TTB Form 5220.3 "Inventory - Export Warehouse Proprietor"

What Is TTB Form 5220.3?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on February 1, 2010 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2010;
  • 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 5220.3 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 5220.3 "Inventory - Export Warehouse Proprietor"

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OMB No. 1513-0035 (02/28/2013)
FOR TTB USE ONLY
DEPARTMENT OF THE TREASURY
AUDITED BY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
INVENTORY - EXPORT WAREHOUSE PROPRIETOR
DATE OF AUDIT
(Prepare in Duplicate)
1. NAME OF PROPRIETOR
2. ADDRESS OF WAREHOUSE (Number, Street, City, State, and ZIP Code)
3. PERMIT NUMBER
EW ―
4. TYPE OF INVENTORY (Check applicable box)
5. DATE OF INVENTORY
COMMENCING
CONCLUDING
SPECIAL
6. ARTICLES IN INVENTORY
* Enter quantity in pounds and fractions of a pound rounded to 2 decimal places.
LARGE CIGARS
SMALL CIGARS
LARGE CIGARETTES
SMALL CIGARETTES
CHEWING TOBACCO
(Number)
(Number)
(Number)
(Number)
(Pounds)*
(a)
(b)
(c)
(d)
(e)
ROLL-YOUR-OWN
CIGARETTE
CIGARETTE
PROCESSED
SNUFF
PIPE TOBACCO
TOBACCO
PAPERS
TUBES
TOBACCO
(Pounds)*
(Pounds)*
(Pounds)*
(Number)
(Number)
(Pounds)*
(f)
(g)
(h)
(i)
(j)
(k)
Under the penalties of perjury, I declare that this inventory includes all cigars, cigarettes, chewing tobacco, snuff, pipe tobacco, roll-
your-own tobacco, cigarette papers, cigarette tubes, and processed tobacco required to be accounted for and is, to the best of my
knowledge and belief, true and accurate.
7. SIGNATURE (Print name of individual signing the form)
8. DATE
9. 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, cigarette papers or tubes, and processed tobacco reported in this inventory, and I
am satisfied that the inventory is accurate.
10. SIGNATURE OF TTB OFFICER
11. TITLE
12. DATE
TTB F 5220.3 (02/2010)
PREVIOUS VERSIONS SUPERSEDED AND MAY NOT BE USED
OMB No. 1513-0035 (02/28/2013)
FOR TTB USE ONLY
DEPARTMENT OF THE TREASURY
AUDITED BY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
INVENTORY - EXPORT WAREHOUSE PROPRIETOR
DATE OF AUDIT
(Prepare in Duplicate)
1. NAME OF PROPRIETOR
2. ADDRESS OF WAREHOUSE (Number, Street, City, State, and ZIP Code)
3. PERMIT NUMBER
EW ―
4. TYPE OF INVENTORY (Check applicable box)
5. DATE OF INVENTORY
COMMENCING
CONCLUDING
SPECIAL
6. ARTICLES IN INVENTORY
* Enter quantity in pounds and fractions of a pound rounded to 2 decimal places.
LARGE CIGARS
SMALL CIGARS
LARGE CIGARETTES
SMALL CIGARETTES
CHEWING TOBACCO
(Number)
(Number)
(Number)
(Number)
(Pounds)*
(a)
(b)
(c)
(d)
(e)
ROLL-YOUR-OWN
CIGARETTE
CIGARETTE
PROCESSED
SNUFF
PIPE TOBACCO
TOBACCO
PAPERS
TUBES
TOBACCO
(Pounds)*
(Pounds)*
(Pounds)*
(Number)
(Number)
(Pounds)*
(f)
(g)
(h)
(i)
(j)
(k)
Under the penalties of perjury, I declare that this inventory includes all cigars, cigarettes, chewing tobacco, snuff, pipe tobacco, roll-
your-own tobacco, cigarette papers, cigarette tubes, and processed tobacco required to be accounted for and is, to the best of my
knowledge and belief, true and accurate.
7. SIGNATURE (Print name of individual signing the form)
8. DATE
9. 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, cigarette papers or tubes, and processed tobacco reported in this inventory, and I
am satisfied that the inventory is accurate.
10. SIGNATURE OF TTB OFFICER
11. TITLE
12. DATE
TTB F 5220.3 (02/2010)
PREVIOUS VERSIONS SUPERSEDED AND MAY NOT BE USED
INSTRUCTIONS
WHEN REQUIRED - Each export warehouse proprietor is
3. SPECIAL INVENTORY - To be made whenever required
required by regulation to make a true and accurate
by any TTB officer. If an inventory is made as of the
inventory at the time of commencing business, at the time
beginning of business on any day, that date must be
of concluding business, and at other times when required
entered as the DATE OF INVENTORY. If the inventory is
by the appropriate TTB officer (27 CFR Part 44). Such
made as of the close of business on any day, it will be
inventories must be made and the date entered in item 5 of
considered as made at the beginning of business of the
this form as the DATE OF INVENTORY as follows:
next calendar day, and that date must be entered as the
1. COMMENCING INVENTORY - To be made as of the date
DATE OF INVENTORY.
of commencing business ( which will be t he effective date
ITEMS TO BE INCLUDED - An inventory must include all
tobacco products, cigarette papers, cigarette tubes, and
of the p ermit); at the time of transferring ownership; and at
the time of changing location of the factory.
processed tobacco. Report quantities of chewing tobacco,
2. CONCLUDING INVENTORY - To be made as of the close
snuff, pipe tobacco, roll-your-own tobacco, and processed
of business on the date the business is concluded,
tobacco in pounds and fractions of a pound rounded to two
including transfer of ownership, and including a change of
decimal places.
location. If a fiduciary takes over the business for liquidation
PREPARATION AND DISPOSITION - The inventory must be
and files a statement and extension of coverage of the
prepared in duplicate by the proprietor. The original must
proprietor’s bond, as provided by regulation, no concluding
be submitted to the National Revenue Center, 550 Main St,
inventory is necessary until the fiduciary liquidates the
Ste 8002, Cincinnati. OH 45202-5215, and the duplicate
business. The DATE OF INVENTORY will be the date the
must be retained by the proprietor
permit is surrendered, or in the case of transfer of
ownership, the date preceding the change.
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection 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 DC 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 5220.3 (02/2010)
PREVIOUS VERSIONS SUPERSEDED AND MAY NOT BE USED
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