ADDRESS (Number, Street, City, State and ZIP Code)
CONCLUDING
4. DATE OF INVENTORY
SPECIAL
ARTICLE
6. TOBACCO PRODUCTS IN BOND 7. TAX DETERMINED
a. Small Cigarettes (number)
b. Large Cigarettes (number)
c. Small Cigars (number)
d. Large Cigars (number)
e. Chewing Tobacco (pounds)
f. Snuff (pounds)
g. Pipe Tobacco (pounds)
h. Roll-Your-Own Tobacco (pounds)
8. PROCESSED TOBACCO IN FACTORY (Pounds)
Under the penalties of perjury, I declare that this inventory includes all cigars, cigarettes, chewing tobacco, snuff, pipe
tobacco, roll-your own tobacco, and processed tobacco required to be accounted for and is, to the best of my knowledge and
belief, true, and accurate.
9. SIGNATURE
10. DATE
11. TITLE OR STATUS (State whether individual owner, member of firm, or if officer of corporation, give title)
TO BE EXECUTED ONLY WHEN INVENTORY IS VERIFIED BY TTB OFFICER
I have examined the cigars, cigarettes, chewing tobacco, snuff, pipe tobacco, roll-your-own tobacco, and processed tobacco reported in
this inventory, and I am satisfied that the inventory is accurate.
12. SIGNATURE OF TTB OFFICER
13. TITLE
14. DATE
TTB F 5210.9 (06/2009)
OMB No. 1513-0032 (02/28/2013)
DEPARTMENT OF THE TREASURY
FOR TTB USE ONLY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
AUDITED BY
INVENTORY – MANUFACTURER OF TOBACCO PRODUCTS OR
PROCESSED TOBACCO
DATE OF AUDIT
(File in duplicate - See instructions below)
1. NAME OF MANUFACTURER
3. PERMIT NUMBER
5. TYPE OF INVENTORY
(Check applicable box)
COMMENCING
2. PREMISES ADDRESS (Number, Street, City, State and ZIP Code)
CONCLUDING
4. DATE OF INVENTORY
SPECIAL
ARTICLE
6. TOBACCO PRODUCTS IN BOND 7. TAX DETERMINED
a. Small Cigarettes (number)
b. Large Cigarettes (number)
c. Small Cigars (number)
d. Large Cigars (number)
e. Chewing Tobacco (pounds)
f. Snuff (pounds)
g. Pipe Tobacco (pounds)
h. Roll-Your-Own Tobacco (pounds)
8. PROCESSED TOBACCO IN FACTORY (Pounds)
Under the penalties of perjury, I declare that this inventory includes all cigars, cigarettes, chewing tobacco, snuff, pipe
tobacco, roll-your own tobacco, and processed tobacco required to be accounted for and is, to the best of my knowledge and
belief, true, and accurate.
9. SIGNATURE
10. DATE
11. TITLE OR STATUS (State whether individual owner, member of firm, or if officer of corporation, give title)
TO BE EXECUTED ONLY WHEN INVENTORY IS VERIFIED BY TTB OFFICER
I have examined the cigars, cigarettes, chewing tobacco, snuff, pipe tobacco, roll-your-own tobacco, and processed tobacco reported in
this inventory, and I am satisfied that the inventory is accurate.
12. SIGNATURE OF TTB OFFICER
13. TITLE
14. DATE
TTB F 5210.9 (06/2009)
INSTRUCTIONS
When required. Manufacturers of tobacco products or of
will be the date operations are discontinued, or in the case
processed tobacco are required by regulations (27 CFR Part 40)
of transfer of ownership the date preceding the commencing
to make a true and accurate inventory at the time of commencing
inventory of the successor.
business, at the time of concluding business, and at such other
Special inventory. To be made whenever required by any TTB
time as the appropriate Alcohol and Tobacco Tax and Trade
officer. When such an inventory is made as of the beginning of
Bureau (TTB) officer may require. Such inventories will be made
business on any day, that date will be entered as the DATE OF
and the date entered in item 5 of this form as the DATE OF
INVENTORY, and when made as of the close of business on any
INVENTORY as follows:
day, will be considered as made at the beginning of business of
Commencing inventory. To be made as of the date of
the next calendar day and such date entered as the DATE OF
commencing business (which will be the effective date of the
INVENTORY.
permit); at the time of transferring ownership; and at the time of
Items to be included. Inventories must include all cigars,
changing location of the factory.
cigarettes, chewing tobacco, snuff, pipe tobacco, roll-your-own
Concluding inventory. To be made as of the close of business
tobacco, and processed tobacco required to be accounted for in
on the date the business is concluded, including transfer of
the records. Report quantity of chewing tobacco, snuff, pipe
ownership and including a change of location. Where a fiduciary
tobacco, roll-your-own tobacco, and processed tobacco in pounds
takes over the business for liquidation and files a statement and
and fractions of a pound rounded to two decimal places.
extension of coverage of the manufacturer's bond, as provided by
Preparation and disposition. The inventory should be prepared
regulations, no concluding inventory is necessary until the
by the manufacturer in duplicate, the original submitted to the
fiduciary liquidates the business. For tobacco products
Director, National Revenue Center, 550 Main St, Ste 8002,
manufacturers, the DATE OF INVENTORY will be the date the
Cincinnati, OH, 45202-5215. The duplicate copy will be retained
permit is surrendered, or in the case of transfer of ownership, the
by the manufacturer.
date preceding the commencing inventory of the successor. For
processed tobacco manufacturers, the DATE OF INVENTORY
Verification by TTB officer. The TTB officer's certificate will be
executed only when a TTB officer requires verification and has
personally examined and verified the inventory.
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information is to establish a basis for
verification of tax liability. This form is subject to TTB inspection. Completion of this form is mandatory. (26 U.S.C. 5721 and 5741).
The estimated average burden associated with this collection of information is 5 hours 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, Washington, D.C. 20220.
An agency may not conduct or sponsor, and an individual is not required to respond to, a collection of information unless it displays a
current, valid OMB control number.
TTB F 5210.9 (06/2009)
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